, TESTzBANKzFORzMATERNITYzNEWBORNzANDzWOMEN'SzHEALTHzNURSINGzAz
CASE-BASEDzAPPROACHz1STzEDITIONzO'MEARA
MaternityzNewbornzandzWomen'szHealthzNursingzAzCase-
BasedzApproachz1stzEditionO'MearazTestzBank
ISBN-10:1496368215zISBN-
z13:9781496368218
TablezofzContents
Chapterz1zImmediatezPostpartumzHemorrhagez
Chapterz2zLaterzPostpartumzHemorrhage
Chapterz3zGestationalzDiabetes,zDeepzVeinzThrombosis,zandzPostpartumzPulmonaryzEmbolismz
Chapterz4zPreeclampsia
Chapterz5zCordzProlapsezandzNonreassuringzFetalzStatusz
Chapterz6zPlacentalzAbruptionzandzFetalzLoss
Chapterz7zChorioamnionitiszandzNeonatalzSepsis
Chapterz8zPretermzPrematurezRupturezofzMembraneszandzNeonatalzRespiratoryzDistressz
Syndrome
Chapterz9zGestationalzDiabetes,zMacrosomia,zandzNeonatalzCephalhematoma
Chapterz10zAdvancedzMaternalzAge,zHELLPzSyndrome,zandzNeonatalzNecrotizingzEnterocolitisz
Chapterz11zMigrainezWithzAura,zShoulderzDystocia,zandzBrachialzPlexuszPalsy
Chapterz12zIntimatezPartnerzViolence,zFormulazFeeding,zandzPostpartumzDepression
Chapterz13zGestationalzTrophoblasticzDiseasez(MolarzPregnancy)zandzAdvancedzMaternalzAgez
Chapterz14zBeforezConception
Chapterz15zPregnancy
Chapterz16zLaborzandzDeliveryz
Chapterz17zAfterzDelivery
,Chapterz18zThezNewborn
Chapterz19zConditionszExistingzBeforezConceptionzChapte
rz20zConditionszOccurringzDuringzPregnancy
Chapterz21zComplicationszOccurringzBeforezLaborzandzDeliveryzChapt
erz22zComplicationszOccurringzDuringzLaborzandzDeliveryzChapterz23z
ConditionszOccurringzAfterzDelivery
Chapterz24zConditionszinzthezNewbornzRelatedztozGestationalzAge,zSize,zInjury,zandzPainz
Chapterz25zAcquiredzConditionszandzCongenitalzAbnormalitieszinzthezNewborn
Chapterz26zWellnesszandzHealthzPromotionzChapterz
27zCommonzGynecologiczConditionsChapterz28zInf
ections
Chapterz29zFamilyzPlanningzChapterz30z
VulnerablezPopulations
, MaternityzNewbornzandzWomen’szHealthzNursingzAzCase-
BasedzApproachz1stzEditionzO’MearazTestzBank
Chapterz1zImmediatezPostpartumzHemorrhage
MULTIPLEzCHOICE
1. Azpregnantzwomanziszbeingzdischargedzfromzthezhospitalzafterzthezplacementzofzazcervicalz
cerclagezbecausezofzazhistoryzofzrecurrentzpregnancyzloss,zsecondaryztozanzincompetentzcervix.zWhi
chzinformationzregardingzpostproceduralzcarezshouldztheznursezemphasizezinzthezdischargezteaching
?
a. Anyzvaginalzdischargezshouldzbezimmediatelyzreportedztozherzhealthzcarezprovider.
b. Thezpresencezofzanyzcontractions,zrupturezofzmembranesz(ROM),zorzseverezperinealzpressurezsho
c. Thezclientzwillzneedztozmakezarrangementszforzcarezatzhome,zbecausezherzactivityzlevelzwillzbezre
d. Thezclientzwillzbezscheduledzforzazcesareanzbirth.z
ANS:zB
Nursingzcarezshouldzstresszthezimportancezofzmonitoringzforzthezsignszandzsymptomszofzpreterm
labor.zVaginalzbleedingzneedsztozbezreportedztozherzprimaryzhealthzcarezprovider.zBedzrestziszanzelementz
ofzcare.zHowever,zthezwomanzmayzstandzforzperiodszofzupztoz90zminutes,zwhichzallowszherzthezfreedomzt
ozseezherzphysician.zHomezuterinezactivityzmonitoringzmayzbezusedztozlimitzthezwomanszneedzforzvisitsza
ndztozmonitorzherzstatuszsafelyzatzhome.zThezcerclagezcanzbezremovedzat37zweekszofzgestationz(tozprepa
rezforzazvaginalzbirth),zorzazcesareanzbirthzcanzbezplanned.
