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HESI RN · HESI Maternity · Nursing Care of the Newborn and Family

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A new parent asks the nurse why the 36-hour-old newborn has a yellow skin tint. What should the nurse explain to the parent?

A. The newborn's liver is not functioning as well as it should.
B. The yellow color indicates possible brain damage.
C. The infant's bowels are not excreting bilirubin.
D. The color is a sign of physiologic jaundice, a normal finding.

Expert Explanatory Rationale

Correct Answer: The color is a sign of physiologic jaundice, a normal finding.

Question 2 of 5

A mother and her 2 day old baby are preparing for discharge. Which of the following situations would require the baby’s discharge to be cancelled.?

A. The parents own a car seat that only faces the rear of the car.
B. The baby’s bilirubin is 19mg/dl.
C. The baby’s blood glucose is 65 mg/dl.
D. There is a large bluish spot on the left buttock of the baby.

Expert Explanatory Rationale

Correct Answer: The baby’s bilirubin is 19mg/dl.

Question 3 of 5

Which type of formula should not be diluted before being administered to an infant?

A. Powdered
B. Concentrated
C. Ready to use
D. Modified cow's milk

Expert Explanatory Rationale

Correct Answer: Ready to use

Question 4 of 5

A newborn at 20 minutes of age has an axillary temperature of 36° C (96.8° F). What intervention should the nurse perform?

A. ensure skin-to-skin contact until temperature is 37° C (98.6° F)
B. give the baby a warm bath and then return to the birthing parent for skin-to-skin contact.
C. place the baby under the radiant warmer until skin temperature is 37.5° C (99.5° F)
D. check the baby’s rectal temperature

Expert Explanatory Rationale

Correct Answer: ensure skin-to-skin contact until temperature is 37° C (98.6° F)

Question 5 of 5

The nurse knows that during the organizational process, the newborn will be rated as exceptionally good if they do what? Select all that apply.

A. They will remain alert.
B. They will be highly irritable and demonstrate mood swings.
C. They will demonstrate self-soothing and quieting techniques.
D. The newborn will shut down body responses to stimuli when drowsy.

Expert Explanatory Rationale

Correct Answer: They will remain alert.

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