Q.1 Which of the following conditions is considered a high-risk pregnancy?
Normal blood pressure
Gestational diabetes
Mild anemia
First-time pregnancy at age 25
Explanation - Gestational diabetes is a metabolic disorder that can complicate pregnancy and affect both maternal and fetal outcomes, categorizing it as high-risk.
Correct answer is: Gestational diabetes
Q.2 What is the primary concern in a pregnant woman with preeclampsia?
Excessive weight gain
Hypertension and proteinuria
Morning sickness
Fetal movement
Explanation - Preeclampsia is characterized by high blood pressure and protein in the urine after 20 weeks of gestation, which can threaten both mother and fetus.
Correct answer is: Hypertension and proteinuria
Q.3 A 32-year-old pregnant woman has a history of preterm labor. What category does she fall under?
Low-risk pregnancy
High-risk pregnancy
Normal pregnancy
Post-term pregnancy
Explanation - A previous history of preterm labor increases the risk of recurrence, classifying the current pregnancy as high-risk.
Correct answer is: High-risk pregnancy
Q.4 Which of the following maternal conditions can lead to intrauterine growth restriction (IUGR)?
Gestational diabetes
Chronic hypertension
Hyperemesis gravidarum
Iron-deficiency anemia
Explanation - Chronic hypertension can reduce uteroplacental blood flow, limiting fetal growth and causing IUGR.
Correct answer is: Chronic hypertension
Q.5 What is the recommended monitoring for a woman with gestational diabetes?
Daily blood glucose checks
Weekly urine analysis
Monthly ultrasound
No special monitoring required
Explanation - Gestational diabetes requires careful monitoring of maternal blood glucose levels to prevent complications for both mother and fetus.
Correct answer is: Daily blood glucose checks
Q.6 Which factor increases the risk of postpartum hemorrhage in high-risk pregnancies?
Multiparity
First pregnancy
Maternal age under 20
Normal placenta
Explanation - Women who have had multiple pregnancies are at higher risk of postpartum hemorrhage due to uterine atony or trauma.
Correct answer is: Multiparity
Q.7 A pregnant woman with hypothyroidism is at risk for which fetal complication?
Neural tube defects
Macrosomia
Fetal bradycardia
Placenta previa
Explanation - Maternal hypothyroidism, especially if untreated, can interfere with fetal development and increase the risk of neural tube defects.
Correct answer is: Neural tube defects
Q.8 Which medication is commonly used to manage preterm labor in high-risk pregnancies?
Oxytocin
Magnesium sulfate
Misoprostol
Metformin
Explanation - Magnesium sulfate acts as a tocolytic to inhibit uterine contractions and reduce the risk of preterm birth.
Correct answer is: Magnesium sulfate
Q.9 In high-risk pregnancies, which test is used to assess fetal well-being?
Fetal heart rate monitoring
Urine culture
CBC
Blood pressure measurement
Explanation - Fetal heart rate monitoring helps evaluate fetal well-being, particularly in high-risk pregnancies where fetal compromise may occur.
Correct answer is: Fetal heart rate monitoring
Q.10 Advanced maternal age is defined as pregnancy occurring at what age?
Over 30 years
Over 35 years
Over 25 years
Over 40 years
Explanation - Pregnancy at age 35 or older is considered advanced maternal age and is associated with increased risk of complications.
Correct answer is: Over 35 years
Q.11 Which condition is a major cause of maternal morbidity in high-risk pregnancies?
Hyperemesis gravidarum
Preeclampsia
Urinary tract infection
Morning sickness
Explanation - Preeclampsia can lead to serious complications such as eclampsia, HELLP syndrome, and organ failure, making it a significant cause of maternal morbidity.
Correct answer is: Preeclampsia
Q.12 A pregnant woman with a history of thrombophilia is at risk for:
Placental abruption
Gestational diabetes
Morning sickness
Preterm rupture of membranes
Explanation - Thrombophilia increases the risk of blood clot formation, which can lead to placental abruption and other complications.
Correct answer is: Placental abruption
Q.13 Which type of diabetes has the highest risk for congenital anomalies if uncontrolled during early pregnancy?
