MATERNITY HESI LATEST ACTUAL FINAL EXAM 2024
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
ALREADY A+ GRADED
After performing an Ortolani test, the nurse observes that a newborn
has asymmetric gluteal and thigh skinfolds and uneven knee levels.
What does the nurse infer from this assessment? The infant had:
A low birth weight.
A vertex presentation at birth.
Amniotic prolapse before birth.
A breech presentation at birth. - ANSWER-A breech presentation at
birth.
The newborn was found to have asymmetric gluteal and thigh skinfolds
and uneven knee levels, which indicate a positive Ortolani test. The test
reveals that the infant has developmental dysplasia of the hips (DDH).
DDH occurs more often in female infants with breech presentation at
birth. Therefore the newborn had breech presentation before birth.
Low birth weight may be due to gestational diabetes and preterm
deliveries; however, low a low birth weight is unrelated to
developmental dysplasia of the hips. Amniotic prolapse is not
,associated with uneven knee lengths and asymmetric gluteal and thigh
skinfolds. Vertex presentation of the newborn is an edematous area
that is present at birth, extends across suture lines of the skull, and
usually disappears spontaneously within 3 to 4 days after birth.
p. 572
The nurse is taking care of a newborn. The nurse finds out that the
infant weighs 1800 g and the mother's HBsAg status is unknown. When
should the nurse administer the hepatitis B immune globulin (HGIB)
vaccine to the infant?
9 hours after the infant is born
13 hours after the infant is born
14 hours after the infant is born
18 hours after the infant is born - ANSWER-9 hours after the infant is
born
If the mother's HBsAg status is unknown, then the infant's weight is
considered to determine the time for the administration of the HBIG
vaccine. The infant weighs 1800 g, so the HBIG vaccine is given within
12 hours after the infant's birth. Therefore the HBIG vaccine should be
administered 9 hours after birth, not 13, 14, or 18 hours after. If the
,mother's HBsAg status is known and the baby weighs more than 2000
g, then the HBIG vaccine can be administered within a week of the
newborn's birth. In such a situation, the vaccine can be administered at
13, 14, or 18 hours after the birth of the infant.
During the assessment of a postpartum patient, the nurse finds the
patient has endometritis. Which medication should be administered in
the treatment plan for this patient?
Clindamycin (Cleocin)
Misoprostol (Cytotec)
Ergonovine (Ergotrate)
Methylergonovine (Methergine) - ANSWER-Clindamycin (Cleocin)
Endometritis is a common postpartum infection. It usually begins as a
localized infection at the placental site and spreads to the entire
endometrium. Endometritis is usually managed by giving the patient a
broad-spectrum antibiotic drug, like Clindamycin (Cleocin). Therefore
clindamycin (Cleocin) should be involved in the treatment plan for
management of endometritis. Misoprostol (Cytotec), ergonovine
(Ergotrate), and methylergonovine (Methergine) are uterotonic drugs
used to manage postpartum hemorrhage (PPH) caused by uterine
atony.
, An examiner who discovers unequal movement or uneven gluteal
skinfolds during the Ortolani maneuver:
tells the parents that one leg may be longer than the other, but they
will equal out by the time the infant is walking.
alerts the physician that the infant has a dislocated hip.
informs the parents and physician that molding has not taken place.
suggests that if the condition does not change, surgery to correct vision
problems might be needed. - ANSWER-alerts the physician that the
infant has a dislocated hip.
Upon assessment, the nurse finds that the infant has a sunken
abdomen, bowel sounds heard in the chest, nasal flaring, and grunting.
What clinical condition does the nurse suspect the infant has based on
these findings?
Epispadias
A ruptured viscus
WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
ALREADY A+ GRADED
After performing an Ortolani test, the nurse observes that a newborn
has asymmetric gluteal and thigh skinfolds and uneven knee levels.
What does the nurse infer from this assessment? The infant had:
A low birth weight.
A vertex presentation at birth.
Amniotic prolapse before birth.
A breech presentation at birth. - ANSWER-A breech presentation at
birth.
The newborn was found to have asymmetric gluteal and thigh skinfolds
and uneven knee levels, which indicate a positive Ortolani test. The test
reveals that the infant has developmental dysplasia of the hips (DDH).
DDH occurs more often in female infants with breech presentation at
birth. Therefore the newborn had breech presentation before birth.
Low birth weight may be due to gestational diabetes and preterm
deliveries; however, low a low birth weight is unrelated to
developmental dysplasia of the hips. Amniotic prolapse is not
,associated with uneven knee lengths and asymmetric gluteal and thigh
skinfolds. Vertex presentation of the newborn is an edematous area
that is present at birth, extends across suture lines of the skull, and
usually disappears spontaneously within 3 to 4 days after birth.
p. 572
The nurse is taking care of a newborn. The nurse finds out that the
infant weighs 1800 g and the mother's HBsAg status is unknown. When
should the nurse administer the hepatitis B immune globulin (HGIB)
vaccine to the infant?
9 hours after the infant is born
13 hours after the infant is born
14 hours after the infant is born
18 hours after the infant is born - ANSWER-9 hours after the infant is
born
If the mother's HBsAg status is unknown, then the infant's weight is
considered to determine the time for the administration of the HBIG
vaccine. The infant weighs 1800 g, so the HBIG vaccine is given within
12 hours after the infant's birth. Therefore the HBIG vaccine should be
administered 9 hours after birth, not 13, 14, or 18 hours after. If the
,mother's HBsAg status is known and the baby weighs more than 2000
g, then the HBIG vaccine can be administered within a week of the
newborn's birth. In such a situation, the vaccine can be administered at
13, 14, or 18 hours after the birth of the infant.
During the assessment of a postpartum patient, the nurse finds the
patient has endometritis. Which medication should be administered in
the treatment plan for this patient?
Clindamycin (Cleocin)
Misoprostol (Cytotec)
Ergonovine (Ergotrate)
Methylergonovine (Methergine) - ANSWER-Clindamycin (Cleocin)
Endometritis is a common postpartum infection. It usually begins as a
localized infection at the placental site and spreads to the entire
endometrium. Endometritis is usually managed by giving the patient a
broad-spectrum antibiotic drug, like Clindamycin (Cleocin). Therefore
clindamycin (Cleocin) should be involved in the treatment plan for
management of endometritis. Misoprostol (Cytotec), ergonovine
(Ergotrate), and methylergonovine (Methergine) are uterotonic drugs
used to manage postpartum hemorrhage (PPH) caused by uterine
atony.
, An examiner who discovers unequal movement or uneven gluteal
skinfolds during the Ortolani maneuver:
tells the parents that one leg may be longer than the other, but they
will equal out by the time the infant is walking.
alerts the physician that the infant has a dislocated hip.
informs the parents and physician that molding has not taken place.
suggests that if the condition does not change, surgery to correct vision
problems might be needed. - ANSWER-alerts the physician that the
infant has a dislocated hip.
Upon assessment, the nurse finds that the infant has a sunken
abdomen, bowel sounds heard in the chest, nasal flaring, and grunting.
What clinical condition does the nurse suspect the infant has based on
these findings?
Epispadias
A ruptured viscus
