Women’s Health HESI 2026
| Questions & Answers |
Maternity Nursing Exam
Prep Questions 2026
| Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The nurse is assessing a female preterm neonate after - The infant has a prominent clitoris.
delivery. Which assessment findings does the nurse - The hair of the infant is fine and feathery.
document in the hospital reports fo the infant? -The infant shows no resistance to the heel-to-ear maneuver.
Rationale: A female preterm neonate lacks proper growth fo the labia major;
therefore, the neonate will have a prominent clitoris. A preterm neonate lacks
proper nourishment to the hair, resulting in fine and feathery hair. The knee of an
preterm infant does not offer resistance to the heel-to-ear maneuver. The soles of
a preterm infant's feet appear more turgid and may have only fine wrinkles. The
preterm infant has less subcutaneous tissue, and therefore rests in a relaxed
attitude.
The nurse is preparing to bathe a neonate born at 30 - immerse the neonate fully except the head in the tub
weeks of gestation. Which practices by the nurse ensure - measures the body temperature within 2-4 hours before giving the bath
the infant's safety? - uses cleansing agents with neutral pH and minimal dyes while giving the bath
Rationale: A neonate born before 32 week of gestational age is known as a
preterm infant. Immersing the neonate's head in water during a bath can increase
the risk of respiratory depression. The neonate's body temperature should be
stable 2 to 4 hours before giving the initial bath. Therefore the nurse monitors
body temperature before giving the bath. Cleansing agents with neutral pH and
minimal dyes reduce skin irritation, so these are used when bathing the neonate.
The nurse should give a warm-water bath every 2nd or 3rd day, not daily, to
prevent hypothermia. Removing the vernix completely during the initial bath can
alter thermoregulation in a neonate.
The nurse must continually assess a preterm infant's has a limited supply of brown fat available to provide heat
temperature and provide appropriate nursing care
because, unlike the full-term infant, the preterm infant has Rationale: Because neonates are unable to shiver, they use the breakdown of
what limitation? brown fat to supply body heat; the preterm infant has a limited supply of brown
fat available for this purpose. An inability to use shivering to produce heat is not
specific to preterm neonates; all newborns are unable to use shivering to supply
body heat. The breakdown fo glycogen into glucose down not supply body heat.
Pituitary hormones do not regulate body heat.
The nurse is assigned the care for an infant in the 5 to 7 mg/dL (85.5 to 119.7 mcmol/L)
newborn nursery who is 24 hours old. During assessment
the nurse becomes concerned that the baby is jaundiced.
The nurse knows that jaundice first becomes visible in a
newborn when serum bilirubin reaches what level?
When changing her newborn's diaper a new mother Encourage the mother to cleanse the area and change the diaper more often.
notes a reddened area on the infant's buttock and
reports it to the nurse. How should the nurse best Rationale: Frequent cleansing and diaper changes will limit the presence of
address this mother's concern? irritation substances. Having the nurses change the diaper may lower the mother's
self-esteem. Powder and lotion will cake and retain moisture in the area.
Requesting that the HCP prescribe a topical ointment is a nursing, not a medical,
problem.
, Which factor does the nurse conclude is directly related gestational age and birth weight
to an infant's survival in the neonatal period?
Rationale: Adaptation to the extrauterine environment is largely dependent on the
functional capacity of vital organ systems, which is established during intrauterine
development; this is measurable in terms of gestational age and weight. Although
the reproductive history of the mother, parenteral health habits, and social class
may all influence health, none of these is critical to neonatal survival. Although
adequacy of the mother's prenatal care may influence the mother's health and
therefore the fetus's health, it is not critical to neonatal survival as are an adequate
gestational age and birth weight.
A client gives brith to a full-term male with an 8/9 Apgar Assessing respirations, keeping him warm, and identifying him.
