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Practice Question

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour -old infant?

Answer Choices:

Correct Answer:

The infant has not passed meconium stool.

Rationale:

Passing meconium within the first 24 to 48 hours after birth is a critical indicator of bowel patency and proper gastrointestinal function.

✅ Failure to pass meconium may indicate intestinal obstruction (e.g., Hirschsprung’s disease or cystic fibrosis) and requires prompt assessment by the RN and HCP.

✅ Other findings, such as wet diaper count or feeding issues, are important but not immediately critical compared to a potential bowel obstruction.

✅ Early intervention can prevent severe complications such as abdominal distension or perforation.

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This question is from PN Maternity-Pediatrics NGN HESI which contains 60 questions.

More Questions from This Exam
The practical nurse (PN) is giving new parents discharge instructions. Which instruction should the PN reinforce with the parents regarding are of their newborns umbilical cord?

Answer Choices:

A. Apply baby lotion after the daily bath.
B. Wash frequently with mild soap and water.
C. Clean with water and allow to air dry.
D. Cover the cord with a sterile dressing.
The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.

Answer Choices:

A. Respiratory rate 55 breaths/minute
B. Wet diaper with 12 mL of urine
C. Copious clear secretions from both nostrils
D. Heart rate 159 beats/minute
E. Oxygen saturation 95%
F. Temperature 103.0' F (39.40 C)
G. 2 L/minute of oxygen via nasal cannula
H. Blood pressure 89/51 mm Hg
The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.

Answer Choices:

A. Level of consciousness
B. Blood pressure
C. Skin color of hands and feet
D. Capillary refill
E. Temperature
F. Skin turgor
G. Heart rate
H. Pupil size and reactiveness.
The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.

Answer Choices:

A. “Do you have a recent weight for your baby?”
B. “How Jong has your baby been breathing fast?"
C. “How many diapers did you change yesterday?”
D. “Has your baby had any vomiting or diarrhea?"
E. “Has your baby had loose or firm stools?”
F. “How many bottles did your baby have yesterday?"
From Exam
PN Maternity-Pediatrics NGN HESI

60 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN HESI Exams
  • Domain: Maternity & Newborn Care
  • Answer Choices: 4
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