Maternal Newborn Nursing Test High-Risk Pregnancy Complications 3

Question 1

At what gestational age is Rh immunoglobulin (RhoGAM) routinely administered to an unsensitized Rh-negative pregnant client?

Accepted Answer

28 weeks gestation and within 72 hours of delivery

Answer

20 weeks gestation only

Answer

At delivery only

Answer

36 weeks gestation

Question 2

Which finding is a classic sign of disseminated intravascular coagulation (DIC) in an obstetric client?

Accepted Answer

Oozing from IV sites, petechiae, and prolonged PT/PTT with low fibrinogen

Answer

Elevated platelet count with normal coagulation studies

Answer

Localized deep vein thrombosis

Answer

Elevated blood pressure with no bleeding

Question 3

A client at 36 weeks is diagnosed with oligohydramnios (AFI of 3 cm). What fetal complication is the nurse most concerned about?

Accepted Answer

Umbilical cord compression and fetal growth restriction

Answer

Polyhydramnios in the next pregnancy

Answer

Macrosomia

Answer

Placenta previa

Question 4

A pregnant client with preeclampsia suddenly experiences a tonic-clonic seizure. What is the priority nursing action?

Accepted Answer

Protect the client from injury, maintain airway, and administer magnesium sulfate per protocol

Answer

Restrain all four extremities to prevent injury

Answer

Administer IV diazepam immediately

Answer

Perform an emergency cesarean delivery

Question 5

A client with a history of recurrent pregnancy loss is found to have antiphospholipid syndrome. Which medication is most commonly used to prevent placental thrombosis in this condition?

Accepted Answer

Low-dose aspirin combined with low-molecular-weight heparin (LMWH)

Answer

Warfarin (Coumadin) throughout pregnancy

Answer

Oral contraceptives to stabilize hormones

Answer

Betamethasone

Question 6

Which finding is consistent with intrauterine growth restriction (IUGR) on ultrasound?

Accepted Answer

Estimated fetal weight below the 10th percentile for gestational age

Answer

Estimated fetal weight above the 90th percentile

Answer

Polyhydramnios with advanced gestational age

Answer

Placenta grade 0 at 36 weeks