Pregnancy Complications Management: Quizzes and Practice Questions

Question 1

Identify the most significant risk factor for gestational diabetes?

Accepted Answer

Obesity

Answer

Advanced maternal age

Answer

History of recurrent miscarriage

Answer

Gestational diabetes in a previous pregnancy

Question 2

What is the priority nursing intervention for a woman with preeclampsia?

Accepted Answer

Monitor blood pressure, fetal heart rate, and urine protein levels

Answer

Administer antihypertensive medications as prescribed

Answer

Educate the patient about signs and symptoms of preeclampsia

Answer

Prepare for potential delivery

Question 3

Which of the following is NOT a potential complication of Rh incompatibility?

Accepted Answer

Preterm labor

Answer

Hydrops fetalis

Answer

Jaundice

Answer

An enlarged spleen

Question 4

What is the primary purpose of a biophysical profile?

Accepted Answer

To assess fetal well-being in pregnancies with high-risk factors

Answer

To determine fetal gestational age

Answer

To evaluate amniotic fluid volume

Answer

To diagnose fetal anomalies

Question 5

Which components are essential in a management plan for gestational diabetes?

Accepted Answer

Regular glucose monitoring and insulin administration

Answer

Complete bed rest and limited physical activity

Answer

Dietary adjustments without additional interventions

Answer

Reduced prenatal appointments and monitoring

Question 6

In the management of preterm labor, which nursing intervention is of paramount importance?

Accepted Answer

Monitoring fetal heart rate and uterine contractions closely

Answer

Providing emotional support and reassurance

Answer

Administering tocolytic medications to stop contractions

Answer

Educating the patient about preterm labor and its potential outcomes

Question 7

Which of the following is the most significant risk factor for developing gestational diabetes?

Accepted Answer

Obesity

Answer

Age over 40

Answer

History of diabetes

Answer

Previous premature birth

Question 8

According to American College of Obstetricians and Gynecologists (ACOG) guidelines, what is the recommended frequency for prenatal visits during the third trimester?

Accepted Answer

Every two weeks (biweekly)

Answer

Every three weeks

Answer

Every month

Answer

As needed

Question 9

In managing a pregnancy with a lethal fetal anomaly, which ethical considerations are most significant?

Accepted Answer

Patient autonomy, informed consent, and shared decision-making

Accepted Answer

Potential quality of life for the infant and family

Accepted Answer

Religious and cultural beliefs and values

Answer

Gestational age of the fetus

Question 10

The primary management of gestational diabetes initially involves:

Accepted Answer

Dietary modifications and regular exercise

Answer

Insulin therapy

Answer

Oral hypoglycemic agents

Answer

Bed rest

Question 11

The primary objective of fetal monitoring in a pregnancy complicated by gestational diabetes is to:

Accepted Answer

Assess fetal well-being and detect fetal distress

Answer

Monitor maternal blood glucose levels

Answer

Identify signs of preeclampsia

Answer

Prevent preterm labor

Question 12

Which medication should be avoided in a pregnancy complicated by preterm labor?

Accepted Answer

Indomethacin

Answer

Terbutaline

Answer

Nifedipine

Answer

Magnesium sulfate

Question 13

In evaluating a pregnant client at risk for preterm labor, the nurse should prioritize which assessment finding?

Accepted Answer

Uterine contractions lasting 30 seconds or more and occurring more than every 10 minutes

Answer

Frequent urination and increased thirst

Answer

Persistent headache and vision changes

Answer

Vaginal bleeding and abdominal pain

Question 14

Which of the following is a hallmark symptom of gestational diabetes?

Accepted Answer

Increased hunger (polyphagia)

Answer

Weight gain

Answer

Fatigue

Answer

Blurred vision

Question 15

Which of the following is NOT a risk factor for preterm labor?

Accepted Answer

Low maternal weight

Answer

Multiple pregnancies

Answer

Uterine abnormalities

Answer

History of previous preterm birth

Question 16

What is the primary aim of tocolytic therapy in managing preterm labor?

Accepted Answer

To relax the uterine muscles and stop contractions

Answer

To strengthen uterine contractions and promote cervical ripening

Answer

To improve placental blood flow and enhance fetal oxygenation

Answer

To reduce maternal anxiety and promote relaxation

Question 17

What is the underlying cause of gestational diabetes?

