NCLEX Pregnancy at Risk Practice Test

These questions are part of the practice quiz. Start practicing

• Which finding is most characteristic of HELLP syndrome?
• Which action is most effective in promoting uterine contraction by addressing bladder distension in the immediate postpartum period?
• Rho(D) immune globulin is administered to an Rh-negative mother to prevent alloimmunization at which times?
• During the second half of pregnancy, which treatment is most likely required for a client with gestational diabetes?
• At 34 weeks gestation, which therapy helps accelerate fetal lung maturity?
• Amniotic fluid embolism presents with sudden dyspnea, chest pain, hypotension, and coagulopathy. What is the immediate management?
• Which skin or mucous membrane finding is most suggestive of bleeding tendency in DIC associated with obstetric complications?
• A patient receiving magnesium sulfate develops absent reflexes and respiratory depression. What is the immediate action?
• A pregnant patient asks about rubella exposure in the first trimester. What is the fetal risk and typical approach?
• In planning care for the client with preeclampsia who progresses to eclampsia, what is the first action the nurse should take?
• A positive fetal fibronectin test in late pregnancy indicates risk of preterm birth within 7–14 days; which action is appropriate?
• Which factor most increases risk for postpartum thromboembolism?
• Which lab finding would best indicate proteinuria as a sign of preeclampsia to monitor at home?
• A patient with positive home pregnancy test and dilated cervix expresses that she is preparing for the loss. Which statement reflects this understanding?
• Postpartum mastitis presents with which signs, and what is the initial management?
• A preterm infant at 29 weeks delivers before betamethasone can be given. Which condition is most likely to develop in the newborn?
• Placenta previa is best described by which statement?
• A client in preterm labor at 31 weeks is dilated to 4 cm and has been started on magnesium sulfate; contractions stop. If labor is inhibited for 48 hours, which medication is likely prescribed?
• For a pregnant client with severe preeclampsia, which action is most important to include in the plan of care?
• When abruptio placentae is diagnosed, which action is the most urgent for the nurse to initiate?
• Methylergonovine is prescribed for postpartum hemorrhage. Before administration, what is the priority assessment?
• Which condition is associated with an increased risk for DIC in pregnancy, as noted in fetal-mortality complications?
• How should a GBS-positive mother in labor be treated to prevent neonatal infection?
• Which of the following factors is a known risk for an ectopic pregnancy?
• Postpartum education about measures to prevent thrombosis; which statement indicates need for further education?
• A pregnant patient has persistent vomiting with weight loss and ketonuria. What is the likely diagnosis and key nursing interventions?
• A patient receiving magnesium sulfate shows signs of toxicity. Which finding indicates this toxicity?
• Which action is most critical when a postpartum client experiences hemorrhage?
• Which client is at the greatest risk for developing disseminated intravascular coagulation (DIC)?
• Polyhydramnios is associated with which scenarios, and what is a typical management approach?
• Which finding is NOT associated with abruptio placentae?
• Plan of care for postpartum client diagnosed with superficial venous thrombosis. Which intervention is anticipated?
• Iron absorption dietary counseling involves which vitamin to enhance absorption?
• Which statement demonstrates understanding of self-care for gestational diabetes?
• In a client admitted for premature rupture of membranes at 37 weeks, which prescription should be questioned?
• A fasting blood glucose screening in pregnancy shows 140 mg/dL. Which measure is most likely prescribed next?
• Client with 38-week twin gestation in early labor; breech fetus. Which intervention is least appropriate?
• Which antihypertensive is preferred during pregnancy, and why?
• A patient at term with ruptured membranes and reassuring fetal status. What is the typical management?
• Which statement correctly describes placenta previa?
• A primigravida receiving magnesium sulfate for gestational hypertension is assessed every 30 minutes. Which finding is most concerning?
• In managing HELLP syndrome, which multidisciplinary action is essential?
• Which plan is most effective in preventing postpartum hemorrhage?
