TEST BANK -MATERNITY NEWBORN AND WOMEN’S HEALTH
NURSING: A CASE-BASED APPROACH 2ND EDITION ( AMY
O'MEARA
,Table Of Contents
Chapter 1 Immediate Postpartum Hemorrhage ........................................................................................... 3
Chapter 2 Later Postpartum Hemorrhage .................................................................................................. 16
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, And Postpartum Pulmonary Embolism ............ 17
Chapter 4 Preeclampsia .............................................................................................................................. 28
Chapter 5 Cord Prolapse And Nonreassuring Fetal Status ......................................................................... 28
Chapter 6 Placental Abruption And Fetal Loss ........................................................................................... 29
Chapter 7 Chorioamnionitis And Neonatal Sepsis ...................................................................................... 37
Chapter 8 Preterm Premature Rupture Of Membranes And Neonatal Respiratory Distress Syndrome ... 39
Chapter 9 Gestational Diabetes, Macrosomia, And Neonatal Cephalhematoma ...................................... 65
Chapter 10 Advanced Maternal Age, HELLP Syndrome, And Neonatal Necrotizing Enterocolitis ............. 67
Chapter 11 Migraine With Aura, Shoulder Dystocia, And Brachial Plexus Palsy ........................................ 85
Chapter 12 Intimate Partner Violence, Formula Feeding, And Postpartum Depression MULTIPLE CHOICE
.................................................................................................................................................................... 87
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) And Advanced Maternal Age ........... 102
Chapter 14 Before Conception MULTIPLE CHOICE ................................................................................... 119
Chapter 15 Pregnancy MULTIPLE CHOICE ................................................................................................ 131
Chapter 16 Labor And Delivery MULTIPLE CHOICE................................................................................... 144
Chapter 17 After Delivery MULTIPLE CHOICE ........................................................................................... 158
Chapter 18 The Newborn.......................................................................................................................... 170
Chapter 19 Conditions Existing Before Conception MULTIPLE CHOICE.................................................... 189
Chapter 20 Conditions Occurring During Pregnancy MULTIPLE CHOICE .................................................. 201
Chapter 21 Complications Occurring Before Labor And Delivery MULTIPLE CHOICE .............................. 223
Chapter 22 Complications Occurring During Labor And Delivery MULTIPLE CHOICE .............................. 252
Chapter 23 Conditions Occurring After Delivery MULTIPLE CHOICE ........................................................ 330
Chapter 24 Conditions In The Newborn Related To Gestational Age, Size, Injury, And Pain MULTIPLE .. 416
Chapter 25 Acquired Conditions And Congenital Abnormalities In The Newborn MULTIPLE CHOICE .... 479
Chapter 26 Wellness And Health Promotion MULTIPLE CHOICE.............................................................. 558
Chapter 27 Common Gynecologic Conditions MULTIPLE CHOICE ............................................................ 656
Chapter 28 Infections ................................................................................................................................ 748
Chapter 29 Family Planning ...................................................................................................................... 756
Chapter 30 Vulnerable Populations .......................................................................................................... 796
,TEST BANK -MATERNITY NEWBORN AND WOMEN’S HEALTH
NURSING: A CASE-BASED APPROACH 2ND EDITION ( AMY O'MEARA
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 Post Procedural 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
Should Be Reported
C. The Client Will Need To Make Arrangements For Care At Home, Because Her Activity Level Will
Be Restricted
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 Best Response By The Nurse?
A. If You Get Pregnant Within 1 Year, The Chance Of A Successful Pregnancy Is Very Small.
Therefore, If Pregnancy, It Would Be Better For You To Use The 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 Me Hormone That Your Body Produces During Pregnancy. If You Were To Get Pregnant, Then It
Would Make This Cancer More Difficult.
C. If You Can Avoid A Pregnancy For The Next Year, The Chance Of Developing A Second Molar
Pregnancy 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 Pregnancy
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 For
1 Year Is To Ensure That Carcinogenic Cells Are Not Present. Any Contraceptive Method Except An
Intrauterine Device (IUD) Is Acceptable.
DIF: Cognitive Level: Apply REF: Dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation MSC: Client Needs: Physiologic
Integrity
3. The Nurse Is Preparing To Administer Methotrexate To The Client. This Hazardous Drug Is Most
Often Used For Which Obstetric Complication?
A. Complete Hydatidiform Mole
B. Missed Abortion
C. Unruptured Ectopic Pregnancy
D. Abruptio Placentae ANS.: C
Methotrexate Is An Effective Nonsurgical Treatment Option For A Hemodynamically Stable Woman
Whose Ectopic Pregnancy Is Unruptured And Measures Less Than 4 Cm In Diameter. Methotrexate Is
Not Indicated Or Recommended As A Treatment Option For A Complete Hydatidiform Mole, For A
Missed Abortion, Or For Abruptio Placentae.
DIF: Cognitive Level: Apply REF: Dm. 677 TOP: Nursing Process: Planning MSC: Client Needs: Physiologic
Integrity
4. A 26-Year-Old Pregnant Woman, Gravida 2, Para 1-0-0-1, Is 28 Weeks Pregnant When She
Experiences Bright Red, Painless Vaginal Bleeding. On Her Arrival At The Hospital, Which Diagnostic
Procedure Will The Client Most Likely Have Performed?