Accepted Answer

The placenta produces hormones that block the mother's insulin, leading to insulin resistance

Answer

The mother's body does not produce enough insulin

Answer

The baby's pancreas is not functioning properly

Answer

The mother has an autoimmune disease that attacks the pancreas

Question 18

In a woman with preeclampsia, which of the following is a contraindication for vaginal birth?

Accepted Answer

Severe preeclampsia with uncontrolled blood pressure and proteinuria

Answer

Mild preeclampsia with no signs of worsening

Answer

Preeclampsia that develops after 34 weeks of gestation

Answer

Preeclampsia with a gestational age of less than 28 weeks

Question 19

The overarching goal of prenatal care for women at high risk for preterm labor is to:

Accepted Answer

Prevent or delay preterm delivery and its associated complications

Answer

Reduce the risk of fetal anomalies and genetic disorders

Answer

Promote maternal well-being and prepare for a healthy postpartum recovery

Answer

Enhance the bonding experience between mother and baby

Question 20

Which dietary modification is recommended for women with gestational diabetes?

Accepted Answer

Low-carbohydrate diet

Answer

High-carbohydrate diet

Answer

High-protein diet

Answer

Low-fat diet

Question 21

What is the initial nursing intervention for a patient suspected of having preeclampsia?

Accepted Answer

Monitor fetal heart rate and maternal blood pressure closely

Answer

Administer antihypertensive medication

Answer

Keep the patient on bed rest

Answer

Induce labor immediately

Question 22

What is the primary purpose of tocolytic therapy in preterm labor management?

Accepted Answer

To stop or slow down uterine contractions

Answer

To promote fetal lung maturity

Answer

To reduce the risk of infection

Answer

To induce labor

Question 23

For a woman with a pre-pregnancy BMI of 25, what is the recommended weight gain range during pregnancy?

Accepted Answer

15-25 lbs

Answer

11-19 lbs

Answer

25-35 lbs

Answer

35-45 lbs

Question 24

What is the first-line treatment for postpartum hemorrhage?

Accepted Answer

Uterine massage and oxytocin infusion

Answer

Blood transfusion

Answer

Hysterectomy

Answer

Administration of tranexamic acid

Question 25

Which of the following is NOT a risk factor for gestational diabetes?

Accepted Answer

Regular physical activity

Answer

Obesity

Answer

Advanced maternal age

Answer

History of gestational diabetes in a previous pregnancy

Question 26

What is the primary goal in the management of preeclampsia?

Accepted Answer

To control blood pressure

Answer

To prevent seizures

Answer

To promote fetal well-being

Answer

To induce labor

Question 27

What is the most significant risk factor for developing gestational diabetes?

Accepted Answer

Obesity

Answer

Maternal age under 25 years

Answer

History of multiple miscarriages

Answer

First pregnancy (nulliparity)

Question 28

Which of the following is a known risk factor for gestational diabetes?

Accepted Answer

Obesity

Answer

Primiparity

Answer

Age under 25

Answer

Previous history of stillbirth

Question 29

The initial treatment for mild preeclampsia is:

Accepted Answer

Bed rest, close monitoring, and frequent prenatal visits

Answer

Cesarean section

Answer

Antihypertensive medication

Answer

Immediate delivery

Question 30

Which of the following signs or symptoms is NOT typically associated with preterm labor?

Accepted Answer

Intact membranes

Answer

Low back pain

Answer

Lower abdominal pain

Answer

Pelvic pressure

Question 31

The primary nursing intervention for a patient with gestational diabetes is:

Accepted Answer

Patient education and dietary management

Answer

Bed rest

Answer

Administration of insulin

Answer

Continuous fetal monitoring

Question 32

Which of the following is a contraindication to vaginal delivery in a patient with preeclampsia?

Accepted Answer

Severe, uncontrolled hypertension

Answer

Gestational age of 36 weeks

Answer

Mild proteinuria

Answer

Nulliparity

Question 33

The priority nursing intervention for a patient experiencing preterm labor is to:

Accepted Answer

Administer tocolytics to stop or slow labor

Answer

Perform a vaginal exam to assess cervical dilation

Answer

Initiate bed rest

Answer

Provide emotional support to the patient

Question 34

The goal of monitoring a patient with preeclampsia is primarily to:

Accepted Answer

Detect early signs of severe hypertension, seizures, and other complications

Answer

Promote uterine relaxation

Answer

Prevent fetal distress

Question 35

The nurse is caring for a patient with preeclampsia who is experiencing a seizure. Which of the following actions should be taken first?

