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Maternity HESI Test bank Exam || Most Recent Exam
Actual Complete Real Verified Exam Questions And
Correct Answers (Verified Answers) Already Graded
A+ | Newest Exam!!!
A nurse receives a shift change report for a newborn who
is 12 hours post-vaginal delivery. In developing a plan of
care, the nurse should give the highest priority to which
finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - Answer-B. Skin
color that is slightly jaundiced
Rationale: Jaundice, a yellow skin coloration, is caused by
elevated levels of bilirubin, which should be further
evaluated in a newborn <24 hours old. Acrocyanosis (blue
color of the hands and feet) is a common finding in
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newborns; it occurs because the capillary system is
immature. Milia are small white papules present on the
nose and chin that are caused by sebaceous gland
blockage and disappear in a few weeks. Small red
patches on the cheeks and trunk are called erythema
toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with
mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are
completely emptied.
B.Feed expressed breast milk to avoid the pain of the
infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the
mastitis subsides.
D.Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant. - Answer-
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A.Breastfeed the infant, ensuring that both breasts are
completely emptied.
Rationale:Mastitis, caused by plugged milk ducts, is
related to breast engorgement, and breastfeeding during
mastitis facilitates the complete emptying of engorged
breasts, eliminating the pressure on the inflamed breast
tissue. Option B is less painful but does not facilitate
complete emptying of the breast tissue. Option C will not
relieve the engorgement on the affected side. Option D will
not decrease antibiotic effects on the infant.
An expectant father tells the nurse he fears that his wife is
"losing her mind." He states that she is constantly rubbing
her abdomen and talking to the baby and that she actually
reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant
father?
A.Suggest that his wife seek professional counseling to
deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the
pregnancy.
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C. Ask him to report similar abnormal behaviors at the next
prenatal visit.
D.Reassure him that normal maternal-fetal bonding is
occurring. - Answer-D) Reassure him that normal
maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal
bonding and do not reflect ambivalence. No intervention is
needed. Quickening, the first perception of fetal
movement, occurs at 17 to 20 weeks of gestation and
begins a new phase of prenatal bonding during the second
trimester. Options A and C are not necessary because the
behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy.
Immediately after the procedure is completed, it is most
important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
Maternity HESI Test bank Exam || Most Recent Exam
Actual Complete Real Verified Exam Questions And
Correct Answers (Verified Answers) Already Graded
A+ | Newest Exam!!!
A nurse receives a shift change report for a newborn who
is 12 hours post-vaginal delivery. In developing a plan of
care, the nurse should give the highest priority to which
finding?
A.Cyanosis of the hands and feet
B.Skin color that is slightly jaundiced
C.Tiny white papules on the nose or chin
D.Red patches on the cheeks and trunk - Answer-B. Skin
color that is slightly jaundiced
Rationale: Jaundice, a yellow skin coloration, is caused by
elevated levels of bilirubin, which should be further
evaluated in a newborn <24 hours old. Acrocyanosis (blue
color of the hands and feet) is a common finding in
,2|Page
newborns; it occurs because the capillary system is
immature. Milia are small white papules present on the
nose and chin that are caused by sebaceous gland
blockage and disappear in a few weeks. Small red
patches on the cheeks and trunk are called erythema
toxicum neonatorum, a common finding in newborns.
A breastfeeding postpartum client is diagnosed with
mastitis, and antibiotic therapy is prescribed. Which
instruction should the nurse provide to this client?
A.Breastfeed the infant, ensuring that both breasts are
completely emptied.
B.Feed expressed breast milk to avoid the pain of the
infant latching onto the infected breast.
C.Breastfeed on the unaffected breast only until the
mastitis subsides.
D.Dilute expressed breast milk with sterile water to
reduce the antibiotic effect on the infant. - Answer-
,3|Page
A.Breastfeed the infant, ensuring that both breasts are
completely emptied.
Rationale:Mastitis, caused by plugged milk ducts, is
related to breast engorgement, and breastfeeding during
mastitis facilitates the complete emptying of engorged
breasts, eliminating the pressure on the inflamed breast
tissue. Option B is less painful but does not facilitate
complete emptying of the breast tissue. Option C will not
relieve the engorgement on the affected side. Option D will
not decrease antibiotic effects on the infant.
An expectant father tells the nurse he fears that his wife is
"losing her mind." He states that she is constantly rubbing
her abdomen and talking to the baby and that she actually
reprimands the baby when it moves too much. Which
recommendation should the nurse make to this expectant
father?
A.Suggest that his wife seek professional counseling to
deal with her symptoms.
B.Explain that his wife is exhibiting ambivalence about the
pregnancy.
, 4|Page
C. Ask him to report similar abnormal behaviors at the next
prenatal visit.
D.Reassure him that normal maternal-fetal bonding is
occurring. - Answer-D) Reassure him that normal
maternal-fetal bonding is occurring.
Rationale:
These behaviors are positive signs of maternal-fetal
bonding and do not reflect ambivalence. No intervention is
needed. Quickening, the first perception of fetal
movement, occurs at 17 to 20 weeks of gestation and
begins a new phase of prenatal bonding during the second
trimester. Options A and C are not necessary because the
behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy.
Immediately after the procedure is completed, it is most
important for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
