lOMoARcPSD|34983377
MATERNITY NEWBORN HESI 2024
LATEST EXAM QUESTIONS WITH
VERIFIED ANSWERS
1.
A full-term infant is admitted to the newborn nursery and, after careful assessment, the nurse
suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to
have exhibited?
A) Choking, coughing, and cyanosis.
Feedback: CORRECT
B) Projectile vomiting and cyanosis.
Feedback: INCORRECT
C) Apneic spells and grunting.
Feedback: INCORRECT
D) Scaphoid abdomen and anorexia.
Feedback: INCORRECT
Feedback: INCORRECT
(A) includes the "3 Cs" of esophageal atresia caused by the overflow of secretions into the trachea. (B) is
characteristic of pyloric stenosis in the infant. (C) could be due to prematurity or sepsis, and grunting is a
sign of respiratory distress. (D) is characteristic of diaphragmatic hernia.
Correct Answer(s): A
, lOMoARcPSD|34983377
2.
A female client with insulin-dependent diabetes arrives at the clinic seeking a plan to get pregnant in
approximately 6 months. She tells the nurse that she want to have an uncomplicated pregnancy and
a healthy baby. What information should the nurse share with the client?
A) Your current dose of Insulin should be maintained throughout your pregnancy. B) Maintain
blood sugar levels in a constant range within normal limits during pregnancy.
C) The course and outcome of your pregnancy is not an achievable goal with diabetes.
D) Expect an increase in insulin dosages by 5 units/week during the first trimester.
Feedback: INCORRECT
Maintaining blood sugar within a normal range during pregnancy has a strong correlation with a good
outcome (B). Insulin requirements normally change during pregnancy (A).
Active participation of the client with her diabetes management during pregnancy is associated with better
outcomes, not (C). Insulin needs are individually determined by blood glucose values, not a set schedule,
not (D).
Correct Answer(s): B
3.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should the
nurse take?
A) Ask the mother why she won't look at the infant.
Feedback: INCORRECT
B) Observe the mother for other attachment behaviors.
Feedback: CORRECT
, lOMoARcPSD|34983377
C) Examine the newborn's eyes for the ability to focus.
Feedback: INCORRECT
D) Recognize this as a common reaction in new mothers.
Feedback: INCORRECT
Feedback: INCORRECT
Parent-infant bonding or attachment is based on a mutual relationship between parent and infant and is
commonly established by the "enface position," which is demonstrated by the mother's and infant's
eyes meeting in the same plane. To assess for other attachment behaviors, continued observation of the
new mother's interactions with her infant (B) helps the nurse determine problems in attachment. (A)
may cause undue confusion, stress, or impact the mother's self-confidence. (C) is not indicated. The
"enface position" is a significant, early behavior that leads to the formation of affectional ties and
should be encouraged (D).
Correct Answer(s): B
4.
A client who is attending antepartum classes asks the nurse why her healthcare provider has
prescribed iron tablets. The nurse's response is based on what knowledge?
A) Supplementary iron is more efficiently utilized during pregnancy.
Feedback: INCORRECT
B) It is difficult to consume 18 mg of additional iron by diet alone.
Feedback: CORRECT
C) Iron absorption is decreased in the GI tract during pregnancy.
, lOMoARcPSD|34983377
Feedback: INCORRECT
D) Iron is needed to prevent megaloblastic anemia in the last trimester.
Feedback: INCORRECT
Feedback: INCORRECT
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to meet the
demands of pregnancy is difficult (B) so iron supplements are often recommended. Dietary iron (A) is
just as "good" as iron in tablet form. Iron absorption occurs readily during pregnancy, and is not
decreased within the GI tract (C).
Megaloblastic anemia (D) is caused by folic acid deficiency.
Correct Answer(s): B
5.
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child,
but I would like to try with this baby." Which intervention is best for the nurse to implement first?
A) Assess the husband's feelings about his wife's decision to breastfeed their baby.
Feedback: INCORRECT
B) Ask the client to describe why she was unsuccessful with breastfeeding her last child.
Feedback: INCORRECT
C) Encourage the client to develop a positive attitude about breastfeeding to help ensure success.
Feedback: INCORRECT
D) Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
Feedback: CORRECT
Feedback: INCORRECT
Infants respond to breastfeeding best when feeding is initiated in the active phase soon after delivery (D).
(A and B) might provide interesting data, but gathering this information is not as important as providing
MATERNITY NEWBORN HESI 2024
LATEST EXAM QUESTIONS WITH
VERIFIED ANSWERS
1.
