HESI PN MATERNAL NEWBORN PROCTORED EXAM
- (22 VERSIONS)-
,HESI PN MATERNAL NEWBORN PROCTORED EXAM
- (22 VERSIONS)-
COMPLETE RESOURCES
FOR
HESI PN MATERNAL NEWBORN PROCTORED EXAM
2021
100% SUCCESS GUARENTEED
, HESI PN MATERNAL NEWBORN PROCTORED EXAM
(VERSION 1)
01. A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the
following assessments is the nurse's priority?
Amount of lochia
When using the airway, breathing, circulHESIon approach to client care, the nurse should place
the priority in the immediate postpartum period on assessing the amount of postpartum lochia.
The greatest risk to the client is bleeding and postpartum hemorrhage.
02. A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
Apply sacral counterpressure
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
03. A nurse is demonstrHESIng to a client how to bathe her newborn. In which order should the
nurse perform the following actions? (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
, Wipe the newborn’s eyes from the inner canthus outward.
Wash the newborn’s neck by lifting the newborn’s chin.
Cleanse the skin around the newborn’s umbilical cord stump.
Wash the newborn’s legs and feet.
Clean the newborn’s diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to clean the
newborn's diaper area.
04. A nurse is caring for a client and her partner who have experienced a fetal death. Which of
the following actions should the nurse take?
Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
05. A nurse is caring for a client who is at 36 weeks of gestHESIon and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the following
diagnostic tests?
Biophysical profile
A positive contraction stress test indicates that further evaluHESIon of the fetus is necessary. A
biophysical profile will provide further evaluHESIon with real-time ultrasound.
06. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia.
Which of the following laboratory results should the nurse report to the provider?
Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulHESIon. The nurse should report this result to the provider.
07. A nurse is assessing a newborn who was born at 26 weeks of gestHESIon using the New
Ballard Score. Which of the following findings should the nurse expect?
Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestHESIon to have decreased
muscular tone, or minimal arm recoil.
08. A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indicHESIon that the newborn is experiencing pain?
Chin quivering
- (22 VERSIONS)-
,HESI PN MATERNAL NEWBORN PROCTORED EXAM
- (22 VERSIONS)-
COMPLETE RESOURCES
FOR
HESI PN MATERNAL NEWBORN PROCTORED EXAM
2021
100% SUCCESS GUARENTEED
, HESI PN MATERNAL NEWBORN PROCTORED EXAM
(VERSION 1)
01. A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the
following assessments is the nurse's priority?
Amount of lochia
When using the airway, breathing, circulHESIon approach to client care, the nurse should place
the priority in the immediate postpartum period on assessing the amount of postpartum lochia.
The greatest risk to the client is bleeding and postpartum hemorrhage.
02. A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
Apply sacral counterpressure
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
03. A nurse is demonstrHESIng to a client how to bathe her newborn. In which order should the
nurse perform the following actions? (Move the steps into the box on the right, placing them in
the selected order of performance. Use all the steps.)
, Wipe the newborn’s eyes from the inner canthus outward.
Wash the newborn’s neck by lifting the newborn’s chin.
Cleanse the skin around the newborn’s umbilical cord stump.
Wash the newborn’s legs and feet.
Clean the newborn’s diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to clean the
newborn's diaper area.
04. A nurse is caring for a client and her partner who have experienced a fetal death. Which of
the following actions should the nurse take?
Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example,
photos, the newborn's ID bands, the newborn's hat, and the newborn's blanket).
05. A nurse is caring for a client who is at 36 weeks of gestHESIon and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the following
diagnostic tests?
Biophysical profile
A positive contraction stress test indicates that further evaluHESIon of the fetus is necessary. A
biophysical profile will provide further evaluHESIon with real-time ultrasound.
06. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia.
Which of the following laboratory results should the nurse report to the provider?
Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulHESIon. The nurse should report this result to the provider.
07. A nurse is assessing a newborn who was born at 26 weeks of gestHESIon using the New
Ballard Score. Which of the following findings should the nurse expect?
Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestHESIon to have decreased
muscular tone, or minimal arm recoil.
08. A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indicHESIon that the newborn is experiencing pain?
Chin quivering