Score. What should the immediate nursing care of this
newborn include? Rationale: Establishing a patent airway, diminishing cold stress, and identifying the
newborn are the priorities. Application of the eye prophylaxis and administration
of the Vit K are often delated to allow the parents to bond with the infant; a bath
at this time will increase the risk of cold stress. Aspriating the oropharynx, rushing
him to the nursery, and stimulating him frequently are measures appropriate for a
compromised newborn; an 8/9 Apgar Score is indicative of a healthy newborn.
Weighing him, placing him in a crib, and waiting until the mother is ready to hold
him are not the priority care for a newborn.
A newborn is experiencing cold stress while being prevent metabolism of fat stores
admitted to the nursery. Which nursing goal has the
highest immediate priority? Rationale:
Newborns do not shiver. If the newborn is cold, there is increased brown fat
metabolism (non shivering thermogenesis), which increases fatty acid blood levels
and predisposes the infant to acidosis. Hypoglycemia and not hyperglycemia will
occur b/c the newborn's glycogen reserves deplete rapidly while under cold
stress. Although oxygen consumption increases during cold stress, limiting
oxygen consumption is not the priority; reducing non shivering thermogenesis is
more imperative.
After hyperbilirubinemia develops in a neonate, Administering additional fluids every 2 hours
phototherapy is prescribed. What should the plan of care
for an infant undergoing phototherapy include? Rationale: Insensible and intestinal fluid losses are increased during phototherapy;
extra fluid prevents dehydration. Taking the vital signs every hour is unnecessary
unless a change from the baseline occurs. The eye shields should be removed for
feeding and when the infant is being held. Some methods of phototherapy no
longer require the use of eye shields. The total body needs to be exposed to the
light.
An infant in the nursery has cyanosis of the hands and Notifying the HCP, b/c circumoral pallor may signal a cardiac problem.
feet and circumoral pallor when crying. In light of these
assessment findings, which action should the nurse Rationale: Cardiac pathology can be detected at an early age, and circumoral
consider taking next? pallor may be a sign. Circumoral pallor is not expected in a healthy newborn, or in
a person of any age.
| Questions & Answers |
Maternity Nursing Exam
Prep Questions 2026
| Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,The nurse is assessing a female preterm neonate after - The infant has a prominent clitoris.
delivery. Which assessment findings does the nurse - The hair of the infant is fine and feathery.
document in the hospital reports fo the infant? -The infant shows no resistance to the heel-to-ear maneuver.
Rationale: A female preterm neonate lacks proper growth fo the labia major;
therefore, the neonate will have a prominent clitoris. A preterm neonate lacks
proper nourishment to the hair, resulting in fine and feathery hair. The knee of an
preterm infant does not offer resistance to the heel-to-ear maneuver. The soles of
a preterm infant's feet appear more turgid and may have only fine wrinkles. The
preterm infant has less subcutaneous tissue, and therefore rests in a relaxed
attitude.
The nurse is preparing to bathe a neonate born at 30 - immerse the neonate fully except the head in the tub
weeks of gestation. Which practices by the nurse ensure - measures the body temperature within 2-4 hours before giving the bath
the infant's safety? - uses cleansing agents with neutral pH and minimal dyes while giving the bath
Rationale: A neonate born before 32 week of gestational age is known as a
preterm infant. Immersing the neonate's head in water during a bath can increase
the risk of respiratory depression. The neonate's body temperature should be
stable 2 to 4 hours before giving the initial bath. Therefore the nurse monitors
body temperature before giving the bath. Cleansing agents with neutral pH and
minimal dyes reduce skin irritation, so these are used when bathing the neonate.
The nurse should give a warm-water bath every 2nd or 3rd day, not daily, to
prevent hypothermia. Removing the vernix completely during the initial bath can
alter thermoregulation in a neonate.
