HESI RN Maternity Exam | 2025/2026
Verified Questions & Answers, 65 Full
Questions | Correct Answers
Labor & Delivery (Questions 1–20)
Question 1: A primipara at 39 weeks is 4 cm dilated, 100% effaced, 0 station, contractions q2–3 min.
FHR 140 with moderate variability. Priority action?
A) Administer epidural
B) Continue active labor monitoring; expect progression
C) Prepare for cesarean
D) Start Pitocin
Rationale: Normal active phase (≥1 cm/hr primip); no arrest (ACOG 2025 Labor Management).
Question 2: Fetal deceleration: Variable deceleration to 70 bpm lasting 45 sec, returns to baseline. First
action?
A) Reposition mother (left lateral), apply O2 10 L
B) Call for immediate cesarean
C) Increase IV fluids only
D) Continue monitoring
Rationale: Cord compression → intrauterine resuscitation (AWHONN 2025 FHR Guidelines).
Question 3: Late deceleration noted after contraction. FHR baseline 145. Cause?
A) Uteroplacental insufficiency
B) Head compression
C) Cord prolapse
D) Maternal fever
Rationale: Category II – evaluate for hypoxia (NICHD 2025).
Question 4: True vs false labor: Contractions irregular, no cervical change after 2 hrs. Diagnosis?
A) False labor (Braxton Hicks)
B) Latent phase
, C) Active labor
D) Preterm labor
Rationale: No progressive dilation/effacement.
Question 5: Bishop score 9. Likelihood of successful induction?
A) High (>80% vaginal delivery)
B) Low
C) 50%
D) Requires cesarean
Rationale: Score ≥8 favorable (ACOG 2025).
Question 6: Meconium-stained amniotic fluid, thick, FHR 155. Immediate action?
A) Prepare neonatal resuscitation team at delivery
B) Amnioinfusion
C) Suction at perineum
D) Continue labor
Rationale: Risk of MAS; no routine amnioinfusion (AAP 2025).
Question 7: Prolonged second stage (primip 3 hrs pushing). Next step?
A) Operative vaginal delivery if head engaged
B) Automatic cesarean
C) Increase Pitocin
D) Wait another hour
Rationale: >3 hrs primip with epidural = arrest (ACOG 2025).
Question 8: Shoulder dystocia identified. First maneuver?
A) McRoberts + suprapubic pressure
B) Zavanelli
C) Fundal pressure
D) Episiotomy alone
Rationale: HELPERR algorithm (AWHONN 2025).
Question 9: FHR 90 bpm persistent 8 min. Classification?
A) Category III (absent variability + bradycardia)
B) Category I
C) Category II
Verified Questions & Answers, 65 Full
Questions | Correct Answers
Labor & Delivery (Questions 1–20)
Question 1: A primipara at 39 weeks is 4 cm dilated, 100% effaced, 0 station, contractions q2–3 min.
FHR 140 with moderate variability. Priority action?
A) Administer epidural
B) Continue active labor monitoring; expect progression
C) Prepare for cesarean
D) Start Pitocin
Rationale: Normal active phase (≥1 cm/hr primip); no arrest (ACOG 2025 Labor Management).
Question 2: Fetal deceleration: Variable deceleration to 70 bpm lasting 45 sec, returns to baseline. First
action?
A) Reposition mother (left lateral), apply O2 10 L
B) Call for immediate cesarean
C) Increase IV fluids only
D) Continue monitoring
Rationale: Cord compression → intrauterine resuscitation (AWHONN 2025 FHR Guidelines).
Question 3: Late deceleration noted after contraction. FHR baseline 145. Cause?
A) Uteroplacental insufficiency
B) Head compression
C) Cord prolapse
D) Maternal fever
Rationale: Category II – evaluate for hypoxia (NICHD 2025).
Question 4: True vs false labor: Contractions irregular, no cervical change after 2 hrs. Diagnosis?
A) False labor (Braxton Hicks)
B) Latent phase
, C) Active labor
D) Preterm labor
Rationale: No progressive dilation/effacement.
Question 5: Bishop score 9. Likelihood of successful induction?
A) High (>80% vaginal delivery)
B) Low
C) 50%
D) Requires cesarean
Rationale: Score ≥8 favorable (ACOG 2025).
Question 6: Meconium-stained amniotic fluid, thick, FHR 155. Immediate action?
A) Prepare neonatal resuscitation team at delivery
B) Amnioinfusion
C) Suction at perineum
D) Continue labor
Rationale: Risk of MAS; no routine amnioinfusion (AAP 2025).
Question 7: Prolonged second stage (primip 3 hrs pushing). Next step?
A) Operative vaginal delivery if head engaged
B) Automatic cesarean
C) Increase Pitocin
D) Wait another hour
Rationale: >3 hrs primip with epidural = arrest (ACOG 2025).
Question 8: Shoulder dystocia identified. First maneuver?
A) McRoberts + suprapubic pressure
B) Zavanelli
C) Fundal pressure
D) Episiotomy alone
Rationale: HELPERR algorithm (AWHONN 2025).
Question 9: FHR 90 bpm persistent 8 min. Classification?
A) Category III (absent variability + bradycardia)
B) Category I
C) Category II