Type 1 diabetes
Type 2 diabetes
Gestational diabetes
Pre-diabetes
Explanation - Uncontrolled pre-existing diabetes, especially Type 1, during organogenesis increases the risk of congenital anomalies.
Correct answer is: Type 1 diabetes
Q.14 What is the primary goal in managing a high-risk pregnancy?
Ensuring maternal and fetal safety
Limiting weight gain
Scheduling early delivery
Reducing morning sickness
Explanation - The main goal in high-risk pregnancy management is to prevent complications and ensure optimal outcomes for both mother and baby.
Correct answer is: Ensuring maternal and fetal safety
Q.15 Multiple gestation increases the risk of:
Post-term pregnancy
Preterm birth
Low-risk delivery
Single fetal growth
Explanation - Pregnancies with twins or more are at higher risk for preterm labor, fetal growth restriction, and complications during delivery.
Correct answer is: Preterm birth
Q.16 Which laboratory test is essential for monitoring preeclampsia?
Urine protein test
Hemoglobin A1c
Blood glucose
Thyroid function test
Explanation - Proteinuria is a key feature of preeclampsia; regular urine protein assessment helps monitor disease progression.
Correct answer is: Urine protein test
Q.17 Pregnant women with cardiac disease require monitoring for:
Fetal growth restriction and maternal heart failure
Morning sickness
Iron deficiency only
Hyperemesis gravidarum
Explanation - Cardiac disease can compromise maternal hemodynamics, affecting both maternal and fetal health.
Correct answer is: Fetal growth restriction and maternal heart failure
Q.18 Which of the following is a sign of placental abruption?
Painless vaginal bleeding
Sudden abdominal pain with bleeding
Nausea and vomiting
Back pain only
Explanation - Placental abruption typically presents with sudden onset abdominal pain, uterine tenderness, and vaginal bleeding.
Correct answer is: Sudden abdominal pain with bleeding
Q.19 Which prenatal intervention is crucial in women with high-risk pregnancies?
Frequent prenatal visits and monitoring
Reducing fluid intake
Avoiding all physical activity
Limiting calorie intake
Explanation - High-risk pregnancies require close surveillance to detect and manage complications promptly.
Correct answer is: Frequent prenatal visits and monitoring
Q.20 Obesity in pregnancy increases the risk of:
Gestational diabetes and preeclampsia
Hypotension
Hyperemesis gravidarum
Placenta previa only
Explanation - Maternal obesity predisposes women to metabolic and hypertensive complications during pregnancy.
Correct answer is: Gestational diabetes and preeclampsia
Q.21 Which of the following is a key nursing intervention for high-risk pregnancies?
Education on warning signs
Limiting fluid intake
Encouraging bed rest only
Ignoring minor complaints
Explanation - Nurses educate high-risk pregnant women on signs such as bleeding, reduced fetal movement, and severe headaches to prompt early intervention.
Correct answer is: Education on warning signs
Q.22 Pregnant women with chronic renal disease are at risk for:
Preterm birth and preeclampsia
Morning sickness only
Low-risk pregnancy
Post-term pregnancy
Explanation - Renal disease complicates pregnancy by affecting fluid balance, blood pressure, and fetal growth.
Correct answer is: Preterm birth and preeclampsia
Q.23 Which high-risk condition requires antenatal corticosteroids to enhance fetal lung maturity?
Preterm labor
Term pregnancy
Gestational diabetes
Preeclampsia without preterm labor
Explanation - Antenatal corticosteroids are given in preterm labor to accelerate fetal lung development and reduce neonatal morbidity.
Correct answer is: Preterm labor
Q.24 Which of the following is a common complication of multiple pregnancies?
Twin-to-twin transfusion syndrome
Single umbilical artery
Placenta previa only
Macrosomia in single fetus
Explanation - In monochorionic twin pregnancies, abnormal blood vessel connections can lead to twin-to-twin transfusion syndrome, affecting fetal outcomes.
Correct answer is: Twin-to-twin transfusion syndrome
Q.25 Maternal anemia in high-risk pregnancies can lead to:
Preterm birth and low birth weight
Gestational diabetes
Preeclampsia only
Polyhydramnios
Explanation - Severe maternal anemia reduces oxygen-carrying capacity, potentially resulting in preterm birth and fetal growth restriction.
Correct answer is: Preterm birth and low birth weight