NURSING CARE AND COMPLICATIONS IN PREGNANCY, LABOR, AND
BIRTH EXAM QUESTIONS AND ANSWERS
What are some danger signs in pregnancy? - CORRECT ANSWER✅✅Significant edema of face and
hands, severe persistent headache, blurred vision or dizziness, chills with fever over 37.8° C (100° F),
painful urination or reduced urine output, feeling something is 'just not right', sudden gush of fluid from
vagina prior to 37 weeks gestation, vaginal bleeding, abdominal pain, decreased or absent fetal
movements after 26-28 weeks gestation, persistent vomiting, epigastric pain.
What is hyperemesis gravidarum? - CORRECT ANSWER✅✅Persistent severe nausea and vomiting
beginning prior to 16 weeks gestation, requiring correction of dehydration and electrolyte or acid-base
imbalance.
What are the nursing interventions for bleeding disorders during pregnancy? - CORRECT
ANSWER✅✅Document amount and character of bleeding, monitor vital signs for hypovolemic shock,
and keep the woman NPO if actively bleeding.
What is placenta previa? - CORRECT ANSWER✅✅Abnormal implantation of the placenta in the lower
part of the uterus, causing painless bright red bleeding when the cervix dilates.
What are the signs of placental abruption? - CORRECT ANSWER✅✅Bleeding with abdominal or low
back pain, tender and board-like uterus.
What are risk factors for pre-eclampsia? - CORRECT ANSWER✅✅Pregnancy at extremes of maternal
age, high BMI, pre-existing hypertension, previous diagnosis of pre-eclampsia, diabetes or renal disease,
nulliparity, use of assisted reproductive technologies, multiple gestation, pre-existing autoimmune
diseases.
What defines non-severe pre-eclampsia? - CORRECT ANSWER✅✅Blood pressure reading of ≥140/90
mm Hg on two readings 15 minutes apart, with proteinuria and one or more adverse conditions.
What is the management focus for gestational hypertension? - CORRECT ANSWER✅✅Maintaining
blood flow to the woman's vital organs and to the placenta, preventing seizures, and using
antihypertensives.
, What is the care for a woman with diabetes mellitus during labor? - CORRECT ANSWER✅✅Intravenous
infusion of dextrose may be needed, with hourly blood glucose assessments and adjustments to insulin
administration.
What is premature rupture of membranes (PROM)? - CORRECT ANSWER✅✅Spontaneous rupture of
membranes at term, more than 1 hour before labor contractions begin.
What is the significance of the Nitrazine paper test in PROM? - CORRECT ANSWER✅✅It turns blue in
the presence of amniotic fluid, confirming rupture of membranes.
What are nursing care considerations for a patient with PROM? - CORRECT ANSWER✅✅Monitor
maternal temperature, fetal tachycardia, and tenderness over the uterine area; provide teaching about
signs of infection and preterm labor.
What are the signs of impending preterm labor? - CORRECT ANSWER✅✅Shortened cervix on
ultrasound at 20 weeks and positive fetal fibronectin test.
What is the treatment for preterm labor? - CORRECT ANSWER✅✅May include tocolytics to delay birth,
corticosteroids for fetal lung maturity, and monitoring for signs of labor.
What is the role of low-dose aspirin in pregnancy? - CORRECT ANSWER✅✅It may be started between
12 and 14 weeks' gestation for patients at high risk of developing eclampsia.
What are common complications associated with diabetes mellitus in pregnancy? - CORRECT
ANSWER✅✅Risk for congenital anomalies due to maternal hyperglycemia during the embryonic period.
What is the management for pre-eclampsia? - CORRECT ANSWER✅✅Frequent fetal evaluations,
antihypertensives, and possible early birth at 36-37 weeks gestation.
What should be monitored in a newborn of a diabetic mother? - CORRECT ANSWER✅✅Monitor for
hypoglycemia, respiratory distress, and injury caused by macrosomia.
BIRTH EXAM QUESTIONS AND ANSWERS
What are some danger signs in pregnancy? - CORRECT ANSWER✅✅Significant edema of face and
hands, severe persistent headache, blurred vision or dizziness, chills with fever over 37.8° C (100° F),
painful urination or reduced urine output, feeling something is 'just not right', sudden gush of fluid from
vagina prior to 37 weeks gestation, vaginal bleeding, abdominal pain, decreased or absent fetal
movements after 26-28 weeks gestation, persistent vomiting, epigastric pain.
What is hyperemesis gravidarum? - CORRECT ANSWER✅✅Persistent severe nausea and vomiting
beginning prior to 16 weeks gestation, requiring correction of dehydration and electrolyte or acid-base
imbalance.
What are the nursing interventions for bleeding disorders during pregnancy? - CORRECT
ANSWER✅✅Document amount and character of bleeding, monitor vital signs for hypovolemic shock,
and keep the woman NPO if actively bleeding.
What is placenta previa? - CORRECT ANSWER✅✅Abnormal implantation of the placenta in the lower
part of the uterus, causing painless bright red bleeding when the cervix dilates.
What are the signs of placental abruption? - CORRECT ANSWER✅✅Bleeding with abdominal or low
back pain, tender and board-like uterus.
What are risk factors for pre-eclampsia? - CORRECT ANSWER✅✅Pregnancy at extremes of maternal
age, high BMI, pre-existing hypertension, previous diagnosis of pre-eclampsia, diabetes or renal disease,
nulliparity, use of assisted reproductive technologies, multiple gestation, pre-existing autoimmune
diseases.
What defines non-severe pre-eclampsia? - CORRECT ANSWER✅✅Blood pressure reading of ≥140/90
mm Hg on two readings 15 minutes apart, with proteinuria and one or more adverse conditions.
What is the management focus for gestational hypertension? - CORRECT ANSWER✅✅Maintaining
blood flow to the woman's vital organs and to the placenta, preventing seizures, and using
antihypertensives.
, What is the care for a woman with diabetes mellitus during labor? - CORRECT ANSWER✅✅Intravenous
infusion of dextrose may be needed, with hourly blood glucose assessments and adjustments to insulin
administration.
What is premature rupture of membranes (PROM)? - CORRECT ANSWER✅✅Spontaneous rupture of
membranes at term, more than 1 hour before labor contractions begin.
What is the significance of the Nitrazine paper test in PROM? - CORRECT ANSWER✅✅It turns blue in
the presence of amniotic fluid, confirming rupture of membranes.
What are nursing care considerations for a patient with PROM? - CORRECT ANSWER✅✅Monitor
maternal temperature, fetal tachycardia, and tenderness over the uterine area; provide teaching about
signs of infection and preterm labor.
What are the signs of impending preterm labor? - CORRECT ANSWER✅✅Shortened cervix on
ultrasound at 20 weeks and positive fetal fibronectin test.
What is the treatment for preterm labor? - CORRECT ANSWER✅✅May include tocolytics to delay birth,
corticosteroids for fetal lung maturity, and monitoring for signs of labor.
What is the role of low-dose aspirin in pregnancy? - CORRECT ANSWER✅✅It may be started between
12 and 14 weeks' gestation for patients at high risk of developing eclampsia.
What are common complications associated with diabetes mellitus in pregnancy? - CORRECT
ANSWER✅✅Risk for congenital anomalies due to maternal hyperglycemia during the embryonic period.
What is the management for pre-eclampsia? - CORRECT ANSWER✅✅Frequent fetal evaluations,
antihypertensives, and possible early birth at 36-37 weeks gestation.
What should be monitored in a newborn of a diabetic mother? - CORRECT ANSWER✅✅Monitor for
hypoglycemia, respiratory distress, and injury caused by macrosomia.
