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

The nurse is preparing to assist with the insertion of an intrauterine pressure catheter and a fetal spiral electrode. What is required for proper placement by the practitioner? Select all that apply.

  • A. Rupture of membranes
  • B. Dilated cervix
  • C. Vertex fetus
  • D. Moderate variability
Correct Answer: A

Rationale: Correct Answer: A - Rupture of membranes

Rationale:
1. Rupture of membranes is necessary for the insertion of intrauterine pressure catheter and fetal spiral electrode.
2. It allows safe passage of the catheter and electrode into the uterus.
3. Without ruptured membranes, there is a risk of infection and difficulty in inserting the devices.

Summary:
- Choice B (Dilated cervix) is not required for the insertion of these devices.
- Choice C (Vertex fetus) is not a factor in the insertion process.
- Choice D (Moderate variability) is related to fetal heart rate monitoring, not device insertion.

You may also like to solve these questions

When providing contraceptive counseling to a woman, which of the following factors should the nurse consider? Select all that apply.

  • A. Age.
  • B. Obstetric history.
  • C. Religious beliefs.
  • D. Employment.
Correct Answer: A

Rationale: Age, obstetric history, and religious beliefs are important factors to consider when providing contraceptive counseling. Employment is less relevant to contraceptive choice.

The triage nurse is interviewing a client, 19 years old, unmarried, who states, 'I felt a hard thing on the lip of my vagina this morning. It doesn’t hurt.' Which of the following questions is most important for the nurse to ask at this time?

  • A. Have any of your partners ever hurt you?'
  • B. Do you ever have unprotected intercourse?'
  • C. Have you ever had a baby?'
  • D. Do you think you may be pregnant?'
Correct Answer: B

Rationale: Unprotected intercourse increases the risk of sexually transmitted infections (STIs), which could explain the hard lump.

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 6-month-old child has been diagnosed with a significant hearing loss. Which of the following complications that occurred immediately after delivery could have resulted in this condition?

  • A. Necrotizing enterocolitis.
  • B. Hypoglycemia.
  • C. Bronchopulmonary dysplasia.
  • D. Kernicterus.
Correct Answer: D

Rationale: Kernicterus, caused by severe jaundice, can lead to hearing loss due to bilirubin toxicity in the brain.

The nurse is caring for a baby whose blood type is A+ (positive) and direct Coombs’ test is + (positive), and whose mother’s blood type is O+ (positive). Which of the following nursing diagnoses is appropriate for this baby?

  • A. Risk for injury to the central nervous system.
  • B. Risk for fluid volume deficit.
  • C. Risk for interrupted family processes.
  • D. Risk for impaired parent-infant attachment.
Correct Answer: A

Rationale: A positive Coombs’ test indicates hemolytic disease of the newborn, which can lead to bilirubin buildup and potential central nervous system damage.

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