Management of complications during pregnancy and risk pregnancy
Time: 15:00
A pregnant woman at 32 weeks gestation presents with a headache, blurred vision, and epigastric pain. Her blood pressure is 160/110 mmHg. The nurse should suspect which complication?
[a] Gestational diabetes.
[b] Abruptio placentae.
[c] Severe preeclampsia.
[d] Hyperemesis gravidarum.
What is the priority nursing assessment for a patient receiving an intravenous infusion of magnesium sulfate for severe preeclampsia?
[a] Monitoring blood glucose levels.
[b] Assessing respiratory rate and deep tendon reflexes.
[c] Checking for peripheral edema.
[d] Palpating for uterine contractions.
A woman in her third trimester presents to the labour unit with painless, bright red vaginal bleeding. This is a classic sign of:
[a] Abruptio placentae.
[b] Ectopic pregnancy.
[c] Hydatidiform mole.
[d] Placenta previa.
Which nursing intervention is contraindicated for a patient with a known or suspected placenta previa?
[a] Administering IV fluids.
[b] Applying an external fetal monitor.
[c] Performing a digital vaginal examination.
[d] Placing the patient on bed rest.
A patient develops a rigid, board-like abdomen, severe abdominal pain, and dark red vaginal bleeding. The nurse should prepare for an emergency delivery due to suspected:
[a] Placenta previa.
[b] Abruptio placentae.
[c] Uterine rupture.
[d] Preterm labour.
Immediately after birth, the newborn of a mother with poorly controlled gestational diabetes mellitus (GDM) should be monitored for:
[a] Hyperglycemia.
[b] Hyperthermia.
[c] Hypoglycemia.
[d] Hyperbilirubinemia.
What is the nurse's immediate action if a patient experiences an eclamptic seizure?
[a] Administer a bolus of oxytocin.
[b] Insert a padded tongue blade into the mouth.
[c] Immediately prepare for a caesarean section.
[d] Ensure patient safety, maintain a patent airway, and turn the patient on her side.
The antidote for magnesium sulfate toxicity, which is kept at the bedside during infusion, is:
[a] Naloxone.
[b] Protamine sulfate.
[c] Calcium gluconate.
[d] Vitamin K.
A woman in her first trimester presents with severe nausea and vomiting, weight loss, and ketonuria. The management of this condition, known as hyperemesis gravidarum, prioritizes:
[a] Encouraging a diet high in fatty foods.
[b] Correcting dehydration and electrolyte imbalances with IV fluids.
What is the primary purpose of administering betamethasone to a mother in preterm labour?
[a] To stop the uterine contractions.
[b] To prevent maternal infection.
[c] To lower the mother's blood pressure.
[d] To promote fetal lung maturity.
A woman at 7 weeks gestation presents with unilateral lower abdominal pain and vaginal spotting. A ruptured ectopic pregnancy is suspected. The nurse should be alert for which sign of internal bleeding?
[a] Bradycardia and hypertension.
[b] A high fever.
[c] Tachycardia, hypotension, and referred shoulder pain.
[d] Uterine contractions.
The priority nursing assessment for a woman admitted with premature rupture of membranes (PROM) is to monitor for:
[a] The onset of active labour.
[b] Fetal movement.
[c] Signs of infection, such as maternal fever or fetal tachycardia.
[d] The presence of meconium-stained fluid.
HELLP syndrome is a severe complication of pregnancy characterized by hemolysis, elevated liver enzymes, and:
[a] High blood glucose.
[b] High platelet count.
[c] Low platelet count.
[d] Low white blood cell count.
Rho(D) immune globulin (RhoGAM) is administered to an Rh-negative mother to:
[a] Treat an active infection.
[b] Prevent the mother from developing gestational diabetes.
[c] Treat the Rh-positive newborn for jaundice.
[d] Prevent the mother from forming antibodies against Rh-positive blood.
A woman's vaginal fluid is tested with nitrazine paper and it turns blue. This result suggests:
[a] The presence of a vaginal infection.
[b] That labour is imminent.
[c] That the amniotic membranes have likely ruptured.
[d] The presence of blood in the vaginal fluid.
When caring for a patient on a tocolytic agent like terbutaline to suppress preterm labour, the nurse must monitor for which common maternal side effect?
[a] Bradycardia.
[b] Tachycardia and palpitations.
[c] Hypotension.
[d] A decreased respiratory rate.
A pregnant patient who is positive for Group B Streptococcus (GBS) will receive which treatment during labour?
[a] An emergency caesarean section.
[b] An oral antifungal medication.
[c] Intravenous antibiotic prophylaxis.
[d] A blood transfusion.
A key component in the management of Gestational Diabetes Mellitus (GDM) is:
[a] A low-carbohydrate, high-fat diet.
[b] Strict bed rest to conserve energy.
[c] Dietary modification and blood glucose monitoring.
[d] Avoiding all forms of exercise.
A hydatidiform mole (molar pregnancy) is a complication that requires follow-up care to monitor for the potential development of:
[a] Infertility.
[b] A hypertensive disorder.
[c] Diabetes.
[d] A choriocarcinoma.
The presence of excessive amniotic fluid is known as polyhydramnios. This condition is associated with an increased risk of:
[a] Fetal growth restriction.
[b] Preterm labour and umbilical cord prolapse.
[c] Placenta previa.
[d] Post-term pregnancy.
The primary goal of managing preterm labour is to:
[a] Ensure a rapid vaginal delivery.
[b] Delay delivery to allow for fetal maturation and administration of corticosteroids.
[c] Prevent the mother from experiencing pain.
[d] Perform an immediate caesarean section.
A patient with abruptio placentae is at high risk for which severe hematological complication?
[a] Anemia.
[b] Thrombocytopenia.
[c] Disseminated Intravascular Coagulation (DIC).
[d] Hemophilia.
A patient is considered to have preterm labour if uterine contractions and cervical change occur before the completion of which week of gestation?
[a] 34 weeks.
[b] 37 weeks.
[c] 39 weeks.
[d] 40 weeks.
A major risk factor for the development of preeclampsia is:
[a] Previous history of a large-for-gestational-age baby.
[b] Multiparity.
[c] Pre-existing hypertension or a history of preeclampsia in a prior pregnancy.
[d] Maternal age under 20.
Oligohydramnios (a deficiency of amniotic fluid) increases the risk for which complication during labour?
[a] Postpartum haemorrhage.
[b] Umbilical cord compression.
[c] Precipitous delivery.
[d] Macrosomia.
Legislation in nursing, profession and related organisations.
No comments: