HIGH RISK PREGNANCY NCLEX QUESTIONS FULLY SOLVED AND UPDATED

HIGH RISK PREGNANCY NCLEX QUESTIONS FULLY SOLVED
AND UPDATED.


A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
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Which finding would the nurse interpret as indicating a therapeutic level of medication?
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A) Urinary output of 20 mL per hour _ _ _ _ _ _




B) Respiratory rate of 10 breaths/minute _ _ _ _




C) Deep tendons reflexes 2+_ _ _




D) Difficulty in arousing -- Correct Answer ✔✔ C _ _ _ _ _ _ _




With magnesium sulfate, deep tendon reflexes of 2+ would be considered normal and
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therefore a therapeutic level of the drug. Urinary output of less than 30 mL, a
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respiratory rate of less than 12 breaths/minute, and a diminished level of
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consciousness would indicate magnesium toxicity. _ _ _ _




The nurse is developing a plan of care for a woman who is pregnant with twins. The
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nurse includes interventions focusing on which of the following because of the woman's
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increased risk? _




A) Oligohydramnios
B) Preeclampsia
C) Post-term labor _




D) Chorioamnionitis -- Correct Answer ✔✔ B _ _ _ _ _




Women with multiple gestations are at high risk for preeclampsia, preterm labor,
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hydramnios, hyperemesis gravidarum, anemia, and antepartal hemorrhage. There
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is no association between multiple gestations and the development of
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chorioamnionitis.

, A woman hospitalized with severe preeclampsia is being treated with hydralazine to
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control blood pressure. Which of the following would the lead the nurse to suspect that
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the client is having an adverse effect associated with this drug?
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A) Gastrointestinal bleeding _




B) Blurred vision _




C) Tachycardia
D) Sweating -- Correct Answer ✔✔ C _ _ _ _ _




Hydralazine reduces blood pressure but is associated with adverse effects such as
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palpitation, tachycardia, headache, anorexia, nausea, vomiting, and diarrhea. It does
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not cause gastrointestinal bleeding, blurred vision, or sweating. Magnesium sulfate
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may cause sweating. _ _




After reviewing a client's history, which factor would the nurse identify as placing her at
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risk for gestational hypertension?
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A) Mother had gestational hypertension during pregnancy.
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B) Client has a twin sister. _ _ _ _




C) Sister-in-law had gestational hypertension. _ _ _




D) This is the client's second pregnancy. -- Correct Answer ✔✔ A
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A family history of gestational hypertension, such as a mother or sister, is considered
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a risk factor for the client. Having a twin sister or having a sister-in-law with
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gestational hypertension would not increase the client's risk. If the client had a history
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of preeclampsia in her first pregnancy, then she would be at risk in her second
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pregnancy.

The nurse is reviewing the laboratory test results of a pregnant client. Which one of the
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following findings would alert the nurse to the development of HELLP syndrome?
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A) Hyperglycemia
B) Elevated platelet count _ _




C) Leukocytosis
D) Elevated liver enzymes -- Correct Answer ✔✔ D _ _ _ _ _ _ _