1|Page
TEST BANK For Introduction to Maternity and
Pediatric Nursing 9th Edition BY Gloria Leifer Graded
A+ Guaranteed Pass |Complete Chapters 1 - 34 | 100
% Verified Newest Version
What is the hormone that initiates the maturation of the ovarian follicle?
a. FSH
b. LH
c. progesterone
d. estrogen
- Correct Answer-a. FSH
The perinatal nurse's assessment while caring for a woman in the immediate post birth period reveals that
the woman is experiencing profuse bleeding. What is the most likely etiology for her bleeding?
a. Uterine atony
b. Uterine inversion
c. Vaginal hematoma
d. Vaginal laceration
- Correct Answer-ANS: A
Uterine atony is marked hypotonia of the uterus. It is the leading cause of postpartum hemorrhage.
Uterine inversion may lead to hemorrhage but it is not the most likely source of this woman's bleeding.
Furthermore if the woman were experiencing a uterine inversion it would be evidenced by the presence
of a large red rounded mass protruding from the introitus. A vaginal hematoma may be associated with
hemorrhage. However the most likely clinical finding would be pain not the presence of profuse bleeding.
A vaginal laceration may cause hemorrhage but it is more likely that profuse bleeding would result from
uterine atony. A vaginal laceration should be suspected if vaginal bleeding continues in the presence of a
firm contracted uterine fundus.
Which is a primary nursing responsibility when caring for a woman experiencing an obstetrical
hemorrhage associated with uterine atony?
,2|Page
a. Establish venous access.
b. Perform fundal massage.
c. Prepare the woman for surgical intervention.
d. Catheterize the bladder
.
- Correct Answer-ANS: B
The initial management of excessive postpartum bleeding is firm massage of the uterine fundus. Although
establishing venous access may be a necessary intervention the initial intervention would be fundal
massage. The woman may need surgical intervention to treat her postpartum hemorrhage but the initial
nursing intervention would be to assess the uterus. After uterine massage the nurse may want to
catheterize the patient to eliminate any bladder distension that may be preventing the uterus from
contracting properly.
Which is the most likely cause of late postpartum hemorrhage (PPH)?
a. Subinvolution of the placental site
b. Defective vascularity of the decidua
c. Cervical lacerations
d. Coagulation disorders
- Correct Answer-ANS: A
Late PPH may be the result of subinvolution of the uterus pelvic infection or retained placental fragments.
Late PPH is not typically a result of defective vascularity of the decidua cervical lacerations or coagulation
disorders.
What woman is at greatest risk for early postpartum hemorrhage (PPH)?
a. A primiparous woman being prepared for an emergency Caesarean birth for fetal distress
b. A woman with severe pre-eclampsia on magnesium sulphate whose labour is being induced
c. A multiparous woman with an 8-hour labour
d. A primigravida in spontaneous labour with preterm twins
- Correct Answer-ANS: B
Magnesium sulphate administration during labour poses a risk for PPH. Magnesium acts as a smooth
muscle relaxant thereby contributing to uterine relaxation and atony. Although many causes and risk
,3|Page
factors are associated with PPH the primiparous woman being prepared for an emergency Caesarian birth
the multiparous woman with 8-hour labour and the primigravida in spontaneous labour are not at risk for
early PPH.
What is the initial priority nursing intervention when a nurse observes profuse postpartum bleeding?
a. Call the woman's primary health care provider.
b. Administer the standing order for an oxytocic.
c. Palpate the uterus and massage it if it is boggy.
d. Assess maternal blood pressure (BP) and pulse for signs of hypovolemic shock.
- Correct Answer-ANS: C
The initial management of excessive postpartum bleeding is firm massage of the uterine fundus. Although
calling the health care provider administering an oxytocic and assessing maternal BP are appropriate
interventions the primary intervention should be to assess the uterus. Uterine atony is the leading cause
of postpartum hemorrhage.
What is the most objective and least invasive assessment of adequate organ perfusion and oxygenation
when caring for a postpartum woman experiencing hemorrhagic shock?
a. Absence of cyanosis in the buccal mucosa
b. Cool dry skin
c. Diminished restlessness
d. Urinary output of at least 30 mL/hr
- Correct Answer-ANS: D
Hemorrhage may result in hemorrhagic shock. Shock is an emergency situation in which the perfusion of
body organs may become severely compromised and death may occur. The presence of adequate urinary
output indicates adequate tissue perfusion. The assessment of the buccal mucosa for cyanosis can be
subjective in nature. The presence of cool pale clammy skin would be an indicative finding associated with
hemorrhagic shock. Hemorrhagic shock is associated with lethargy not restlessness.
