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HESI LPN · HESI LPN Maternal Newborn · HESI Focus on Maternity Exam

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What nursing action should the nurse implement for a 3-hour-old male infant who presents with cyanotic hands and feet, an axillary temperature of 96.5Â°F (35.8Â°C), a respiratory rate of 40 breaths per minute, and a heart rate of 165 beats per minute?

A. Administer oxygen by mouth at 2L/min

B. Gradually warm the infant under a radiant heat source

C. Notify the pediatrician of the infant's vital signs

D. Perform a heel-stick to maintain blood glucose levels

Expert Explanatory Rationale

Correct Answer: Gradually warm the infant under a radiant heat source

Question 2 of 5

A new parent is receiving discharge teaching about car seat safety from a nurse. Which statement by the parent indicates an understanding of the teaching?

A. "I should position my baby's car seat at a 45-degree angle in the car."

B. "I should place the car seat rear-facing until my baby is 12 months old."

C. "I should place the harness snugly in a slot above my baby's shoulders."

D. "I should position the retainer clip at the top of my baby's abdomen."

Expert Explanatory Rationale

Correct Answer: "I should position my baby's car seat at a 45-degree angle in the car."

Question 3 of 5

The healthcare provider is preparing to administer phytonadione (vitamin K) to a newborn. Which statement made by the parents indicates understanding why the healthcare provider is administering this medication?

A. Improve insufficient dietary intake

B. Stimulate the immune system

C. Help an immature liver

D. Prevent hemorrhagic disorders

Expert Explanatory Rationale

Correct Answer: Prevent hemorrhagic disorders

Question 4 of 5

Which of the following is most likely to develop sickle cell anemia?

A. European American

B. Native American

C. African American

D. Asian American

Expert Explanatory Rationale

Correct Answer: African American

Question 5 of 5

Twenty-year-old Jack is extremely tall and has very thick facial hair. Most of his male secondary sex characteristics are also more pronounced than men of his age. In this scenario, Jack is most likely:

A. an XYY male.

B. diagnosed with Klinefelter syndrome.

C. an XXY male.

D. diagnosed with Down syndrome.

Expert Explanatory Rationale

Correct Answer: an XYY male.

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