DIF:zCognitivezLevel:zApplyzREF:zdm.z675
TOP:zNursingzProcess:zPlanningz|zNursingzProcess:zImplementationMSC:
ClientzNeeds:zHealthzPromotionzandzMaintenance
2. Azperinatalznurseziszgivingzdischargezinstructionsztozazwoman,zstatuszpostsuction,zandzcurettagezs
econdaryztozazhydatidiformzmole.zThezwomanzaskszwhyzshezmustztakezoralzcontraceptiveszforztheznextz12
zmonths.zWhatziszthezbestresponsezbyztheznurse?
Ifz youzgetzpregnantzwithinz1zyear,zthezchancezofzazsuccessfulzpregnancyziszveryzsmall.zTherefore,
a. pregnancy,zitzwouldzbezbetterzforzyouztozusezthezmostzreliablezmethodzofzcontraceptionzavailable.
Thezmajorzriskztoz youzafterzazmolarzpregnancyziszaztypezofzcancerzthatzcanzbezdiagnosedzonlyzbyhormonezt
hatzyourzbodyzproduceszduringzpregnancy.zIfz youzwereztozgetzpregnant,zthenzitzwould
b. thiszcancerzmorezdifficult.
Ifz youzcanzavoidzazpregnancyzforztheznextzyear,zthezchancezofzdevelopingzazsecondzmolarzpregna
c. improvezyourzchancezofzazsuccessfulzpregnancy,znotzgettingzpregnantzatzthisztimeziszbest.
d. Oralzcontraceptiveszarezthezonlyzformzofzbirthzcontrolzthatzwillzpreventzazrecurrencezofzazmolarzpz
ANS:zB
Betahumanzchorioniczgonadotropinz(beta-hCG)zhormonezlevelszarezdrawnzforz1zyearztozensure
thatzthezmoleziszcompletelyzgone.zThezchancezofzdevelopingzchoriocarcinomazafterzthezdevelopmentzofza
zhydatidiformzmoleziszincreased.zTherefore,zthezgoalzisztozachievezazzerozhumanchorioniczgonadotropinz
(hCG)zlevel.zIfzthezwomanzwereztozbecomezpregnant,zthenzitzmayzobscurethezpresencezofzthezpotentiallyz
carcinogeniczcells.zWomenzshouldzbezinstructedztozusezbirthzcontrolzforz1zyearzafterztreatmentzforzazhyd
atidiformzmole.zThezrationalezforzavoidingzpregnancy
CASE-BASEDzAPPROACHz1STzEDITIONzO'MEARA
MaternityzNewbornzandzWomen'szHealthzNursingzAzCase-
BasedzApproachz1stzEditionO'MearazTestzBank
ISBN-10:1496368215zISBN-
z13:9781496368218
TablezofzContents
Chapterz1zImmediatezPostpartumzHemorrhagez
Chapterz2zLaterzPostpartumzHemorrhage
Chapterz3zGestationalzDiabetes,zDeepzVeinzThrombosis,zandzPostpartumzPulmonaryzEmbolismz
Chapterz4zPreeclampsia
Chapterz5zCordzProlapsezandzNonreassuringzFetalzStatusz
Chapterz6zPlacentalzAbruptionzandzFetalzLoss
Chapterz7zChorioamnionitiszandzNeonatalzSepsis
Chapterz8zPretermzPrematurezRupturezofzMembraneszandzNeonatalzRespiratoryzDistressz
Syndrome
Chapterz9zGestationalzDiabetes,zMacrosomia,zandzNeonatalzCephalhematoma
Chapterz10zAdvancedzMaternalzAge,zHELLPzSyndrome,zandzNeonatalzNecrotizingzEnterocolitisz
Chapterz11zMigrainezWithzAura,zShoulderzDystocia,zandzBrachialzPlexuszPalsy
Chapterz12zIntimatezPartnerzViolence,zFormulazFeeding,zandzPostpartumzDepression
Chapterz13zGestationalzTrophoblasticzDiseasez(MolarzPregnancy)zandzAdvancedzMaternalzAgez
Chapterz14zBeforezConception
Chapterz15zPregnancy
Chapterz16zLaborzandzDeliveryz
Chapterz17zAfterzDelivery
,Chapterz18zThezNewborn
Chapterz19zConditionszExistingzBeforezConceptionzChapte
rz20zConditionszOccurringzDuringzPregnancy
Chapterz21zComplicationszOccurringzBeforezLaborzandzDeliveryzChapt
erz22zComplicationszOccurringzDuringzLaborzandzDeliveryzChapterz23z
ConditionszOccurringzAfterzDelivery
Chapterz24zConditionszinzthezNewbornzRelatedztozGestationalzAge,zSize,zInjury,zandzPainz
Chapterz25zAcquiredzConditionszandzCongenitalzAbnormalitieszinzthezNewborn
Chapterz26zWellnesszandzHealthzPromotionzChapterz
27zCommonzGynecologiczConditionsChapterz28zInf
ections
Chapterz29zFamilyzPlanningzChapterz30z
VulnerablezPopulations
, MaternityzNewbornzandzWomen’szHealthzNursingzAzCase-
BasedzApproachz1stzEditionzO’MearazTestzBank
Chapterz1zImmediatezPostpartumzHemorrhage
MULTIPLEzCHOICE
1. Azpregnantzwomanziszbeingzdischargedzfromzthezhospitalzafterzthezplacementzofzazcervicalz
cerclagezbecausezofzazhistoryzofzrecurrentzpregnancyzloss,zsecondaryztozanzincompetentzcervix.zWhi
chzinformationzregardingzpostproceduralzcarezshouldztheznursezemphasizezinzthezdischargezteaching
?