Which set of symptoms are characteristic of spastic cerebral palsy?
a. Hypertonicity and poor control of posture balance and coordinated motion
b. Athetosis and dystonic movements
, 4|Page
c. Wide-based gait and poor performance of rapid repetitive movements
d. Tremors and lack of active movement
- Correct Answer-ANS: A
Hypertonicity poor control of posture balance and coordinated motion are part of the classification of
spastic cerebral palsy. Athetosis and dystonic movements are part of the classification of
dyskinetic/athetoid cerebral palsy. Wide-based gait and poor performance of rapid repetitive movements
are part of the classification of ataxic cerebral palsy. Tremors and lack of active movement may indicate
other neurological disorders.
The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity.
What knowledge is the basis of the nurses' response?
a. Anticonvulsant medications are sometimes useful for controlling spasticity.
b. Medications that would be useful in reducing spasticity are too toxic for use in children.
c. Many different medications can be highly effective in controlling spasticity.
d. A pump can be implanted that delivers medication into the intrathecal space to decrease spasticity.
- Correct Answer-ANS: D
Baclofen given intrathecally is best suited for children with severe spasticity that interferes with activities
of daily living and ambulation. Anticonvulsant medications are used when seizures occur in children with
cerebral palsy. The intrathecal route decreases the adverse effects of the drugs that reduce spasticity. Few
medications are presently available for the control of spasticity.
What term is used for a hernial protrusion of a saclike cyst of meninges spinal fluid and a portion of the
spinal cord with its nerves through a defect in the vertebral column?
a. Rachischisis
b. Encephalocele
c. Meningocele
d. Myelomeningocele - Correct Answer-ANS: D
A myelomeningocele is a visible defect with an external saclike protrusion containing meninges spinal fluid
and nerves. Rachischisis is a fissure in the spinal column that leaves the meninges and spinal cord
exposed. Encephalocele is a herniation of the brain and meninges through a defect in the skull producing
TEST BANK For Introduction to Maternity and
Pediatric Nursing 9th Edition BY Gloria Leifer Graded
A+ Guaranteed Pass |Complete Chapters 1 - 34 | 100
% Verified Newest Version
What is the hormone that initiates the maturation of the ovarian follicle?
a. FSH
b. LH
c. progesterone
d. estrogen
- Correct Answer-a. FSH
The perinatal nurse's assessment while caring for a woman in the immediate post birth period reveals that
the woman is experiencing profuse bleeding. What is the most likely etiology for her bleeding?
a. Uterine atony
b. Uterine inversion
c. Vaginal hematoma
d. Vaginal laceration
- Correct Answer-ANS: A
Uterine atony is marked hypotonia of the uterus. It is the leading cause of postpartum hemorrhage.
Uterine inversion may lead to hemorrhage but it is not the most likely source of this woman's bleeding.
Furthermore if the woman were experiencing a uterine inversion it would be evidenced by the presence
of a large red rounded mass protruding from the introitus. A vaginal hematoma may be associated with
hemorrhage. However the most likely clinical finding would be pain not the presence of profuse bleeding.
A vaginal laceration may cause hemorrhage but it is more likely that profuse bleeding would result from
uterine atony. A vaginal laceration should be suspected if vaginal bleeding continues in the presence of a
firm contracted uterine fundus.
Which is a primary nursing responsibility when caring for a woman experiencing an obstetrical
hemorrhage associated with uterine atony?
,2|Page
a. Establish venous access.
b. Perform fundal massage.
c. Prepare the woman for surgical intervention.
d. Catheterize the bladder
.
- Correct Answer-ANS: B
The initial management of excessive postpartum bleeding is firm massage of the uterine fundus. Although
establishing venous access may be a necessary intervention the initial intervention would be fundal
massage. The woman may need surgical intervention to treat her postpartum hemorrhage but the initial
nursing intervention would be to assess the uterus. After uterine massage the nurse may want to
catheterize the patient to eliminate any bladder distension that may be preventing the uterus from
contracting properly.
