High-Risk Pregnancy Nursing Examination Verified
Questions, Correct Answers, and Detailed
Explanations for Science Students||Already Graded
A+
1. A pregnant client with chronic hypertension is at highest risk for
which complication?
A. Polyhydramnios
B. Gestational diabetes
C. Placental abruption
D. Post-term pregnancy
Answer: C. Placental abruption
Chronic hypertension increases uteroplacental vascular damage,
raising the risk of placental abruption.
2. Which finding is most concerning in a client with severe
preeclampsia?
A. Blood pressure 150/90 mm Hg
B. Mild facial edema
C. Urine output 20 mL/hr
D. Reflexes +2
Answer: C. Urine output 20 mL/hr
Oliguria indicates decreased renal perfusion and worsening disease
severity.
3. Magnesium sulfate is administered to a client with preeclampsia
primarily to:
A. Lower blood pressure
B. Improve placental perfusion
,C. Prevent preterm labor
D. Prevent seizures
Answer: D. Prevent seizures
Magnesium sulfate is the drug of choice for seizure prophylaxis in
preeclampsia.
4. Which assessment finding suggests magnesium sulfate toxicity?
A. Blood pressure 140/88 mm Hg
B. Absent deep tendon reflexes
C. Urine output 40 mL/hr
D. Respiratory rate 20/min
Answer: B. Absent deep tendon reflexes
Loss of reflexes is an early sign of magnesium toxicity.
5. A client with gestational diabetes should be instructed to
monitor blood glucose:
A. Once daily
B. Only when symptomatic
C. Fasting and postprandial levels
D. At bedtime only
Answer: C. Fasting and postprandial levels
Both fasting and post-meal glucose values guide management and
prevent fetal complications.
6. Which fetal complication is most associated with uncontrolled
diabetes in pregnancy?
A. Intrauterine growth restriction
B. Macrosomia
,C. Neural tube defects
D. Oligohydramnios
Answer: B. Macrosomia
Elevated maternal glucose leads to fetal hyperinsulinemia and
excessive growth.
7. A client at 32 weeks’ gestation presents with painless vaginal
bleeding. The nurse suspects:
A. Placental abruption
B. Uterine rupture
C. Placenta previa
D. Vasa previa
Answer: C. Placenta previa
Placenta previa causes painless, bright-red bleeding in late
pregnancy.
8. What is the priority nursing action for suspected placenta previa?
A. Perform vaginal examination
B. Start oxytocin infusion
C. Encourage ambulation
D. Place the client on pelvic rest
Answer: D. Place the client on pelvic rest
Vaginal exams can cause severe hemorrhage and are
contraindicated.
9. A hallmark sign of placental abruption is:
A. Painless bleeding
B. Severe abdominal pain
, C. Soft, relaxed uterus
D. Absence of contractions
Answer: B. Severe abdominal pain
Placental abruption typically presents with painful bleeding and a
rigid uterus.
10. Which condition places a client at greatest risk for uterine
rupture?
A. Multiple gestation
B. Polyhydramnios
C. Previous cesarean section
D. Preeclampsia
Answer: C. Previous cesarean section
A uterine scar increases the risk of rupture during pregnancy or labor.
11. A client with Rh-negative blood should receive Rho(D) immune
globulin:
A. At delivery only
B. At 28 weeks and postpartum if the infant is Rh-positive
C. Only after miscarriage
D. When antibodies are detected
Answer: B. At 28 weeks and postpartum if the infant is Rh-positive
This prevents maternal sensitization and hemolytic disease in future
pregnancies.
12. Which assessment finding suggests HELLP syndrome?
A. Elevated hemoglobin
B. Right upper quadrant pain
Questions, Correct Answers, and Detailed
Explanations for Science Students||Already Graded
A+
1. A pregnant client with chronic hypertension is at highest risk for
which complication?
A. Polyhydramnios
B. Gestational diabetes
C. Placental abruption
D. Post-term pregnancy
Answer: C. Placental abruption
Chronic hypertension increases uteroplacental vascular damage,
raising the risk of placental abruption.
2. Which finding is most concerning in a client with severe
preeclampsia?
A. Blood pressure 150/90 mm Hg
B. Mild facial edema
C. Urine output 20 mL/hr
D. Reflexes +2
Answer: C. Urine output 20 mL/hr
Oliguria indicates decreased renal perfusion and worsening disease
severity.
3. Magnesium sulfate is administered to a client with preeclampsia
primarily to:
A. Lower blood pressure
B. Improve placental perfusion
,C. Prevent preterm labor
D. Prevent seizures
Answer: D. Prevent seizures
Magnesium sulfate is the drug of choice for seizure prophylaxis in
preeclampsia.
4. Which assessment finding suggests magnesium sulfate toxicity?
A. Blood pressure 140/88 mm Hg
B. Absent deep tendon reflexes
C. Urine output 40 mL/hr
D. Respiratory rate 20/min
Answer: B. Absent deep tendon reflexes
Loss of reflexes is an early sign of magnesium toxicity.
5. A client with gestational diabetes should be instructed to
monitor blood glucose:
A. Once daily
B. Only when symptomatic
C. Fasting and postprandial levels
D. At bedtime only
Answer: C. Fasting and postprandial levels
Both fasting and post-meal glucose values guide management and
prevent fetal complications.
6. Which fetal complication is most associated with uncontrolled
diabetes in pregnancy?
A. Intrauterine growth restriction
B. Macrosomia
,C. Neural tube defects
D. Oligohydramnios
Answer: B. Macrosomia
Elevated maternal glucose leads to fetal hyperinsulinemia and
excessive growth.
7. A client at 32 weeks’ gestation presents with painless vaginal
bleeding. The nurse suspects:
A. Placental abruption
B. Uterine rupture
C. Placenta previa
D. Vasa previa
Answer: C. Placenta previa
Placenta previa causes painless, bright-red bleeding in late
pregnancy.
8. What is the priority nursing action for suspected placenta previa?
A. Perform vaginal examination
B. Start oxytocin infusion
C. Encourage ambulation
D. Place the client on pelvic rest
Answer: D. Place the client on pelvic rest
Vaginal exams can cause severe hemorrhage and are
contraindicated.
9. A hallmark sign of placental abruption is:
A. Painless bleeding
B. Severe abdominal pain
, C. Soft, relaxed uterus
D. Absence of contractions
Answer: B. Severe abdominal pain
Placental abruption typically presents with painful bleeding and a
rigid uterus.
10. Which condition places a client at greatest risk for uterine
rupture?
A. Multiple gestation
B. Polyhydramnios
C. Previous cesarean section
D. Preeclampsia
Answer: C. Previous cesarean section
A uterine scar increases the risk of rupture during pregnancy or labor.
11. A client with Rh-negative blood should receive Rho(D) immune
globulin:
A. At delivery only
B. At 28 weeks and postpartum if the infant is Rh-positive
C. Only after miscarriage
D. When antibodies are detected
Answer: B. At 28 weeks and postpartum if the infant is Rh-positive
This prevents maternal sensitization and hemolytic disease in future
pregnancies.
12. Which assessment finding suggests HELLP syndrome?
A. Elevated hemoglobin
B. Right upper quadrant pain
