Newborn Nursing Domain 1: Pregnancy, Birth Risk Factors, and Complications Welcome to your Newborn Nursing Domain 1: Pregnancy, Birth Risk Factors, and Complications 1. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A patient with a history of lupus is pregnant. Which complication is most likely to be seen in her pregnancy? Decreased fetal movement Hyperemesis gravidarum Pre-eclampsia Gestational diabetes None 2. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which symptom should be immediately reported by a pregnant woman at 24 weeks gestation indicating a potential placental abruption? Intermittent mild nausea Pain-free vaginal bleeding Sudden onset of localized uterine pain Continuous back pain with no bleeding None 3. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In a diabetic pregnant woman, what is the most common fetal complication to monitor for during ultrasounds? Microcephaly Sacrococcygeal teratoma Macrosomia Cleft palate None 4. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A 32-week pregnant patient presents with sudden shortness of breath and chest pain. What is the most likely diagnosis? Myocardial infarction Pulmonary embolism Asthma exacerbation Musculoskeletal pain None 5. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the primary risk factor for ectopic pregnancy? Advanced maternal age Prior ectopic pregnancy High body mass index Multiparity None 6. Newborn Nursing: Pregnancy Birth Risk Factors and Complications During prenatal visits, which finding is most concerning for vasa previa? Fetal heart rate decelerations Irregular maternal weight gain Occasional Braxton Hicks contractions Polyhydramnios None 7. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the primary concern when a pregnant woman at 36 weeks gestation reports decreased fetal movement? Digestive upset in the mother Fetal sleep cycles Fetal growth restriction Normal variation in movement None 8. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In the context of a pregnant patient with severe itching and jaundice, which condition must be urgently ruled out? Intrahepatic cholestasis of pregnancy Hyperemesis gravidarum Urticarial papules and plaques of pregnancy Preeclampsia None 9. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which maternal condition is most associated with a risk of delivering a neonate with neonatal thrombocytopenia? Gestational diabetes Hypothyroidism Idiopathic thrombocytopenic purpura (ITP) Chronic hypertension None 10. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is a critical concern when managing a pregnant woman with polyhydramnios? Fetal somatic mutation Spontaneous preterm labor Undiagnosed gestational diabetes Reduced fetal movements None 11. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A pregnant patient with a known uterine fibroid presents with acute abdominal pain and tenderness. What is the most likely diagnosis? Uterine rupture Red degeneration of fibroid Acute urinary retention Placental abruption None 12. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In a pregnant patient with preeclampsia, which laboratory finding is most indicative of progressing to HELLP syndrome? Elevated liver enzymes Low serum glucose Decreased serum creatinine Elevated white blood cell count None 13. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the primary risk associated with a velamentous cord insertion diagnosed during pregnancy? Umbilical cord prolapse Fetal growth restriction Vasa previa Gestational diabetes None 14. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which condition is most commonly associated with a history of multiple cesarean sections? Placenta accreta Uterine atony Fetal malpresentation Gestational hypertension None 15. Newborn Nursing: Pregnancy Birth Risk Factors and Complications A pregnant patient at 30 weeks gestation with a seizure disorder is stable on medication. What is the key risk management strategy for this patient? Frequent ultrasound examinations Regular fetal heart rate monitoring Continuous EEG monitoring Therapeutic drug level assessments None 16. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which symptom is most indicative of a molar pregnancy? Severe morning sickness Decreased fetal movement Hypertensive episodes Rapid uterine growth None 17. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the most likely complication in a pregnancy following bariatric surgery? Fetal macrosomia Nutritional deficiencies in the mother Excessive weight gain during pregnancy Decreased risk of gestational diabetes None 18. Newborn Nursing: Pregnancy Birth Risk Factors and Complications Which complication is most likely to occur in a twin pregnancy during the third trimester? Single intrauterine growth restriction (IUGR) Twin-to-twin transfusion syndrome (TTTS) Unilateral placental abruption Single fetal demise None 19. Newborn Nursing: Pregnancy Birth Risk Factors and Complications In a pregnant patient with a known substance use disorder, which fetal condition is most critically monitored for? Fetal alcohol syndrome Neonatal abstinence syndrome Fetal growth restriction Congenital heart defects None 20. Newborn Nursing: Pregnancy Birth Risk Factors and Complications What is the major concern with oligohydramnios diagnosed at 34 weeks gestation? Fetal overactivity Pulmonary hypoplasia Excessive fetal growth Maternal hypertension None 1 out of 20 Time is Up! Time's up
