HESI OBSTETRICS/MATERNITY |Newborn Care Nursing | Exam
2025|160 Questions Already Answered
1. If a preterm infant is showing signs of hypothermia, what immediate
intervention should a nurse prioritize to stabilize the infant's temperature?
Increase the room temperature significantly.
Place the infant under a radiant warmer.
Administer a warm intravenous fluid.
Wrap the infant in multiple layers of blankets.
2. At 1 minute of age the newborn appears pale throughout, HR is 110, weak
morrow reflex, minimal movement, and labored respirations with weak
cry. What is the APGAR score
5
6
7
8
3. A nurse is caring for a newborn who was delivered via cesarean
section to a mother with uncontrolled diabetes. What should the nurse
prioritize in the assessment of this infant?
Monitoring for respiratory distress syndrome
Checking for signs of jaundice
Evaluating the infant's feeding reflexes
Assessing for signs of dehydration
4. What condition are infants born via cesarean section more prone to due
to the lack of ribcage compression during birth?
Atelectasis
, Jaundice
Respiratory distress syndrome
Congenital heart defects
5. What is the recommended method for cleaning the penis of an
uncircumcised neonate during diaper changes?
Apply petroleum jelly to the penis after each
change. Use soap and water daily.
Avoid cleaning the area altogether.
Clean the penis with warm water at each diaper change.
6. If a nurse encounters a neonate born at 32 weeks' gestation weighing
1500 g (3 lb 5 oz), what classification should the nurse assign, and what
immediate interventions might be necessary?
Preterm; the nurse should monitor for respiratory distress and
ensure proper thermal regulation.
Post-term; the nurse should prepare for immediate surgery.
Term; the nurse should focus on feeding and discharge planning.
Preterm; the nurse should prioritize immunizations.
7. Describe the significance of assessing an infant's gestational age in
relation to their overall health.
Assessing gestational age helps identify potential health risks
and developmental issues.
Assessing gestational age is only important for tracking growth.
Assessing gestational age determines the infant's immunization
needs.
Assessing gestational age is irrelevant to newborn care.
,8. Why is it important to administer erythromycin ophthalmic ointment to
newborns, even if the mother does not have an infection?
It is important to ensure the newborn's eyes are clean.
It is important to treat any existing infections in the mother.
It is important to improve the newborn's immune system.
It is important because it prevents potential infections from
sexually transmitted diseases that could be transmitted during
birth.
9. The nurse determines that a newborn has the following findings: Heart
rate: 88 beats per minute, Respirations: 24 per minute and irregular,
Muscle tone: Minor movement of lower extremities, Reflex response:
Grimace, Skin color: Pink body, blue extremities. What action should the
nurse take at this time?
Begin resuscitation
Document the findings
Stimulate the infant
Nasopharyngeal suctioning
10. What is a key behavior that indicates a newborn is responsive to their
caregivers?
, Crying excessively
Refusing to feed
Increased alertness and eye contact
Sleeping for long periods
11. During a well baby assessment on a 1 week old infant who had a normal
exam when discharged from the newborn nursery 2 days prior, the
primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar
conjunctival injections, and moderate amounts of thick, purulent
discharge. What is the likely diagnosis?
Chlamydia trachomatis conjunctivitis
Herpes simplex virus (HSV) conjunctivitis
Chemical induced conjunctivitis
Neisseria gonorrhea conjunctivitis
12. Which of the following is a complication of
chlamydia? sterility
passing to child during labor causing eye infections and
pneumonia
none of these are correct
both a and b
13. What is the most helpful nursing action to ease a mother's stress when
she sees her newborn with multiple visible birth defects?
Staying with her after bringing the infant to help her verbalize
her feelings.
Encouraging her to leave the room for a moment.
Telling her that everything will be fine.
2025|160 Questions Already Answered
1. If a preterm infant is showing signs of hypothermia, what immediate
intervention should a nurse prioritize to stabilize the infant's temperature?
Increase the room temperature significantly.
Place the infant under a radiant warmer.
Administer a warm intravenous fluid.
Wrap the infant in multiple layers of blankets.
2. At 1 minute of age the newborn appears pale throughout, HR is 110, weak
morrow reflex, minimal movement, and labored respirations with weak
cry. What is the APGAR score
5
6
7
8
3. A nurse is caring for a newborn who was delivered via cesarean
section to a mother with uncontrolled diabetes. What should the nurse
prioritize in the assessment of this infant?
Monitoring for respiratory distress syndrome
Checking for signs of jaundice
Evaluating the infant's feeding reflexes
Assessing for signs of dehydration
4. What condition are infants born via cesarean section more prone to due
to the lack of ribcage compression during birth?
Atelectasis
, Jaundice
Respiratory distress syndrome
Congenital heart defects
5. What is the recommended method for cleaning the penis of an
uncircumcised neonate during diaper changes?
Apply petroleum jelly to the penis after each
change. Use soap and water daily.
Avoid cleaning the area altogether.
Clean the penis with warm water at each diaper change.
6. If a nurse encounters a neonate born at 32 weeks' gestation weighing
1500 g (3 lb 5 oz), what classification should the nurse assign, and what
immediate interventions might be necessary?
Preterm; the nurse should monitor for respiratory distress and
ensure proper thermal regulation.
Post-term; the nurse should prepare for immediate surgery.
Term; the nurse should focus on feeding and discharge planning.
Preterm; the nurse should prioritize immunizations.
7. Describe the significance of assessing an infant's gestational age in
relation to their overall health.
Assessing gestational age helps identify potential health risks
and developmental issues.
Assessing gestational age is only important for tracking growth.
Assessing gestational age determines the infant's immunization
needs.
Assessing gestational age is irrelevant to newborn care.
,8. Why is it important to administer erythromycin ophthalmic ointment to
newborns, even if the mother does not have an infection?
It is important to ensure the newborn's eyes are clean.
It is important to treat any existing infections in the mother.
It is important to improve the newborn's immune system.
It is important because it prevents potential infections from
sexually transmitted diseases that could be transmitted during
birth.
9. The nurse determines that a newborn has the following findings: Heart
rate: 88 beats per minute, Respirations: 24 per minute and irregular,
Muscle tone: Minor movement of lower extremities, Reflex response:
Grimace, Skin color: Pink body, blue extremities. What action should the
nurse take at this time?
Begin resuscitation
Document the findings
Stimulate the infant
Nasopharyngeal suctioning
10. What is a key behavior that indicates a newborn is responsive to their
caregivers?
, Crying excessively
Refusing to feed
Increased alertness and eye contact
Sleeping for long periods
11. During a well baby assessment on a 1 week old infant who had a normal
exam when discharged from the newborn nursery 2 days prior, the
primary care pediatric nurse practitioner notes moderate eyelid swelling, bulbar
conjunctival injections, and moderate amounts of thick, purulent
discharge. What is the likely diagnosis?
Chlamydia trachomatis conjunctivitis
Herpes simplex virus (HSV) conjunctivitis
Chemical induced conjunctivitis
Neisseria gonorrhea conjunctivitis
12. Which of the following is a complication of
chlamydia? sterility
passing to child during labor causing eye infections and
pneumonia
none of these are correct
both a and b
13. What is the most helpful nursing action to ease a mother's stress when
she sees her newborn with multiple visible birth defects?
Staying with her after bringing the infant to help her verbalize
her feelings.
Encouraging her to leave the room for a moment.
Telling her that everything will be fine.
