Maternity HESI Questions and Correct Answers & Latest Updated
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Course
Maternity HESI
Institution
Maternity HESI
After performing an Ortolani test, the nurse observes that a newborn has asymmetric
gluteal and thigh skinfolds and uneven knee levels. What does the nurse infer from this
assessment? The infant had:
A low birth weight.
A vertex presentation at birth.
Amniotic prolapse before birth.
A breec...
Maternity HESI Questions and Correct Answers
& Latest Updated
After performing an Ortolani test, the nurse observes that a newborn has asymmetric
gluteal and thigh skinfolds and uneven knee levels. What does the nurse infer from this
assessment? The infant had:
A low birth weight.
A vertex presentation at birth.
Amniotic prolapse before birth.
A breech presentation at birth.
o :## A breech presentation at birth.
The newborn was found to have asymmetric gluteal and thigh skinfolds and uneven knee
levels, which indicate a positive Ortolani test. The test reveals that the infant has
developmental dysplasia of the hips (DDH). DDH occurs more often in female infants with
breech presentation at birth. Therefore the newborn had breech presentation before birth.
Low birth weight may be due to gestational diabetes and preterm deliveries; however, low a
low birth weight is unrelated to developmental dysplasia of the hips. Amniotic prolapse is
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
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not associated with uneven knee lengths and asymmetric gluteal and thigh skinfolds. Vertex
presentation of the newborn is an edematous area that is present at birth, extends across
suture lines of the skull, and usually disappears spontaneously within 3 to 4 days after birth.
p. 572
The nurse is taking care of a newborn. The nurse finds out that the infant weighs 1800 g and
the mother's HBsAg status is unknown. When should the nurse administer the hepatitis B
immune globulin (HGIB) vaccine to the infant?
9 hours after the infant is born
13 hours after the infant is born
14 hours after the infant is born
18 hours after the infant is born
o :## 9 hours after the infant is born
If the mother's HBsAg status is unknown, then the infant's weight is considered to
determine the time for the administration of the HBIG vaccine. The infant weighs 1800 g, so
the HBIG vaccine is given within 12 hours after the infant's birth. Therefore the HBIG vaccine
should be administered 9 hours after birth, not 13, 14, or 18 hours after. If the mother's
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
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HBsAg status is known and the baby weighs more than 2000 g, then the HBIG vaccine can be
administered within a week of the newborn's birth. In such a situation, the vaccine can be
administered at 13, 14, or 18 hours after the birth of the infant.
During the assessment of a postpartum patient, the nurse finds the patient has
endometritis. Which medication should be administered in the treatment plan for this
patient?
Clindamycin (Cleocin)
Misoprostol (Cytotec)
Ergonovine (Ergotrate)
Methylergonovine (Methergine)
o :## Clindamycin (Cleocin)
Endometritis is a common postpartum infection. It usually begins as a localized infection at
the placental site and spreads to the entire endometrium. Endometritis is usually managed
by giving the patient a broad-spectrum antibiotic drug, like Clindamycin (Cleocin). Therefore
clindamycin (Cleocin) should be involved in the treatment plan for management of
endometritis. Misoprostol (Cytotec), ergonovine (Ergotrate), and methylergonovine
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
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(Methergine) are uterotonic drugs used to manage postpartum hemorrhage (PPH) caused
by uterine atony.
An examiner who discovers unequal movement or uneven gluteal skinfolds during the
Ortolani maneuver:
tells the parents that one leg may be longer than the other, but they will equal out by the
time the infant is walking.
alerts the physician that the infant has a dislocated hip.
informs the parents and physician that molding has not taken place.
suggests that if the condition does not change, surgery to correct vision problems might be
needed.
o :## alerts the physician that the infant has a dislocated hip.
Upon assessment, the nurse finds that the infant has a sunken abdomen, bowel sounds
heard in the chest, nasal flaring, and grunting. What clinical condition does the nurse
suspect the infant has based on these findings?
Master01: DO NOT COPY AND PASTE!! August 25, 2024 Latest Update
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