Exam Questions & Answers (Grade
A+)
The nurse caring for pregnant women must be aware that the most
common medical complication of pregnancy is:
a. hypertension.
b. hyperemesis gravidarum.
c. hemorrhagic complications.
d. infections. -
correct answer ✅ANS: A
Preeclampsia and eclampsia are two noted deadly forms of
hypertension. A large percentage of pregnant women will have
nausea and vomiting, but a relatively few have the severe form
called hyperemesis gravidarum. Hemorrhagic complications are the
second most common medical complication of pregnancy;
hypertension is the most common
What does the nurse assess to detect the presence of a
hypertensive disorder in a pregnant patient? Select all that apply.
a. Proteinuria
,Reproduction and Clotting NUR 2712C
Exam Questions & Answers (Grade
A+)
b. Epigastric pain
c. Placenta previa
d. Presence of edema
e. Blood pressure (BP): -
correct answer ✅ANS: A, B, D, E
Proteinuria indicates hypertension in a pregnant patient.
Proteinuria is concentration e300 mg/24 hours in a 24-hour urine
collection. The nurse needs to assess the patient for epigastric pain
because it indicates severe preeclampsia. Hypertension is likely to
cause edema or swollen ankles as a result of greater hydrostatic
pressure in the lower parts of the body. Therefore the nurse needs
to assess the patient for the presence of edema. Accurate
measurement of BP will help detect the presence of any
hypertensive disorder. A systolic BP greater than 140 mm Hg or a
diastolic BP greater than 90 mm Hg will indicate hypertension.
Placenta previa is a condition wherein the placenta is implanted in
the lower uterine segment covering the cervix, which causes
bleeding when the cervix dilates.
A patient with pregnancy-induced hypertension is admitted
complaining of pounding headache, visual changes, and epigastric
,Reproduction and Clotting NUR 2712C
Exam Questions & Answers (Grade
A+)
pain. Nursing care is based on the knowledge that these signs are
an indication of:
a. anxiety due to hospitalization.
b. worsening disease and impending convulsion.
c. effects of magnesium sulfate.
d. gastrointestinal upset. -
correct answer ✅ANS: B
Headache and visual disturbances are caused by increased cerebral
edema. Epigastric pain indicates distention of the hepatic capsules
and often warns that a convulsion is imminent. These are danger
signs showing increased cerebral edema and impending convulsion
and should be treated immediately. The patient has not been
started on magnesium sulfate treatment yet. Also, these are not
anticipated effects of the medication
A pregnant patient has a systolic blood pressure that exceeds 160
mm Hg. Which action should the nurse take for this patient?
a. Administer magnesium sulfate intravenously.
, Reproduction and Clotting NUR 2712C
Exam Questions & Answers (Grade
A+)
b. Obtain a prescription for antihypertensive medications.
c. Restrict intravenous and oral fluids to 125 mL/hr.
d. Monitor fetal heart rate (FHR) and uterine contractions (UCs). -
correct answer ✅ANS: B
Systolic blood pressure exceeding 160 mm Hg indicates severe
hypertension in the patient. The nurse should alert the health care
provider and obtain a prescription for antihypertensive
medications, such as nifedipine (Adalat) and labetalol hydrochloride
(Normodyne). Magnesium sulfate would be administered if the
patient was experiencing eclamptic seizures. Oral and intravenous
fluids are restricted when the patient is at risk for pulmonary
edema. Monitoring FHR and UCs is a priority when the patient
experiences a trauma so that any complications can be addressed
immediately.
Which hypertensive disorders can occur during pregnancy? Select
all that apply
a. Chronic Hypertension
b. Preeclampsia-eclampsia