Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 25: Pregnancy-Related Complications Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 25: Pregnancy-Related Complications Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ The perinatal nurse is giving discharge instructions to a woman, status post suction and curettage secondary to a hydatid form mole. The woman asks why she must takeoral contraceptives for the next 12 months. The best response from the nurse is a. “If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, if you desire a future pregnancy, it would be better for you to usethe most reliable method of contraception available.” b. “The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by measuring the same hormone that your body produces during pregnancy. If you were to get pregnant, it would make the diagnosis of this cancermore difficult.” c. “If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy is rare. Therefore, to improve your chance of a successfulpregnancy, it is better not to get pregnant at this time.” d. “Oral contraceptives are the only form of birth control that will preventa recurrence of a molar pregnancy.” ANS: B Beta-hCG levels will be drawn for 1 year to ensure that the mole is completely gone. Thereis an increased chance of developing choriocarcinoma after the development of a hydatid form mole. The goal is to achieve a “zero” hCG level. If the woman were to become pregnant, it may obscure the presence of the potentially carcinogenic cells. Any contraceptive method except an IUD is acceptable. PTS: 1 DIF: Cognitive Level: Comprehension/Understanding REF: p. 528 OBJ: Integrated Process: Teaching-Learning MSC: Client Needs: Physiologic Integrity 2. Which maternal condition always necessitates delivery by cesarean section? a. Partial abruptio placentae b. Total placenta previa c. Ectopic pregnancy d. Eclampsia ANS: B In total placenta previa, the placenta completely covers the cervical os. The fetus would die if a vaginal delivery occurred. In a partial abruptio placentae, if the mother has stable vital signs and the fetus is alive, a vaginal delivery can be attempted. If the fetus has died, a vaginal delivery is preferred. The most common ectopic pregnancy is a tubal pregnancy, which is usually detected and treated in the first trimester. Labor can be safely induced if theeclampsia is under control. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 531 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity