, TESTbBANKbFORbMATERNITYbNEWBORNbANDbWOMEN'SbHEALTHbNURSINGbAb
CASE-BASEDbAPPROACHb1STbEDITIONbO'MEARA
MaternitybNewbornbandbWomen'sbHealthbNursingbAbCase-
BasedbApproachb1stbEditionO'MearabTestbBank
ISBN-10:1496368215bISBN-
13:9781496368218
TablebofbContents
Chapterb1bImmediatebPostpartumbHemorrhagebChapte
rb2bLaterbPostpartumbHemorrhage
Chapterb3bGestationalbDiabetes,bDeepbVeinbThrombosis,bandbPostpartumbPulmonarybEmbolismbC
hapterb4bPreeclampsia
Chapterb5bCordbProlapsebandbNonreassuringbFetalbStatusbChap
terb6bPlacentalbAbruptionbandbFetalbLoss
Chapterb7bChorioamnionitisbandbNeonatalbSepsis
Chapterb8bPretermbPrematurebRupturebofbMembranesbandbNeonatalbRespiratorybDistressbSyndrome
Chapterb9bGestationalbDiabetes,bMacrosomia,bandbNeonatalbCephalhematoma
Chapterb10bAdvancedbMaternalbAge,bHELLPbSyndrome,bandbNeonatalbNecrotizingbEnterocolitisbC
hapterb11bMigrainebWithbAura,bShoulderbDystocia,bandbBrachialbPlexusbPalsy
Chapterb12bIntimatebPartnerbViolence,bFormulabFeeding,bandbPostpartumbDepression
Chapterb13bGestationalbTrophoblasticbDiseaseb(MolarbPregnancy)bandbAdvancedbMaternalbAgebCh
apterb14bBeforebConception
Chapterb15bPregnancy
Chapterb16bLaborbandbDeliverybChapte
rb17bAfterbDelivery
,Chapterb18bThebNewborn
Chapterb19bConditionsbExistingbBeforebConceptionbChapte
rb20bConditionsbOccurringbDuringbPregnancy
Chapterb21bComplicationsbOccurringbBeforebLaborbandbDeliverybChapt
erb22bComplicationsbOccurringbDuringbLaborbandbDeliverybChapterb23b
ConditionsbOccurringbAfterbDelivery
Chapterb24bConditionsbinbthebNewbornbRelatedbtobGestationalbAge,bSize,bInjury,bandbPainbChapterb
25bAcquiredbConditionsbandbCongenitalbAbnormalitiesbinbthebNewborn
Chapterb26bWellnessbandbHealthbPromotionbChapterb2
7bCommonbGynecologicbConditionsChapterb28bInfect
ions
Chapterb29bFamilybPlanningbChapterb30bVul
nerablebPopulations
, MaternitybNewbornbandbWomen’sbHealthbNursingbAbCase-
BasedbApproachb1stbEditionbO’MearabTestbBank
Chapterb1bImmediatebPostpartumbHemorrhage
MULTIPLEbCHOICE
1. bAbpregnantbwomanbisbbeingbdischargedbfrombthebhospitalbafterbthebplacementbofbabcervical b
cerclagebbecausebofbabhistorybofbrecurrentbpregnancybloss,bsecondarybtobanbincompetentbcervix.bWhi
chbinformationbregardingbpostproceduralbcarebshouldbthebnursebemphasizebinbthebdischargebteaching
?
a. Anybvaginalbdischargebshouldbbebimmediatelybreportedbtobherbhealthbcarebprovider.
b. Thebpresencebofbanybcontractions,brupturebofbmembranesb(ROM),borbseverebperinealbpressurebsho
c. Thebclientbwillbneedbtobmakebarrangementsbforbcarebatbhome,bbecausebherbactivityblevelbwillbbebre
d. Thebclientbwillbbebscheduledbforbabcesareanbbirth.b
ANS:bB
Nursingbcarebshouldbstressbthebimportancebofbmonitoringbforbthebsignsbandbsymptomsbofbpreterm
labor.bVaginalbbleedingbneedsbtobbebreportedbtobherbprimarybhealthbcarebprovider.bBedbrestbisbanbelementb
ofbcare.bHowever,bthebwomanbmaybstandbforbperiodsbofbupbtob90bminutes,bwhichballowsbherbthebfreedombt
obseebherbphysician.bHomebuterinebactivitybmonitoringbmaybbebusedbtoblimitbthebwomansbneedbforbvisitsba
ndbtobmonitorbherbstatusbsafelybatbhome.bThebcerclagebcanbbebremovedbat37bweeksbofbgestationb(tobprepar
ebforbabvaginalbbirth),borbabcesareanbbirthbcanbbebplanned.
