OCN 370 – Obstetric Complications in
Nursing ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
Discuss the nursing assessment and care for women with hyperemesis gravidarum.
CORRECT ANSWERS ✅✅
Hyperemesis gravidarum is severe nausea and vomiting during pregnancy that can lead to
dehydration, electrolyte imbalance, and weight loss. Assessment includes evaluating the
severity of vomiting, fluid and electrolyte status, weight changes, and nutritional intake.
Nursing care involves administering IV fluids, electrolyte replacement, antiemetic
medications, and promoting small, frequent meals. Education includes avoiding triggers,
dietary modifications, and monitoring for worsening symptoms. Early and comprehensive
management prevents maternal complications and ensures fetal well-being.
Explain the nursing care for women with gestational hypertension.
CORRECT ANSWERS ✅✅
Gestational hypertension is high blood pressure developing after 20 weeks of gestation
without proteinuria. Assessment includes monitoring blood pressure, edema, and signs of
organ involvement. Nursing care involves administering antihypertensive medications,
monitoring maternal and fetal status, educating about lifestyle modifications, and preparing
for possible complications such as preeclampsia. Nurses also monitor laboratory parameters
like renal and liver function. Timely care prevents progression to severe hypertension and
maternal-fetal complications.
Describe the recognition and nursing management of preeclampsia.
CORRECT ANSWERS ✅✅
Preeclampsia is characterized by hypertension, proteinuria, and potential organ dysfunction
after 20 weeks of gestation. Assessment includes monitoring blood pressure, reflexes, urine
protein levels, and fetal well-being. Nursing care involves administering antihypertensives,
monitoring for seizure activity, educating on warning signs, and promoting bed rest if
indicated. Close observation of maternal and fetal parameters is essential. Early intervention
reduces risks of eclampsia, placental abruption, and fetal growth restriction.
Discuss the nursing care for women with eclampsia.
CORRECT ANSWERS ✅✅
, Eclampsia is the onset of seizures in a woman with preeclampsia, which can be life-
threatening. Assessment involves continuous monitoring of maternal vital signs, seizure
activity, and fetal status. Nursing care includes administering magnesium sulfate to prevent
further seizures, maintaining airway and oxygenation, controlling blood pressure, and
preparing for delivery if necessary. Education focuses on recognizing symptoms and follow-
up postpartum care. Prompt intervention reduces maternal and fetal morbidity and mortality.
Explain the nursing assessment and management of placental previa.
CORRECT ANSWERS ✅✅
Placenta previa is implantation of the placenta over or near the cervical os, causing painless
vaginal bleeding. Assessment includes monitoring for bleeding episodes, vital signs, fetal
heart rate, and maternal hemodynamic stability. Nursing care involves avoiding vaginal
examinations, promoting bed rest, preparing for cesarean delivery if indicated, and educating
the mother on warning signs. Nurses also monitor for anemia and preterm labor. Timely
management prevents maternal hemorrhage and fetal compromise.
Describe the nursing care for women with placental abruption.
CORRECT ANSWERS ✅✅
Placental abruption is premature separation of the placenta from the uterine wall, causing
vaginal bleeding, abdominal pain, and fetal distress. Assessment includes monitoring
maternal vital signs, uterine tone, fetal heart rate, and signs of shock. Nursing care involves
establishing IV access for fluids and blood products, preparing for emergency delivery,
administering medications as prescribed, and providing emotional support. Education focuses
on recognizing early symptoms and seeking immediate care. Prompt intervention reduces
maternal and neonatal morbidity.
Discuss the nursing care for women with preterm labor.
CORRECT ANSWERS ✅✅
Preterm labor is regular uterine contractions with cervical changes before 37 weeks of
gestation. Assessment includes monitoring uterine activity, fetal heart rate, cervical dilation,
and risk factors such as infection or multiple pregnancies. Nursing care involves
administering tocolytics to delay labor, corticosteroids to enhance fetal lung maturity,
monitoring maternal and fetal well-being, and educating the mother on warning signs.
Education includes activity modification, hydration, and adherence to therapy. Early
management reduces neonatal complications and improves outcomes.
Explain the nursing assessment and care for women with preterm premature rupture of
membranes (PPROM).
