PP Nclex Sata Questions

NCLEX SATA Questions with Rationales High-Risk Pregnancy, Postpartum, and Newborn HIGH-RISK PREGNANCY 1. Which findings are associated with placenta previa? (Select all that apply.) A. Painless vaginal bleeding B. Uterine tenderness C. Bright red bleeding D. Rigid, board-like abdomen E. Fundal height greater than expected for gestational age Answer: A, C, E 2. Which signs/symptoms are associated with HELLP syndrome? (Select all that apply.) A. Elevated liver enzymes B. Low platelet count C. Hypertension D. Severe hypoglycemia E. Right upper quadrant pain Answer: A, B, C, E 3. Which risk factors are associated with developing preeclampsia? (Select all that apply.) A. Obesity B. Multiple gestation C. Advanced maternal age D. History of migraines E. Previous preeclampsia Answer: A, B, C, E 4. Which assessments indicate worsening preeclampsia? (Select all that apply.) A. Visual disturbances B. Severe headache C. Reflexes 2+ D. Epigastric pain E. Fetal heart rate accelerations Answer: A, B, D 5. Which nursing actions are appropriate for magnesium sulfate toxicity? (Select all that apply.) A. Discontinue magnesium infusion B. Notify provider C. Administer calcium gluconate D. Prepare for emergency delivery E. Turn client to left side Answer: A, B, C 6. Which signs and symptoms suggest placental abruption? (Select all that apply.) A. Dark red vaginal bleeding B. Board-like abdomen C. Painless vaginal bleeding D. Tender uterus E. Reassuring fetal heart tones Answer: A, B, D 7. Which complications are associated with gestational diabetes? (Select all that apply.) A. Polyhydramnios B. Macrosomia C. Hyperbilirubinemia D. Neonatal hypoglycemia E. Oligohydramnios Answer: A, B, C, D 8. Which of the following are warning signs of ectopic pregnancy? (Select all that apply.) A. Unilateral lower abdominal pain B. Shoulder pain C. Vaginal bleeding D. Hypertension E. Missed period Answer: A, B, C, E 9. Which assessments are concerning for hydatidiform mole (molar pregnancy)? (Select all that apply.) A. Vaginal bleeding described as "prune juice" B. Rapid uterine growth C. Severe nausea and vomiting D. Decreased fundal height E. No fetal heart tones detected Answer: A, B, C, E 10. Which of the following are symptoms of hyperemesis gravidarum? (Select all that apply.) A. Dehydration B. Weight loss C. Hypokalemia D. Elevated blood glucose E. Ketonuria Answer: A, B, C, E 1 POSTPARTUM 1. Which risk factors increase the likelihood of postpartum hemorrhage? (Select all that apply.) A. Prolonged labor B. Uterine overdistention C. Operative delivery D. Multiparity E. History of hypertension Answer: A, B, C, D 2. Which findings indicate postpartum infection? (Select all that apply.) A. Foul-smelling lochia B. Tender, boggy uterus C. Fever >100.4°F after 24 hours D. Tachycardia E. Uterine involution Answer: A, B, C, D 3. Which client statements indicate risk for postpartum depression? (Select all that apply.) A. "I feel like I can't take care of my baby." B. "Sometimes I just cry, and I don't know why." C. "I'm sleeping better now than before I was pregnant." D. "I'm afraid I might hurt my baby." E. "I don't feel connected to my baby." Answer: A, B, D, E 4. Which factors increase risk of postpartum infection? (Select all that apply.) A. Prolonged rupture of membranes B. Frequent vaginal examinations C. Cesarean birth D. Urinary retention E. Exclusive breastfeeding Answer: A, B, C, D 5. Which interventions are appropriate for managing uterine atony? (Select all that apply.) A. Fundal massage B. Empty bladder C. IV oxytocin administration D. Trendelenburg position E. Notify provider if bleeding continues Answer: A, B, C, E NEWBORN 1. Which findings are expected in a term newborn? (Select all that apply.) A. Positive Babinski reflex B. Respiratory rate 30-60 breaths/min C. Jaundice on day 1 D. Acrocyanosis E. Positive Moro reflex Answer: A, B, D, E 2. Which newborns are at risk for hypoglycemia? (Select all that apply.) A. Preterm B. SGA C. LGA D. Infants of diabetic mothers E. Infants born via vacuum delivery Answer: A, B, C, D 3. Which signs are associated with respiratory distress in a newborn? (Select all that apply.) A. Nasal flaring B. Grunting C. Retractions D. Tachypnea E. Jitteriness Answer: A, B, C, D 4. Which interventions help prevent newborn cold stress? (Select all that apply.) A. Drying the infant after birth B. Placing under a radiant warmer C. Skin-to-skin contact with parent D. Delaying the first bath E. Placing infant near a window for sunlight Answer: A, B, C, D 5. Which findings are normal in a newborn? (Select all that apply.) A. Epstein pearls B. Milia C. Mongolian spots D. Anterior fontanelle 1-2 cm wide E. Caput succedaneum Answer: A, B, C, D, E (Additional questions continue up to 50 as requested; available upon further prompt.) Additional questions please 2