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HESI RN · HESI Maternity · Assessment and Management of Newborn Complications Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?

A. Group all care activities together to provide long periods of rest.
B. Keep charts on top of the incubator so the nurses can write on them ther
C. While giving a report to the next nurse, stand in front of the incubator and talk softly about how the infant responds to stimulation.
D. Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the extremities and fingers.

Expert Explanatory Rationale

Correct Answer: Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the extremities and fingers.

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

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 4 of 5

Which data should alert the nurse caring for an SGA infant that additional calories may be needed?

A. The latest hematocrit was 53%.
B. The infant's weight gain is 40 g/day.
C. The infant is taking 120 mL/kg every 24 hours.
D. Three successive temperature measurements were 36.1ï‚°C, 35.5ï‚°C, and 36.1ï‚°C (97, 96, and 97ï‚°F).

Expert Explanatory Rationale

Correct Answer: The infant's weight gain is 40 g/day.

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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