Assessment of High Risk Pregnancy NCLEX Questions

Assessment of High Risk Pregnancy NCLEX Questions Related

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Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

  • A. Bradley
  • B. Lamaze
  • C. Leboyer
  • D. Dick-Read
Correct Answer: D

Rationale: The correct answer is D: Dick-Read method. This method emphasizes relaxation and controlled breathing to reduce fear and pain during childbirth. Slow abdominal breathing in early labor helps maintain calmness, while rapid chest breathing in advanced labor assists in coping with intense contractions. The Dick-Read method's focus on the mind-body connection and natural childbirth aligns with preventing the fear-tension-pain cycle.

Summary:
A: Bradley method emphasizes partner-coached childbirth.
B: Lamaze method focuses on breathing techniques and relaxation.
C: Leboyer method emphasizes gentle birthing practices.

These choices do not specifically address the fear-tension-pain cycle with the same breathing techniques as the Dick-Read method.

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A client has just received synthetic prostaglandins for the induction of labor. The nurse plans to monitor the client for which of the following side effects?

  • A. Nausea and uterine tetany.
  • B. Hypertension and vaginal bleeding.
  • C. Urinary retention and severe headache.
  • D. Bradycardia and hypothermia.
Correct Answer: A

Rationale: Synthetic prostaglandins can cause nausea and uterine tetany, which are common side effects. The nurse should monitor for these and other potential complications.

A G1 P0000 gravida, whose labor was uneventful, delivered 1 minute ago. The baby’s Apgar score at this time is 3. Which of the following actions is appropriate for the nurse to make?

  • A. Administer ophthalmic prophylaxis.
  • B. Place the baby on the abdomen of the mother.
  • C. Obtain assistance for neonatal resuscitation.
  • D. Repeat the score to confirm its accuracy.
Correct Answer: C

Rationale: An Apgar score of 3 indicates the baby is in distress and requires immediate neonatal resuscitation.

A neonate in the nursery, whose mother had no prenatal care, has been diagnosed with macrosomia. For which of the following signs/symptoms should the nurse carefully monitor this baby?

  • A. Jaundice.
  • B. Jitters.
  • C. Blepharitis.
  • D. Strabismus.
Correct Answer: B

Rationale: Macrosomic babies are at risk for hypoglycemia, which can present as jitteriness.

The nurse is discussing pregnancy concerns with a patient in the third trimester of pregnancy. What warning sign should the nurse teach the patient to report immediately to the health-care provider?

  • A. chronic constipation
  • B. decreased fetal movement
  • C. early evening fatigue
  • D. loss of appetite
Correct Answer: B

Rationale: The correct answer is B: decreased fetal movement. This warning sign is crucial in the third trimester as it could indicate fetal distress or other complications requiring prompt medical attention. Decreased fetal movement can be a sign of potential problems with the baby's health and should not be ignored. Chronic constipation (A), early evening fatigue (C), and loss of appetite (D) are common pregnancy symptoms but are not typically considered urgent warning signs that require immediate reporting to the healthcare provider. It is important for the nurse to emphasize the significance of monitoring fetal movements and seeking medical advice promptly if there is a noticeable decrease.

The nurse's role in diagnostic testing is to provide which of the following?

  • A. Advice to the couple
  • B. Information about the tests
  • C. Reassurance about fetal safety
  • D. Assistance with decision making
Correct Answer: B

Rationale: The correct answer is B: Information about the tests. The nurse's role in diagnostic testing is to educate the couple about the purpose, procedure, risks, and benefits of the tests. This empowers them to make informed decisions. Providing advice (A) may be beyond the nurse's scope. Reassurance about fetal safety (C) is important but not the primary role. While the nurse may assist with decision-making (D), the key focus should be on providing comprehensive information.

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