Accepted Answer

Protect the patient from injury and administer magnesium sulfate

Answer

Initiate continuous fetal monitoring

Answer

Call the physician immediately

Question 36

A client with gestational diabetes mellitus (GDM) is prescribed insulin injections. Which of the following actions is the nurse's top priority when administering the insulin?

Accepted Answer

Follow established protocols for safe medication administration.

Answer

Ensure the client takes the insulin on an empty stomach.

Answer

Monitor the client for signs of hypoglycemia after each injection.

Question 37

A client with preeclampsia experiences an abrupt onset of severe headache, blurred vision, and epigastric pain. Which action should the nurse take as the foremost priority?

Accepted Answer

Summon immediate medical assistance.

Answer

Monitor fetal heart rate and uterine activity.

Answer

Administer antihypertensive medication.

Answer

Check for proteinuria and edema.

Question 38

A client with gestational hypertension is instructed to adhere to bed rest at home. Which instruction is most important for the nurse to provide to the client?

Accepted Answer

Lie on your left side to promote improved uterine blood flow.

Answer

Take frequent breaks to walk around and prevent blood clots.

Answer

Avoid using pillows under your head or legs.

Question 39

A client is experiencing preterm labor and is receiving magnesium sulfate for tocolysis. Which assessment is most critical for the nurse to monitor?

Accepted Answer

Respiratory rate and depth

Answer

Uterine activity

Answer

Blood pressure

Answer

Fetal heart rate

Question 40

Which nursing intervention is appropriate for a client with placenta previa?

Accepted Answer

Monitor for vaginal bleeding and assess fetal heart rate frequently.

Answer

Administer oxytocin to induce labor.

Answer

Perform a cervical exam to determine cervical dilation.

Question 41

A client with abruptio placentae experiences severe abdominal pain, vaginal bleeding, and uterine tenderness. Which nursing action is the highest priority?

Accepted Answer

Call for immediate medical assistance.

Answer

Monitor fetal heart rate and uterine activity.

Answer

Administer pain medication.

Question 42

Which laboratory value is most indicative of preeclampsia?

Accepted Answer

Elevated protein levels in a 24-hour urine collection

Answer

Increased hematocrit

Answer

Decreased platelet count

Question 43

A client with gestational diabetes is planning meals to manage her blood sugar levels. Which dietary recommendation should the nurse provide?

Accepted Answer

Choose foods low in carbohydrates and high in fiber.

Answer

Limit protein intake to 60 grams per day.

Answer

Consume large meals less frequently.

Question 44

Which of the following is a common assessment finding in women with gestational diabetes?

Accepted Answer

Elevated fasting blood glucose levels

Answer

Severe abdominal pain

Answer

Vaginal bleeding

Question 45

The first-line medication for severe preeclampsia is:

Accepted Answer

Magnesium sulfate

Answer

Induction of labor

Answer

Bed rest

Answer

Antihypertensive medications

Question 46

A patient presents at 37 weeks gestation with symptoms of preeclampsia. Which of the following is a priority nursing assessment?

Accepted Answer

Blood pressure, urine protein, and fetal well-being

Answer

Fetal heart rate

Answer

Cervical dilation

Answer

Uterine tenderness

Question 47

Which of the following is amodifiable risk factor for gestational diabetes?

Accepted Answer

Obesity

Answer

Age less than 18 years

Answer

Nulliparity

Answer

History of miscarriage

Question 48

The primary nursing goal in managing a patient with preterm labor is to:

Accepted Answer

Prevent further cervical dilation and preterm birth

Answer

Relieve pain and discomfort

Answer

Control hypertension

Question 49

Which of the following is a potential complication of preeclampsia?

Accepted Answer

HELLP syndrome

Answer

Uterine inversion

Answer

Premature rupture of membranes

Answer

Placenta previa

Question 50

The Bishop score is used to:

Accepted Answer

Assess cervical ripeness and predict the success of labor induction

Answer

Diagnose preeclampsia

Answer

Monitor fetal well-being

Answer

Predict preterm labor