High Risk Pregnancy NCLEX
Questions 2026 Exam All
Answers and Illustrations
Given
A client is diagnosed with gestational hypertension and is receiving
magnesium sulfate. Which finding would the nurse interpret as indicating
a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
, D) Difficulty in arousing - ANSWER ✔✔Ans: C
With magnesium sulfate, deep tendon reflexes of 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 12
breaths/minute, and a diminished level of consciousness would indicate
magnesium toxicity.
The nurse is developing a plan of care for a woman who is pregnant with
twins. The nurse includes interventions focusing on which of the
following because of the woman's increased risk?
A) Oligohydramnios
B) Preeclampsia
C) Post-term labor
D) Chorioamnionitis - ANSWER ✔✔Ans: B
Women with multiple gestations are at high risk for preeclampsia,
preterm labor, hydramnios, hyperemesis gravidarum, anemia, and
Questions 2026 Exam All
Answers and Illustrations
Given
A client is diagnosed with gestational hypertension and is receiving
magnesium sulfate. Which finding would the nurse interpret as indicating
a therapeutic level of medication?
A) Urinary output of 20 mL per hour
B) Respiratory rate of 10 breaths/minute
C) Deep tendons reflexes 2+
, D) Difficulty in arousing - ANSWER ✔✔Ans: C
With magnesium sulfate, deep tendon reflexes of 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 12
breaths/minute, and a diminished level of consciousness would indicate
magnesium toxicity.
The nurse is developing a plan of care for a woman who is pregnant with
twins. The nurse includes interventions focusing on which of the
following because of the woman's increased risk?
A) Oligohydramnios
B) Preeclampsia
C) Post-term labor
D) Chorioamnionitis - ANSWER ✔✔Ans: B
Women with multiple gestations are at high risk for preeclampsia,
preterm labor, hydramnios, hyperemesis gravidarum, anemia, and
