Maternal Newborn Nursing Test High-Risk Pregnancy Complications 2

Question 1

A client with gestational diabetes is at 38 weeks gestation. Her fasting blood glucose is consistently 108 mg/dL despite dietary changes. What is the next expected intervention?

Accepted Answer

Initiation of insulin therapy

Answer

When diet and exercise fail to control fasting glucose above 95 mg/dL in gestational diabetes, insulin is the preferred pharmacologic therapy as it does not cross the placenta.

Question 2

Which maternal complication of gestational diabetes (GDM) places the fetus at greatest risk for macrosomia?

Accepted Answer

Chronic maternal hyperglycemia stimulating fetal insulin production and fat deposition

Answer

Chronic hyperglycemia in GDM causes glucose to cross the placenta, stimulating fetal hyperinsulinemia, which drives excessive fat storage and macrosomia.

Question 3

A client is diagnosed with hyperemesis gravidarum at 10 weeks gestation. Which finding would require hospitalization?

Accepted Answer

Weight loss of more than 5% of pre-pregnancy body weight with ketonuria

Answer

Hyperemesis gravidarum requiring hospitalization is indicated by dehydration, electrolyte imbalances, ketonuria, and weight loss >5% of pre-pregnancy weight unresponsive to outpatient management.

Question 4

A nurse is caring for a client with an ectopic pregnancy. Which assessment finding warrants immediate emergency intervention?

Accepted Answer

Sudden severe unilateral lower abdominal pain with shoulder pain and signs of shock

Answer

Rupture of an ectopic pregnancy causes severe abdominal pain, referred shoulder pain (diaphragmatic irritation from hemoperitoneum), and hemodynamic instability requiring emergency surgery.

Question 5

A client at 26 weeks gestation is admitted with preterm labor. Which medication is administered to accelerate fetal lung maturity?

Accepted Answer

Betamethasone (Celestone)

Answer

Antenatal corticosteroids such as betamethasone (given at 24–34 weeks) stimulate surfactant production, reducing the risk of neonatal respiratory distress syndrome.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test High-Risk Pregnancy Complications 2