High Risk Pregnancy ( preeclampsia) NCLEX Questions and Answers
Rated A
A client is diagnosed with gestational B) Blurred vision
hypertension and is receiving magnesium C) Tachycardia
sulfate. Which finding would the nurse interpret D) Sweating - -Ans: C
as indicating a therapeutic level of medication?
Hydralazine reduces blood pressure but is
A) Urinary output of 20 mL per hour associated with adverse effects such as
B) Respiratory rate of 10 breaths/minute palpitation, tachycardia, headache, anorexia,
C) Deep tendons reflexes 2+ nausea, vomiting, and diarrhea. It does not cause
D) Difficulty in arousing - -Ans: C gastrointestinal bleeding, blurred vision, or
sweating. Magnesium sulfate may cause
With magnesium sulfate, deep tendon reflexes of sweating.
2+ would be considered normal and therefore a
therapeutic level of the drug. Urinary output of
less than 30 mL, a respiratory rate of less than After reviewing a client's history, which factor
12 breaths/minute, and a diminished level of would the nurse identify as placing her at risk for
consciousness would indicate magnesium gestational hypertension?
toxicity.
A) Mother had gestational hypertension during
pregnancy.
The nurse is developing a plan of care for a B) Client has a twin sister.
woman who is pregnant with twins. The nurse C) Sister-in-law had gestational hypertension.
includes interventions focusing on which of the D) This is the client's second pregnancy. - -
following because of the woman's increased Ans: A
risk?
A family history of gestational hypertension, such
A) Oligohydramnios as a mother or sister, is considered a risk factor
B) Preeclampsia for the client. Having a twin sister or having a
C) Post-term labor sister-in-law with gestational hypertension would
D) Chorioamnionitis - -Ans: B not increase the client's risk. If the client had a
history of preeclampsia in her first pregnancy,
Women with multiple gestations are at high risk then she would be at risk in her second
for preeclampsia, preterm labor, hydramnios, pregnancy.
hyperemesis gravidarum, anemia, and antepartal
hemorrhage. There is no association between
multiple gestations and the development of The nurse is reviewing the laboratory test results
chorioamnionitis. of a pregnant client. Which one of the following
findings would alert the nurse to the development
of HELLP syndrome?
A woman hospitalized with severe preeclampsia
is being treated with hydralazine to control blood A) Hyperglycemia
pressure. Which of the following would the lead B) Elevated platelet count
the nurse to suspect that the client is having an C) Leukocytosis
adverse effect associated with this drug? D) Elevated liver enzymes - -Ans: D
A) Gastrointestinal bleeding HELLP is an acronym for hemolysis, elevated
1/2
Rated A
A client is diagnosed with gestational B) Blurred vision
hypertension and is receiving magnesium C) Tachycardia
sulfate. Which finding would the nurse interpret D) Sweating - -Ans: C
as indicating a therapeutic level of medication?
Hydralazine reduces blood pressure but is
A) Urinary output of 20 mL per hour associated with adverse effects such as
B) Respiratory rate of 10 breaths/minute palpitation, tachycardia, headache, anorexia,
C) Deep tendons reflexes 2+ nausea, vomiting, and diarrhea. It does not cause
D) Difficulty in arousing - -Ans: C gastrointestinal bleeding, blurred vision, or
sweating. Magnesium sulfate may cause
With magnesium sulfate, deep tendon reflexes of sweating.
2+ would be considered normal and therefore a
therapeutic level of the drug. Urinary output of
less than 30 mL, a respiratory rate of less than After reviewing a client's history, which factor
12 breaths/minute, and a diminished level of would the nurse identify as placing her at risk for
consciousness would indicate magnesium gestational hypertension?
toxicity.
A) Mother had gestational hypertension during
pregnancy.
The nurse is developing a plan of care for a B) Client has a twin sister.
woman who is pregnant with twins. The nurse C) Sister-in-law had gestational hypertension.
includes interventions focusing on which of the D) This is the client's second pregnancy. - -
following because of the woman's increased Ans: A
risk?
A family history of gestational hypertension, such
A) Oligohydramnios as a mother or sister, is considered a risk factor
B) Preeclampsia for the client. Having a twin sister or having a
C) Post-term labor sister-in-law with gestational hypertension would
D) Chorioamnionitis - -Ans: B not increase the client's risk. If the client had a
history of preeclampsia in her first pregnancy,
Women with multiple gestations are at high risk then she would be at risk in her second
for preeclampsia, preterm labor, hydramnios, pregnancy.
hyperemesis gravidarum, anemia, and antepartal
hemorrhage. There is no association between
multiple gestations and the development of The nurse is reviewing the laboratory test results
chorioamnionitis. of a pregnant client. Which one of the following
findings would alert the nurse to the development
of HELLP syndrome?
A woman hospitalized with severe preeclampsia
is being treated with hydralazine to control blood A) Hyperglycemia
pressure. Which of the following would the lead B) Elevated platelet count
the nurse to suspect that the client is having an C) Leukocytosis
adverse effect associated with this drug? D) Elevated liver enzymes - -Ans: D
A) Gastrointestinal bleeding HELLP is an acronym for hemolysis, elevated
1/2
