HESI EAQ LABOR AND DELIVERY REAL EXAM 150+ QUESTIONS AND ANSWERS 2025-
2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
which cervical changes are observed
during pregnancy (select all that apply)
a. the cervical tip becomes soft
b. the fragility of cervical tissues decreas- a. the cervical tip becomes soft
es a. the cervical tip becomes soft
c. the volume of cervical muscles in- e. the elasticity of cervical collagen-rich
creases connective tissue increases
d. the external cervical os appears as a
jagged slit
e. the elasticity of cervical collagen-rich
connective tissue increases
which statements regarding the involu-
tion process are correct? select all that
apply:
a. involution begins immediately after ex-
a. involution begins immediately after ex- pulsion of the placenta
pulsion of the placenta
b. involution is the self-destruction of ex- c. involution progresses rapidly during
cess hypertrophies tissue the next few days after birth
c. involution progresses rapidly during
the next few days after birth d. involution is the return of the uterus to
d. involution is the return of the uterus to a nonpregnant state after birth
a nonpregnant state after birth
e. involution may be caused by retained
placental fragments and infections
which statement indicates that a preg-
nant client requires further teaching
about fetal growth and development?
a. the fetus keeps growing throughout
the pregnancy b. the fetus gets nutrients from the amni-
b. the fetus gets nutrients from the amni- otic fluid
otic fluid
c. the fetus may be underweight if its
exposed to smoke
d. the fetus gets oxygen from blood com-
ing through the placenta
, HESI EAQ LABOR AND DELIVERY REAL EXAM 150+ QUESTIONS AND ANSWERS 2025-
2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
which statement made by a pregnant
client after a prenatal class on fetal
growth and development indicates the
need for additional teaching?
a. the baby is smaller if the mother
b. the baby gets food from the amniotic
smokes
fluid
b. the baby gets food from the amniotic
fluid
c. the babys oxygen is provided by the
mother
d. the babys umbilical cord has 2 arteries
and 1 vein
which client statement indicates under-
standing of teaching about a nonstress
test?
a. ill need to have an IV line so the med-
ication can be injected before the test d. if the heart reacts well, my baby should
b. my baby may get very restless after i do OK when I give birth
have this test
c. I hope this test doesnt cause my labor
to start too early
d. if the heart reacts well, my baby should
do OK when I give birth
which immediate action would the nurse
take if a client in the active phase of labor
says, "I feel all wet. I think I wet myself"?
a. give her the bedpan c. inspect her perineum
b. change the bed linens
c. inspect her perineum
d. take an oral temperature
which complication is prevented by
coaching a client in the second stage of
labor to take a breath at least every 6 a. fetal hypoxia
seconds while pushing with each con-
traction?
, a. fetal hypoxia
b. perineal lacerations
c. cerpopedal spasms
d. maternal hypertension
1) descent of the fetal presenting part
through the true pelvis
2) engagement of the fetal presenting
part as its widest diameter reaches the
sequence the seven cardinal move- level of the ischial spines of the mothers
ments of the mechanism of labor in the pelvis
order they occur in a vertex presentation: 3) flexion of the fetal head so that the
smallest head diameters pass through
a. flexion the pelvis
b. extension 4) internal rotation to allow the largest
c. engagement fetal head diameters to match the largest
d. explsuion maternal pelvic diameters
e. external rotation 5) extension of the fetal head as it passes
f. descent beneath the mothers symphysis pubis
g. internal roation 6) external rotation of the fetal head to
allow the shoulders to rotate internally to
fit the mothers pelvis
7) expulsion of the fetal shoulders and
the fetal body
which is the nurses first action when a
client in active labor starts screaming,
"the baby is coming! Do something!
a. notify the practioner of the imminent
birth c. check the perineal area for visibility of
b. tell the client that it is too soon and the presenting part
encourage her to pant
c. check the perineal area for visibility of
the presenting part
d. help the client hold her knees together
and explain what to expect
a primigravida who is 40 weeks gestation
arrives at the birthing center with abdom-
, inal cramping and a bloody show. Her
membranes ruptured 30 minutes before
arrival. A vaginal examination reveals 1
cm of dilation and the presenting part at
-1 station. Which action would the nurse
take after obtaining the fetal heart rate
and maternal vital signs?
b. provide the client with comfort mea-
a. teach the client how to push with each sures for relaxation
contraction
b. provide the client with comfort mea-
sures for relaxation
c. prepare to have the clients blood types
and cross-matches
d. encourage the client to perform pat-
terned, paced breathing.
which action provides support for the fe-
tal head as it is being delivered?
a. applying suprapubic pressure
b. placing a hand firmly against the per- c. distributing the fingers evenly around
ineum the head
c. distributing the fingers evenly around
the head
d. maintaining pressure against the ante-
rior fontanel
which technique would the nurse sug-
gest to a laboring womans partner that
involves gently stroking the womens ab-
domen in rhythm with her breathing dur-
ing a contraction?
