What type of testing should be offered to a patient who has had a stillbirth?
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HESI RN · Nursing Care of the Newborn
Question 2 of 95
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?
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Question 3 of 95
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.
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HESI RN · Nursing Care of the Newborn
Question 4 of 95
The Apgar assessment tells the nurses and clinicians on the labor and delivery unit what information about the newborn?
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HESI RN · Nursing Care of the Newborn
Question 5 of 95
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?
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Question 6 of 95
The nurse is assessing a newborn and notes a nevus flammeus birthmark. Which of the following figures depicts this birthmark?
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HESI RN · Nursing Care of the Newborn
Question 7 of 95
Whose theoretical model describes how clinical judgment evolves with experience?
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Question 8 of 95
The nurse is preparing a new mother and newborn for discharge. Which statement indicates learning has occurred in the mother?
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HESI RN · Nursing Care of the Newborn
Question 9 of 95
The perinatal nurse notes that a newborn does not seem to have an opening inside the anal ring. Which action by the nurse takes priority?
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HESI RN · Nursing Care of the Newborn
Question 10 of 95
The nurse is providing care for a neonate during the fourth stage of labor. Which action does the nurse take during this stage?
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HESI RN · Nursing Care of the Newborn
Question 11 of 95
What action by the nurse takes priority in safeguarding a neonates safety and well-being?
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HESI RN · Nursing Care of the Newborn
Question 12 of 95
The nurse is assessing the laboratory report on a 2-day post partum. The woman has had a normal post partum assessment this morning. Which of the following results should the nurse report to the provider?
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Question 13 of 95
The nurse holds an infant upright and allows his feet to brush the surface of the examination table. Which of the following is the normal reflex response to this stimulation?
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HESI RN · Nursing Care of the Newborn
Question 14 of 95
When the nurse determines they have a high-risk newborn and birthing person in their care, what can they do to mitigate the situation?
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HESI RN · Nursing Care of the Newborn
Question 15 of 95
Which infant is not at risk for heat loss?
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Question 16 of 95
The nurse is completing an initial assessment of the newborn. The newborn's ears appear to be parallel to the outer and inner canthus of the eye. How does the nurse document the ear placement?
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Question 17 of 95
What newborn blood test determines blood type and testing for Rh incompatibility?
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Question 18 of 95
Postnatal nurses expressed concern about neonatal pain management during painful interventions. Using evidence-based practice from research performed by Thakkar, Arora, Das, Javadekar, and Panigrahi (2016), which method of pain control will be used for heel sticks?
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Question 19 of 95
The newborn is having occasional gasping respirations with a heart rate of 90 beats per minute. Skin color is cyanotic with poor muscle tone. Interpreting relevant clinical data in this scenario, what problems are possible? Select all that apply.
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Question 20 of 95
In which condition is breastfeeding contraindicated?
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Question 21 of 95
What is the term for a common and harmless skin condition on an infant’s scalp that presents as yellow scaly patches with a red rash?
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HESI RN · Nursing Care of the Newborn
Question 22 of 95
A nurse has just been asked to be the baby nurse for a coworker who is working with a birthing woman at 35 weeks, 3 days. The patient has preeclampsia, has had a very hard labor with multiple decelerations on her fetal heart monitor, and her amniotic fluid had meconium when her water was broken earlier in the day. In anticipation of this birth, what resources will the nurse need to gather? Select all that apply.
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HESI RN · Nursing Care of the Newborn
Question 23 of 95
The nurse knows that during the organizational process, the newborn won't be rated as exceptionally good if they do what?
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Question 24 of 95
The nurse is caring for a patient who has been diagnosed as having a fetal death. The nurse is aware of the possible causes of intrapartum fetal death. How can the nurse explain the potential causes of IPFD to the patient?
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Question 25 of 95
Which interventions should the nurse perform following the delivery of the newborn?
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Question 26 of 95
A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft. The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, what score would the nurse assign to this feeding session?
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Question 27 of 95
The nurse is completing a gestational assessment on a newborn whose parent was treated for preeclampsia during labor. The neonate is demonstrating 'frog-like' posturing. The nurse knows this is likely due to what medication during labor?
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HESI RN · Nursing Care of the Newborn
Question 28 of 95
A newborn was prenatally diagnosed with trisomy 13 along with an unrepairable cardiac anomaly. Genetic testing and cardiac imaging after birth have confirmed both findings. What discharge planning should be included for this infant?
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Question 29 of 95
The nurse determines the fundus of a postpartum client to be boggy. Initially, what should the nurse do?
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HESI RN · Nursing Care of the Newborn
Question 30 of 95
The nurse is performing a gestational age assessment on a newborn. Which characteristic indicates the greatest gestational maturity?
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HESI RN · Nursing Care of the Newborn
Question 31 of 95
Which assessment finding of a newborn in the newborn nursery warrants further investigation and notification to the physician?