Which is the most likely cause of late postpartum hemorrhage (PPH)?
a. Subinvolution of the placental site
b. Defective vascularity of the decidua
c. Cervical lacerations
d. Coagulation disorders
- Correct Answer-ANS: A
Late PPH may be the result of subinvolution of the uterus pelvic infection or retained placental fragments.
Late PPH is not typically a result of defective vascularity of the decidua cervical lacerations or coagulation
disorders.
What woman is at greatest risk for early postpartum hemorrhage (PPH)?
a. A primiparous woman being prepared for an emergency Caesarean birth for fetal distress
b. A woman with severe pre-eclampsia on magnesium sulphate whose labour is being induced
c. A multiparous woman with an 8-hour labour
d. A primigravida in spontaneous labour with preterm twins
- Correct Answer-ANS: B
Magnesium sulphate administration during labour poses a risk for PPH. Magnesium acts as a smooth
muscle relaxant thereby contributing to uterine relaxation and atony. Although many causes and risk
,3|Page
factors are associated with PPH the primiparous woman being prepared for an emergency Caesarian birth
the multiparous woman with 8-hour labour and the primigravida in spontaneous labour are not at risk for
early PPH.
What is the initial priority nursing intervention when a nurse observes profuse postpartum bleeding?
a. Call the woman's primary health care provider.
b. Administer the standing order for an oxytocic.
c. Palpate the uterus and massage it if it is boggy.
d. Assess maternal blood pressure (BP) and pulse for signs of hypovolemic shock.
- Correct Answer-ANS: C
The initial management of excessive postpartum bleeding is firm massage of the uterine fundus. Although
calling the health care provider administering an oxytocic and assessing maternal BP are appropriate
interventions the primary intervention should be to assess the uterus. Uterine atony is the leading cause
of postpartum hemorrhage.
What is the most objective and least invasive assessment of adequate organ perfusion and oxygenation
when caring for a postpartum woman experiencing hemorrhagic shock?
a. Absence of cyanosis in the buccal mucosa
b. Cool dry skin
c. Diminished restlessness
d. Urinary output of at least 30 mL/hr
- Correct Answer-ANS: D
Hemorrhage may result in hemorrhagic shock. Shock is an emergency situation in which the perfusion of
body organs may become severely compromised and death may occur. The presence of adequate urinary
output indicates adequate tissue perfusion. The assessment of the buccal mucosa for cyanosis can be
subjective in nature. The presence of cool pale clammy skin would be an indicative finding associated with
hemorrhagic shock. Hemorrhagic shock is associated with lethargy not restlessness.
Which set of symptoms are characteristic of spastic cerebral palsy?
a. Hypertonicity and poor control of posture balance and coordinated motion
b. Athetosis and dystonic movements
, 4|Page
c. Wide-based gait and poor performance of rapid repetitive movements
d. Tremors and lack of active movement
- Correct Answer-ANS: A
Hypertonicity poor control of posture balance and coordinated motion are part of the classification of
spastic cerebral palsy. Athetosis and dystonic movements are part of the classification of
dyskinetic/athetoid cerebral palsy. Wide-based gait and poor performance of rapid repetitive movements
are part of the classification of ataxic cerebral palsy. Tremors and lack of active movement may indicate
other neurological disorders.
The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity.
What knowledge is the basis of the nurses' response?
a. Anticonvulsant medications are sometimes useful for controlling spasticity.
b. Medications that would be useful in reducing spasticity are too toxic for use in children.
c. Many different medications can be highly effective in controlling spasticity.
d. A pump can be implanted that delivers medication into the intrathecal space to decrease spasticity.
- Correct Answer-ANS: D
Baclofen given intrathecally is best suited for children with severe spasticity that interferes with activities
of daily living and ambulation. Anticonvulsant medications are used when seizures occur in children with
cerebral palsy. The intrathecal route decreases the adverse effects of the drugs that reduce spasticity. Few
medications are presently available for the control of spasticity.
What term is used for a hernial protrusion of a saclike cyst of meninges spinal fluid and a portion of the
spinal cord with its nerves through a defect in the vertebral column?
a. Rachischisis
b. Encephalocele
c. Meningocele
d. Myelomeningocele - Correct Answer-ANS: D
A myelomeningocele is a visible defect with an external saclike protrusion containing meninges spinal fluid
and nerves. Rachischisis is a fissure in the spinal column that leaves the meninges and spinal cord
exposed. Encephalocele is a herniation of the brain and meninges through a defect in the skull producing
