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N144 HESI EXAM 2025 PREP WITH 100
QUESTIONS AND CORRECT ANSWERS | N144
Women's Health/Disorders and Childbearing Health Promotion Hesi Exam 2025 (New!)
Question 1 of 25 Which prescription should the nurse administer to a newborn to reduce complications related to birth trauma?
Silver nitrate.Erythromycin (Ilotycin ointment).Ceftriaxone (Rocephin).Vitamin K (AquaMEPHYTON).Vitamin K (AquaMEPHYTON).
The normal neonate is vitamin K deficient, so to rapidly elevate prothrombin levels and reduce the risk of neonatal bleeding, newborns receive a single injection of vitamin K (AquaMEPHYTON) (D). (A and B) are prophylactic ophthalmic agents used to prevent neonatal ophthalmia. (C) is an antibiotic used to treat neonatal infections.Question 3 of 25 The mother of a neonate asks the nurse why it is so important to keep the infant warm. What information should the nurse provide?
The kidneys and renal function are not fully developed.Warmth promotes sleep so the infant will grow quickly.A large body surface area favors heat loss to the environment.The thick layer of subcutaneous fat is inadequate for insulation.A large body surface area favors heat loss to the environment.
Thermoregulation, heat regulation, is critical to the survival of a neonate because the newborn's larger surface area (C) per unit of weight predisposes to heat loss.While keeping the infant warm may help the infant to sleep, it promotes 1 / 4
pg. 2 transitional homeostasis, not growth (B). (A) is unrelated to cold stress of the newborn. (D) does not support the metabolic cascade that results from neonatal heat loss.Question 4 of 25 What action should the nurse implement with the family when an infant is born with anencephaly?
Ensure that measures to facilitate the attachment process are offered.Prepare the family to explore ways to cope with the imminent death of the infant.Inform the family about multiple corrective surgical procedures that will be needed.Provide emotional support to facilitate the consideration of fetal organ donation.Prepare the family to explore ways to cope with the imminent death of the infant.
Anencephaly, a neural tube congenital malformation, is the incomplete embryological formation of both cerebral hemispheres, which often results in death due to respiratory failure. While comfort measures are provided, there is no resuscitation effort or successful treatment available, so the family should be prepared for the infant's imminent death (B) and encouraged to explore ways to cope with the loss and express grief. Providing opportunities with the infant promote a realistic experience of connectedness and facilitates parental closure, not attachment (A). (C) is not warranted. Although (D) may be considered, it may not be the most therapeutic family-centered intervention when initially confronting the parents with the infant's prognosis.Question 6 of 25 Which gastrointestinal findings should the nurse be concerned about in a client at 28-weeks gestation?
Pica.Pyrosis.Ptyalism.Decreased peristalsis.Pica.
Pica (A), the consumption of low- or non-nutrient substances, may cause more 2 / 4
pg. 3 nutritious foods to be displaced from the diet, and depending on the substance ingested, may be toxic or interfere with the absorption of nutrients and minerals.Pyrosis or heartburn (B), ptyalism or excessive salivation (C), and decreased peristalsis (D) are normal findings during pregnancy.Question 7 of 25 A newborn infant who is 24-hours-old is on a 4-hour feeding schedule of formula.To meet daily caloric needs, how many ounces are recommended at each feeding?
- ounces.
- ounces.
1.5 ounces.
3.5 ounces.
3.5 ounces.
A newborn requires approximately 19 to 21 ounces of formula each day (six feedings per 24-hour period x 3.5 = 21). One-and-a-half to two ounces (A and C) may be insufficient to meet the newborn's calorie needs. (B) may cause the infant to spit-up due to over-feeding.Question 8 of 25 A client who is stable has family members present when the nurse enters the birthing suite to assess the mother and newborn. What action should the nurse implement at this time?
Ask to meet with the client and infant without family members present.Do a brief assessment for only the infant while family members are present.Observe interactions of family members with the newborn and each other.Reschedule the visit so that the mother and infant can be assessed privately.Observe interactions of family members with the newborn and each other.
An opportunity to assess the emotional adjustment of individual family members to birth and lifestyle changes is presented, so the nurse should first observe the interaction of the family members (C). Although family members can remain during the assessment of the newborn (B), the mother should be assessed also.Privacy to assess the mother should be assured (A and D), but evaluation of the 3 / 4
pg. 4 family dynamics provides essential data about mother-child bonding and should be determined at this time.Question 9 of 25 Which nursing intervention best enhances maternal-infant bonding during the fourth stage of labor?
Brighten the lighting so the mother can view the infant.Complete the newborn assessment as quickly as possible.Provide positive reinforcement for maternal care of infant.Encourage early initiation of breast or formula feeding.Encourage early initiation of breast or formula feeding.
(D) is the best of the interventions listed to encourage maternal-infant bonding. (A, B, and C) are all methods of promoting maternal-infant bonding but are not usually as effective as initiating infant feeding.Question 10 of 25 A multiparous client has been in labor for 8 hours when her membranes rupture.What action should the nurse implement first?
Prepare the client for imminent birth.Assess the fetal heart rate and pattern.Document the characteristics of the fluid.Notify the client's primary healthcare provider.Assess the fetal heart rate and pattern.
The fetal heart rate and pattern should be assessed (B) to determine compromise of fetal well-being caused by compression or prolapse of the umbilical cord. The intensity and frequency of the uterine contractions often trigger spontaneous rupture of the membranes (SROM), which does not indicate that birth is imminent (A). The healthcare provider should be notified of the client and fetal well-being after evaluation of SROM. Although the characteristics of the amniotic fluid should be documented (C), assessment of fetal response to the SROM is the priority.Question 11 of 25 The apnea monitor alarm sounds for the third time during one shift for a neonate
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