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HESI RN · Nursing Care of the Newborn
Question 32 of 95
An infant has just been admitted to the newborn nursery after an uncomplicated delivery. Upon assessment, the nurse notes poor muscle tone and a temperature of 96°F axillary. What is the next course of action?
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Question 33 of 95
How can the nurse be culturally sensitive after a neonatal death?
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Question 34 of 95
A postpartum nurse is giving guidance to a mother whose breast-fed newborn is experiencing hyperbilirubinemia. What are the best instructions for the nurse to give the mother in this case?
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Question 35 of 95
A neonate has difficulty maintaining a normal temperature. A student nurse prepares to place the infant under a radiant warmer. What action by the student leads the faculty member to intervene?
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Question 36 of 95
What are the characteristics of a 40-week preterm newborn male’s genitalia?
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Question 37 of 95
What are the characteristics of a 40-week preterm newborn male's genitalia?
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Question 38 of 95
Postpartum depression and anxiety are prevalent among parents experiencing an IPFD. What is an example of a statement by the parent that would alert the nurse to signs of depression?
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Question 39 of 95
Upon assessment, the RN notices that the newborn remains red at rest. Which laboratory value is most important for the nurse to evaluate?
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Question 40 of 95
The nurse is assigned to the room of a 15-year-old person who gave birth to a newborn 72 hours ago. Why is this newborn a perfect candidate for the Brazelton assessment?
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Question 41 of 95
What would be a warning sign of ineffective adaptation to extrauterine life if noted when assessing a 24-hour-old breastfed newborn before discharge?
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Question 42 of 95
In order to promote thermal stabilization in a neonate
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Question 43 of 95
A faculty member explains to a nursing student that the best way to prevent hemorrhage from injuries in a neonate is which of the following?
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Question 44 of 95
The nurse knows that during the motoric process, the newborn will be rated poorly if they do what?
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Question 45 of 95
Developing a plan to achieve patient outcomes is included in which step of the CJMM?
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Question 46 of 95
The nurse is assessing a term neonate delivered to a mother with a history of drug and alcohol abuse. Which finding does the nurse relate to the mother's history?
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Question 47 of 95
What characteristics are directly related to the newborn’s decreased ability to maintain thermal stability?
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Question 48 of 95
The perinatal nurse wants to contact the pediatrician about a heart murmur that was auscultated during a newborn assessment. During what time frame would hearing the murmur lead the nurse to contact the health-care provider?
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Question 49 of 95
A mother expresses fear about changing her infant’s diaper after he is circumcised. What does the mother need to be taught to take care of the infant when she gets home.
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Question 50 of 95
A term infants initial blood glucose level is 42 mg/dL. What action by the nurse is most appropriate?
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HESI RN · Nursing Care of the Newborn
Question 51 of 95
The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?
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Question 52 of 95
As the nurse assists a new mother with breastfeeding, the mother asks, 'If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?' The nurse's best response is that it contains
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Question 53 of 95
The nurse provides discharge instructions to a parent about umbilical cord care. What statement by the parent indicates effective health teaching?
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Question 54 of 95
Which hormone is essential for milk production?
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Question 55 of 95
A nurse is discharging parents and their new infant. When assisting the family to place the infant in a car seat, which observation leads the nurse to reinforce teaching?
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Question 56 of 95
The postpartum nurse is caring for a client who gave birth to full-term twins earlier today. The nurse will know to assess for symptoms of which of the following?
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Question 57 of 95
The nurse is receiving shift report on her mother-baby couplet assignment. Which infant should the nurse evaluate first?
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Question 58 of 95
A new mother asks why she has to open a new bottle of formula for each feeding. What is the nurse's best response?
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Question 59 of 95
Infants who develop cephalohematoma are at an increased risk for
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Question 60 of 95
What characteristics are directly related to the newborn's decreased ability to maintain thermal stability?
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Question 61 of 95
The nursery nurse notes the presence of diffuse edema on a newborn babys head. Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth. What action by the nurse is best?
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Question 62 of 95
Which of the following findings would be most concerning to the infant nursery nurse performing an initial assessment on an infant born minutes ago?
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Question 63 of 95
A newborn that is a large-for-gestational-age (LGA) infant is in which percentile(s) for weight?
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Question 64 of 95
The nurse is completing an initial assessment of the newborn. The newborn’s ears appear to be parallel to the outer and inner canthus of the eye. How does the nurse document the ear placement?
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Question 65 of 95
The nurse teaching a family about bonding with their infant describes touch as an important facet of this process. What does the nurse understand is most important about touch and bonding?
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Question 66 of 95
When thinking about scoring an Apgar assessment, the nurse knows that grimace is an assessment of what in a newborn?
