HESI Maternity Test Bank

Correct Answer: B

Rationale: When a new mother first receives her infant, a common behavior is to use her arms and hands to receive the infant and then trace the infant's profile with her fingertips. This behavior helps facilitate bonding and aids in the recognition of the newborn.

Correct Answer: A

Rationale: Assessing the bilirubin level helps determine the severity of jaundice in the newborn.

Correct Answer: B

Rationale: Having calcium gluconate readily available is crucial when administering magnesium sulfate, as it serves as the antidote in case of magnesium toxicity. Magnesium sulfate can lead to respiratory depression and cardiac arrest in cases of overdose or toxicity, making the prompt availability of calcium gluconate essential for immediate administration to counteract these effects.

Correct Answer: B

Rationale: Chorea, or sudden aimless movements associated with rheumatic fever, is temporary in nature and will eventually disappear on its own. It is important for the nurse to reassure the parents that these movements are part of the condition and typically resolve over time without the need for permanent lifestyle changes or strict discipline. Providing accurate information and reassurance to the parents can help alleviate concerns and promote understanding of the condition's course.

Correct Answer: A

Rationale: In a tetralogy of Fallot situation, placing the infant in a knee-chest position is the initial priority to help increase systemic vascular resistance, which reduces the right-to-left shunt and improves oxygenation. This position can assist in optimizing oxygen levels before considering other interventions.