Maternity HESI 2, (A Grade), Questions and Answers,

All Correct Study Guide, Download to Score A

1. The nurse is teaching care of the newborn to a group of prospective parents and describes

the need for administering antibiotic ointment into the eyes of the newborn.Which infectious

organism will this treatment prevent from harming the infant?

a. Herpes

b. Staphylococcus

c. Gonorrhea

d. Syphilis

Erythromycin ointment is instilled into the lower conjunctive of each eye within 2 hoursafter

birth to prevent ophthalmic neonatorum, an infection caused by gonorrhea, and inclusion

conjunctivitis, an infection caused by chlamydia (C). The infant may be exposed to these

bacteria when passing the birth canal.

2. The nurse identifies crepitus when examining the chest of a newborn who was delivered

vaginally. Which further assessment should the nurse perform?

a. Elicit positive scarf sign on the affected side

b. Observe for an asymmetrical Moro (startle) reflex

c. Watch for swelling of fingers on the affected side

d. Note paralysis of affected extremity and muscles

The most common neonatal birth trauma due to vaginal delivery is fracture of the clavicle. 

2

Although an infant may be asymptomatic, a fracture clavicle should be suspected is an infant

has limited use of the affected arm malposition of the arm, an asymmetric Moro reflex (B),

crepitus over the clavicle, focal swelling or tenderness, orcries when the arm is moved.

3. The nurse is calculating the estimated date of confinement (EDC) using Nagele's rulefor a

client whose last menstrual period started on December 1. Which date is most accurate?

a. August 1

b. August 10

c. September 3

d. September 8

Calculation of a client's EDC provides baseline data to monitor fetal gestation. Nagele'srule

uses the formula: subtract 3 months and add 7 days to the first day of the last normal menstrual

period, so December 1 minus 3 months + 7 days is September 8 (D).