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Question 67 of 95
After birth, the nurse immediately dries a neonate's face and hair with a clean, prewarmed towel. After drying, the nurse covers the neonate's hair with a cap. What type of heat loss is the nurse preventing?
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Question 68 of 95
Which step is most appropriate following delivery of a healthy newborn?
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Question 69 of 95
The postpartum nurse notices that a new mother has her neonate unwrapped and undressed 'to check out the baby.' For which reason does the nurse conclude the neonate is at risk for cold stress?
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Question 70 of 95
A nurse is beginning a newborns physical assessment and notes that the infant is jumpy and seems irritable when being handled and when the nurse or parents speak. What action by the nurse is best?
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Question 71 of 95
A postpartum nurse is teaching umbilical cord care to new parents as part of discharge teaching. The nurse would be sure to include which information in her teaching?
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Question 72 of 95
A mother brings her 4-week-old newborn into the clinic for a well-child check. She reports to the nurse that the newborn developed small white marks on her nose. What are these small white marks commonly called?
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Question 73 of 95
The nurse is teaching a student nurse about some of the differences between a term and preterm infant. Which statement is most accurate?
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Question 74 of 95
The family with a newborn diagnosed with cleft lip and palate is concerned about what will happen in the future. The birthing parent asks if they will be able to breast-feed the infant. What is the best response from the nurse?
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HESI RN · Nursing Care of the Newborn
Question 75 of 95
A new mother and father are inspecting their baby after the nurse brings the infant to them. The mother wants to know why her baby has bruises on the buttocks area. Which statement should be made by the nurse?
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Question 76 of 95
A breastfeeding patient who was discharged yesterday calls to ask about a tender hard area on her right breast. What should the nurse's first response be?
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Question 77 of 95
After birth, the nurse immediately dries a neonate’s face and hair with a clean, prewarmed towel. After drying, the nurse covers the neonate’s hair with a cap. What type of heat loss is the nurse preventing?
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Question 78 of 95
When giving a newborn a bath, what is a concern for the nurse (or caregiver)?
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Question 79 of 95
The most effective time to initiate breast-feeding is in which stage of reactivity for the neonate?
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Question 80 of 95
What assessment findings doesn't indicate abnormal transition in a neonate?
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Question 81 of 95
The nurse enters the room of a patient who just gave birth 2 days ago to a healthy newborn. The nurse asks her what her newborn's name is and she shrugs and says, 'I haven't thought about a name yet.' What priority is the nurse most concerned about with this patient?
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HESI RN · Nursing Care of the Newborn
Question 82 of 95
A home health nurse visits a 2-week-old infant and observes the umbilical cord has dried and fallen off. The area appears healed with no drainage or erythema present. Given these assessment findings, what instruction should the nurse give the parent?
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Question 83 of 95
A family who immigrated to the United States in the past year is preparing to take their infant home with both oxygen and G-tube feeds. How does the nurse know discharge education has prepared them for success?
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Question 84 of 95
A nurse is providing discharge instructions to a parent on preventing SIDS. What action by the parent signifies that they have effectively grasped what has been taught?
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Question 85 of 95
An infant was born with anencephaly and was taken immediately to the NICU. The parents are about to visit for the first time. What action by the nurse is most appropriate?
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Question 86 of 95
The nurse is completing a gestational assessment on a newborn whose parent was treated for preeclampsia during labor. The neonate is demonstrating “frog-like†posturing. The nurse knows this is likely due to what medication during labor?
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HESI RN · Nursing Care of the Newborn
Question 87 of 95
The newborn nursery nurse walks into the mother's room and notices the patient next to the window. What is the nurse's next course of action?
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Question 88 of 95
What assessment findings indicate abnormal transition in a neonate? Select all that apply.
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Question 89 of 95
During an assessment of a 12-hour-old newborn, the nurse notices pale pink spots on the nape of the neck. How does the nurse document this finding?
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HESI RN · Nursing Care of the Newborn
Question 90 of 95
An infant who was stable for a day after birth now demonstrates pallor tachycardia tachypnea and circumoral cyanosis. The parent asks how the child might have a heart problem when he was stable yesterday. What information by the nurse is most accurate?
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Question 91 of 95
The nurse assesses four newborns. Which of the following assessment findings would place a newborn at risk for developing physiologic jaundice?
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Question 92 of 95
Which of the following is an important consideration in positioning a newborn for breastfeeding?
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Question 93 of 95
A woman who has just delivered has decided to bottle feed her full term infant. Which of the following should be included in the patient teaching?
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HESI RN · Nursing Care of the Newborn
Question 94 of 95
What is the proper method for cleaning the bulb syringe?
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HESI RN · Nursing Care of the Newborn
Question 95 of 95
A new mother is preparing for discharge. She plans on bottle feeding her baby. Which statement indicates to the nurse that the mom needs more information about bottle feeding?
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