Assessment of High Risk Pregnancy NCLEX Questions

Assessment of High Risk Pregnancy NCLEX Questions Related

Review Assessment of High Risk Pregnancy NCLEX Questions related questions and content

An NST is performed on a client who is G6T3P1A1L4 38 weeks gestation. After the patient has been on the external monitor for 30 minutes, the nurse sees three fetal heart rate accelerations of 15 bpm lasting 5 seconds in association with fetal movement. The nurse documents this finding as which of the following?

  • A. Unsatisfactory
  • B. A reactive NST
  • C. A nonreactive nonstress test
  • D. Equivocal suspicious
Correct Answer: B

Rationale: The correct answer is B: A reactive NST. This is because the NST shows three fetal heart rate accelerations of 15 bpm lasting 5 seconds each, in association with fetal movement. A reactive NST indicates a normal response, which is characterized by the presence of fetal heart rate accelerations associated with fetal movement. This is a reassuring finding, suggesting fetal well-being.

Choice A (Unsatisfactory) is incorrect because the description of the findings indicates a satisfactory response. Choice C (A nonreactive nonstress test) is incorrect because the test showed accelerations in response to fetal movements, which is not consistent with a nonreactive test. Choice D (Equivocal suspicious) is incorrect as there is no indication of uncertainty or suspicion in the findings described.

You may also like to solve these questions

The nurse is measuring the fundal height of a patient who is at 34 weeks of gestation. What fundal height measurement is expected for a patient who is at 34 weeks of gestation?

  • A. 31 cm
  • B. 33 cm
  • C. 37 cm
  • D. 38 cm
Correct Answer: C

Rationale: The correct answer is C (37 cm) because at 34 weeks of gestation, the fundal height measurement should be approximately equal to the number of weeks of gestation in centimeters. This is known as the "fundal height equals gestational age" rule. Therefore, at 34 weeks, the expected fundal height measurement should be around 34 cm. Option C (37 cm) is the closest to this expected measurement. Options A, B, and D are incorrect as they do not align with the fundal height expected at 34 weeks of gestation. Option A (31 cm) is too low, Option B (33 cm) is also lower than expected, and Option D (38 cm) is too high for 34 weeks of gestation.

What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?

  • A. Positive
  • B. Negative
  • C. Reactive
  • D. Nonreactive
Correct Answer: C

Rationale: The correct answer is C: Reactive. In a nonstress test, a reactive result is considered normal and indicates a healthy fetus. This is because it shows two or more fetal heart rate accelerations of 15 or more BPM with fetal movement in a 20-minute period, which signifies a responsive and healthy fetal heart rate pattern. The other choices are incorrect because:
A: Positive typically indicates a concerning result in medical contexts.
B: Negative signifies an abnormal result in this context.
D: Nonreactive suggests a lack of desired fetal heart rate accelerations with movement, which is not ideal.

The nurse documents a woman’s gravidity and parity as G6 P3214. Which of the following obstetric histories is consistent with this notation?

  • A. The woman is currently pregnant, has 3 living children.
  • B. The woman is currently pregnant, had 2 full-term pregnancies.
  • C. The woman is not currently pregnant, had 4 preterm babies.
  • D. The woman is not currently pregnant, had 1 abortion.
Correct Answer: A

Rationale: G6 indicates the woman is currently pregnant for the 6th time, and P3214 indicates 3 term births, 2 preterm births, 1 abortion, and 4 living children.

A couple has decided not to circumcise their son. Based on this decision, which of the following instructions should the nurse include in the parent teaching?

  • A. The couple should check their son’s temperature every evening because he will be high risk for urinary tract infections.
  • B. The couple should fully retract the foreskin to assess for the presence of exudate every morning.
  • C. The pediatrician will observe the baby void during each well-baby examination to assess for a phimosis.
  • D. The prepuce should be cleansed with soap and water every day during the baby’s sponge bath.
Correct Answer: D

Rationale: Proper hygiene, including cleaning the uncircumcised penis with soap and water, helps prevent infections.

A nurse is using research findings to improve clinical practice. Which technique is the nurse using?

  • A. Performance improvement
  • B. Integrated delivery networks
  • C. Nursing-sensitive outcomes
  • D. Utilization review committees
Correct Answer: A

Rationale: Performance improvement activities are typically clinical projects conceived in response to identified clinical problems and designed to use research findings to improve clinical practice.

Copyright © 2025 Nokea. All rights reserved.