NCLEX CRUSADE ACADEMY TEST - 5 COMPLICATED PREGNANCY

1. Live vaccines such as measles, mumps, and rubella are contraindicated during pregnancy because they: Increase maternal BP. Contain live viruses unsafe during gestation. Reduce placental perfusion. Cause hyperglycemia.

2. Recommended total weight gain during pregnancy is: 1015 lbs. 1520 lbs. 2535 lbs. 4050 lbs.

3. Chorionic villus sampling (CVS) is performed at approximately: 6 weeks. 910 weeks. 16 weeks. 20 weeks.

4. Alpha-fetoprotein screening is typically done at: 9 weeks. 12 weeks. 16 weeks. 24 weeks.

5. Nitrazine test turning blue indicates: Urine present. Infection. Amniotic fluid (alkaline). Vaginal discharge.

6. Major risk factor for gestational diabetes includes: Age <20. Underweight. Age >35. Low BMI.

7. Screening for gestational diabetes occurs at: 12 weeks. 16 weeks. 2428 weeks. 32 weeks.

8. Maternal insulin needs generally increase during the: First trimester. Second and third trimesters. Immediately postpartum. First 4 weeks only.

9. After placenta delivery, insulin needs: Increase. Remain unchanged. Plummet rapidly. Double.

10. Neonatal hypoglycemia after diabetic pregnancy is due to: Maternal insulin crossing placenta. Neonatal hyperinsulinemia after birth. Low glucose transfer. Placental failure.

11. Glycemic target range in diabetic pregnancy is: 4080 mg/dL. 65130 mg/dL. 100180 mg/dL. 120200 mg/dL.

12. Critical red flag in ectopic pregnancy is: Headache. Fever. Shoulder pain. Polyuria.

13. First priority in suspected ruptured ectopic pregnancy is to: Check BP. Monitor pulse for tachycardia. Prepare discharge. Administer antibiotics.

14. Unruptured ectopic pregnancy is treated with: Oxytocin. Magnesium sulfate. Methotrexate. Labetalol.

15. Zidovudine (AZT) in pregnancy is used to: Treat gestational diabetes. Prevent HIV transmission. Induce labor. Lower BP.

16. During labor in HIV-positive mother, avoid: Oxygen. IV fluids. Internal fetal monitoring. Position changes.

17. Chronic hypertension is defined as BP elevation before: 10 weeks. 16 weeks. 20 weeks. 24 weeks.

18. Severe preeclampsia is characterized by BP greater than: 140/90. 150/95. 160/110. 180/120.

19. HELLP syndrome includes: Hemorrhage, Edema, Low protein. Hemolysis, Elevated liver enzymes, Low platelets. High BP, Elevated lipids, Low platelets. Hyperglycemia, Elevated liver enzymes, Leukopenia.

20. Magnesium sulfate toxicity is suspected if respiratory rate is: 18/min. 16/min. 14/min. <12/min.

21. Antidote for magnesium toxicity is: Naloxone. Calcium gluconate. Protamine sulfate. Insulin.

22. Deep tendon reflexes graded 0 indicate: Normal. Hyperreflexia. Magnesium toxicity. Seizure risk.

23. Hyperreflexia (4+) suggests: Magnesium toxicity. Seizure risk. Normal finding. Hypoglycemia.

24. In eclampsia, immediate priority is to: Administer antihypertensive. Protect airway. Induce labor. Start insulin.