b. effleurage
a. massage
b. effleurage
c. acupressure
d. counterpressure
when a client at 39 weeks gestation ar-
rives at the birthing suite she says, "I've
2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
which cervical changes are observed
during pregnancy (select all that apply)
a. the cervical tip becomes soft
b. the fragility of cervical tissues decreas- a. the cervical tip becomes soft
es a. the cervical tip becomes soft
c. the volume of cervical muscles in- e. the elasticity of cervical collagen-rich
creases connective tissue increases
d. the external cervical os appears as a
jagged slit
e. the elasticity of cervical collagen-rich
connective tissue increases
which statements regarding the involu-
tion process are correct? select all that
apply:
a. involution begins immediately after ex-
a. involution begins immediately after ex- pulsion of the placenta
pulsion of the placenta
b. involution is the self-destruction of ex- c. involution progresses rapidly during
cess hypertrophies tissue the next few days after birth
c. involution progresses rapidly during
the next few days after birth d. involution is the return of the uterus to
d. involution is the return of the uterus to a nonpregnant state after birth
a nonpregnant state after birth
e. involution may be caused by retained
placental fragments and infections
which statement indicates that a preg-
nant client requires further teaching
about fetal growth and development?
a. the fetus keeps growing throughout
the pregnancy b. the fetus gets nutrients from the amni-
b. the fetus gets nutrients from the amni- otic fluid
otic fluid
c. the fetus may be underweight if its
exposed to smoke
d. the fetus gets oxygen from blood com-
ing through the placenta
, HESI EAQ LABOR AND DELIVERY REAL EXAM 150+ QUESTIONS AND ANSWERS 2025-
2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
which statement made by a pregnant
client after a prenatal class on fetal
growth and development indicates the
need for additional teaching?
a. the baby is smaller if the mother
b. the baby gets food from the amniotic
smokes
fluid
b. the baby gets food from the amniotic
fluid
c. the babys oxygen is provided by the
mother
d. the babys umbilical cord has 2 arteries
and 1 vein
which client statement indicates under-
standing of teaching about a nonstress
test?
a. ill need to have an IV line so the med-
ication can be injected before the test d. if the heart reacts well, my baby should
b. my baby may get very restless after i do OK when I give birth
have this test
c. I hope this test doesnt cause my labor
to start too early
d. if the heart reacts well, my baby should
do OK when I give birth
which immediate action would the nurse
take if a client in the active phase of labor
says, "I feel all wet. I think I wet myself"?
a. give her the bedpan c. inspect her perineum
b. change the bed linens
c. inspect her perineum
d. take an oral temperature
which complication is prevented by
coaching a client in the second stage of
labor to take a breath at least every 6 a. fetal hypoxia
seconds while pushing with each con-
traction?
, a. fetal hypoxia
b. perineal lacerations
c. cerpopedal spasms
d. maternal hypertension
1) descent of the fetal presenting part
through the true pelvis
2) engagement of the fetal presenting
part as its widest diameter reaches the
sequence the seven cardinal move- level of the ischial spines of the mothers
ments of the mechanism of labor in the pelvis
order they occur in a vertex presentation: 3) flexion of the fetal head so that the
smallest head diameters pass through
a. flexion the pelvis
b. extension 4) internal rotation to allow the largest
c. engagement fetal head diameters to match the largest
d. explsuion maternal pelvic diameters
e. external rotation 5) extension of the fetal head as it passes
f. descent beneath the mothers symphysis pubis
g. internal roation 6) external rotation of the fetal head to
allow the shoulders to rotate internally to
fit the mothers pelvis
7) expulsion of the fetal shoulders and
the fetal body
which is the nurses first action when a
client in active labor starts screaming,
"the baby is coming! Do something!
a. notify the practioner of the imminent
birth c. check the perineal area for visibility of
b. tell the client that it is too soon and the presenting part
encourage her to pant
c. check the perineal area for visibility of
the presenting part
d. help the client hold her knees together
and explain what to expect
a primigravida who is 40 weeks gestation
arrives at the birthing center with abdom-
, inal cramping and a bloody show. Her
membranes ruptured 30 minutes before
arrival. A vaginal examination reveals 1
cm of dilation and the presenting part at
-1 station. Which action would the nurse
take after obtaining the fetal heart rate
and maternal vital signs?
b. provide the client with comfort mea-
a. teach the client how to push with each sures for relaxation
contraction
b. provide the client with comfort mea-
sures for relaxation
c. prepare to have the clients blood types
and cross-matches
d. encourage the client to perform pat-
terned, paced breathing.
which action provides support for the fe-
tal head as it is being delivered?
a. applying suprapubic pressure
b. placing a hand firmly against the per- c. distributing the fingers evenly around
ineum the head
c. distributing the fingers evenly around
the head
d. maintaining pressure against the ante-
rior fontanel
which technique would the nurse sug-
gest to a laboring womans partner that
involves gently stroking the womens ab-
domen in rhythm with her breathing dur-
ing a contraction?
b. effleurage
a. massage
b. effleurage
c. acupressure
d. counterpressure
when a client at 39 weeks gestation ar-
rives at the birthing suite she says, "I've
