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HESI RN · HESI Maternity · labor and delivery questions and answers

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

A. Station

B. Flexion

C. Descent

D. Engagement

Expert Explanatory Rationale

Correct Answer: Flexion

Question 2 of 5

The nurse is directing an unlicensed assistive personnel (UAP) to obtain maternal vital signs between contractions. Which statement is the appropriate rationale for assessing maternal vital signs between contractions raNtheRr thaIn aGt anBot.heCr inMterval? U S N T O

A. Vital signs taken during contractions are inaccurat

B. During a contraction, assessing fetal heart rate is the priority.

C. Maternal blood flow to the heart is reduced during contractions.

D. Maternal circulating blood volume increases temporarily during contractions.

Expert Explanatory Rationale

Correct Answer: Maternal circulating blood volume increases temporarily during contractions.

Question 3 of 5

During an oxytocin induction, which assessment finding is most concerning to the labor and delivery nurse?

A. A uterine resting tone of 17 mm Hg

B. A uterine resting tone of 30 mm Hg

C. Contractions that are every 3 minutes and last 60 seconds

D. Contractions that are every 5 minutes and last 60 seconds

Expert Explanatory Rationale

Correct Answer: A uterine resting tone of 30 mm Hg

Question 4 of 5

A patient who is 8 cm dilated develops circumoral numbness and dizziness. What is the nurseÃ¢â‚¬â„¢s priority intervention?

A. Call the health care provider immediately.

B. Increase intravenous fluid, as these are signs of hypovolemia.

C. Have the patient slow down her breathing.

D. Have her start pushing, as these are signs of the beginning of the second stage.

Expert Explanatory Rationale

Correct Answer: Have the patient slow down her breathing.

Question 5 of 5

During the COVID-19 pandemic, what was revealed about the importance of labor support?

A. Labor support can only be provided by the significant other.

B. Laboring patients did not need support from outside sources.

C. Outcomes for birth were not changed by pandemic requirements.

D. Patients during the pandemic's support ban experienced more depression.

Expert Explanatory Rationale

Correct Answer: Patients during the pandemic's support ban experienced more depression.