BSN 246 HESI Health Assessment V1
Exam 2025/2026 (ACTUAL EXAM)
QUESTIONS AND VERIFIED
ANSWERS (NIGHTINGALE COLLEGE)
Question 1
Caput succedaneum is best described as:
A. Bleeding beneath the periosteum that does not cross suture lines.
B. Diffuse edema of the fetal scalp that crosses the suture lines.
C. A congenital skull fracture.
D. Swelling caused by hydrocephalus.
Correct Answer
✔ B. Diffuse edema of the fetal scalp that crosses the suture lines.
Rationale
Caput succedaneum is:
• Diffuse edema of the fetal scalp.
• Crosses the cranial suture lines.
• Usually resolves within 1–3 days without treatment.
Question 2
Oxytocin (Pitocin) primarily:
A. Relaxes uterine smooth muscle.
B. Stimulates smooth muscle contractions.
,C. Prevents hypertension.
D. Is contraindicated in clients with asthma.
Correct Answer
✔ B. Stimulates smooth muscle contractions.
Rationale
Oxytocin stimulates uterine contractions during labor and postpartum. The source notes it is
not contraindicated for asthma.
Question 3
During the first stage of labor, normal contraction intensity measured with an intrauterine
pressure catheter is:
A. 10–20 mm Hg
B. 20–30 mm Hg
C. 40–70 mm Hg
D. Greater than 100 mm Hg
Correct Answer
✔ C. 40–70 mm Hg.
Rationale
The source identifies 40–70 mm Hg as the expected contraction intensity during the first stage
of labor.
Question 4
Contractions greater than 80 mm Hg are expected during which stage of labor?
A. Latent phase
B. First stage
,C. Second stage
D. Third stage
Correct Answer
✔ C. Second stage.
Rationale
During the second stage of labor, contractions commonly exceed 80 mm Hg.
Question 5
Contractions with a peak pressure of less than 50 mm Hg are classified as:
A. Strong
B. Moderate
C. Mild
D. Hypertonic
Correct Answer
✔ C. Mild contractions.
Rationale
Peak pressures below 50 mm Hg indicate mild uterine contractions.
Question 6
The average resting uterine tone during labor is approximately:
A. 5 mm Hg
B. 10 mm Hg
C. 20 mm Hg
D. 40 mm Hg
, Correct Answer
✔ B. 10 mm Hg.
Rationale
A normal resting uterine tone averages 10 mm Hg.
QuestionI7
MontevideoIUnitsI(MVUs)IduringItheIfirstIstageIofIlaborIusuallyIrangeIbetween:
A.I20–80
B.I100–250
C.I300–400
D.I450–600
I CorrectIAnswer
✔IB.I100–250.I
Rationale
MVUsIofI100–250IgenerallyIindicateIadequateIuterineIactivityIduringItheIfirstIstageIofIlabor.
QuestionI8
DuringItheIsecondIstageIofIlabor,IMVUsImayIincreaseIto:
A.I50–100
B.I100–200
C.I300–400
D.I500–600
I CorrectIAnswer
Exam 2025/2026 (ACTUAL EXAM)
QUESTIONS AND VERIFIED
ANSWERS (NIGHTINGALE COLLEGE)
Question 1
Caput succedaneum is best described as:
A. Bleeding beneath the periosteum that does not cross suture lines.
B. Diffuse edema of the fetal scalp that crosses the suture lines.
C. A congenital skull fracture.
D. Swelling caused by hydrocephalus.
Correct Answer
✔ B. Diffuse edema of the fetal scalp that crosses the suture lines.
Rationale
Caput succedaneum is:
• Diffuse edema of the fetal scalp.
• Crosses the cranial suture lines.
• Usually resolves within 1–3 days without treatment.
Question 2
Oxytocin (Pitocin) primarily:
A. Relaxes uterine smooth muscle.
B. Stimulates smooth muscle contractions.
,C. Prevents hypertension.
D. Is contraindicated in clients with asthma.
Correct Answer
✔ B. Stimulates smooth muscle contractions.
Rationale
Oxytocin stimulates uterine contractions during labor and postpartum. The source notes it is
not contraindicated for asthma.
Question 3
During the first stage of labor, normal contraction intensity measured with an intrauterine
pressure catheter is:
A. 10–20 mm Hg
B. 20–30 mm Hg
C. 40–70 mm Hg
D. Greater than 100 mm Hg
Correct Answer
✔ C. 40–70 mm Hg.
Rationale
The source identifies 40–70 mm Hg as the expected contraction intensity during the first stage
of labor.
Question 4
Contractions greater than 80 mm Hg are expected during which stage of labor?
A. Latent phase
B. First stage
,C. Second stage
D. Third stage
Correct Answer
✔ C. Second stage.
Rationale
During the second stage of labor, contractions commonly exceed 80 mm Hg.
Question 5
Contractions with a peak pressure of less than 50 mm Hg are classified as:
A. Strong
B. Moderate
C. Mild
D. Hypertonic
Correct Answer
✔ C. Mild contractions.
Rationale
Peak pressures below 50 mm Hg indicate mild uterine contractions.
Question 6
The average resting uterine tone during labor is approximately:
A. 5 mm Hg
B. 10 mm Hg
C. 20 mm Hg
D. 40 mm Hg
, Correct Answer
✔ B. 10 mm Hg.
Rationale
A normal resting uterine tone averages 10 mm Hg.
QuestionI7
MontevideoIUnitsI(MVUs)IduringItheIfirstIstageIofIlaborIusuallyIrangeIbetween:
A.I20–80
B.I100–250
C.I300–400
D.I450–600
I CorrectIAnswer
✔IB.I100–250.I
Rationale
MVUsIofI100–250IgenerallyIindicateIadequateIuterineIactivityIduringItheIfirstIstageIofIlabor.
QuestionI8
DuringItheIsecondIstageIofIlabor,IMVUsImayIincreaseIto:
A.I50–100
B.I100–200
C.I300–400
D.I500–600
I CorrectIAnswer
