Obstetric Nurse Test Obstetric Nurse Antepartum Complications 3

Question 1

A 38-week patient with gestational diabetes has an ultrasound showing estimated fetal weight of 4,600 g. Which complication is most anticipated during labor?

Accepted Answer

Shoulder dystocia

Answer

Macrosomia (EFW >4,500 g) significantly increases the risk of shoulder dystocia during vaginal delivery.

Question 2

A pregnant woman at 10 weeks presents with severe nausea, vomiting, and a uterus larger than expected for dates. Beta-hCG is extremely elevated. Which diagnosis should the nurse suspect?

Accepted Answer

Hydatidiform mole

Answer

Hydatidiform mole presents with markedly elevated beta-hCG, uterus large for dates, and hyperemesis gravidarum due to abnormal trophoblastic proliferation.

Question 3

A patient in her second trimester has a hemoglobin of 9.2 g/dL with microcytic, hypochromic red cells. Which intervention is the nurse's priority?

Accepted Answer

Encourage increased dietary iron and initiate iron supplementation

Answer

Iron deficiency anemia in pregnancy is treated with dietary counseling and supplemental iron; transfusion is reserved for severe symptomatic cases.

Question 4

A patient at 34 weeks is admitted with preterm labor. Which medication is used to accelerate fetal lung maturity?

Accepted Answer

Betamethasone

Answer

Betamethasone (a corticosteroid) is administered to the mother between 24-34 weeks to stimulate fetal surfactant production and reduce respiratory distress syndrome.

Question 5

Which assessment finding is the nurse's primary concern when a patient is receiving IV magnesium sulfate for preeclampsia?

Accepted Answer

Deep tendon reflexes

Answer

Loss of deep tendon reflexes is the earliest sign of magnesium toxicity; absent DTRs indicate therapeutic levels are exceeded.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Antepartum Complications 3