DIF:bCognitivebLevel:bApplybREF:bdm.b675
TOP:bNursingbProcess:bPlanningb|bNursingbProcess:bImplementationMSC:
ClientbNeeds:bHealthbPromotionbandbMaintenance
2. Abperinatalbnursebisbgivingbdischargebinstructionsbtobabwoman,bstatusbpostsuction,bandbcurettagebs
econdarybtobabhydatidiformbmole.bThebwomanbasksbwhybshebmustbtakeboralbcontraceptivesbforbthebnextb12b
months.bWhatbisbthebbestresponsebbybthebnurse?
Ifbyoubgetbpregnantbwithinb1byear,bthebchancebofbabsuccessfulbpregnancybisbverybsmall.bTherefore,
a. pregnancy,bitbwouldbbebbetterbforbyoubtobusebthebmostbreliablebmethodbofbcontraceptionbavailable.
Thebmajorbriskbtobyoubafterbabmolarbpregnancybisbabtypebofbcancerbthatbcanbbebdiagnosedbonlybbyhormonebth
atbyourbbodybproducesbduringbpregnancy.b Ifb youbwerebtobgetbpregnant,bthenbitbwould
b. thisbcancerbmorebdifficult.
Ifbyoubcanbavoidbabpregnancybforbthebnextbyear,bthebchancebofbdevelopingbabsecondbmolarbpregna
c. improvebyourbchancebofbabsuccessfulbpregnancy,bnotbgettingbpregnantbatbthisbtimebisbbest.
d. Oralbcontraceptivesbarebthebonlybformbofbbirthbcontrolbthatbwillbpreventbabrecurrencebofbabmolarbpb
ANS:bB
Betahumanbchorionicbgonadotropinb(beta-hCG)bhormoneblevelsbarebdrawnbforb1byearbtobensure
thatbthebmolebisbcompletelybgone.bThebchancebofbdevelopingbchoriocarcinomabafterbthebdevelopmentbofba
bhydatidiform bmolebisbincreased. bTherefore,bthebgoalbisbtobachievebabzerobhumanchorionicbgonadotropinb
(hCG)blevel.bIfbthebwomanbwerebtobbecomebpregnant,bthenbitbmaybobscurethebpresencebofbthebpotentiallyb
carcinogenicbcells.bWomenbshouldbbebinstructedbtobusebbirthbcontrolbforb1byearbafterbtreatmentbforbabhyda
tidiformbmole.bThebrationalebforbavoidingbpregnancy
CASE-BASEDbAPPROACHb1STbEDITIONbO'MEARA
MaternitybNewbornbandbWomen'sbHealthbNursingbAbCase-
BasedbApproachb1stbEditionO'MearabTestbBank
ISBN-10:1496368215bISBN-
13:9781496368218
TablebofbContents
Chapterb1bImmediatebPostpartumbHemorrhagebChapte
rb2bLaterbPostpartumbHemorrhage
Chapterb3bGestationalbDiabetes,bDeepbVeinbThrombosis,bandbPostpartumbPulmonarybEmbolismbC
hapterb4bPreeclampsia
Chapterb5bCordbProlapsebandbNonreassuringbFetalbStatusbChap
terb6bPlacentalbAbruptionbandbFetalbLoss
Chapterb7bChorioamnionitisbandbNeonatalbSepsis
Chapterb8bPretermbPrematurebRupturebofbMembranesbandbNeonatalbRespiratorybDistressbSyndrome
Chapterb9bGestationalbDiabetes,bMacrosomia,bandbNeonatalbCephalhematoma
Chapterb10bAdvancedbMaternalbAge,bHELLPbSyndrome,bandbNeonatalbNecrotizingbEnterocolitisbC
hapterb11bMigrainebWithbAura,bShoulderbDystocia,bandbBrachialbPlexusbPalsy
Chapterb12bIntimatebPartnerbViolence,bFormulabFeeding,bandbPostpartumbDepression
Chapterb13bGestationalbTrophoblasticbDiseaseb(MolarbPregnancy)bandbAdvancedbMaternalbAgebCh
apterb14bBeforebConception
Chapterb15bPregnancy
Chapterb16bLaborbandbDeliverybChapte
rb17bAfterbDelivery
,Chapterb18bThebNewborn
Chapterb19bConditionsbExistingbBeforebConceptionbChapte
rb20bConditionsbOccurringbDuringbPregnancy
Chapterb21bComplicationsbOccurringbBeforebLaborbandbDeliverybChapt
erb22bComplicationsbOccurringbDuringbLaborbandbDeliverybChapterb23b
ConditionsbOccurringbAfterbDelivery
Chapterb24bConditionsbinbthebNewbornbRelatedbtobGestationalbAge,bSize,bInjury,bandbPainbChapterb
25bAcquiredbConditionsbandbCongenitalbAbnormalitiesbinbthebNewborn
Chapterb26bWellnessbandbHealthbPromotionbChapterb2
7bCommonbGynecologicbConditionsChapterb28bInfect
ions
Chapterb29bFamilybPlanningbChapterb30bVul
nerablebPopulations
, MaternitybNewbornbandbWomen’sbHealthbNursingbAbCase-
BasedbApproachb1stbEditionbO’MearabTestbBank
Chapterb1bImmediatebPostpartumbHemorrhage
MULTIPLEbCHOICE
1. bAbpregnantbwomanbisbbeingbdischargedbfrombthebhospitalbafterbthebplacementbofbabcervical b
cerclagebbecausebofbabhistorybofbrecurrentbpregnancybloss,bsecondarybtobanbincompetentbcervix.bWhi
chbinformationbregardingbpostproceduralbcarebshouldbthebnursebemphasizebinbthebdischargebteaching
?