• A woman with preeclampsia is receiving magnesium sulfate. Which indicates to the nurse that the magnesium sulfate therapy is effective?
• Which finding on admission would suggest placenta previa in a patient with vaginal bleeding?
• A client with severe preeclampsia is receiving magnesium sulfate by continuous IV infusion. Which assessment finding would indicate that the medication should be discontinued?
• Which antibiotic is typically used for GBS prophylaxis during labor?
• A 34-year-old woman at 34 weeks gestation presents with severe headache, blurred vision, RUQ pain, and a blood pressure of 168/110. What is the most likely diagnosis and the immediate nursing priority?
• After administer­ing methylergonovine, which parameter should be monitored closely due to potential adverse effects?
• Postpartum assessment for thrombophlebitis; which nursing action is indicated?
• A pregnant client at 39 weeks arrives in active labor with a history of herpes simplex virus (HSV) and visible perineal lesions. What should be the nurse's initial action?
• Which test is used as a screening tool for gestational diabetes?
• In HELLP syndrome, what do the letters HELLP stand for?
• In placenta previa, fundal height may be greater than expected for gestational age. Which statement is true?
• Betamethasone given in preterm labor is intended to promote which neonatal outcome?
• A laboring patient shows late decelerations on the fetal monitor. What does this indicate and what action is prioritized?
• A woman at 32 weeks with ruptured membranes and no signs of infection. What is an appropriate management plan?
• A pregnant client has a rubella titer indicating immunity. Which serology finding confirms immunity?
• A pregnant patient presents with right upper quadrant pain, malaise, elevated liver enzymes, and low platelets. What condition is suspected and what is typical management?
• How should thyroid function be managed in a pregnant patient with hypothyroidism on levothyroxine?
• If late decelerations persist after initial maternal repositioning and oxygen, what is the recommended next step?
• Which client is at most risk for postpartum thromboembolic disorders?
• A nurse is administering magnesium sulfate to a client at 34 weeks' gestation. What is the priority nursing action for this client?
• The nurse is conducting a routine screening to detect a client's risk for toxoplasmosis parasite infection during pregnancy. Which factor should the nurse ask about to determine this risk?
• Uterine tachysystole during oxytocin administration requires what first action?
• A nurse is caring for four 1-day postpartum clients. Which assessment requires follow-up?
• A sinusoidal fetal heart rate pattern in fetal monitoring most likely indicates which condition requiring urgent evaluation and delivery if persistent?
• Which finding would NOT be typical of abruptio placentae?
• During a woman's 38-week prenatal visit, the fetal heart rate is 180 beats per minute. What might the nurse suspect as the most likely cause of this tachycardia?
• The nurse should take which nursing action when caring for a postpartum client who begins to hemorrhage? (Single best action)
• A postpartum patient has a boggy uterus and heavy vaginal bleeding. What is the initial nursing action?
• A 25-year-old woman presents with dull back pain, pelvic heaviness, and diarrhea near term. The nurse interprets this as which of the following?
• A postpartum patient presents with unilateral leg swelling and warmth. What is the primary concern and initial management?
• Where is the placenta implanted in placenta previa?
• A newborn of a diabetic mother is at risk for which metabolic issue after birth?
• External cephalic version contraindication?
• A 16-year-old primigravida at 36 weeks with gestational hypertension has mild proteinuria and edema. Which statement would most indicate worsening gestational hypertension?
• Which room assignment is most appropriate for a client with preeclampsia admitted to the maternity unit?
• In planning care for a client with severe preeclampsia admitted to the unit, which nursing intervention should be included?
• Postpartum client delivered by cesarean; signs indicating superficial venous thrombosis?
• Which statement about rubella immunity during pregnancy is correct?
• Which of the following is the correct list of first-line interventions for postpartum hemorrhage due to uterine atony?
• Which laboratory finding is characteristic of HELLP syndrome?
• In the second trimester, a pregnant client with suspected abruptio placentae would most likely have which finding?
• Magnesium sulfate therapeutic range is which of the following?
• Which data places the client at risk for developing gestational diabetes?
