Maternal Newborn Nursing Test High-Risk Pregnancy Complications

Question 1

A client at 32 weeks gestation presents with a blood pressure of 158/106 mmHg, proteinuria of 2+, and severe headache. Which condition does the nurse suspect?

Accepted Answer

Severe preeclampsia

Answer

Chronic hypertension

Answer

Gestational hypertension

Answer

HELLP syndrome

Question 2

A nurse is caring for a client with severe preeclampsia receiving magnesium sulfate. Which assessment finding indicates magnesium toxicity?

Accepted Answer

Respiratory rate of 10 breaths per minute and absent deep tendon reflexes

Answer

Blood pressure of 150/95 mmHg

Answer

Urinary output of 35 mL/hr

Answer

Serum magnesium level of 5 mEq/L

Question 3

Which laboratory finding is characteristic of HELLP syndrome?

Accepted Answer

Elevated liver enzymes, low platelets, and hemolysis

Answer

Elevated platelets and decreased liver enzymes

Answer

Normal platelets with markedly elevated blood pressure

Answer

Decreased white blood cell count and low hemoglobin

Question 4

A client at 28 weeks gestation is diagnosed with placenta previa. She reports painless, bright red vaginal bleeding. What is the priority nursing action?

Accepted Answer

Initiate continuous electronic fetal monitoring and establish IV access

Answer

Perform a vaginal examination to assess cervical dilation

Answer

Prepare the client for immediate cesarean delivery

Answer

Apply external uterine pressure to slow bleeding

Question 5

Which symptom distinguishes placental abruption from placenta previa?

Accepted Answer

Painful, dark red vaginal bleeding with uterine rigidity

Answer

Painless bright red vaginal bleeding

Answer

Absent fetal movement without bleeding

Answer

Rupture of membranes with a gush of fluid

Question 6

A nurse is caring for a client at 34 weeks with preterm premature rupture of membranes (PPROM). Which intervention is a priority?

Accepted Answer

Assess for signs of infection (fever, uterine tenderness, foul-smelling discharge) and notify provider

Answer

Encourage ambulation to stimulate labor

Answer

Administer tocolytics to stop all contractions indefinitely

Answer

Perform digital cervical exam to assess dilation