2025 UPDATE WITH COMPLETE SOLUTIONS WITH
RATIONALES ||PRACTICE EXAM 100+ QUESTIONS
CORRECTLY ANSWERED & VERIFIED
Table of Contents
FETAL COMPLICATIONS ................................................................................................................................ 1
MORE QUESTIONS ON THIS TOPIC ............................................................................................................... 5
INTRODUCTION ........................................................................................................................................... 34
RISK FACTORS.............................................................................................................................................. 41
CLINICAL FEATURES..................................................................................................................................... 47
HELLP SYNDROME ....................................................................................................................................... 63
DIAGNOSTIC CRITERIA AND INVESTIGATIONS ............................................................................................ 67
MANAGEMENT PRINCIPLES AND NURSING INTERVENTIONS..................................................................... 83
INTRAPARTUM MANAGEMENT .................................................................................................................. 88
POSTPARTUM MANAGEMENT .................................................................................................................... 93
COMPLICATIONS AND OUTCOMES ............................................................................................................. 97
FETAL COMPLICATIONS
Question 1 :
A Nurse Is Caring For A Client Who Is 32 Weeks Pregnant And Has Been Diagnosed With
Mild Preeclampsia.
Which Of The Following Interventions Should The Nurse Include In The Plan Of Care? Select
All That Apply.
A. Monitor Blood Pressure And Urine Protein Daily
B. Administer Magnesium Sulfate As Prescribed
C. Encourage Bed Rest In Left Lateral Position
D. Teach The Client To Report Headache Or Visual Changes
E. Restrict Fluid Intake To 1.5 L Per Day
RATIONALE:
, The Correct Answer Is Choice A, C And D. Here Is Why:
• Choice A Is Correct Because Monitoring Blood Pressure And Urine Protein Daily Is A Standard
Intervention For Mild Preeclampsia To Detect Any Worsening Of The Condition.
• Choice B Is Wrong Because Magnesium Sulfate Is Not Prescribed For Mild Preeclampsia, But For
Severe Preeclampsia Or Eclampsia To Prevent Seizures.
• Choice C Is Correct Because Encouraging Bedrest In Left Lateral Position Can Improve
Uteroplacental Perfusion And Reduce Blood Pressure In Mild Preeclampsia.
• Choice D Is Correct Because Teaching The Client To Report Headache Or Visual Changes Can
Help Identify Signs Of Severe Preeclampsia Or Impending Eclampsia, Which Require Immediate
Medical Attention.
• Choice E Is Wrong Because Restricting Fluid Intake To 1.5 L Per Day Is Not Indicated For Mild
Preeclampsia And Can Cause Dehydration And Electrolyte Imbalance.
Normal Ranges For Blood Pressure And Urine Protein In Pregnancy Are:
• Blood Pressure: Less Than 140/90 Mmhg
• Urine Protein: Less Than 300 Mg/24 Hours
Question 2 :
A Nurse Is Reviewing The Laboratory Results Of A Client Who Is 36 Weeks Pregnant And
Has Severe Preeclampsia.
Which Of The Following Findings Should The Nurse Report To The Provider Immediately?
A. Platelet Count Of 100,000/Mm3
B. Serum Creatinine Of 0.8 Mg/Dl
C. Serum Uric Acid Of 6 Mg/Dl
D. Serum Albumin Of 3.5 G/Dl
RATIONALE:
A Platelet Count Of 100,000/Mm3 Is Below The Normal Range Of 150,000 To 450,000/Mm3 And
Indicates Thrombocytopenia.Thrombocytopenia Is A Common Coagulation Abnormality In
Preeclampsia And Can Increase The Risk Of Bleeding Complications.
The Nurse Should Report This Finding To The Provider Immediately.
Choice B Is Wrong Because A Serum Creatinine Of 0.8 Mg/Dl Is Within The Normal Range Of 0.5
To 1.1 Mg/Dl For Women And Does Not Indicate Renal Impairment.