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Newborn HESI

HESI Newborn practice items to assist you with your proctored OB exam.

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21 Questions

Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. Which answer accurately reflects the nurse's understanding of the the variation of an accumulation of blood between the periosteum and skull that does not cross the suture line? A client who has an autosomal dominant inherited disorder is exploring family planning options and the risk of transmission of the disorder to an infant. The nurse's response should be based on what information?

Rachel Soliz

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Questions

Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. Which answer accurately reflects the nurse's understanding of the the variation of an accumulation of blood between the periosteum and skull that does not cross the suture line?

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A client who has an autosomal dominant inherited disorder is exploring family planning options and the risk of transmission of the disorder to an infant. The nurse's response should be based on what information?

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A newborn infant is brought to the nursery from the birthing suite. The nurse notices that the infant is breathing satisfactorily but appears dusky. What action should the nurse take first?

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An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority?

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The nurse is assessing a 3-day old infant with a cephalohematoma in the newborn nursery. Which assessment finding should the nurse report to the healthcare provider?

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A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that the most likely presenting symptom for a pediatric client with AIDS is ?

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Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 beats/minute and respirations of 20 breaths/minute. What action should the nurse perform next?

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While breastfeeding, a new mother strokes the top of her baby's head and asks the nurse about the baby's swollen scalp. The nurse responds that the swelling is caput succedaneum. Which additional information should the nurse provide this new mother?

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A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn?

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A full term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms are this newborn likely to exhibit?

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A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back, and abdomen. What action should the nurse implement?

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Which assessment finding should the nursery nurse report to the pediatric healthcare provider?

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The total bilirubin level of a 36-hour, breastfeeding newborn is 14 mg/dl. Based on this f inding, which intervention should the nurse implement?

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When preparing a class on newborn care for expectant parents, what content should the nurse teach concerning the newborn infant born at term gestation?

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During a prenatal visit, the client is concerned about the effects smoking can have on the fetus. Which response by the nurse is most accurate regarding infants of mothers who smoke during pregnancy?

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In developing a teaching plan for expectant parents, the nurse plans to include information about when the parents can expect the infant's fontanels to close. The nurse bases the explanation on knowledge that for the normal newborn, the ?

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The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform?

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A 4-week-old premature infant has been receiving epoetin alfa (Epogen) for the last three weeks. Which assessment finding indicates to the nurse that the drug is effective?

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After each feeding, a 3-day-old newborn is spitting up large amounts of a non-dairy based Newborn formula. The pediatric healthcare provider changes the neonate's formula to a soy protein isolate based infant formula. What information should the nurse provide to the mother about the newly prescribed formula?

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A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny looking head." Which response by the nurse is best?

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A new mother is afraid to touch her baby's head for fear of hurting the "large soft spot." Which explanation should the nurse give to this anxious client?

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