• Which data at the first prenatal visit should alert the nurse that the client is at risk for spontaneous abortion?
• Which sign indicates magnesium sulfate toxicity?
• A pregnant patient with iron-deficiency anemia should receive which counseling and treatment?
• Which action best promotes uterine involution in the postpartum period?
• For a client with mild preeclampsia, which nursing intervention should be included in the plan of care?
• What is the most appropriate next step when placenta previa is suspected and the patient has vaginal bleeding?
• Which dietary guidance helps optimize iron absorption during pregnancy?
• Which statement best reflects management of insulin therapy in gestational diabetes?
• Which postpartum finding best indicates a normal early breastfeeding period?
• Postpartum mastitis management begins with which approach?
• Which symptom would most warrant immediate evaluation for placental abruption?
• In placenta previa management, which procedure is contraindicated?
• Which finding would most strongly suggest a risk of DIC in a patient with abruptio placentae?
• In an HIV-positive pregnancy, what is the recommended breastfeeding approach when safe alternatives exist?
• A fetus is breech at term. What is a common intervention to attempt prior to delivery, and when is cesarean preferred?
• A routine prenatal visit shows a 1-hour OGTT result of 163 mg/dL. What is the best response?
• Oligohydramnios increases the risk of what during labor, and how is the condition monitored?
• After delivery of a newborn in a placenta previa pregnancy, which risk should the nurse monitor for?
• Which data would place a pregnant client at risk for developing gestational diabetes?
• Which finding would best differentiate abruptio placentae from placenta previa in a bleeding pregnant patient?
• In the third trimester, a woman with mild preeclampsia is monitored at home. Which symptom should prompt contacting the provider?
• A pregnant patient with chronic hypertension requires a plan of care. What activity recommendations are typical?
• A positive fetal fibronectin test in late pregnancy indicates risk of preterm birth within what timeframe, and what are the management implications?
• Which postpartum assessment technique is used to evaluate involution by examining the uterus?
• Which statement about the diabetic diet in gestational diabetes is correct?
• Before administering methylergonovine, if the client's medical history includes which condition, the nurse should contact the primary health care provider?
• GBS prophylaxis penicillin allergy alternative?
• Which fetal monitoring finding is associated with abruptio placentae?
• Which statement best describes the management of preeclampsia with severe features?
• Which finding indicates an early sign of shock in a postpartum client who is bleeding?
• In threatened abortion, which statement indicates a need for further instruction?
• Placenta previa typically results in delivery by what route and what postpartum concern is increased?
• Which finding most strongly suggests chorioamnionitis requiring urgent antibiotic therapy and delivery?
• A 29-week gestation client with gestational diabetes should have which planning discussed?
• Rho(D) immune globulin should be administered after events with potential fetal bleeding, such as which procedure?
• Oligohydramnios risk during labor?
• In threatened abortion care, which home monitoring action is appropriate?
• Physiologic jaundice; when does it appear and how is it managed?
• A patient with gestational diabetes uncontrolled on diet presents with fasting 110 mg/dL and 2-hour postprandial 170 mg/dL. What is the priority nursing action?
• Which condition at 29 weeks gestation with gestational hypertension increases the risk of developing DIC?
• Management of neonatal abstinence syndrome focuses on what?
• A pregnant client has been instructed on prevention of genital tract infections. Which statement indicates understanding?
• Which factor is NOT a known risk factor for ectopic pregnancy?
• A laboring patient develops fever, foul-smelling vaginal discharge, uterine tenderness, and fetal tachycardia. What is the likely diagnosis and first treatment?
• A third-trimester patient reports sudden, painless vaginal bleeding with a soft uterus. Which condition is most likely and what is the initial nursing action?
• A client receiving IV magnesium sulfate for preterm labor develops slow respirations and absent deep tendon reflexes. What is the next nursing action?
• In a home-care setting, which finding is a classic sign of preeclampsia to monitor?
• For postpartum hemorrhage caused by uterine atony, before administering methylergonovine the nurse should check which client parameter as the most important?
