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HESI LPN · HESI LPN Maternal Newborn · HESI Assessment and Management of Newborn Complications Quizlet

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which factor does not influence bilirubin levels in the infant?

A. Prematurity
B. Maternal diabetes
C. Exclusively breastfeeding
D. Birth trauma

Expert Explanatory Rationale

Correct Answer: Birth trauma

Question 2 of 5

Which causes infants of diabetic mothers to be large for gestational age?

A. Maternal insulin crosses the placenta and makes the baby large.
B. Blood flow across the placenta is greater than normal.
C. Maternal doses of insulin are absorbed by the infant and cause increased body growth.
D. Maternal glucose crosses the placenta and causes the infant to produce more insulin than usual, resulting in greater body growth.

Expert Explanatory Rationale

Correct Answer: Maternal glucose crosses the placenta and causes the infant to produce more insulin than usual, resulting in greater body growth.

Question 3 of 5

What term best describes an infant born with a birth weight below the 10th percentile for gestational age?

A. Appropriate for gestational age
B. Failure to thrive
C. Small for gestational age
D. Infant born to mother of gestational diabetes

Expert Explanatory Rationale

Correct Answer: Small for gestational age

Question 4 of 5

The nurse is providing support to a mother whose newborn is diagnosed with a life-threatening defect. The mother states, “I just want to go home and never come back.” Which reaction by the mother does the nurse recognize?

A. Guilty feelings by the mother
B. Delay of attachment process
C. Maternal emotional distancing
D. Disruption of family life

Expert Explanatory Rationale

Correct Answer: Maternal emotional distancing

Question 5 of 5

Which intervention should the nurse instruct the parents to do for their newborn who has acute diaper rash?

A. Apply the diaper loosely to infant, allowing for better air circulation.
B. Change the newborn every 4 hours to prevent a moist environment.
C. Wash the newborn’s diaper area with an antibacterial soap and newborn wipes.
D. Wipe off the diaper cream thoroughly between diaper changes.

Expert Explanatory Rationale

Correct Answer: Apply the diaper loosely to infant, allowing for better air circulation.

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