Obstetric Nurse Antepartum Complications Questions and Answers

Question 1

A client at 34 weeks gestation is admitted with painless, bright red vaginal bleeding. Her uterus is soft and non-tender, and the fetal heart rate is stable. Which condition should the nurse suspect?

Accepted Answer

Placenta previa

Answer

Abruptio placentae

Answer

Vasa previa

Answer

Preterm labor

Question 2

A nurse is reviewing the criteria for a diagnosis of preeclampsia with severe features. Which of the following findings is a key indicator of this condition?

Accepted Answer

Platelet count less than 100,000/μL

Answer

Blood pressure of 150/95 mmHg on two occasions 4 hours apart

Answer

Proteinuria of 300mg in a 24-hour urine collection

Answer

Mild pedal edema

Question 3

A 26-week pregnant client with no prior history of glucose intolerance is scheduled for routine screening for gestational diabetes mellitus (GDM). What is the standard initial screening test the nurse should prepare the client for?

Accepted Answer

A 1-hour, 50-gram glucose challenge test (GCT)

Answer

A fasting blood glucose test

Answer

A 3-hour, 100-gram oral glucose tolerance test (OGTT)

Answer

A 2-hour, 75-gram oral glucose tolerance test (OGTT)

Question 4

A client at 30 weeks gestation is experiencing regular uterine contractions and has a confirmed diagnosis of preterm labor. The provider orders a tocolytic medication to delay delivery. Which of the following medications is classified as a tocolytic agent?

Accepted Answer

Nifedipine

Answer

Betamethasone

Answer

Rho(D) immune globulin

Answer

Ondansetron

Question 5

A pregnant client at 32 weeks gestation presents with epigastric pain, nausea, and malaise. Laboratory results show: Alanine aminotransferase (ALT) 150 IU/L, Aspartate aminotransferase (AST) 180 IU/L, platelet count 80,000/μL, and schistocytes on the peripheral blood smear. These findings are most indicative of which complication?

Accepted Answer

HELLP syndrome

Answer

Acute fatty liver of pregnancy (AFLP)

Answer

Intrahepatic cholestasis of pregnancy (ICP)

Answer

Preeclampsia without severe features

Question 6

When differentiating between abruptio placentae and placenta previa, which clinical finding is uniquely characteristic of abruptio placentae?

Accepted Answer

Abnormal fetal presentation, such as breech or transverse lie

Answer

Bright red, painless vaginal bleeding

Answer

A soft, relaxed, non-tender uterus

Answer

Sudden onset of abdominal pain and uterine tenderness