A full-term infant is admitted to the newborn nursery and, after careful assessment, the nurse
suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to
have exhibited?
A) Choking, coughing, and cyanosis.
Feedback: CORRECT
B) Projectile vomiting and cyanosis.
Feedback: INCORRECT
C) Apneic spells and grunting.
Feedback: INCORRECT
D) Scaphoid abdomen and anorexia.
Feedback: INCORRECT
Feedback: INCORRECT
(A) includes the "3 Cs" of esophageal atresia caused by the overflow of secretions into the trachea. (B) is
characteristic of pyloric stenosis in the infant. (C) could be due to prematurity or sepsis, and grunting is a
sign of respiratory distress. (D) is characteristic of diaphragmatic hernia.
Correct Answer(s): A
, lOMoARcPSD|34983377
2.
A female client with insulin-dependent diabetes arrives at the clinic seeking a plan to get pregnant in
approximately 6 months. She tells the nurse that she want to have an uncomplicated pregnancy and
a healthy baby. What information should the nurse share with the client?
A) Your current dose of Insulin should be maintained throughout your pregnancy. B) Maintain
blood sugar levels in a constant range within normal limits during pregnancy.
C) The course and outcome of your pregnancy is not an achievable goal with diabetes.
D) Expect an increase in insulin dosages by 5 units/week during the first trimester.
Feedback: INCORRECT
Maintaining blood sugar within a normal range during pregnancy has a strong correlation with a good
outcome (B). Insulin requirements normally change during pregnancy (A).
Active participation of the client with her diabetes management during pregnancy is associated with better
outcomes, not (C). Insulin needs are individually determined by blood glucose values, not a set schedule,
not (D).
Correct Answer(s): B
3.
The nurse observes a new mother avoiding eye contact with her newborn. Which action should the
nurse take?
A) Ask the mother why she won't look at the infant.
Feedback: INCORRECT
B) Observe the mother for other attachment behaviors.
Feedback: CORRECT
, lOMoARcPSD|34983377
C) Examine the newborn's eyes for the ability to focus.
Feedback: INCORRECT
D) Recognize this as a common reaction in new mothers.
Feedback: INCORRECT
Feedback: INCORRECT
Parent-infant bonding or attachment is based on a mutual relationship between parent and infant and is
commonly established by the "enface position," which is demonstrated by the mother's and infant's
eyes meeting in the same plane. To assess for other attachment behaviors, continued observation of the
new mother's interactions with her infant (B) helps the nurse determine problems in attachment. (A)
may cause undue confusion, stress, or impact the mother's self-confidence. (C) is not indicated. The
"enface position" is a significant, early behavior that leads to the formation of affectional ties and
should be encouraged (D).
Correct Answer(s): B
4.
A client who is attending antepartum classes asks the nurse why her healthcare provider has
prescribed iron tablets. The nurse's response is based on what knowledge?
A) Supplementary iron is more efficiently utilized during pregnancy.
Feedback: INCORRECT
B) It is difficult to consume 18 mg of additional iron by diet alone.
Feedback: CORRECT
C) Iron absorption is decreased in the GI tract during pregnancy.
, lOMoARcPSD|34983377
Feedback: INCORRECT
D) Iron is needed to prevent megaloblastic anemia in the last trimester.
Feedback: INCORRECT
Feedback: INCORRECT
Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to meet the
demands of pregnancy is difficult (B) so iron supplements are often recommended. Dietary iron (A) is
just as "good" as iron in tablet form. Iron absorption occurs readily during pregnancy, and is not
decreased within the GI tract (C).
Megaloblastic anemia (D) is caused by folic acid deficiency.
Correct Answer(s): B
5.
Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child,
but I would like to try with this baby." Which intervention is best for the nurse to implement first?
A) Assess the husband's feelings about his wife's decision to breastfeed their baby.
Feedback: INCORRECT
B) Ask the client to describe why she was unsuccessful with breastfeeding her last child.
Feedback: INCORRECT
C) Encourage the client to develop a positive attitude about breastfeeding to help ensure success.
Feedback: INCORRECT
D) Provide assistance to the mother to begin breastfeeding as soon as possible after delivery.
Feedback: CORRECT
Feedback: INCORRECT
Infants respond to breastfeeding best when feeding is initiated in the active phase soon after delivery (D).
(A and B) might provide interesting data, but gathering this information is not as important as providing
