Pregnancy Complications NCLEX questions and answers
3 day old neonate needs phototherapy for hyperbilirubinemia. nursery care of a neonate getting phototherapy
would include which nursing intervention?
1. tube feedings
2. feeding the neonate under phototheraphy lights
3. mask over the eyes to prevent retinal damage
4. temp monitored every 6 hours during phototherapy - ans3. mask
the neonate's eyes must be covered with eye patches to prevent damage
the mouth of the neonate doesnt need to be covered
the neonate can be removed from the lights and held for feeding
the neonates temp should be monitored at least every 2-4 hours due to risk of hyperthermia w/ phototherpahy
A 17 y.o. primpigravida with severe PIH has been receiving mag sulfate IV for 3 hours. The latest assessment
reveals DTR of +1, BP 150/100 mmgHg, pulse 92 bpm, respiratory rate 10bpm and urine output 20ml/hr. Which
of the following actions would be most approp?
1. Continue monitoring per standards of care
2. Stop the mag sulfate infusion
3. Increase infusion by 5gtt/min
4. Decrease infusion by 5gtt/min - ans2. Stop the mag sulfate infusion
Mag sulfate should be withheld if the clients resp rate or urine output falls or if reflexes are diminished /
absent.
,The client also shows other signs of impending toxicity such as flushing / feeling warm.
Inaction wont resolve the clients suppressed DTRs and low RR / urine output.
The client is already showing CNS depression bc of excessive magsulfte so increasing the infusion is wrong.
Impending toxicity indicates that the infusion should be stopped rather than just slowed down.
a 21 y.o. client, 6 weeks pregnant, is diagnosed with hyperemesis gravidum. This excessive vomiting during
pregnancy will often result in which of the following?
1. bowel perforation
2. electrolyte imbalance
3. miscarriage
4. PIH - ans2. ELECTROLYTE IMBALANCE
Excessive vomiting in clients with hyperemesis grav often causes weight loss / fluid and electrolyte, acid base
imbalance.
PIH and bowel perforation arent r/t hyper grav
the effects of hyper grav on the fetus depend on the severity of the disorder.
clients w/ severe hyper grav may have low birth weight infant, but the disorder isnt life threatening to the
fetus.
A 21 y.o. has arrives to the ER with c/o cramping abdominal pain and mild vaginal bleeding. Pelvic exam shows
a left adnexal mass that's tender when palpated. Culdocentesis shows blood in the culdesac. This client
probably has which of the following conditions?
, 1. Abruptio placentae
2. Ecoptic pregnancy
3. Hydatidiform mole
4. Pelvic Inflammatory Disease - ans2. Ecoptic pregnancy
most ecoptic pregnancies dont appear as obvious life threatening med emergencies. THey must be considered
in any sexually active woman of childbearing age who c/o menstrual irregularity, cramping abdominal pain, and
mild vaginal bleeding.
PID, abruptio placentae and hydatidiform moles wont show blood in the cul de sac
A 21y.o. client has been diagnosed with hydatidiform mole. Which of the following factors is considered a risk
factor for developing hydatidiform mole?
1. age in 20s or 30s
2. high in SES
3. Primigravida
4. prior molar gestation - ans4.
previous molar gestation increases risk for developing subsequent molar gestation by 4-5 times. Adolescents
and women ages 40+ are at increased risk for molar pregs. MULTIGRAVIDAS, esp women with prior preg loss,
and women with LOWER SES are at increased risk for this problem.
A client at 33 weeks gestation and leaking amniotic fluid is place on an EFM. The monitor indicates uterine
irritability and contractions occuring every 4-6 min. The doctor orders terbutaline. Which of the following
teaching statements is approp for this client?
1. This medicine will make you breathe better
3 day old neonate needs phototherapy for hyperbilirubinemia. nursery care of a neonate getting phototherapy
would include which nursing intervention?
1. tube feedings
2. feeding the neonate under phototheraphy lights
3. mask over the eyes to prevent retinal damage
4. temp monitored every 6 hours during phototherapy - ans3. mask
the neonate's eyes must be covered with eye patches to prevent damage
the mouth of the neonate doesnt need to be covered
the neonate can be removed from the lights and held for feeding
the neonates temp should be monitored at least every 2-4 hours due to risk of hyperthermia w/ phototherpahy
A 17 y.o. primpigravida with severe PIH has been receiving mag sulfate IV for 3 hours. The latest assessment
reveals DTR of +1, BP 150/100 mmgHg, pulse 92 bpm, respiratory rate 10bpm and urine output 20ml/hr. Which
of the following actions would be most approp?
1. Continue monitoring per standards of care
2. Stop the mag sulfate infusion
3. Increase infusion by 5gtt/min
4. Decrease infusion by 5gtt/min - ans2. Stop the mag sulfate infusion
Mag sulfate should be withheld if the clients resp rate or urine output falls or if reflexes are diminished /
absent.
,The client also shows other signs of impending toxicity such as flushing / feeling warm.
Inaction wont resolve the clients suppressed DTRs and low RR / urine output.
The client is already showing CNS depression bc of excessive magsulfte so increasing the infusion is wrong.
Impending toxicity indicates that the infusion should be stopped rather than just slowed down.
a 21 y.o. client, 6 weeks pregnant, is diagnosed with hyperemesis gravidum. This excessive vomiting during
pregnancy will often result in which of the following?
1. bowel perforation
2. electrolyte imbalance
3. miscarriage
4. PIH - ans2. ELECTROLYTE IMBALANCE
Excessive vomiting in clients with hyperemesis grav often causes weight loss / fluid and electrolyte, acid base
imbalance.
PIH and bowel perforation arent r/t hyper grav
the effects of hyper grav on the fetus depend on the severity of the disorder.
clients w/ severe hyper grav may have low birth weight infant, but the disorder isnt life threatening to the
fetus.
A 21 y.o. has arrives to the ER with c/o cramping abdominal pain and mild vaginal bleeding. Pelvic exam shows
a left adnexal mass that's tender when palpated. Culdocentesis shows blood in the culdesac. This client
probably has which of the following conditions?
, 1. Abruptio placentae
2. Ecoptic pregnancy
3. Hydatidiform mole
4. Pelvic Inflammatory Disease - ans2. Ecoptic pregnancy
most ecoptic pregnancies dont appear as obvious life threatening med emergencies. THey must be considered
in any sexually active woman of childbearing age who c/o menstrual irregularity, cramping abdominal pain, and
mild vaginal bleeding.
PID, abruptio placentae and hydatidiform moles wont show blood in the cul de sac
A 21y.o. client has been diagnosed with hydatidiform mole. Which of the following factors is considered a risk
factor for developing hydatidiform mole?
1. age in 20s or 30s
2. high in SES
3. Primigravida
4. prior molar gestation - ans4.
previous molar gestation increases risk for developing subsequent molar gestation by 4-5 times. Adolescents
and women ages 40+ are at increased risk for molar pregs. MULTIGRAVIDAS, esp women with prior preg loss,
and women with LOWER SES are at increased risk for this problem.
A client at 33 weeks gestation and leaking amniotic fluid is place on an EFM. The monitor indicates uterine
irritability and contractions occuring every 4-6 min. The doctor orders terbutaline. Which of the following
teaching statements is approp for this client?
1. This medicine will make you breathe better