a. Anyzvaginalzdischargezshouldzbezimmediatelyzreportedztozherzhealthzcarezprovider.
b. Thezpresencezofzanyzcontractions,zrupturezofzmembranesz(ROM),zorzseverezperinealzpressurezsho
c. Thezclientzwillzneedztozmakezarrangementszforzcarezatzhome,zbecausezherzactivityzlevelzwillzbezre
d. Thezclientzwillzbezscheduledzforzazcesareanzbirth.z
ANS:zB
Nursingzcarezshouldzstresszthezimportancezofzmonitoringzforzthezsignszandzsymptomszofzpreterm
labor.zVaginalzbleedingzneedsztozbezreportedztozherzprimaryzhealthzcarezprovider.zBedzrestziszanzelementz
ofzcare.zHowever,zthezwomanzmayzstandzforzperiodszofzupztoz90zminutes,zwhichzallowszherzthezfreedomzt
ozseezherzphysician.zHomezuterinezactivityzmonitoringzmayzbezusedztozlimitzthezwomanszneedzforzvisitsza
ndztozmonitorzherzstatuszsafelyzatzhome.zThezcerclagezcanzbezremovedzat37zweekszofzgestationz(tozprepa
rezforzazvaginalzbirth),zorzazcesareanzbirthzcanzbezplanned.
DIF:zCognitivezLevel:zApplyzREF:zdm.z675
TOP:zNursingzProcess:zPlanningz|zNursingzProcess:zImplementationMSC:
ClientzNeeds:zHealthzPromotionzandzMaintenance
2. Azperinatalznurseziszgivingzdischargezinstructionsztozazwoman,zstatuszpostsuction,zandzcurettagezs
econdaryztozazhydatidiformzmole.zThezwomanzaskszwhyzshezmustztakezoralzcontraceptiveszforztheznextz12
zmonths.zWhatziszthezbestresponsezbyztheznurse?
Ifz youzgetzpregnantzwithinz1zyear,zthezchancezofzazsuccessfulzpregnancyziszveryzsmall.zTherefore,
a. pregnancy,zitzwouldzbezbetterzforzyouztozusezthezmostzreliablezmethodzofzcontraceptionzavailable.
Thezmajorzriskztoz youzafterzazmolarzpregnancyziszaztypezofzcancerzthatzcanzbezdiagnosedzonlyzbyhormonezt
hatzyourzbodyzproduceszduringzpregnancy.zIfz youzwereztozgetzpregnant,zthenzitzwould
b. thiszcancerzmorezdifficult.
Ifz youzcanzavoidzazpregnancyzforztheznextzyear,zthezchancezofzdevelopingzazsecondzmolarzpregna
c. improvezyourzchancezofzazsuccessfulzpregnancy,znotzgettingzpregnantzatzthisztimeziszbest.
d. Oralzcontraceptiveszarezthezonlyzformzofzbirthzcontrolzthatzwillzpreventzazrecurrencezofzazmolarzpz
ANS:zB
Betahumanzchorioniczgonadotropinz(beta-hCG)zhormonezlevelszarezdrawnzforz1zyearztozensure
thatzthezmoleziszcompletelyzgone.zThezchancezofzdevelopingzchoriocarcinomazafterzthezdevelopmentzofza
zhydatidiformzmoleziszincreased.zTherefore,zthezgoalzisztozachievezazzerozhumanchorioniczgonadotropinz
(hCG)zlevel.zIfzthezwomanzwereztozbecomezpregnant,zthenzitzmayzobscurethezpresencezofzthezpotentiallyz
carcinogeniczcells.zWomenzshouldzbezinstructedztozusezbirthzcontrolzforz1zyearzafterztreatmentzforzazhyd
atidiformzmole.zThezrationalezforzavoidingzpregnancy
