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

Severe preeclampsia is characterized by BP ≥160/110 mmHg on two occasions, significant proteinuria, and severe features such as headache, visual changes, or right upper quadrant pain.

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

Magnesium toxicity causes respiratory depression (<12 breaths/min) and loss of deep tendon reflexes (DTRs); the antidote is calcium gluconate.

Question 3

Which laboratory finding is characteristic of HELLP syndrome?

Accepted Answer

Elevated liver enzymes, low platelets, and hemolysis

Answer

HELLP syndrome stands for Hemolysis, Elevated Liver enzymes, and Low Platelets — a severe variant of preeclampsia that can be life-threatening.

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

Placenta previa presents with painless bright red bleeding; the priority is maternal-fetal assessment with continuous EFM and IV access — vaginal exams are contraindicated.

Question 5

Which symptom distinguishes placental abruption from placenta previa?

Accepted Answer

Painful, dark red vaginal bleeding with uterine rigidity

Answer

Placental abruption presents with painful, dark red vaginal bleeding (may be concealed) and a rigid, board-like uterus due to retroplacental hemorrhage.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test High-Risk Pregnancy Complications