High Risk Pregnancy NCLEX Questions with 100% Verified Answers
1. A client is diagnosed with gestational Ans: C
hypertension and is receiving magne-
sium sulfate. Which finding would the With magnesium sulfate, deep
nurse interpret as indicating a thera- tendon reflexes of 2+ would be
peutic level of medication? considered normal and therefore a
therapeutic level of the drug. Uri-
A) Urinary output of 20 mL per hour nary output of less than 30 mL,
B) Respiratory rate of 10 a respiratory rate of less than 12
breaths/minute breaths/minute, and a diminished
C) Deep tendons reflexes 2+ level of consciousness would indi-
D) Difficulty in arousing cate magnesium toxicity.
2. The nurse is developing a plan of care Ans: B
for a woman who is pregnant with
twins. The nurse includes interventions Women with multiple gestations
focusing on which of the following be- are at high risk for preeclampsia,
cause of the woman's increased risk? preterm labor, hydramnios, hyper-
emesis gravidarum, anemia, and
A) Oligohydramnios antepartal hemorrhage. There is
B) Preeclampsia no association between multiple
C) Post-term labor gestations and the development of
D) Chorioamnionitis chorioamnionitis.
3. A woman hospitalized with severe Ans: C
preeclampsia is being treated with hy-
dralazine to control blood pressure. Hydralazine reduces blood pres-
Which of the following would the lead sure but is associated with ad-
the nurse to suspect that the client verse effects such as palpitation,
is having an adverse effect associated tachycardia, headache, anorexia,
with this drug? nausea, vomiting, and diarrhea.
It does not cause gastrointestinal
A) Gastrointestinal bleeding bleeding, blurred vision, or sweat-
B) Blurred vision ing. Magnesium sulfate may cause
C) Tachycardia sweating.
D) Sweating
4. After reviewing a client's history, which Ans: A
factor would the nurse identify as plac-
ing her at risk for gestational hyperten- A family history of gestational hy-
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, High Risk Pregnancy NCLEX Questions with 100% Verified Answers
sion? pertension, such as a mother or
sister, is considered a risk factor
A) Mother had gestational hyperten- for the client. Having a twin sister
sion during pregnancy. or having a sister-in-law with ges-
B) Client has a twin sister. tational hypertension would not in-
C) Sister-in-law had gestational hyper- crease the client's risk. If the client
tension. had a history of preeclampsia in
D) This is the client's second pregnan- her first pregnancy, then she would
cy. be at risk in her second pregnancy.
5. The nurse is reviewing the laboratory Ans: D
test results of a pregnant client. Which
one of the following findings would HELLP is an acronym for hemol-
alert the nurse to the development of ysis, elevated liver enzymes, and
HELLP syndrome? low platelets. Hyperglycemia or
leukocytosis is not a part of this
A) Hyperglycemia syndrome.
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes
6. Which of the following would the nurse Ans: A
have readily available for a client who
is receiving magnesium sulfate to treat The antidote for magnesium sul-
severe preeclampsia? fate is calcium gluconate, and this
should be readily available in case
A) Calcium gluconate the woman has signs and symp-
B) Potassium chloride toms of magnesium toxicity.
C) Ferrous sulfate
D) Calcium carbonate
7. A nurse is teaching a pregnant woman A) "I need to keep a close eye on
with preterm premature rupture of how active my baby is each day."
membranes who is about to be dis- B) "I need to call my doctor if my
charged home about caring for herself. temperature increases."
Which statement by the woman indi- C) "It's okay for my husband and
cates a need for additional teaching? me to have sexual intercourse."
D) "I can shower but I shouldn't
take a tub bath."
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1. A client is diagnosed with gestational Ans: C
hypertension and is receiving magne-
sium sulfate. Which finding would the With magnesium sulfate, deep
nurse interpret as indicating a thera- tendon reflexes of 2+ would be
peutic level of medication? considered normal and therefore a
therapeutic level of the drug. Uri-
A) Urinary output of 20 mL per hour nary output of less than 30 mL,
B) Respiratory rate of 10 a respiratory rate of less than 12
breaths/minute breaths/minute, and a diminished
C) Deep tendons reflexes 2+ level of consciousness would indi-
D) Difficulty in arousing cate magnesium toxicity.
2. The nurse is developing a plan of care Ans: B
for a woman who is pregnant with
twins. The nurse includes interventions Women with multiple gestations
focusing on which of the following be- are at high risk for preeclampsia,
cause of the woman's increased risk? preterm labor, hydramnios, hyper-
emesis gravidarum, anemia, and
A) Oligohydramnios antepartal hemorrhage. There is
B) Preeclampsia no association between multiple
C) Post-term labor gestations and the development of
D) Chorioamnionitis chorioamnionitis.
3. A woman hospitalized with severe Ans: C
preeclampsia is being treated with hy-
dralazine to control blood pressure. Hydralazine reduces blood pres-
Which of the following would the lead sure but is associated with ad-
the nurse to suspect that the client verse effects such as palpitation,
is having an adverse effect associated tachycardia, headache, anorexia,
with this drug? nausea, vomiting, and diarrhea.
It does not cause gastrointestinal
A) Gastrointestinal bleeding bleeding, blurred vision, or sweat-
B) Blurred vision ing. Magnesium sulfate may cause
C) Tachycardia sweating.
D) Sweating
4. After reviewing a client's history, which Ans: A
factor would the nurse identify as plac-
ing her at risk for gestational hyperten- A family history of gestational hy-
1/5
, High Risk Pregnancy NCLEX Questions with 100% Verified Answers
sion? pertension, such as a mother or
sister, is considered a risk factor
A) Mother had gestational hyperten- for the client. Having a twin sister
sion during pregnancy. or having a sister-in-law with ges-
B) Client has a twin sister. tational hypertension would not in-
C) Sister-in-law had gestational hyper- crease the client's risk. If the client
tension. had a history of preeclampsia in
D) This is the client's second pregnan- her first pregnancy, then she would
cy. be at risk in her second pregnancy.
5. The nurse is reviewing the laboratory Ans: D
test results of a pregnant client. Which
one of the following findings would HELLP is an acronym for hemol-
alert the nurse to the development of ysis, elevated liver enzymes, and
HELLP syndrome? low platelets. Hyperglycemia or
leukocytosis is not a part of this
A) Hyperglycemia syndrome.
B) Elevated platelet count
C) Leukocytosis
D) Elevated liver enzymes
6. Which of the following would the nurse Ans: A
have readily available for a client who
is receiving magnesium sulfate to treat The antidote for magnesium sul-
severe preeclampsia? fate is calcium gluconate, and this
should be readily available in case
A) Calcium gluconate the woman has signs and symp-
B) Potassium chloride toms of magnesium toxicity.
C) Ferrous sulfate
D) Calcium carbonate
7. A nurse is teaching a pregnant woman A) "I need to keep a close eye on
with preterm premature rupture of how active my baby is each day."
membranes who is about to be dis- B) "I need to call my doctor if my
charged home about caring for herself. temperature increases."
Which statement by the woman indi- C) "It's okay for my husband and
cates a need for additional teaching? me to have sexual intercourse."
D) "I can shower but I shouldn't
take a tub bath."
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