Page 1 of 49
“ ASSESSMENT OF HIGH RISK PREGNANCY NCLEX “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
Assessment of High Risk Pregnancy NCLEX
Nurses should be aware of the strengths and limitations of various
biochemical assessments during pregnancy, including that:
A. Chorionic villus sampling (CVS) is becoming more popular because it
provides early diagnosis.
B. Screening for maternal serum alpha-fetoprotein (MSAFP) levels is
recommended only for women at risk for neural tube defects.
C. Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen
tests for Down syndrome.
D. MSAFP is a screening tool only; it identifies candidates for more definitive
procedures.
D
(MSAFP is a screening tool, not a diagnostic tool. Further diagnostic testing is
indicated after an abnormal MSAFP. CVS does provide a rapid result, but it is
declining in popularity because of advances in noninvasive screening techniques.
MSAFP screening is recommended for all pregnant women. MSAFP, not PUBS, is
part of the quad-screen tests for Down syndrome.)
The nurse is assessing a pregnant patient and finds that her blood pressure is
150/90 mm Hg. What procedure does the nurse recommend for this patient?
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A. Nuchal translucency (NT) test
B. Chorionic villus sampling (CVS)
C. Doppler blood flow analysis
D. Percutaneous umbilical blood sampling (PUBS)
C
(Maternal hypertension can cause serious adverse effects on the fetus. A blood
pressure reading of 150/90 mm Hg indicates that the mother is hypertensive. To
assess the effect of maternal hypertension on the fetus, the nurse should refer the
patient for a Doppler blood flow analysis. It is a noninvasive ultrasonic technique
used to study fetal blood flow. NT is a technique used to assess genetic
abnormalities in the fetus. CVS is a prenatal test used to diagnose structural defects
in the fetus. PUBS is used to assess the fetal circulation.)
Which physiologic parameters does the nurse check in the ultrasound report
to assess fetal well-being? Select all that apply.
A. Amniotic fluid volume (AFV)
B. Fetal breathing movements (FBMs)
C. Fetal limb and head movements
D. Daily count of fetal movements
E. Fluid volume in the nape of the fetal neck
A, B, C
(Assessment of physiologic parameters such as AFV, FBMs, and limb and head
movements of the fetus by ultrasonography gives a reliable picture of fetal well-
being. Abnormalities in the amniotic fluid volume are frequently associated with fetal
disorders. Fetal breathing and limb and head movements reflect the status of the
central nervous system. Daily fetal movement count is the most common method
used to assess fetal activity. Ultrasound is not used to assess the daily fetal
movement count. The fluid volume in the nape of the fetal neck is measured to
assess structural abnormalities in the fetus.)
The primary health care provider advises a pregnant woman to undergo a
Doppler blood flow analysis after reviewing the amniocentesis reports. What
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clinical condition in the fetus could be the reason for this referral?
A. Down syndrome
B. Hemolytic anemia
C. Potter syndrome
D. Fetal hydrops
B
(The presence of bilirubin in the amniotic fluid indicates the possibility of hemolytic
anemia in the fetus. The degree of hemolytic anemia can be determined by using
Doppler blood flow analysis. The presence of the placental hormone inhibin-A in the
quad screen indicates Down syndrome. The amniotic fluid index values are used to
detect Potter syndrome. Fetal hydrops is caused by polyhydramnios, which can be
assessed by ultrasound scanning.)
The nurse is reviewing lab values to determine Rh incompatibility between
mother and fetus. Which specific lab result should the nurse assess?
A. Indirect Coombs test
B. Hemoglobin level
C. hCG level
D. Maternal serum alpha-fetoprotein (MSAFP)
A
(The indirect Coombs test is a screening tool for Rh incompatibility. If the maternal
titer for Rh antibodies is greater than 1:8, amniocentesis for determination of bilirubin
in amniotic fluid is indicated to establish the severity of fetal hemolytic anemia.
Hemoglobin reveals the oxygen carrying capacity of the blood. hCG is the hormone
of pregnancy. Maternal serum alpha-fetoprotein (MSAFP) levels are used as a
screening tool for NTDs in pregnancy.)
Which test does the nurse recommend for the patient to help assess fetal
genetic abnormalities?
A. Amniotic fluid volume (AFV)
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B. Fetal body movements
C. Nuchal translucency (NT)
D. Fetal heart activity
C
(The NT ultrasound screening technique is used to measure fluid in the nape of the
fetal neck between 10 and 14 weeks' gestation. Fluid volume greater than 3 mm is
considered abnormal. NT is used mostly to identify possible fetal genetic
abnormalities. AFV, fetal body movements, and fetal heart activity are measured to
assess fetal well-being.)
While reviewing the ultrasound reports of a patient, the nurse notices a
floating fetus in the scanned image. What potential fetal risks should the nurse
interpret from this finding? Select all that apply:
A. Renal agenesis
B. Growth restriction
C. Neural tube defects
D. Gastrointestinal obstruction
E. Cardiac disease.
C, D
(A floating fetus is seen in cases of elevated amniotic fluid volume, or
polyhydramnios. Polyhydramnios is associated with neural tube defects and
gastrointestinal obstruction. Renal agenesis and severe intrauterine growth
restriction are associated with oligohydramnios, or low amniotic fluid volume. A low
amount of fluid may not result in a floating fetus in the scanned image. The amniotic
fluid level is unrelated to cardiac disease in the fetus.)
A 4-week pregnant patient is undergoing an ultrasound. The report shows an
absence of fetal heart activity. What does the nurse infer about the fetus from
the report?
