Common Pregnancy Complications: Causes, Symptoms, and Management

Question 1

Which of the following is NOT a common risk factor for anemia in pregnancy in the United States?

Accepted Answer

Gestational diabetes

Answer

Iron deficiency

Answer

Low socioeconomic status

Answer

Multiple gestation

Question 2

The recommended screening test for gestational diabetes is the:

Accepted Answer

Oral glucose tolerance test (OGTT)

Answer

Fasting blood glucose test

Answer

Glycosylated hemoglobin test

Answer

Random blood glucose test

Question 3

Which of the following signs or symptoms is NOT associated with preeclampsia?

Accepted Answer

Decreased urine output

Answer

Edema

Answer

Hypertension

Answer

Proteinuria

Question 4

Which of the following is a common cause of anemia in pregnancy?

Accepted Answer

Folate deficiency

Answer

Placental abruption

Answer

Preeclampsia

Answer

Gestational diabetes

Question 5

The hallmark sign of preeclampsia is:

Accepted Answer

Hypertension

Answer

Edema

Answer

Proteinuria

Answer

Decreased urine output

Question 6

The use of tocolytic agents in preterm labor is intended to:

Accepted Answer

Suppress uterine contractions

Answer

Promote cervical ripening

Answer

Prevent fetal distress

Answer

Induce labor

Question 7

Which of the following is NOT a common symptom of gestational diabetes?

Accepted Answer

Pelvic pain

Answer

Increased thirst

Answer

Frequent urination

Answer

Blurred vision

Question 8

The most common cause of preeclampsia remains:

Accepted Answer

Unknown

Answer

Placental abruption

Answer

Infection

Answer

Chronic hypertension

Question 9

What is the primary goal of managing anemia during pregnancy?

Accepted Answer

To prevent complications for both the mother and the developing baby

Answer

To increase the mother's hemoglobin levels

Answer

To reduce the risk of the baby being born too early

Answer

To promote better growth and development of the baby

Question 10

What is the first-line treatment for preterm labor?

Accepted Answer

Giving the mother magnesium sulfate to stop contractions

Answer

Administering indomethacin to the mother

Answer

Putting the mother on bed rest

Answer

Performing a cervical cerclage (stitching the cervix closed)

Question 11

What laboratory finding is most commonly associated with preeclampsia?

Accepted Answer

Protein in the urine

Answer

High levels of uric acid in the blood

Answer

An abnormally high platelet count

Answer

High levels of creatinine in the blood

Question 12

What is the primary cause of maternal death in the United States?

Accepted Answer

Hemorrhage

Answer

Preeclampsia

Answer

Infection

Answer

Preterm birth

Question 13

In cases of preeclampsia, discuss the ethical considerations when deciding between inducing labor for maternal well-being or continuing the pregnancy for fetal benefit.

Accepted Answer

The decision should be made on a case-by-case basis, considering the specific risks and benefits to both the mother and the fetus.

Answer

Maternal well-being should always take precedence over fetal well-being.

Answer

Fetal well-being should always take precedence over maternal well-being.

Answer

The mother's autonomy and wishes should always be the primary consideration.

Question 14

Which symptom is most commonly associated with the onset of preterm labor?

Accepted Answer

Regular, painful uterine contractions

Answer

Dull lower back pain

Answer

Sudden vaginal bleeding

Answer

Increased vaginal discharge

Question 15

What is the primary purpose of performing Leopold maneuvers during a prenatal examination?

Accepted Answer

To assess fetal position and presentation

Answer

To estimate fetal weight

Answer

To determine cervical dilation

Answer

To perform a fundal height measurement

Question 16

In the event of preterm labor, what is the immediate priority for nursing care?

Accepted Answer

Administering tocolytic medication to stop uterine contractions

Answer

Performing a vaginal exam to assess cervical dilation

Answer

Obtaining a fetal fibronectin test to confirm preterm labor

Answer

Initiating fluid resuscitation to prevent dehydration

Question 17

Identify the lifestyle modification that can contribute to preventing preeclampsia during pregnancy:

Accepted Answer

Reducing stress through techniques like yoga or meditation

Answer

Increasing sodium intake

Answer

Gaining excessive weight

Answer

Continuing smoking habits

Question 18

Which potential fetal complication can result from severe anemia during pregnancy?

