Obstetric Nurse Test Obstetric Nurse Antepartum Complications 2

Question 1

A pregnant patient at 32 weeks has a blood pressure of 158/105 mmHg on two readings 4 hours apart with proteinuria. Which additional finding would indicate severe features of preeclampsia?

Accepted Answer

Platelet count of 85,000/μL

Answer

A platelet count below 100,000/μL is one of the criteria for severe features of preeclampsia per ACOG guidelines.

Question 2

A patient at 28 weeks gestation presents with painful, firm uterine contractions and dark vaginal bleeding. Fetal heart tones are present but show late decelerations. Which condition is most likely?

Accepted Answer

Placental abruption

Answer

Placental abruption classically presents with painful uterine contractions, dark vaginal bleeding, and uterine rigidity with associated fetal distress.

Question 3

Which laboratory finding is most consistent with HELLP syndrome in a preeclamptic patient?

Accepted Answer

Elevated LDH and AST with thrombocytopenia

Answer

HELLP syndrome is defined by hemolysis (elevated LDH), elevated liver enzymes (AST/ALT), and low platelets.

Question 4

A primigravida at 36 weeks reports headache, visual disturbances, and RUQ pain. BP is 162/110 mmHg. After stabilization, what is the definitive treatment?

Accepted Answer

Delivery of the fetus

Answer

Delivery is the only definitive treatment for preeclampsia with severe features, regardless of gestational age when the mother is unstable.

Question 5

A patient at 24 weeks is diagnosed with an incompetent cervix. She is asymptomatic with cervical dilation of 2 cm. Which intervention is most appropriate?

Accepted Answer

Cerclage placement

Answer

Cerclage (cervical stitch) is the standard surgical intervention for cervical incompetence to prevent preterm delivery.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Antepartum Complications 2