The nurse must continually assess a preterm infant's has a limited supply of brown fat available to provide heat
temperature and provide appropriate nursing care
because, unlike the full-term infant, the preterm infant has Rationale: Because neonates are unable to shiver, they use the breakdown of
what limitation? brown fat to supply body heat; the preterm infant has a limited supply of brown
fat available for this purpose. An inability to use shivering to produce heat is not
specific to preterm neonates; all newborns are unable to use shivering to supply
body heat. The breakdown fo glycogen into glucose down not supply body heat.
Pituitary hormones do not regulate body heat.
The nurse is assigned the care for an infant in the 5 to 7 mg/dL (85.5 to 119.7 mcmol/L)
newborn nursery who is 24 hours old. During assessment
the nurse becomes concerned that the baby is jaundiced.
The nurse knows that jaundice first becomes visible in a
newborn when serum bilirubin reaches what level?
When changing her newborn's diaper a new mother Encourage the mother to cleanse the area and change the diaper more often.
notes a reddened area on the infant's buttock and
reports it to the nurse. How should the nurse best Rationale: Frequent cleansing and diaper changes will limit the presence of
address this mother's concern? irritation substances. Having the nurses change the diaper may lower the mother's
self-esteem. Powder and lotion will cake and retain moisture in the area.
Requesting that the HCP prescribe a topical ointment is a nursing, not a medical,
problem.
, Which factor does the nurse conclude is directly related gestational age and birth weight
to an infant's survival in the neonatal period?
Rationale: Adaptation to the extrauterine environment is largely dependent on the
functional capacity of vital organ systems, which is established during intrauterine
development; this is measurable in terms of gestational age and weight. Although
the reproductive history of the mother, parenteral health habits, and social class
may all influence health, none of these is critical to neonatal survival. Although
adequacy of the mother's prenatal care may influence the mother's health and
therefore the fetus's health, it is not critical to neonatal survival as are an adequate
gestational age and birth weight.
A client gives brith to a full-term male with an 8/9 Apgar Assessing respirations, keeping him warm, and identifying him.
Score. What should the immediate nursing care of this
newborn include? Rationale: Establishing a patent airway, diminishing cold stress, and identifying the
newborn are the priorities. Application of the eye prophylaxis and administration
of the Vit K are often delated to allow the parents to bond with the infant; a bath
at this time will increase the risk of cold stress. Aspriating the oropharynx, rushing
him to the nursery, and stimulating him frequently are measures appropriate for a
compromised newborn; an 8/9 Apgar Score is indicative of a healthy newborn.
Weighing him, placing him in a crib, and waiting until the mother is ready to hold
him are not the priority care for a newborn.
A newborn is experiencing cold stress while being prevent metabolism of fat stores
admitted to the nursery. Which nursing goal has the
highest immediate priority? Rationale:
Newborns do not shiver. If the newborn is cold, there is increased brown fat
metabolism (non shivering thermogenesis), which increases fatty acid blood levels
and predisposes the infant to acidosis. Hypoglycemia and not hyperglycemia will
occur b/c the newborn's glycogen reserves deplete rapidly while under cold
stress. Although oxygen consumption increases during cold stress, limiting
oxygen consumption is not the priority; reducing non shivering thermogenesis is
more imperative.
After hyperbilirubinemia develops in a neonate, Administering additional fluids every 2 hours
phototherapy is prescribed. What should the plan of care
for an infant undergoing phototherapy include? Rationale: Insensible and intestinal fluid losses are increased during phototherapy;
extra fluid prevents dehydration. Taking the vital signs every hour is unnecessary
unless a change from the baseline occurs. The eye shields should be removed for
feeding and when the infant is being held. Some methods of phototherapy no
longer require the use of eye shields. The total body needs to be exposed to the
light.
An infant in the nursery has cyanosis of the hands and Notifying the HCP, b/c circumoral pallor may signal a cardiac problem.
feet and circumoral pallor when crying. In light of these
assessment findings, which action should the nurse Rationale: Cardiac pathology can be detected at an early age, and circumoral
consider taking next? pallor may be a sign. Circumoral pallor is not expected in a healthy newborn, or in
a person of any age.