A. Amniocentesis For Fetal Lung Maturity
B. TrANS.vaginal Ultrasound For Placental Location
NURSING: A CASE-BASED APPROACH 2ND EDITION ( AMY
O'MEARA
,Table Of Contents
Chapter 1 Immediate Postpartum Hemorrhage ........................................................................................... 3
Chapter 2 Later Postpartum Hemorrhage .................................................................................................. 16
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, And Postpartum Pulmonary Embolism ............ 17
Chapter 4 Preeclampsia .............................................................................................................................. 28
Chapter 5 Cord Prolapse And Nonreassuring Fetal Status ......................................................................... 28
Chapter 6 Placental Abruption And Fetal Loss ........................................................................................... 29
Chapter 7 Chorioamnionitis And Neonatal Sepsis ...................................................................................... 37
Chapter 8 Preterm Premature Rupture Of Membranes And Neonatal Respiratory Distress Syndrome ... 39
Chapter 9 Gestational Diabetes, Macrosomia, And Neonatal Cephalhematoma ...................................... 65
Chapter 10 Advanced Maternal Age, HELLP Syndrome, And Neonatal Necrotizing Enterocolitis ............. 67
Chapter 11 Migraine With Aura, Shoulder Dystocia, And Brachial Plexus Palsy ........................................ 85
Chapter 12 Intimate Partner Violence, Formula Feeding, And Postpartum Depression MULTIPLE CHOICE
.................................................................................................................................................................... 87
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) And Advanced Maternal Age ........... 102
Chapter 14 Before Conception MULTIPLE CHOICE ................................................................................... 119
Chapter 15 Pregnancy MULTIPLE CHOICE ................................................................................................ 131
Chapter 16 Labor And Delivery MULTIPLE CHOICE................................................................................... 144
Chapter 17 After Delivery MULTIPLE CHOICE ........................................................................................... 158
Chapter 18 The Newborn.......................................................................................................................... 170
Chapter 19 Conditions Existing Before Conception MULTIPLE CHOICE.................................................... 189
Chapter 20 Conditions Occurring During Pregnancy MULTIPLE CHOICE .................................................. 201
Chapter 21 Complications Occurring Before Labor And Delivery MULTIPLE CHOICE .............................. 223
Chapter 22 Complications Occurring During Labor And Delivery MULTIPLE CHOICE .............................. 252
Chapter 23 Conditions Occurring After Delivery MULTIPLE CHOICE ........................................................ 330
Chapter 24 Conditions In The Newborn Related To Gestational Age, Size, Injury, And Pain MULTIPLE .. 416
Chapter 25 Acquired Conditions And Congenital Abnormalities In The Newborn MULTIPLE CHOICE .... 479
Chapter 26 Wellness And Health Promotion MULTIPLE CHOICE.............................................................. 558
Chapter 27 Common Gynecologic Conditions MULTIPLE CHOICE ............................................................ 656
Chapter 28 Infections ................................................................................................................................ 748
Chapter 29 Family Planning ...................................................................................................................... 756
Chapter 30 Vulnerable Populations .......................................................................................................... 796
,TEST BANK -MATERNITY NEWBORN AND WOMEN’S HEALTH
NURSING: A CASE-BASED APPROACH 2ND EDITION ( AMY O'MEARA
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 Post Procedural 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
Should Be Reported
C. The Client Will Need To Make Arrangements For Care At Home, Because Her Activity Level Will
Be Restricted
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 Best Response By The Nurse?
A. If You Get Pregnant Within 1 Year, The Chance Of A Successful Pregnancy Is Very Small.
Therefore, If Pregnancy, It Would Be Better For You To Use The 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 Me Hormone That Your Body Produces During Pregnancy. If You Were To Get Pregnant, Then It
Would Make This Cancer More Difficult.
C. If You Can Avoid A Pregnancy For The Next Year, The Chance Of Developing A Second Molar
Pregnancy 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 Pregnancy
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 For
1 Year Is To Ensure That Carcinogenic Cells Are Not Present. Any Contraceptive Method Except An
Intrauterine Device (IUD) Is Acceptable.
DIF: Cognitive Level: Apply REF: Dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation MSC: Client Needs: Physiologic
Integrity
3. The Nurse Is Preparing To Administer Methotrexate To The Client. This Hazardous Drug Is Most
Often Used For Which Obstetric Complication?
A. Complete Hydatidiform Mole
B. Missed Abortion
C. Unruptured Ectopic Pregnancy
D. Abruptio Placentae ANS.: C
Methotrexate Is An Effective Nonsurgical Treatment Option For A Hemodynamically Stable Woman
Whose Ectopic Pregnancy Is Unruptured And Measures Less Than 4 Cm In Diameter. Methotrexate Is
Not Indicated Or Recommended As A Treatment Option For A Complete Hydatidiform Mole, For A
Missed Abortion, Or For Abruptio Placentae.
DIF: Cognitive Level: Apply REF: Dm. 677 TOP: Nursing Process: Planning MSC: Client Needs: Physiologic
Integrity
4. A 26-Year-Old Pregnant Woman, Gravida 2, Para 1-0-0-1, Is 28 Weeks Pregnant When She
Experiences Bright Red, Painless Vaginal Bleeding. On Her Arrival At The Hospital, Which Diagnostic
Procedure Will The Client Most Likely Have Performed?
A. Amniocentesis For Fetal Lung Maturity
B. TrANS.vaginal Ultrasound For Placental Location