• A pregnant woman has a positive history of genital herpes but has not had lesions during this pregnancy. What should the nurse plan to tell the client?
• What is the antidote used to treat magnesium sulfate toxicity?
• During toxoplasmosis prevention counseling, which practice demonstrates proper prevention?
• A cord prolapse is detected during labor. What is the immediate nursing action?
• During a first prenatal visit at about 18 weeks, which statement by the client indicates immediate need for further evaluation?
• Which lab value should be monitored closely during magnesium sulfate therapy?
• Betamethasone is prescribed in preterm labor to promote which action?
• A postpartum patient presents with fever, foul-smelling lochia, and abdominal tenderness. What is the likely diagnosis and the proposed treatment?
• A Rh-negative mother delivers a Rh-positive infant. What is the essential immunoprophylaxis?
• The postpartum nurse notes a temperature of 100.2° F four hours after a healthy newborn. What is the priority nursing action?
• A diagnosis of placenta accreta is suspected. Why is this a concern and what is the common management plan?
• During intrapartum care for preeclampsia, a patient develops absent reflexes. What is the most appropriate action?
• Which finding would be a classic sign of preeclampsia to monitor during home visits for a patient with gestational hypertension?
• Variable decelerations on fetal monitoring indicate what issue and how should they be addressed?
• Initial nursing action to support emotional needs after a stillbirth is to:
• The nurse is planning to admit a pregnant client who is obese. In planning care for this client, which potential client needs should the nurse anticipate?
• During a home visit, a pregnant client with mild preeclampsia requires priority nursing intervention.
• Which information on assessment would alert for risk of abruptio placentae?
• Polyhydramnios management?
• Which vital sign change is commonly the first indicator of hemorrhagic shock in a postpartum client?
• Postpartum care for placenta previa; monitor for which risk?
• If uterine atony persists after massage and continues to cause heavy bleeding, what is the next nursing action?
• Which of the following is an adverse effect associated with magnesium sulfate therapy in pregnancy?
• A postpartum patient has a soft, boggy fundus. Which intervention is most appropriate to begin addressing the issue?
• In a patient with preterm PROM at 32 weeks and no signs of infection, which management step is appropriate?
• A rubella infection in the first trimester carries which major fetal risk and what is the typical management approach?
• A pregnant patient presents with sudden, painful vaginal bleeding and a rigid, tender uterus. What is the likely diagnosis and the priority intervention?
• When preparing items for a client receiving magnesium sulfate IV, which item is the highest-priority to have readily available?
• Which observation would indicate a need to monitor for potential hemorrhage due to uterine atony related to bladder distension?
• Which intervention is inappropriate when the fundus is boggy and hemorrhage risk is high?
• A pregnant client with no active HSV lesions at labor asks about neonatal infection risk. Which statement is most accurate?
• Management of an HIV-positive pregnant woman to minimize vertical transmission includes what?
• Which client is least likely to be at risk for postpartum thrombophlebitis?
• In a postpartum patient with a suspected deep vein thrombosis, what is the best initial management step?
• In a patient with abruptio placentae, which finding is most likely associated with DIC?
• Third-trimester vaginal bleeding with placenta previa; which prescription should be questioned?
• In the fourth stage of labor and notes the fundus is firm, but bleeding is excessive. Which should be the initial nursing action?
• A nurse notes lochia is bright red with small clots in the immediate postpartum period. Which interpretation is most appropriate?
• The mode of delivery for an HIV-positive pregnant woman is typically planned based on what factor?
• A pregnant patient with pallor and fatigue has Hgb 9 g/dL. What is the priority nursing action?
• Which action is appropriate for a patient with mild preeclampsia at home to minimize risk?
• The nurse performs an assessment of a pregnant woman who is receiving intravenous magnesium sulfate for preeclampsia and notes that the woman's deep tendon reflexes are absent. On the basis of this finding, the nurse should interpret?