Nursing ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
Discuss the nursing assessment and care for women with hyperemesis gravidarum.
CORRECT ANSWERS ✅✅
Hyperemesis gravidarum is severe nausea and vomiting during pregnancy that can lead to
dehydration, electrolyte imbalance, and weight loss. Assessment includes evaluating the
severity of vomiting, fluid and electrolyte status, weight changes, and nutritional intake.
Nursing care involves administering IV fluids, electrolyte replacement, antiemetic
medications, and promoting small, frequent meals. Education includes avoiding triggers,
dietary modifications, and monitoring for worsening symptoms. Early and comprehensive
management prevents maternal complications and ensures fetal well-being.
Explain the nursing care for women with gestational hypertension.
CORRECT ANSWERS ✅✅
Gestational hypertension is high blood pressure developing after 20 weeks of gestation
without proteinuria. Assessment includes monitoring blood pressure, edema, and signs of
organ involvement. Nursing care involves administering antihypertensive medications,
monitoring maternal and fetal status, educating about lifestyle modifications, and preparing
for possible complications such as preeclampsia. Nurses also monitor laboratory parameters
like renal and liver function. Timely care prevents progression to severe hypertension and
maternal-fetal complications.
Describe the recognition and nursing management of preeclampsia.
CORRECT ANSWERS ✅✅
Preeclampsia is characterized by hypertension, proteinuria, and potential organ dysfunction
after 20 weeks of gestation. Assessment includes monitoring blood pressure, reflexes, urine
protein levels, and fetal well-being. Nursing care involves administering antihypertensives,
monitoring for seizure activity, educating on warning signs, and promoting bed rest if
indicated. Close observation of maternal and fetal parameters is essential. Early intervention
reduces risks of eclampsia, placental abruption, and fetal growth restriction.
Discuss the nursing care for women with eclampsia.
CORRECT ANSWERS ✅✅
, Eclampsia is the onset of seizures in a woman with preeclampsia, which can be life-
threatening. Assessment involves continuous monitoring of maternal vital signs, seizure
activity, and fetal status. Nursing care includes administering magnesium sulfate to prevent
further seizures, maintaining airway and oxygenation, controlling blood pressure, and
preparing for delivery if necessary. Education focuses on recognizing symptoms and follow-
up postpartum care. Prompt intervention reduces maternal and fetal morbidity and mortality.
Explain the nursing assessment and management of placental previa.
CORRECT ANSWERS ✅✅
Placenta previa is implantation of the placenta over or near the cervical os, causing painless
vaginal bleeding. Assessment includes monitoring for bleeding episodes, vital signs, fetal
heart rate, and maternal hemodynamic stability. Nursing care involves avoiding vaginal
examinations, promoting bed rest, preparing for cesarean delivery if indicated, and educating
the mother on warning signs. Nurses also monitor for anemia and preterm labor. Timely
management prevents maternal hemorrhage and fetal compromise.
Describe the nursing care for women with placental abruption.
CORRECT ANSWERS ✅✅
Placental abruption is premature separation of the placenta from the uterine wall, causing
vaginal bleeding, abdominal pain, and fetal distress. Assessment includes monitoring
maternal vital signs, uterine tone, fetal heart rate, and signs of shock. Nursing care involves
establishing IV access for fluids and blood products, preparing for emergency delivery,
administering medications as prescribed, and providing emotional support. Education focuses
on recognizing early symptoms and seeking immediate care. Prompt intervention reduces
maternal and neonatal morbidity.
Discuss the nursing care for women with preterm labor.
CORRECT ANSWERS ✅✅
Preterm labor is regular uterine contractions with cervical changes before 37 weeks of
gestation. Assessment includes monitoring uterine activity, fetal heart rate, cervical dilation,
and risk factors such as infection or multiple pregnancies. Nursing care involves
administering tocolytics to delay labor, corticosteroids to enhance fetal lung maturity,
monitoring maternal and fetal well-being, and educating the mother on warning signs.
Education includes activity modification, hydration, and adherence to therapy. Early
management reduces neonatal complications and improves outcomes.
Explain the nursing assessment and care for women with preterm premature rupture of
membranes (PPROM).