Accepted Answer

Hypoxia

Answer

Polycythemia

Answer

Hypertension

Question 19

What is the most common presenting symptom of gestational diabetes?

Accepted Answer

Polydipsia (excessive thirst)

Answer

Polyuria (excessive urination)

Answer

Polyphagia (excessive hunger)

Answer

Blurred vision

Question 20

Which of the following is not a sign of preeclampsia?

Accepted Answer

Normal platelet count

Answer

Proteinuria (protein in the urine)

Answer

Hypertension (high blood pressure)

Answer

Edema (swelling in the hands, feet, and face)

Question 21

Which of the following is NOT a risk factor for placental abruption?

Accepted Answer

Advanced maternal age

Answer

Trauma (injury to the abdomen)

Answer

Smoking

Answer

Hypertension (high blood pressure)

Question 22

What is the primary pathophysiological mechanism that leads to the development of preeclampsia?

Accepted Answer

Placental ischemia

Answer

Uterine overdistension

Answer

Maternal infection

Question 23

In the management of severe preeclampsia, what is the primary therapeutic use of magnesium sulfate?

Accepted Answer

Preventing seizures and lowering blood pressure

Answer

Promoting fetal growth and development

Answer

Treating anemia in pregnant women

Question 24

What is the most common symptom of gestational diabetes?

Accepted Answer

Polydipsia

Answer

Polyuria

Answer

Blurred vision

Answer

Weight loss

Question 25

What is the most common cause of preterm labor?

Accepted Answer

Premature rupture of membranes

Answer

Uterine infection

Answer

Cervical incompetence

Answer

Maternal stress

Question 26

Which of the following interventions is typically used to manage anemia during pregnancy?

Accepted Answer

Iron supplementation

Answer

Blood transfusion

Answer

Erythropoietin injections

Answer

Bone marrow transplant

Question 27

What is the primary treatment for gestational diabetes?

Accepted Answer

Diet and exercise

Answer

Insulin

Answer

Oral hypoglycemic agents

Answer

Surgery

Question 28

What is the main goal of magnesium sulfate therapy in the management of preeclampsia?

Accepted Answer

To prevent seizures

Answer

To lower blood pressure

Answer

To promote diuresis

Answer

To improve placental perfusion

Question 29

What is the primary objective of prenatal care?

Accepted Answer

To promote a healthy pregnancy and birth

Answer

To prevent pregnancy complications

Answer

To screen for genetic disorders

Answer

To provide nutritional counseling

Question 30

Which of the following is a primary risk factor for developing anemia in pregnancy?

Accepted Answer

Iron deficiency

Answer

Multiple gestation

Answer

Preterm labor

Answer

Gestational diabetes

Question 31

Excessive urination is a common symptom of:

Accepted Answer

Gestational diabetes

Answer

Anemia

Answer

Preeclampsia

Answer

Preterm labor

Question 32

Eclampsia is a potential complication of:

Accepted Answer

Preeclampsia

Answer

Anemia

Answer

Gestational diabetes

Answer

Preterm labor

Question 33

Visual disturbances are a sign of:

Accepted Answer

Severe preeclampsia

Answer

Anemia

Answer

Gestational diabetes

Answer

Preterm labor

Question 34

The primary function of magnesium sulfate in preterm labor management is to:

Accepted Answer

Prevent seizures

Answer

Relax the uterus

Answer

Promote fetal lung maturity

Answer

Reduce pain

Question 35

What is the primary cause of fetal growth restriction?

Accepted Answer

Placental insufficiency

Answer

Maternal hypertension

Answer

Gestational diabetes

Answer

Fetal anemia

Question 36

When does gestational diabetes typically develop during pregnancy?

Accepted Answer

Second trimester

Answer

First trimester

Answer

Third trimester

Answer

Any time during pregnancy

Question 37

Which symptom is NOT generally associated with preeclampsia?

