Test Bank For Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st Edition O’Meara Latest Update 2024 With All Chapter Questions and Detailed Correct Answers 100% Complete

, MATERNITYxNEWBORN xAND xWOMEN’S xHEALTH xNURSING xA xCASE-BASED
xAPPROACH x1ST xEDITION xO’MEARA xTEST

xBANK




Chapter x1 xImmediate xPostpartum xHemorrhage

MULTIPLE xCHOICE
1. Axpregnant xwoman xisxbeing xdischarged xfrom xthexhospital xafterxthe xplacement xof
xa xcervical xcerclage xbecause xof xa xhistory xof xrecurrent xpregnancy xloss, xsecondary

xto xan xincompetent xcervix.Whichxinformation xregardingxpostprocedural xcare

xshouldxthe xnurse xemphasizexin xthe xdischargeteaching?


a. Anyvaginal xdischarge xshould xbe ximmediately xreportedxto xherxhealthxcarexprovider.
b. Thexpresence xofxanyxcontractions, xrupturexofxmembranes x(ROM), xor severe xperineal xpressu
q,




xshould



c. Thexclient xwill xneed xtoxmakexarrangements xforxcarexat xhome, xbecause herxactivityxlevel xwill xb
q,




xrestri



d. The xclient xwill xbe xscheduled xfor xa
xcesarean xbirth. ANS: xB ,q




Nursing xcare xshould xstress xthe ximportance xof xmonitoring xfor xthe xsigns xand xsymptoms xof xpreterm
labor. xVaginal xbleeding xneeds xto xbe xreported xto xher xprimary xhealth care xprovider. xBed
q,




xrest xis xan xelement xof xcare. xHowever, xthe xwoman xmayxstand xforxperiods xof xup xtox90

xminutes, xwhich xallows xher xthe xfreedom xto xsee xher xphysician. xHome xuterine

xactivity monitoring xmay xbe xused xto xlimit xthe xwomans xneed xforxvisits xand xtoxmonitor xher
q,




xstatusxsafely at home. xThe xcerclage xcan xbexremoved xat 3 7 xweeks xof xgestation x(to xprepare
q, q, q,




xfor xa xvaginal xbirth), or a cesarean xbirth xcan xbe xplanned.
q, q, q,




DIF: xCognitive xLevel: xApply xREF: xdm. x675
TOP: xNursingxProcess: xPlanning x|xNursingxProcess:
ImplementationMSC: xClient xNeeds: xHealth xPromotion xand
xMaintenance

2. A xperinatal xnurse xis xgiving xdischarge instructions xto xa xwoman, xstatus
q,




xpostsuction, xand x curettagesecondary x to xa x hydatidiform mole. xThe xwoman
,q q,




xasks xwhy xshe xmust xtake xoral xcontraceptives xfor xthe xnext x12 xmonths.

xWhat xis xthe xbestresponse xbythe xnurse?


If xyou xget xpregnant within x1 xyear,xthe xchance xofxaxsuccessful xpregnancyxisxveryxsmall.
q,




xTherefore, xif

a. pregnancy, it would xbexbetter xfor xyouxto xuse xthe xmost xreliable xmethod xofxcontraception
q, q,




xavailable.



The major xrisk xto xyou xafter xa xmolar xpregnancy xis xa xtype xof xcancer xthat xcan xbe xdiagnosed
q,




xonly xby xme xhormone that xyour xbodyproducesxduringxpregnancy. xIf xyou xwerexto xget
q,




xpregnant, xthenxitxwould xmak

b. this xcancer xmore xdifficult.
If you xcan xavoid xaxpregnancyxforxthexnext xyear,xthe xchance xofxdevelopingxa xsecondxmolar
q,




xpregnancy

c. improve xyour xchance xof xa xsuccessful xpregnancy, xnot xgetting xpregnant xat xthis xtime xis xbest.

