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HESI RN · HESI Maternity · Caring for a Newborn who is Experiencing Complications ATI

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Surfactant administration causes which of the following?

A. Increased pulmonary vascular resistance
B. Increased cerebral blood flow
C. Decreased surface tension with increased lung compliance
D. Increased blood viscosity

Expert Explanatory Rationale

Correct Answer: Decreased surface tension with increased lung compliance

Question 2 of 5

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

A. All body parts appear proportionat
B. The extremities are disproportionate to the trunk.
C. The head seems large compared with the rest of the body.
D. One side of the body appears slightly smaller than the other.

Expert Explanatory Rationale

Correct Answer: The head seems large compared with the rest of the body.

Question 3 of 5

Which of the following is the newborn at risk for during delivery due to green-stained amniotic fluid aspiration causing inflammation and respiratory distress?

A. Atelectasis
B. Meconium aspiration
C. Bronchopulmonary dysplasia
D. Patent ductus arteriosus

Expert Explanatory Rationale

Correct Answer: Meconium aspiration

Question 4 of 5

The nurse is reviewing a chart in the newborn nursery. An RN was ordered to take blood glucose (BG) recordings on a newborn delivered that morning. BG readings are as follows: 50 mg/dL at 7:00 a.m.; 57 mg/dL at 10:00 a.m.; 62 mg/dL at 12:00 p.m.; 67 mg/dL at 2:00 p.m.; and 68 at 4:00 p.m. What action should the nurse perform with these recordings?

A. Notify the physician immediately that the BG readings on this newborn are low.
B. Immediately give the newborn glucose water.
C. Confirm the readings with the laboratory.
D. Review orders for the timing of next BG reading.

Expert Explanatory Rationale

Correct Answer: Review orders for the timing of next BG reading.

Question 5 of 5

The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, “I don’t believe this is happening to us. We were so careful during pregnancy.” The nurse associates the parents’ comments with which stage of grief?

A. Disbelief
B. Depression
C. Denial of reality
D. Anger with each other

Expert Explanatory Rationale

Correct Answer: Disbelief

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