a. Anybvaginalbdischargebshouldbbebimmediatelybreportedbtobherbhealthbcarebprovider.
b. Thebpresencebofbanybcontractions,brupturebofbmembranesb(ROM),borbseverebperinealbpressurebsho
c. Thebclientbwillbneedbtobmakebarrangementsbforbcarebatbhome,bbecausebherbactivityblevelbwillbbebre
d. Thebclientbwillbbebscheduledbforbabcesareanbbirth.b
ANS:bB
Nursingbcarebshouldbstressbthebimportancebofbmonitoringbforbthebsignsbandbsymptomsbofbpreterm
labor.bVaginalbbleedingbneedsbtobbebreportedbtobherbprimarybhealthbcarebprovider.bBedbrestbisbanbelementb
ofbcare.bHowever,bthebwomanbmaybstandbforbperiodsbofbupbtob90bminutes,bwhichballowsbherbthebfreedombt
obseebherbphysician.bHomebuterinebactivitybmonitoringbmaybbebusedbtoblimitbthebwomansbneedbforbvisitsba
ndbtobmonitorbherbstatusbsafelybatbhome.bThebcerclagebcanbbebremovedbat37bweeksbofbgestationb(tobprepar
ebforbabvaginalbbirth),borbabcesareanbbirthbcanbbebplanned.
DIF:bCognitivebLevel:bApplybREF:bdm.b675
TOP:bNursingbProcess:bPlanningb|bNursingbProcess:bImplementationMSC:
ClientbNeeds:bHealthbPromotionbandbMaintenance
2. Abperinatalbnursebisbgivingbdischargebinstructionsbtobabwoman,bstatusbpostsuction,bandbcurettagebs
econdarybtobabhydatidiformbmole.bThebwomanbasksbwhybshebmustbtakeboralbcontraceptivesbforbthebnextb12b
months.bWhatbisbthebbestresponsebbybthebnurse?
Ifbyoubgetbpregnantbwithinb1byear,bthebchancebofbabsuccessfulbpregnancybisbverybsmall.bTherefore,
a. pregnancy,bitbwouldbbebbetterbforbyoubtobusebthebmostbreliablebmethodbofbcontraceptionbavailable.
Thebmajorbriskbtobyoubafterbabmolarbpregnancybisbabtypebofbcancerbthatbcanbbebdiagnosedbonlybbyhormonebth
atbyourbbodybproducesbduringbpregnancy.b Ifb youbwerebtobgetbpregnant,bthenbitbwould
b. thisbcancerbmorebdifficult.
Ifbyoubcanbavoidbabpregnancybforbthebnextbyear,bthebchancebofbdevelopingbabsecondbmolarbpregna
c. improvebyourbchancebofbabsuccessfulbpregnancy,bnotbgettingbpregnantbatbthisbtimebisbbest.
d. Oralbcontraceptivesbarebthebonlybformbofbbirthbcontrolbthatbwillbpreventbabrecurrencebofbabmolarbpb
ANS:bB
Betahumanbchorionicbgonadotropinb(beta-hCG)bhormoneblevelsbarebdrawnbforb1byearbtobensure
thatbthebmolebisbcompletelybgone.bThebchancebofbdevelopingbchoriocarcinomabafterbthebdevelopmentbofba
bhydatidiform bmolebisbincreased. bTherefore,bthebgoalbisbtobachievebabzerobhumanchorionicbgonadotropinb
(hCG)blevel.bIfbthebwomanbwerebtobbecomebpregnant,bthenbitbmaybobscurethebpresencebofbthebpotentiallyb
carcinogenicbcells.bWomenbshouldbbebinstructedbtobusebbirthbcontrolbforb1byearbafterbtreatmentbforbabhyda
tidiformbmole.bThebrationalebforbavoidingbpregnancy
