SING11A11CASE-BASED11APPROACH111ST11EDITION11O'MEARA
Maternity11Newborn11and11Women's11Health11Nursing11A11Case-
Based11Approach111st11EditionO'Meara11Test11Bank
ISBN-10:149636821511ISBN-
1113:9781496368218
Table11of11Contents
Chapter11111Immediate11Postpartum11Hemorrh
age11Chapter11211Later11Postpartum11Hemorrh
age
Chapter11311Gestational11Diabetes,11Deep11Vein11Thrombosis,11and11Postpartum11Pulmonary11E
mbolism11Chapter11411Preeclampsia
Chapter11511Cord11Prolapse11and11Nonreassuring11Fetal11Stat
us11Chapter11611Placental11Abruption11and11Fetal11Loss
Chapter11711Chorioamnionitis11and11Neonatal11Sepsis
Chapter11811Preterm11Premature11Rupture11of11Membranes11and11Neonatal11Respiratory11Distres
s11Syndrome
Chapter11911Gestational11Diabetes,11Macrosomia,11and11Neonatal11Cephalhematoma
Chapter111011Advanced11Maternal11Age,11HELLP11Syndrome,11and11Neonatal11Necrotizing11En
terocolitis11Chapter111111Migraine11With11Aura,11Shoulder11Dystocia,11and11Brachial11Plexus11
Palsy
Chapter111211Intimate11Partner11Violence,11Formula11Feeding,11and11Postpartum11Depression
Chapter111311Gestational11Trophoblastic11Disease11(Molar11Pregnancy)11and11Advanced11Mater
nal11Age11Chapter111411Before11Conception
Chapter111511Pregnancy
Chapter111611Labor11and11Deliv
ery11Chapter111711After11Deliv
ery
,Chapter111811The11Newborn
Chapter111911Conditions11Existing11Before11Conception11
Chapter112011Conditions11Occurring11During11Pregnancy
Chapter112111Complications11Occurring11Before11Labor11and11Deliver
y11Chapter112211Complications11Occurring11During11Labor11and11Deli
very11Chapter112311Conditions11Occurring11After11Delivery
Chapter112411Conditions11in11the11Newborn11Related11to11Gestational11Age,11Size,11Injury,11and
11Pain11Chapter112511Acquired11Conditions11and11Congenital11Abnormalities11in11the11Newbor
n
Chapter112611Wellness11and11Health11Promotion11Cha
pter112711Common11Gynecologic11ConditionsChapter
112811Infections
Chapter112911Family11Planning11Chapter113011
Vulnerable11Populations
, Maternity11Newborn11and11Women’s11Health11Nursing11A11Case-
Based11Approach111st11Edition11O’Meara11Test11Bank
Chapter11111Immediate11Postpartum11Hemorrhage
MULTIPLE11CHOICE
1. A11pregnant11woman11is11being11discharged11from11the11hospital11after11the11placement11of11a11ce
rvicalcerclage11because11of11a11history11of11recurrent11pregnancy11loss,11secondary11to11an11inco
mpetent11cervix.11Which11information11regarding11postprocedural11care11should11the11nurse11em
phasize11in11the11discharge11teaching?
a. Any11vaginal11discharge11should11be11immediately11reported11to11her11health11care11provider.
b. The11presence11of11any11contractions,11rupture11of11membranes11(ROM),11or11severe11perineal11pressu
re11sho
c. The11client11will11need11to11make11arrangements11for11care11at11home,11because11her11activity11level11
will11be11re
d. The11client11will11be11scheduled11for11a11cesarea
n11birth.11ANS:11B
Nursing11care11should11stress11the11importance11of11monitoring11for11the11signs11and11symptoms11of11preterm
labor.11Vaginal11bleeding11needs11to11be11reported11to11her11primary11health11care11provider.11Bed11re
st11is11an11element11of11care.11However,11the11woman11may11stand11for11periods11of11up11to119011minu
tes,11which11allows11her11the11freedom11to11see11her11physician.11Home11uterine11activity11monitoring
11may11be11used11to11limit11the11womans11need11for11visits11and11to11monitor11her11status11safely11at11
home.11The11cerclage11can11be11removed11at3711weeks11of11gestation11(to11prepare11for11a11vaginal11b
irth),11or11a11cesarean11birth11can11be11planned.
DIF:11Cognitive11Level:11Apply11REF:11dm.11675
TOP:11Nursing11Process:11Planning11|11Nursing11Process:11ImplementationMSC:
Client11Needs:11Health11Promotion11and11Maintenance
2. A11perinatal11nurse11is11giving11discharge11instructions11to11a11woman,11status11postsuction,11a
nd11curettage11secondary11to11a11hydatidiform11mole.11The11woman11asks11why11she11must11take11oral1
1contraceptives11for11the11next111211months.11What11is11the11bestresponse11by11the11nurse?
If11 you11get11pregnant11within11111year,11the11chance11of11a11successful11pregnancy11is11very11small.11Therefore,
a. pregnancy,11it11would11be11better11for11you11to11use11the11most11reliable11method11of11contraception11availa
ble.
The11major11risk11to11you11after11a11molar11pregnancy11is11a11type11of11cancer11that11can11be11diagnosed
11only11byhormone11that11your11body11produces11 during11pregnancy.11 If11 you11were1
1to11get11pregnant,11then11it11would
b. this11cancer11more11difficult.
If11 you11can11avoid11a11pregnancy11for11the11next11 year,11the11chance11of11developing11a11second11mol
ar11pregna
c. improve11your11chance11of11a11successful11pregnancy,11not11getting11pregnant11at11this11time11is11best.
d. Oral11contraceptives11are11the11only11form11of11birth11control11that11will11prevent11a11recurrence
11of11a11molar11p11ANS:11B
Betahuman11chorionic11gonadotropin11(beta-hCG)11hormone11levels11are11drawn11for11111 year11to11ensure
that11the11mole11is11completely11gone.11The11chance11of11developing11choriocarcinoma11after11the11de
velopment11of11a11hydatidiform11mole11is11increased.11Therefore,11the11goal11is11to11achieve11a11zero1
1humanchorionic11gonadotropin11(hCG)11level.11If11the11woman11were11to11become11pregnant,11then11
it11may11obscurethe11presence11of11the11potentially11carcinogenic11cells.11Women11should11be11instru
cted11to11use11birth11control11for11111year11after11treatment11for11a11hydatidiform11mole.11The11rationa
le11for11avoiding11pregnancy