• A newborn shows signs of neonatal abstinence syndrome. Which symptom cluster is most characteristic?
• The primary purpose of administering intravenous magnesium sulfate in preterm labor is to:
• A postpartum client who received methylergonovine IM after delivery; which finding indicates the medication was effective?
• Which is an appropriate nursing action for a postpartum client with superficial venous thrombosis?
• Which finding places a client at risk for preterm labor?
• A pregnant client admitted in labor with anemia. Which observation is expected after labor?
• During a seizure in labor (eclampsia), which action is the first priority?
• Which medication is a first-line uterotonic used in postpartum hemorrhage due to uterine atony?
• A pregnant client at 10 weeks' gestation reports exposure to a child with rubella. Which response is best?
• Which finding would you expect to note in abruptio placentae?
• Which statement about rubella immunity during pregnancy is correct?
• Which statement correctly describes the dosing for betamethasone to promote fetal lung maturity in preterm labor?
• A prenatal clinic nurse is instructing a client about toxoplasmosis prevention. Which statement indicates a need for further instruction?
• A 35-week-gestation woman who was treated after a motor vehicle crash has the highest priority to assess for which complication?
• Which adverse effect is expected with intravenous magnesium sulfate therapy?
• A home-care nurse is monitoring a gestational hypertension patient; which finding would indicate progression requiring evaluation?
• A laboring patient is given terbutaline as a tocolytic. Which adverse effect requires immediate action?
• Which intervention is appropriate for hyperemesis gravidarum to prevent dehydration and electrolyte imbalance?
• Which intervention is appropriate to reduce the risk of thromboembolism in an obese postpartum patient?
• Why might an overbed lift be necessary for an obese postpartum client?
• In HELLP syndrome, which laboratory findings define the condition?
• Which assessment finding is most consistent with placenta previa?
• Which medication is used to promote fetal lung maturity in threatened preterm labor?
• Subinvolution of the uterus in the postpartum period is most likely associated with which finding?
• A type 1 diabetic mother has just delivered. To maintain euglycemia, what should the nurse plan to do first?
• A preterm infant benefits from antenatal corticosteroids. What outcome do they improve?
• Which statement indicates a need for further teaching about gestational diabetes management?
• Which statement indicates misunderstanding of prevention measures for thrombosis in postpartum?
• During management of a patient with placenta previa, which prescription should the nurse question?
• Which assessment finding is most strongly associated with DIC in a woman with abruptio placentae?
• A mother in labor tests positive for Group B Streptococcus. What is the recommended prophylaxis during labor?
• Which action is appropriate for assessing uterine involution in the immediate postpartum period?
• When abruptio placentae is diagnosed at term, the nurse should anticipate delivery of the fetus.
• A client diagnosed with severe preeclampsia is receiving magnesium sulfate by IV infusion. Which magnesium level is within the therapeutic range?
• Postoperative care to prevent thrombophlebitis after cesarean; which action should nurse encourage?
• Which of the following is NOT a characteristic of placenta previa?
• Which finding indicates worsening preeclampsia in a patient under home care and requires notifying the primary health care provider?
• Antenatal corticosteroids improve fetal lung maturity and decrease the risk of which condition?
• A mother with active genital herpes lesions in labor should deliver by what route?
• Which finding indicates magnesium sulfate toxicity when used to manage preeclampsia?
• A fetus in labor demonstrates tachycardia with minimal variability and late decelerations. What is the concern and next step?
• In abruptio placentae, which sign is most concerning for maternal physiologic compromise?
• The co-assigned registered nurse asks the student to describe the actions and effects of this medication. Which statement, if made by the student, indicates the need for further teaching?
• Which laboratory result would indicate a preeclampsia feature that requires delivery assessment?
• During a seizure in preeclampsia, which action is appropriate?
• In a client with placenta previa at 38 weeks twin pregnancy, what risk would be anticipated?
• In the fourth stage of labor, the nurse finds the client's perineal pad saturated with blood and blood soaked into the bed linens under the client's buttocks. What is the nurse's initial action?