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HESI LPN · HESI LPN Maternal Newborn · HESI Nursing Care of the Newborn

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Developing a plan to achieve patient outcomes is included in which step of the CJMM?

A. prioritizing hypotheses
B. generating solutions
C. taking action
D. evaluating outcomes

Expert Explanatory Rationale

Correct Answer: generating solutions

Question 2 of 5

The nurse is teaching a student nurse about some of the differences between a term and preterm infant. Which statement is most accurate?

A. Infants born at 32 weeks gestational age have sufficient alveolar stability to maintain adequate lung expansion.
B. Surfactant may need to be given to the infant born less than 34 to 36 weeks of age to assist with alveolar stability.
C. Women with gestational diabetes have larger babies; therefore, there are fewer issues with lung maturity when born preterm.
D. Mothers carrying multiples fetuses will increase the surfactant production naturally in utero.

Expert Explanatory Rationale

Correct Answer: Surfactant may need to be given to the infant born less than 34 to 36 weeks of age to assist with alveolar stability.

Question 3 of 5

What would be a warning sign of ineffective adaptation to extrauterine life if noted when assessing a 24-hour-old breastfed newborn before discharge?

A. Apical heart rate of 90 beats/min, slightly irregular, when awake and active
B. Acrocyanosis
C. Harlequin sign
D. Weight loss representing 5% of the newborn’s birth weight

Expert Explanatory Rationale

Correct Answer: Apical heart rate of 90 beats/min, slightly irregular, when awake and active

Question 4 of 5

Whose theoretical model describes how clinical judgment evolves with experience?

A. Benner
B. Tanner
C. Lasater
D. Nightingale

Expert Explanatory Rationale

Correct Answer: Benner

Question 5 of 5

The nurse is preparing a new mother and newborn for discharge. Which statement indicates learning has occurred in the mother?

A. I will feed my newborn every 3 hours while awake.'
B. I will exclusively breastfeed my newborn every 2 to 3 hours.'
C. I will supplement feedings with formula until my breast milk comes in.'
D. Iron-fortified formula will be needed after my newborn is 6 months of age.'

Expert Explanatory Rationale

Correct Answer: I will exclusively breastfeed my newborn every 2 to 3 hours.'

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