Revised- Pregnancy at Risk NCLEXScenario Exam Practice Questions and Answers |100% Correct| 2024/2025
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Course
NCLEX Midwifery & Maternity
Institution
NCLEX Midwifery & Maternity
Revised- Pregnancy at Risk NCLEXScenario Exam Practice Questions and
Answers |100% Correct| 2024/2025
A pregnant woman arrives at the clinic reporting severe headaches and blurred vision at 30
weeks of gestation. The nurse conducts an assessment. What are the next steps in the nursing
proce...
Revised- Pregnancy at Risk NCLEX-
Scenario Exam Practice Questions and
Answers |100% Correct| 2024/2025
A pregnant woman arrives at the clinic reporting severe headaches and blurred vision at 30
weeks of gestation. The nurse conducts an assessment. What are the next steps in the nursing
process?
1. Measure the patient's blood pressure to assess for hypertension.
2. Perform a thorough neurological examination to check for any abnormalities.
3. Notify the healthcare provider with the findings.
A woman in her second trimester comes to the emergency department with complaints of severe
abdominal pain and vaginal bleeding. The nurse prioritizes the following actions. What steps
should be taken?
1. Assess the patient’s vital signs and establish an intravenous (IV) line for fluid resuscitation.
2. Perform a pelvic exam if indicated.
3. Prepare for possible imaging studies.
4. Establish continuous fetal monitoring to evaluate fetal well-being.
A pregnant client at 28 weeks’ gestation presents with signs of preterm labor, including regular
contractions and cervical dilation. The healthcare provider prescribes tocolytics. What steps will
the nurse take to ensure the safe administration of this medication?
1. Assess the fetal heart rate and maternal vital signs before medication administration.
1
,2. Educate the patient about the medication, including potential side effects.
3. Monitor the patient for any adverse reactions during and after the infusion.
A woman diagnosed with gestational diabetes is in the clinic for a follow-up. What is the process
for managing her condition effectively?
1. Review the patient's blood glucose logs to identify any patterns or issues.
2. Provide education about dietary modifications and the importance of carbohydrate counting.
3. Assess the need for insulin therapy based on blood glucose levels.
4. Discuss the plan with the healthcare provider.
A client with preeclampsia is being monitored in the hospital. The nurse notices the patient has
developed increased edema and elevated blood pressure. What steps should the nurse take next?
1. Assess the patient’s deep tendon reflexes and check for signs of hyperreflexia.
2. Document these findings and notify the healthcare provider of the changes.
3. Monitor the patient's urine output to check for proteinuria.
A pregnant woman experiences decreased fetal movement at 32 weeks' gestation. The nurse
educates the client on how to monitor fetal well-being at home. What steps should the nurse
instruct the client to follow?
1. Lie down in a quiet place and focus on counting fetal movements over a designated period,
such as one hour.
2. If fewer than 10 movements are felt, eat a small snack and then continue counting.
3. Report any concerns or if movement does not resume within the specified time frame.
2
,A client with a previous history of preterm labor is in the clinic for her routine visit. The nurse is
teaching her about signs of preterm labor. What key points should the nurse include in the
education?
1. Monitor for regular contractions that occur more than four times in one hour.
2. Report any low back pain, pelvic pressure, or changes in vaginal discharge.
3. Call the healthcare provider if these symptoms occur.
A woman at 34 weeks’ gestation is diagnosed with abruptio placentae. The nurse prepares for the
management of this condition. What are the appropriate steps to follow?
1. Assess the client’s vital signs and perform a quick fetal heart rate assessment.
2. Establish an IV line for potential fluid replacement.
3. Prepare for possible delivery, depending on the severity of the situation.
4. Maintain continuous monitoring of fetal heart patterns.
A pregnant client is experiencing a urinary tract infection (UTI) at her routine check-up. What
steps should the nurse take to ensure appropriate management of this condition?
1. Collect a clean-catch urine sample for analysis and culture.
2. Educate the patient about proper hygiene practices to prevent future UTIs.
3. Review the prescribed antibiotic regimen and ensure the client understands the importance of
completing the entire course.
3
, A woman in labor exhibits signs of chorioamnionitis. What steps should the nurse follow to
address this condition?
1. Conduct a thorough maternal and fetal assessment, including vital signs and fetal heart rate
monitoring.
2. Initiate intravenous antibiotics as prescribed.
3. Maintain strict aseptic techniques during vaginal examinations.
4. Provide comfort measures to the patient.
A pregnant client presents with symptoms of hyperemesis gravidarum. The nurse provides care
and education. What steps should the nurse follow to manage this condition effectively?
1. Assess the client’s hydration status and vital signs, checking for signs of dehydration.
2. Provide intravenous fluids and electrolyte replacement as needed.
3. Educate the client about dietary modifications, such as eating small, frequent meals.
A woman with a previous cesarean section is being monitored during her current pregnancy. The
nurse understands the risks associated with this history. What are the key assessments to perform
throughout the pregnancy?
1. Monitor the client for signs of uterine rupture, such as sudden abdominal pain or fetal distress.
2. Implement continuous fetal heart monitoring.
3. Regularly assess maternal vital signs.
4. Educate the client about signs to watch for that would necessitate immediate medical attention.
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