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HESI RN · HESI Maternity · Nursing Care of the Newborn

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What type of testing should be offered to a patient who has had a stillbirth?

A. NIPTs
B. ultrasound
C. placental pathology
D. blood crossmatch

Expert Explanatory Rationale

Correct Answer: placental pathology

Question 2 of 5

A nurse is assessing an infant who has a large bruise around his neck and face from a nuchal cord. What other assessment finding correlates with this condition?

A. Elevated serum bilirubin
B. Irritability with gentle handing
C. Large-for-gestational-age measurements
D. Obvious vertebral defects

Expert Explanatory Rationale

Correct Answer: Elevated serum bilirubin

Question 3 of 5

The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. Which examples does the nurse provide? Select all that apply.

A. Residual meconium is passed as loose watery stool.
B. Sticky, thick, black stools indicate a presence of blood.
C. Stools will eventually become drier and more formed.
D. Golden yellow, a pasty consistency, and sour odor is expected.

Expert Explanatory Rationale

Correct Answer: Golden yellow, a pasty consistency, and sour odor is expected.

Question 4 of 5

The Apgar assessment tells the nurses and clinicians on the labor and delivery unit what information about the newborn?

A. The Apgar assessment and score tells the team how the newborn is doing neurologically and physically after the birth.
B. The Apgar assessment and score predicts the newborn’s overall morbidity and mortality moving forward after birth.
C. The Apgar assessment and score tells the team how the newborn is transitioning to the extrauterine world after birth.
D. The Apgar assessment and score tells the team how the newborn handled the birth overall.

Expert Explanatory Rationale

Correct Answer: The Apgar assessment and score tells the team how the newborn is doing neurologically and physically after the birth.

Question 5 of 5

Edward, a newborn delivered at 41 weeks' gestation, weighs 10 lb 4 oz. Vaginal delivery for this G1P1 mother was assisted with forceps. The nurse is completing her assessment and notes a sharply demarcated swelling over the parietal bones. The occipital and frontal skull bones are not affected. The neck does not appear edematous and is soft to the touch with full mobility. The infant is awake and active and has been breast-feeding well. What is the most probable cause of the swelling?

A. cephalohematoma
B. subgaleal hemorrhage
C. caput succedaneum
D. skull fracture

Expert Explanatory Rationale

Correct Answer: cephalohematoma

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