TEST BANK
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Maternity Newborn and Women’s Health Nursing A
Case-Based Approach 1st
Edition O’Meara Test Bank
Chapter 1 Immediate Postpartum Hemorrhage
MULTIPLE CHOICE
1. A pregnant woman is being discharged from the
hospital after the placement of a cervical cerclage
because of a history of recurrent pregnancy loss,
secondary to an incompetent cervix. Which information
regarding postprocedural care should the nurse
emphasize in the discharge teaching?
a. Any vaginal discharge should be immediately reported to
her health care provider.
b. The presence of any contractions, rupture of membranes
(ROM), or severe perineal pressure sho
c. The client will need to make arrangements for care at
home, because her activity level will be re
d. The client will be scheduled
for a cesarean birth. ANS: B
Nursing care should stress the importance of monitoring for the
signs and symptoms of preterm
labor. Vaginal bleeding needs to be reported to her
primary health care provider. Bed rest is an element of
care. However, the woman may stand for periods of up to
90 minutes, which allows her the freedom to see her
physician. Home uterine activity monitoring may be used
to limit the womans need for visits and to monitor her
, status safely at home. The cerclage can be removed at 37
weeks of gestation (to prepare for a vaginal birth), or a
cesarean birth can be planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning |
Nursing Process: Implementation MSC:
Client Needs: Health Promotion and
Maintenance
2. A perinatal nurse is giving discharge instructions to a
woman, status postsuction, and curettage secondary to a
hydatidiform mole. The woman asks why she must take
oral contraceptives for the next 12 months. What is the
bestresponse by the nurse?
If you get pregnant within 1 year, the chance of a successful pregnancy is
very small. Therefore,
a. pregnancy, it would be better for you to use the most reliable
method of contraception available.
The major risk to you after a molar pregnancy is a type of
cancer that can be diagnosed only by hormone that your
body produces during pregnancy. If you were to get
pregnant, then it would
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the
chance of developing a second molar pregna
c. improve your chance of a successful pregnancy, not
getting pregnant at this time is best.
d. Oral contraceptives are the only form of birth control
that will prevent a recurrence of a molar p ANS: B
Betahuman chorionic gonadotropin (beta-hCG) hormone levels
are drawn for 1 year to ensure
, that the mole is completely gone. The chance of
developing choriocarcinoma after the development of a
hydatidiform mole is increased. Therefore, the goal is to
achieve a zero human chorionic gonadotropin (hCG)
level. If the woman were to become pregnant, then it may
obscure the presence of the potentially carcinogenic cells.
Women should be instructed to use birth control for 1
year after treatment for a hydatidiform mole. The
rationale for avoiding pregnancy
,https://www.stuvia.com/user/lectkeshi
Maternity Newborn and Women’s Health Nursing A
Case-Based Approach 1st
Edition O’Meara Test Bank
Chapter 1 Immediate Postpartum Hemorrhage
MULTIPLE CHOICE
1. A pregnant woman is being discharged from the
hospital after the placement of a cervical cerclage
because of a history of recurrent pregnancy loss,
secondary to an incompetent cervix. Which information
regarding postprocedural care should the nurse
emphasize in the discharge teaching?
a. Any vaginal discharge should be immediately reported to
her health care provider.
b. The presence of any contractions, rupture of membranes
(ROM), or severe perineal pressure sho
c. The client will need to make arrangements for care at
home, because her activity level will be re
d. The client will be scheduled
for a cesarean birth. ANS: B
Nursing care should stress the importance of monitoring for the
signs and symptoms of preterm
labor. Vaginal bleeding needs to be reported to her
primary health care provider. Bed rest is an element of
care. However, the woman may stand for periods of up to
90 minutes, which allows her the freedom to see her
physician. Home uterine activity monitoring may be used
to limit the womans need for visits and to monitor her
, status safely at home. The cerclage can be removed at 37
weeks of gestation (to prepare for a vaginal birth), or a
cesarean birth can be planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning |
Nursing Process: Implementation MSC:
Client Needs: Health Promotion and
Maintenance
2. A perinatal nurse is giving discharge instructions to a
woman, status postsuction, and curettage secondary to a
hydatidiform mole. The woman asks why she must take
oral contraceptives for the next 12 months. What is the
bestresponse by the nurse?
If you get pregnant within 1 year, the chance of a successful pregnancy is
very small. Therefore,
a. pregnancy, it would be better for you to use the most reliable
method of contraception available.
The major risk to you after a molar pregnancy is a type of
cancer that can be diagnosed only by hormone that your
body produces during pregnancy. If you were to get
pregnant, then it would
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the
chance of developing a second molar pregna
c. improve your chance of a successful pregnancy, not
getting pregnant at this time is best.
d. Oral contraceptives are the only form of birth control
that will prevent a recurrence of a molar p ANS: B
Betahuman chorionic gonadotropin (beta-hCG) hormone levels
are drawn for 1 year to ensure
, that the mole is completely gone. The chance of
developing choriocarcinoma after the development of a
hydatidiform mole is increased. Therefore, the goal is to
achieve a zero human chorionic gonadotropin (hCG)
level. If the woman were to become pregnant, then it may
obscure the presence of the potentially carcinogenic cells.
Women should be instructed to use birth control for 1
year after treatment for a hydatidiform mole. The
rationale for avoiding pregnancy
