Which of the following will not be identified as 'High Risk'?

NHM MP Staff Nurse-2019

Obstetrics & Gynaecology

Medium

Appeared in: NHM MP Staff Nurse-2019

Explanation

The correct option describes a woman at 38 weeks of gestation with a height of 156 cm.
Short stature is considered a high-risk factor for cephalopelvic disproportion (CPD), but the clinical cutoff is typically a height of 140 cm or less (or below 145 cm).
A height of 156 cm is above this threshold and, in the absence of other risk factors, does not classify the pregnancy as high-risk.

Option A: This case is high-risk because a history of a previous Lower Segment Cesarean Section (LSCS) increases the risk of uterine rupture during a subsequent labor.
Option B: This case is high-risk due to the diagnosis of pre-eclampsia, a serious hypertensive disorder of pregnancy that poses significant risks to both mother and fetus.
Option D: This option is incorrect because there is an option (C) that correctly identifies a situation that is not classified as high-risk.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of High-Risk Pregnancy as background academic context rather than a clinical decision trigger.
Early and accurate identification of high-risk pregnancies is a cornerstone of antenatal care. It allows for timely referral to specialized centers, increased surveillance, and planned delivery to optimize maternal and fetal outcomes.
Nurses play a crucial role in screening for risk factors during every antenatal visit using a checklist and thorough history taking.
What if? If the woman in option C had a height of 142 cm, the pregnancy would be classified as high-risk due to short stature. This would warrant counseling about the increased risk of cephalopelvic disproportion and the need for delivery in a facility with capabilities for emergency cesarean section.

How to Approach the Question

First, carefully read the question and note the negative phrasing 'will not be identified as High Risk'. This means you are looking for the low-risk or normal pregnancy scenario.
Evaluate Option A: A history of previous LSCS (cesarean section) is a significant risk factor for uterine rupture. This is high-risk.
Evaluate Option B: Pre-eclampsia is a major hypertensive complication of pregnancy. This is high-risk.
Evaluate Option C: Consider the risk factor of maternal height. Recall or look up the standard cutoff for short stature, which is typically ≤140 cm or <145 cm. Since 156 cm is above this threshold, this is not a high-risk factor by itself.
Conclude that Option C represents the pregnancy that is not high-risk among the choices.
Eliminate Option D ('None of the above') because you have found a valid answer in Option C.

Concept Tested & Keywords

Concept Tested: Identification of High-Risk Pregnancy
Stem keywords: High Risk, G2P1A0L1, previous LSCS, G1P0A0L0, pre-eclampsia, height 156 cm
Lead-in keywords: will not be identified
Negative lead-in flag: The question asks to identify the option that is NOT a high-risk pregnancy.

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E6 Midwifery Obstetrics and Gynecology Nursing Sandeep Kaur p. 1-6