, d. Oral xcontraceptives xarexthexonlyxform xof xbirth xcontrol xthatxwill xprevent xa xrecurrence
xof xaxmolar xpregANS: xB
q,




Betahuman xchorionic xgonadotropin x(beta-hCG) xhormone xlevels xare xdrawnxfor x1 xyear xto xensure
that xthe xmole xis xcompletely xgone. xThe xchance xof xdeveloping xchoriocarcinoma xafter xthe
xdevelopment xof xa xhydatidiform xmole xis xincreased. xTherefore, xthe xgoal xis xto xachieve xa

xzero xhuman xchorionic xgonadotropinx(hCG) xlevel.xIfxthe xwoman xwerexto xbecome

xpregnant, xthenxitxmayxobscurethe xpresence xof xthe xpotentially xcarcinogenic xcells. xWomen
,q




xshould xbe xinstructed xto xuse xbirth xcontrol xfor x1 xyear xafter xtreatment xfor xa xhydatidiform

xmole. xThe xrationale xfor xavoiding xpregnancy

, for x1 xyear xis xto xensure xthat xcarcinogenic xcells xare xnot xpresent. xAny xcontraceptive xmethod
xexceptan xintrauterine xdevice x(IUD) xis xacceptable.
,q




DIF: xCognitive xLevel: xApply xREF: xdm. x679
TOP: xNursingxProcess: xPlanning x|xNursingxProcess:
ImplementationMSC: xClient xNeeds: xPhysiologic xIntegrity
3. The xnurse xis xpreparing xto xadminister xmethotrexate xto xthe xclient. xThis xhazardous xdrugi s
,q




most xoftenxused xfor xwhich xobstetric xcomplication?
a. Complete xhydatidiform xmole
b. Missedxabortion
c. Unruptured xectopic xpregnancy
d. Abrupti
o xplacentaeANS: xC
,q




Methotrexatexis xanxeffectivexnonsurgical xtreatment xoptionxforxaxhemodynamically stable xwomanq,




whose xectopic xpregnancy xis xunrupturedxand xmeasures xless xthanx4 xcm xin xdiameter.
xMethotrexate xisn ot xindicated xor xrecommended xas xa xtreatment xoption xfor xa xcomplete
q,




xhydatidiform xmole, xfor xa xmissed xabortion, xor xfor xabruptio xplacentae.

DIF: xCognitive xLevel: xApply xREF: xdm. x677 xTOP: xNursing xProcess:
PlanningMSC: xClient xNeeds: xPhysiologic xIntegrity
,q




4. Ax26-year-oldxpregnant xwoman, xgravidax2, xpara x1-0-0-1, is 28 xweeks xpregnant
q, q,




xwhen xshe xexperiences xbright xred, xpainless xvaginal xbleeding. xOn her arrival xat
q, q,




xthe xhospital, xwhich xdiagnosticprocedure xwill xthe xclient xmost xlikely xhave
,q




xperformed?


a. Amniocentesis xfor xfetal xlung xmaturity
b. Transvaginal xultrasound xfor xplacental xlocation
c. Contraction xstress xtest x(CST)
d. Internal
xfetal xmonitoringANS: ,q




xB


Thexpresence xof xpainlessxbleeding should xalways xalert xthe xhealth xcarexteamxto xthexpossibilityxof
q,




placenta xprevia, xwhich xcan be xconfirmedxthrough xultrasonography. xAmniocentesis xisxnot
q,




xperformed xon xa xwoman xwho xis xexperiencing xbleeding. xIn xthe xevent xof xan ximminent

xdelivery, xthe xfetus xis xpresumed xto xhave immature xlungs xat xthis xgestational xage, xand xthe
q,




xmother xis xgiven xcorticosteroids xto xaid xin xfetal xlung maturity. xA xCST xis xnot xperformed
q,




xat xa xpreterm xgestational xage.Furthermore, xbleeding xis xa contraindication xto xa xCST.
q,




xInternal xfetal xmonitoring xis xalso xcontraindicated xin xthe xpresence xof bleeding.
q,




DIF: xCognitive xLevel: xApply xREF: xdm. x680
TOP: xNursing xProcess: xAssessment xMSC: xClient xNeeds: xHealth xPromotion xand xMaintenance
5. A xlaboring xwoman xwith xno xknown xrisk xfactors xsuddenly xexperiences xspontaneous
xROM. xThe xfluid xconsists xof xbright xred xblood. xHer xcontractions xare xconsistent xwith

xher xcurrent xstage xof xlabor.No xchange xin xuterine xresting xtone xhas xoccurred. xThe xfetal
,q




xheart xrate x(FHR) xbegins xto xdecline xrapidly xafter xthe xROM. xThe xnurse xshould xsuspect

xthe xpossibility xof xwhat xcondition?


a. Placenta xprevia