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CASE-BASED APPROACH 1ST EDITION O'MEARA xc xc xc xc xc
Maternity Newborn and Women's Health Nursing A Case-Based Approach 1st EditionO'Meara
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Test Bank xc xc
ISBN-10:1496368215 ISBN- xc
13:9781496368218
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Table of Contents
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Chapter 1 Immediate Postpartum Hemorrhage
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Chapter 2 Later Postpartum Hemorrhage
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Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartum Pulmonary Embolism
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Chapter 4 Preeclampsia
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Chapter 5 Cord Prolapse and Nonreassuring Fetal Status
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Chapter 6 Placental Abruption and Fetal Loss
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Chapter 7 Chorioamnionitis and Neonatal Sepsis
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Chapter 8 Preterm Premature Rupture of Membranes and Neonatal Respiratory Distress
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Syndrome
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Chapter 9 Gestational Diabetes, Macrosomia, and Neonatal Cephalhematoma
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Chapter 10 Advanced Maternal Age, HELLP Syndrome, and Neonatal Necrotizing Enterocolitis
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Chapter 11 Migraine With Aura, Shoulder Dystocia, and Brachial Plexus Palsy
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Chapter 12 Intimate Partner Violence, Formula Feeding, and Postpartum Depression
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Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) and Advanced Maternal Age
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Chapter 14 Before Conception
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Chapter 15 Pregnancy
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Chapter 16 Labor and Delivery
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Chapter 17 After Delivery
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,Chapter 18 The Newborn
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Chapter 19 Conditions Existing Before Conception
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Chapter 20 Conditions Occurring During Pregnancy
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Chapter 21 Complications Occurring Before Labor and Delivery
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Chapter 22 Complications Occurring During Labor and Delivery
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Chapter 23 Conditions Occurring After Delivery
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Chapter 24 Conditions in the Newborn Related to Gestational Age, Size, Injury, and Pain
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Chapter 25 Acquired Conditions and Congenital Abnormalities in the Newborn
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Chapter 26 Wellness and Health Promotion Chapter
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27 Common Gynecologic ConditionsChapter 28
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xc Infections
Chapter 29 Family Planning Chapter 30
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Vulnerable Populations
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, Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st Edition
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O’Meara Test Bank xc xc xc
Chapter 1 Immediate Postpartum Hemorrhage
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MULTIPLE CHOICE xc
1. A pregnant woman is being discharged from the hospital after the placement of a
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cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent
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cervix. Which information regarding postprocedural care should the nurse emphasize in the
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discharge teaching?
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a. Any vaginal discharge should be immediately reported to her health care provider.
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b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure sho
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c. The client will need to make arrangements for care at home, because her activity level will be re
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d. The client will be scheduled for a cesarean birth. xc xc xc xc xc xc xc xc
ANS: B
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Nursing care should stress the importance of monitoring for the signs and symptoms of preterm
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labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an
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element of care. However, the woman may stand for periods of up to 90 minutes, which allows her
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the freedom to see her physician. Home uterine activity monitoring may be used to limit the womans
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need for visits and to monitor her status safely at home. The cerclage can be removed at37 weeks of
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gestation (to prepare for a vaginal birth), or a cesarean birth can be planned.
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DIF: Cognitive Level: Apply REF: dm. 675
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TOP: Nursing Process: Planning | Nursing Process: ImplementationMSC:
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Client Needs: Health Promotion and Maintenance
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2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and
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curettage secondary to a hydatidiform mole. The woman asks why she must take oral contraceptives
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for the next 12 months. What is the bestresponse by the nurse?
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If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore,xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
a. pregnancy, it would be better for you to use the most reliable method of contraception available. xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only
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byhormone that your body produces during pregnancy. If you were to get pregnant, xc xc xc xc xc xc xc xc xc xc xc xc xc
then it would xc xc xc
b. this cancer more difficult.
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If you can avoid a pregnancy for the next year, the chance of developing a second molar pregna
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c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
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d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc xc
p ANS: B
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Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensure
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that the mole is completely gone. The chance of developing choriocarcinoma after the development
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of a hydatidiform mole is increased. Therefore, the goal is to achieve a zero humanchorionic
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gonadotropin (hCG) level. If the woman were to become pregnant, then it may obscurethe presence
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of the potentially carcinogenic cells. Women should be instructed to use birth control for 1 year
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after treatment for a hydatidiform mole. The rationale for avoiding pregnancy
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