Inpatient Obstetric Nurse Practice Exam 2025 – Complete Prep Guide

Question: 1 / 400

How is a fetus typically affected by persistent maternal hypertension?

Increased fetal activity

Risk of intrauterine growth restriction

A fetus is typically affected by persistent maternal hypertension primarily through the risk of intrauterine growth restriction (IUGR). Maternal hypertension can lead to placental insufficiency, where the placenta is not able to provide adequate blood flow and nutrients to the developing fetus. This can result in the fetus not growing at a normal rate, leading to IUGR, which is associated with several complications including low birth weight and potential long-term health issues.

Other options do not accurately reflect the typical fetal responses to maternal hypertension. For instance, increased fetal activity is not a common response to persistent hypertension; instead, a decrease in fetal movement might be observed in some cases due to compromised oxygenation. Heightened risk of maternal comfort is not relevant to fetal effects, as this phrase pertains to maternal conditions rather than fetal outcomes. Normalized fetal heart rate patterns are less likely when the fetus is under stress, as persistent maternal hypertension can affect fetal heart rate variability and overall well-being.

Understanding the implications of maternal hypertension helps highlight the importance of careful monitoring and management during pregnancy to ensure the health of both the mother and fetus.

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Heightened risk of maternal comfort

Normalized fetal heart rate patterns

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