Maternal Newborn Nursing Test Maternal Complications

Question 1

A patient at 34 weeks gestation presents with a blood pressure of 158/106 mmHg, severe headache, visual disturbances, and 3+ proteinuria. What condition does this represent?

Accepted Answer

Severe feature preeclampsia

Answer

Gestational hypertension

Answer

Chronic hypertension

Answer

HELLP syndrome

Question 2

A patient with preeclampsia is receiving magnesium sulfate. Which assessment finding indicates magnesium toxicity?

Accepted Answer

Respiratory rate of 10 breaths per minute

Answer

Urine output of 40 mL/hr

Answer

Deep tendon reflexes 2+

Answer

Serum magnesium level of 5 mEq/L

Question 3

A patient at 38 weeks gestation has HELLP syndrome. Which laboratory finding is characteristic of this condition?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelets

Answer

Elevated platelets and decreased hemoglobin

Answer

Low liver enzymes and elevated creatinine

Answer

Elevated white blood cell count and low bilirubin

Question 4

A patient is admitted with suspected placenta previa at 32 weeks gestation. She is experiencing bright red, painless vaginal bleeding. Which assessment is CONTRAINDICATED?

Accepted Answer

Digital vaginal examination

Answer

External fetal heart rate monitoring

Answer

Abdominal ultrasound

Answer

IV access placement

Question 5

A patient develops disseminated intravascular coagulation (DIC) following placental abruption. Which laboratory result is consistent with DIC?

Accepted Answer

Decreased fibrinogen, prolonged PT and aPTT, elevated D-dimer

Answer

Elevated fibrinogen, decreased PT, decreased aPTT

Answer

Elevated platelets, normal clotting times

Answer

Decreased D-dimer, elevated hemoglobin

Question 6

A pregnant patient at 28 weeks is diagnosed with gestational diabetes after a 3-hour glucose tolerance test. Which dietary change is the first-line management?

Accepted Answer

Carbohydrate-controlled diet with 3 meals and 2–3 snacks

Answer

Total fasting until insulin therapy is initiated

Answer

High-protein, fat-only diet to avoid all sugars

Answer

Unrestricted diet with metformin supplementation