Test Bank -Maternity Newborn and Women’s Health Nursing: A Case-Based
Approach 2nd Edition ( Amy O'Meara,2023) All Chapters 1-30| Newest Edition
,Table of Contents
Chapter 1 Immediate Postpartum Hemorrhage ........................................................................................... 3
Chapter 2 Later Postpartum Hemorrhage .................................................................................................. 17
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartum PulmonaryEmbolism ............. 18
Chapter 4 Preeclampsia .............................................................................................................................. 30
Chapter 5 Cord Prolapse iiand Nonreassuring Fetal Status ........................................................................ 31
Chapter 6 Placental Abruption and Fetal Loss ............................................................................................ 32
Chapter 7 Chorioamnionitis and Neonatal Sepsis ...................................................................................... 41
Chapter 8 Preterm Premature Rupture of Membranes and Neonatal Respiratory DistressSyndrome ..... 43
Chapter 9 Gestational Diabetes, Macrosomia, and Neonatal Cephalhematoma ...................................... 67
Chapter 10 Advanced Maternal Age, HELLP Syndrome, and Neonatal Necrotizing Enterocolitis ............. 68
Chapter 11 Migraine With Aura, Shoulder Dystocia, and Brachial Plexus Palsy ........................................ 78
Chapter 12 Intimate Partner Violence, iiFormula Feeding, and Postpartum Depression .......................... 79
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) and Advanced Maternal Age ............. 96
Chapter 15 Pregnancy MULTIPLE CHOICE ................................................................................................ 117
Chapter 16 Labor and DeliveryMULTIPLE ................................................................................................. 131
Chapter 17 After Delivery ......................................................................................................................... 146
Chapter 18 The Newborn.......................................................................................................................... 159
Chapter 19 Conditions Existing Before Conception .................................................................................. 182
Chapter 20 Conditions Occurring During Pregnancy ................................................................................ 196
Chapter 21 Complications Occurring Before Labor and Delivery ............................................................. 222
Chapter 22 Complications Occurring During Labor and DeliveryMULTIPLE CHOICE ................................ 258
Chapter 23 Conditions Occurring After DeliveryMULTIPLE CHOICE ......................................................... 345
Chapter 24 Conditions in the Newborn Related to Gestational Age, Size, Injury, and Pain MULTIPLE.... 440
Chapter 25 Acquired Conditions and Congenital Abnormalities in the NewbornMULTIPLE CHOICE ...... 511
Chapter 26 Wellness and Health PromotionMULTIPLE CHOICE ............................................................... 599
Chapter 27 Common Gynecologic ConditionsMULTIPLE CHOICE............................................................. 709
Chapter 28 Infections ................................................................................................................................ 811
Chapter 29 Family Planning ...................................................................................................................... 820
Chapter 30 Vulnerable Populations .......................................................................................................... 868
,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 dischargeteaching?
a. Any vaginal discharge should be immediately reported to her healthiicare provider.
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure
should
c. The client will need to make arrangements for care at home, because her activity level will b
restri
d. The client will be scheduled for a cesarean birth.ANS: B
Nursing care should stress the importance of monitoringiiforiithe signs and symptoms of preterm
labor. Vaginal bleeding needs to be reported to her primaryiihealth care provider. Bed rest is an element
of care. However, the woman may standiifor iiperiods 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 at37 weeks of gestation
(to iiprepare for a vaginal birth), or a cesarean birth can be planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning | iiNursing Process:
ImplementationiiMSC: Client Needs: iiHealth Promotion and Maintenance
2. A perinatal nurse is giving iidischarge instructions to a woman, status postsuction, and
curettageiisecondary to iia iihydatidiform mole. The woman asks why she must take oral contraceptives
for iithe iinext 12 months. What is the bestresponse by the nurse?
If youiiget pregnant within 1 year, the chance of a successful pregnancy is very small. Theref if
a. pregnancy, it would be better for you to use the most reliable method of contraception availa
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only me
hormone that your body produces during pregnancy. If you were to get pregnant, then it woul mak
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy
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 mola
pregANS: 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
obscurethe 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 exceptan
intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process:
ImplementationMSC: Client Needs: Physiologic Integrity
3. The nurse is preparing to administer methotrexate to the client. This hazardous drugiiis most
often used for which obstetric complication?
a. Complete hydatidiform mole
b. Missed abortion
c. Unruptured ectopic pregnancy
d. Abruptio placentaeiiANS: C
Methotrexate is an effective nonsurgical treatment option for a hemodynamically stable woman
whose ectopic pregnancy is unruptured and measures less than 4 cm iniidiameter. Methotrexate isiinot
indicated or recommended as a treatment option for a complete hydatidiform mole, for a missed
abortion, or for abruptio placentae.
