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

RhoGAM is given at 28 weeks gestation and again within 72 hours of delivery of an Rh-positive infant to prevent maternal sensitization.

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

DIC is a consumptive coagulopathy causing simultaneous clotting and bleeding, evidenced by oozing from puncture sites, petechiae, prolonged clotting times, and depleted fibrinogen.

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

Oligohydramnios reduces amniotic fluid cushion, increasing umbilical cord compression risk during contractions and is associated with IUGR and renal anomalies.

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

During an eclamptic seizure, the nurse's priority is to protect from injury, maintain airway patency, administer oxygen, and give magnesium sulfate as the drug of choice for seizure prevention and treatment.

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

Antiphospholipid syndrome is treated during pregnancy with low-dose aspirin plus LMWH (e.g., enoxaparin) to prevent thrombosis; warfarin is teratogenic and contraindicated in the first trimester.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test High-Risk Pregnancy Complications 3