Accepted Answer

Headaches

Answer

High blood pressure

Answer

Protein in the urine

Answer

Edema

Question 38

Which intervention is most effective in preventing iron deficiency anemia during pregnancy?

Accepted Answer

Iron supplementation

Answer

Dietary counseling

Answer

Blood transfusions

Answer

Intravenous fluids

Question 39

A pregnant woman with gestational diabetes should be screened for preeclampsia:

Accepted Answer

Every 2 weeks

Answer

Every 4 weeks

Answer

Every week

Answer

Only if she has symptoms

Question 40

The primary purpose of using tocolytics in preterm labor is to:

Accepted Answer

Stop uterine contractions

Answer

Promote fetal lung maturity

Answer

Reduce maternal pain

Answer

Improve placental function

Question 41

Which of the following is a significant risk factor for developing anemia during pregnancy?

Accepted Answer

Multiple gestation

Answer

Gestational diabetes

Answer

Advanced maternal age

Answer

Primiparity

Question 42

Which of the following is a hallmark sign of preterm labor?

Accepted Answer

Regular uterine contractions occurring every 5-10 minutes

Answer

Leaking amniotic fluid

Answer

Bloody show

Question 43

The leading cause of maternal mortality in the United States is:

Accepted Answer

Hemorrhage

Answer

Cardiac disease

Answer

Infection

Answer

Preeclampsia

Question 44

Fetal distress is a common complication associated with which pregnancy condition?

Accepted Answer

Abruptio placentae

Answer

Gestational diabetes

Answer

Preeclampsia

Answer

Premature rupture of membranes

Question 45

What is the initial treatment for severe hyperemesis gravidarum?

Accepted Answer

Intravenous fluids and antiemetics

Answer

Total parenteral nutrition and hospitalization

Answer

Surgery

Answer

Bed rest and dietary modifications

Question 46

The most common cause of vaginal bleeding during the third trimester is:

Accepted Answer

Placental abruption

Answer

Vasa previa

Answer

Premature rupture of membranes

Answer

Uterine rupture

Question 47

A first-time pregnant woman at 28 weeks gestation presents with swelling in her lower extremities, hands, and face. Her blood pressure is 145/95 mmHg. What is the most likely diagnosis?

Accepted Answer

Preeclampsia

Answer

Normal pregnancy edema

Answer

Preterm labor

Answer

Gestational hypertension

Question 48

A pregnant patient has a hemoglobin level of 10 g/dL and is experiencing fatigue, shortness of breath, and dizziness. What is the most appropriate initial nursing intervention?

Accepted Answer

Educate the patient about the importance of iron-rich foods and iron supplements.

Answer

Encourage bed rest.

Answer

Refer to a hematologist.

Answer

Administer oxygen therapy.

Question 49

Which of the following is a key sign of preterm labor?

Accepted Answer

Regular uterine contractions occurring every 5-10 minutes or more frequently

Answer

Increased vaginal discharge

Answer

Pelvic pressure

Answer

Backache

Question 50

A pregnant patient is diagnosed with gestational diabetes. What is the primary goal of nutritional management for this condition?

Accepted Answer

Maintain blood glucose levels within a safe range for both mother and fetus.

Answer

Promote optimal fetal growth.

Answer

Reduce the risk of complications for the mother.

Answer

Prevent preeclampsia.

Question 51

A patient with a history of preeclampsia is being monitored for recurrence. Which of the following is the most critical assessment finding to watch for?

Accepted Answer

Elevated blood pressure (above 140/90 mmHg)

Answer

Proteinuria

Answer

Fetal growth restriction

Answer

Weight gain

Question 52

What is a key nursing intervention for a pregnant patient diagnosed with anemia?

Accepted Answer

Educate the patient about the importance of consuming iron-rich foods and taking prescribed iron supplements.

Answer

Monitor fetal heart rate.

Answer

Administer blood transfusions.

Question 53

A patient is diagnosed with preterm labor. What is the primary nursing goal in this situation?

Accepted Answer

Stop or delay the progression of labor to allow for fetal lung maturity and reduce the risk of complications.

Answer

Prevent infection.

Answer

Promote fetal growth.

Answer

Reduce maternal anxiety.