A. Normal finding
B. Congenital abnormality
“ ASSESSMENT OF HIGH RISK PREGNANCY NCLEX “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
Assessment of High Risk Pregnancy NCLEX
Nurses should be aware of the strengths and limitations of various
biochemical assessments during pregnancy, including that:
A. Chorionic villus sampling (CVS) is becoming more popular because it
provides early diagnosis.
B. Screening for maternal serum alpha-fetoprotein (MSAFP) levels is
recommended only for women at risk for neural tube defects.
C. Percutaneous umbilical blood sampling (PUBS) is one of the quad-screen
tests for Down syndrome.
D. MSAFP is a screening tool only; it identifies candidates for more definitive
procedures.
D
(MSAFP is a screening tool, not a diagnostic tool. Further diagnostic testing is
indicated after an abnormal MSAFP. CVS does provide a rapid result, but it is
declining in popularity because of advances in noninvasive screening techniques.
MSAFP screening is recommended for all pregnant women. MSAFP, not PUBS, is
part of the quad-screen tests for Down syndrome.)
The nurse is assessing a pregnant patient and finds that her blood pressure is
150/90 mm Hg. What procedure does the nurse recommend for this patient?
, Page 2 of 49
A. Nuchal translucency (NT) test
B. Chorionic villus sampling (CVS)
C. Doppler blood flow analysis
D. Percutaneous umbilical blood sampling (PUBS)
C
(Maternal hypertension can cause serious adverse effects on the fetus. A blood
pressure reading of 150/90 mm Hg indicates that the mother is hypertensive. To
assess the effect of maternal hypertension on the fetus, the nurse should refer the
patient for a Doppler blood flow analysis. It is a noninvasive ultrasonic technique
used to study fetal blood flow. NT is a technique used to assess genetic
abnormalities in the fetus. CVS is a prenatal test used to diagnose structural defects
in the fetus. PUBS is used to assess the fetal circulation.)
Which physiologic parameters does the nurse check in the ultrasound report
to assess fetal well-being? Select all that apply.
A. Amniotic fluid volume (AFV)
B. Fetal breathing movements (FBMs)
C. Fetal limb and head movements
D. Daily count of fetal movements
E. Fluid volume in the nape of the fetal neck
A, B, C
(Assessment of physiologic parameters such as AFV, FBMs, and limb and head
movements of the fetus by ultrasonography gives a reliable picture of fetal well-
being. Abnormalities in the amniotic fluid volume are frequently associated with fetal
disorders. Fetal breathing and limb and head movements reflect the status of the
central nervous system. Daily fetal movement count is the most common method
used to assess fetal activity. Ultrasound is not used to assess the daily fetal
movement count. The fluid volume in the nape of the fetal neck is measured to
assess structural abnormalities in the fetus.)
The primary health care provider advises a pregnant woman to undergo a
Doppler blood flow analysis after reviewing the amniocentesis reports. What
, Page 3 of 49
clinical condition in the fetus could be the reason for this referral?
A. Down syndrome
B. Hemolytic anemia
C. Potter syndrome
D. Fetal hydrops
B
(The presence of bilirubin in the amniotic fluid indicates the possibility of hemolytic
anemia in the fetus. The degree of hemolytic anemia can be determined by using
Doppler blood flow analysis. The presence of the placental hormone inhibin-A in the
quad screen indicates Down syndrome. The amniotic fluid index values are used to
detect Potter syndrome. Fetal hydrops is caused by polyhydramnios, which can be
assessed by ultrasound scanning.)
The nurse is reviewing lab values to determine Rh incompatibility between
mother and fetus. Which specific lab result should the nurse assess?
A. Indirect Coombs test
B. Hemoglobin level
C. hCG level
D. Maternal serum alpha-fetoprotein (MSAFP)
A
(The indirect Coombs test is a screening tool for Rh incompatibility. If the maternal
titer for Rh antibodies is greater than 1:8, amniocentesis for determination of bilirubin
in amniotic fluid is indicated to establish the severity of fetal hemolytic anemia.
Hemoglobin reveals the oxygen carrying capacity of the blood. hCG is the hormone
of pregnancy. Maternal serum alpha-fetoprotein (MSAFP) levels are used as a
screening tool for NTDs in pregnancy.)
Which test does the nurse recommend for the patient to help assess fetal
genetic abnormalities?
A. Amniotic fluid volume (AFV)
, Page 4 of 49
B. Fetal body movements
C. Nuchal translucency (NT)
D. Fetal heart activity
C
(The NT ultrasound screening technique is used to measure fluid in the nape of the
fetal neck between 10 and 14 weeks' gestation. Fluid volume greater than 3 mm is
considered abnormal. NT is used mostly to identify possible fetal genetic
abnormalities. AFV, fetal body movements, and fetal heart activity are measured to
assess fetal well-being.)
While reviewing the ultrasound reports of a patient, the nurse notices a
floating fetus in the scanned image. What potential fetal risks should the nurse
interpret from this finding? Select all that apply:
A. Renal agenesis
B. Growth restriction
C. Neural tube defects
D. Gastrointestinal obstruction
E. Cardiac disease.
C, D
(A floating fetus is seen in cases of elevated amniotic fluid volume, or
polyhydramnios. Polyhydramnios is associated with neural tube defects and
gastrointestinal obstruction. Renal agenesis and severe intrauterine growth
restriction are associated with oligohydramnios, or low amniotic fluid volume. A low
amount of fluid may not result in a floating fetus in the scanned image. The amniotic
fluid level is unrelated to cardiac disease in the fetus.)
A 4-week pregnant patient is undergoing an ultrasound. The report shows an
absence of fetal heart activity. What does the nurse infer about the fetus from
the report?
A. Normal finding
B. Congenital abnormality