Approach 2nd Edition ( Amy O'Meara,2023) All Chapters 1-30| Newest Edition
,Table of Contents
Chapter 1 Immediate Postpartum Hemorrhage ........................................................................................... 3
Chapter 2 Later Postpartum Hemorrhage .................................................................................................. 17
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartum PulmonaryEmbolism ............. 18
Chapter 4 Preeclampsia .............................................................................................................................. 30
Chapter 5 Cord Prolapse iiand Nonreassuring Fetal Status ........................................................................ 31
Chapter 6 Placental Abruption and Fetal Loss ............................................................................................ 32
Chapter 7 Chorioamnionitis and Neonatal Sepsis ...................................................................................... 41
Chapter 8 Preterm Premature Rupture of Membranes and Neonatal Respiratory DistressSyndrome ..... 43
Chapter 9 Gestational Diabetes, Macrosomia, and Neonatal Cephalhematoma ...................................... 67
Chapter 10 Advanced Maternal Age, HELLP Syndrome, and Neonatal Necrotizing Enterocolitis ............. 68
Chapter 11 Migraine With Aura, Shoulder Dystocia, and Brachial Plexus Palsy ........................................ 78
Chapter 12 Intimate Partner Violence, iiFormula Feeding, and Postpartum Depression .......................... 79
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) and Advanced Maternal Age ............. 96
Chapter 15 Pregnancy MULTIPLE CHOICE ................................................................................................ 117
Chapter 16 Labor and DeliveryMULTIPLE ................................................................................................. 131
Chapter 17 After Delivery ......................................................................................................................... 146
Chapter 18 The Newborn.......................................................................................................................... 159
Chapter 19 Conditions Existing Before Conception .................................................................................. 182
Chapter 20 Conditions Occurring During Pregnancy ................................................................................ 196
Chapter 21 Complications Occurring Before Labor and Delivery ............................................................. 222
Chapter 22 Complications Occurring During Labor and DeliveryMULTIPLE CHOICE ................................ 258
Chapter 23 Conditions Occurring After DeliveryMULTIPLE CHOICE ......................................................... 345
Chapter 24 Conditions in the Newborn Related to Gestational Age, Size, Injury, and Pain MULTIPLE.... 440
Chapter 25 Acquired Conditions and Congenital Abnormalities in the NewbornMULTIPLE CHOICE ...... 511
Chapter 26 Wellness and Health PromotionMULTIPLE CHOICE ............................................................... 599
Chapter 27 Common Gynecologic ConditionsMULTIPLE CHOICE............................................................. 709
Chapter 28 Infections ................................................................................................................................ 811
Chapter 29 Family Planning ...................................................................................................................... 820
Chapter 30 Vulnerable Populations .......................................................................................................... 868
,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 dischargeteaching?
a. Any vaginal discharge should be immediately reported to her healthiicare provider.
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure
should
c. The client will need to make arrangements for care at home, because her activity level will b
restri
d. The client will be scheduled for a cesarean birth.ANS: B
Nursing care should stress the importance of monitoringiiforiithe signs and symptoms of preterm
labor. Vaginal bleeding needs to be reported to her primaryiihealth care provider. Bed rest is an element
of care. However, the woman may standiifor iiperiods 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 at37 weeks of gestation
(to iiprepare for a vaginal birth), or a cesarean birth can be planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning | iiNursing Process:
ImplementationiiMSC: Client Needs: iiHealth Promotion and Maintenance
2. A perinatal nurse is giving iidischarge instructions to a woman, status postsuction, and
curettageiisecondary to iia iihydatidiform mole. The woman asks why she must take oral contraceptives
for iithe iinext 12 months. What is the bestresponse by the nurse?
If youiiget pregnant within 1 year, the chance of a successful pregnancy is very small. Theref if
a. pregnancy, it would be better for you to use the most reliable method of contraception availa
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only me
hormone that your body produces during pregnancy. If you were to get pregnant, then it woul mak
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy
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 mola
pregANS: 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
obscurethe 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 exceptan
intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process:
ImplementationMSC: Client Needs: Physiologic Integrity
3. The nurse is preparing to administer methotrexate to the client. This hazardous drugiiis most
often used for which obstetric complication?
a. Complete hydatidiform mole
b. Missed abortion
c. Unruptured ectopic pregnancy
d. Abruptio placentaeiiANS: C
Methotrexate is an effective nonsurgical treatment option for a hemodynamically stable woman
whose ectopic pregnancy is unruptured and measures less than 4 cm iniidiameter. Methotrexate isiinot
indicated or recommended as a treatment option for a complete hydatidiform mole, for a missed
abortion, or for abruptio placentae.
