High Risk Pregnancy NCLEX Questions and Answers Graded A
A client is diagnosed with gestational C) Tachycardia
hypertension and is receiving magnesium D) Sweating - -Ans: C
sulfate. Which finding would the nurse interpret
as indicating a therapeutic level of medication? Hydralazine reduces blood pressure but is
associated with adverse effects such as
A) Urinary output of 20 mL per hour palpitation, tachycardia, headache, anorexia,
B) Respiratory rate of 10 breaths/minute nausea, vomiting, and diarrhea. It does not cause
C) Deep tendons reflexes 2+ gastrointestinal bleeding, blurred vision, or
D) Difficulty in arousing - -Ans: C sweating. Magnesium sulfate may cause
sweating.
With magnesium sulfate, deep tendon reflexes of
2+ would be considered normal and therefore a
therapeutic level of the drug. Urinary output of After reviewing a client's history, which factor
less than 30 mL, a respiratory rate of less than would the nurse identify as placing her at risk for
12 breaths/minute, and a diminished level of gestational hypertension?
consciousness would indicate magnesium
toxicity. A) Mother had gestational hypertension during
pregnancy.
B) Client has a twin sister.
The nurse is developing a plan of care for a C) Sister-in-law had gestational hypertension.
woman who is pregnant with twins. The nurse D) This is the client's second pregnancy. - -
includes interventions focusing on which of the Ans: A
following because of the woman's increased
risk? A family history of gestational hypertension, such
as a mother or sister, is considered a risk factor
A) Oligohydramnios for the client. Having a twin sister or having a
B) Preeclampsia sister-in-law with gestational hypertension would
C) Post-term labor not increase the client's risk. If the client had a
D) Chorioamnionitis - -Ans: B history of preeclampsia in her first pregnancy,
then she would be at risk in her second
Women with multiple gestations are at high risk pregnancy.
for preeclampsia, preterm labor, hydramnios,
hyperemesis gravidarum, anemia, and antepartal
hemorrhage. There is no association between The nurse is reviewing the laboratory test results
multiple gestations and the development of of a pregnant client. Which one of the following
chorioamnionitis. findings would alert the nurse to the development
of HELLP syndrome?
A woman hospitalized with severe preeclampsia A) Hyperglycemia
is being treated with hydralazine to control blood B) Elevated platelet count
pressure. Which of the following would the lead C) Leukocytosis
the nurse to suspect that the client is having an D) Elevated liver enzymes - -Ans: D
adverse effect associated with this drug?
HELLP is an acronym for hemolysis, elevated
A) Gastrointestinal bleeding liver enzymes, and low platelets. Hyperglycemia
B) Blurred vision or leukocytosis is not a part of this syndrome.
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A client is diagnosed with gestational C) Tachycardia
hypertension and is receiving magnesium D) Sweating - -Ans: C
sulfate. Which finding would the nurse interpret
as indicating a therapeutic level of medication? Hydralazine reduces blood pressure but is
associated with adverse effects such as
A) Urinary output of 20 mL per hour palpitation, tachycardia, headache, anorexia,
B) Respiratory rate of 10 breaths/minute nausea, vomiting, and diarrhea. It does not cause
C) Deep tendons reflexes 2+ gastrointestinal bleeding, blurred vision, or
D) Difficulty in arousing - -Ans: C sweating. Magnesium sulfate may cause
sweating.
With magnesium sulfate, deep tendon reflexes of
2+ would be considered normal and therefore a
therapeutic level of the drug. Urinary output of After reviewing a client's history, which factor
less than 30 mL, a respiratory rate of less than would the nurse identify as placing her at risk for
12 breaths/minute, and a diminished level of gestational hypertension?
consciousness would indicate magnesium
toxicity. A) Mother had gestational hypertension during
pregnancy.
B) Client has a twin sister.
The nurse is developing a plan of care for a C) Sister-in-law had gestational hypertension.
woman who is pregnant with twins. The nurse D) This is the client's second pregnancy. - -
includes interventions focusing on which of the Ans: A
following because of the woman's increased
risk? A family history of gestational hypertension, such
as a mother or sister, is considered a risk factor
A) Oligohydramnios for the client. Having a twin sister or having a
B) Preeclampsia sister-in-law with gestational hypertension would
C) Post-term labor not increase the client's risk. If the client had a
D) Chorioamnionitis - -Ans: B history of preeclampsia in her first pregnancy,
then she would be at risk in her second
Women with multiple gestations are at high risk pregnancy.
for preeclampsia, preterm labor, hydramnios,
hyperemesis gravidarum, anemia, and antepartal
hemorrhage. There is no association between The nurse is reviewing the laboratory test results
multiple gestations and the development of of a pregnant client. Which one of the following
chorioamnionitis. findings would alert the nurse to the development
of HELLP syndrome?
A woman hospitalized with severe preeclampsia A) Hyperglycemia
is being treated with hydralazine to control blood B) Elevated platelet count
pressure. Which of the following would the lead C) Leukocytosis
the nurse to suspect that the client is having an D) Elevated liver enzymes - -Ans: D
adverse effect associated with this drug?
HELLP is an acronym for hemolysis, elevated
A) Gastrointestinal bleeding liver enzymes, and low platelets. Hyperglycemia
B) Blurred vision or leukocytosis is not a part of this syndrome.
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