High-Risk Pregnancy Complications Flashcards
6 cards from real Maternal Newborn Nursing Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 High-Risk Pregnancy Complications flashcards as text
At what gestational age is Rh immunoglobulin (RhoGAM) routinely administered to an unsensitized Rh-negative pregnant client?
Answer: 28 weeks gestation and within 72 hours of delivery
RhoGAM is given at 28 weeks gestation and again within 72 hours of delivery of an Rh-positive infant to prevent maternal sensitization.
Which finding is a classic sign of disseminated intravascular coagulation (DIC) in an obstetric client?
Answer: Oozing from IV sites, petechiae, and prolonged PT/PTT with low fibrinogen
DIC is a consumptive coagulopathy causing simultaneous clotting and bleeding, evidenced by oozing from puncture sites, petechiae, prolonged clotting times, and depleted fibrinogen.
A client at 36 weeks is diagnosed with oligohydramnios (AFI of 3 cm). What fetal complication is the nurse most concerned about?
Answer: Umbilical cord compression and fetal growth restriction
Oligohydramnios reduces amniotic fluid cushion, increasing umbilical cord compression risk during contractions and is associated with IUGR and renal anomalies.
A pregnant client with preeclampsia suddenly experiences a tonic-clonic seizure. What is the priority nursing action?
Answer: Protect the client from injury, maintain airway, and administer magnesium sulfate per protocol
During an eclamptic seizure, the nurse's priority is to protect from injury, maintain airway patency, administer oxygen, and give magnesium sulfate as the drug of choice for seizure prevention and treatment.
A client with a history of recurrent pregnancy loss is found to have antiphospholipid syndrome. Which medication is most commonly used to prevent placental thrombosis in this condition?
Answer: Low-dose aspirin combined with low-molecular-weight heparin (LMWH)
Antiphospholipid syndrome is treated during pregnancy with low-dose aspirin plus LMWH (e.g., enoxaparin) to prevent thrombosis; warfarin is teratogenic and contraindicated in the first trimester.
Which finding is consistent with intrauterine growth restriction (IUGR) on ultrasound?
Answer: Estimated fetal weight below the 10th percentile for gestational age
IUGR is defined as an estimated fetal weight below the 10th percentile for gestational age on ultrasound and increases risk for perinatal morbidity and mortality.