, MATERNITY NEWBORN AND WOMEN’S HEALTH
l# l# l# l#
NURSING A CASE-BASED l# l# l#
APPROACH 1ST EDITION l# l# l#
O’MEARA TEST BANK l# l# l#
Chapter l#1 l#Immediate l#Postpartum l#Hemorrhage
MULTIPLE l#CHOICE
1. l#A l#pregnant l#woman l#is l#being l#discharged l#from l#the l#hospital l#after l#the
l#placement l#of l#a l#cervical l#cerclage l#because l#of l#a l#history l#of l#recurrent l#pregnancy
l#loss, l#secondary l#to l#an l#incompetent l#cervix.Which l#information l#regarding
l#postprocedural l#care l#should l#the l#nurse l#emphasize l#in l#the l#dischargeteaching?
a. Any l#vaginal l#discharge l#should l#be l#immediately l#reported l#to l#her l#health care provide til til
b. The l#presence l#of l#any l#contractions, l#rupture l#of l#membranes l#(ROM), or severe til til
l#perineal l#pressure l#should
c. The l#client l#will l#need l#to l#make l#arrangements l#for l#care l#at l#home, l#because l#her
l#activity l#level l#will l#be l#restri
d. The l#client l#will l#be l#scheduled l#for l#a
l#cesarean l#birth.ANS: l#B
Nursing l#care l#should l#stress l#the l#importance l# of l#monitoring for the signs l# and l#symptoms l#of til til til
l#preterm
labor. l#Vaginal l#bleeding l#needs l#to l#be l#reported l#to l#her l#primary health l#care til
l#provider. l#Bed l#rest l#is l#an l#element l#of l#care. l#However, l#the l#woman l#may l#stand
l#for periods l#of l#up l#to l#90 l#minutes, l#which l#allows l#her l#the l#freedom l#to l#see l#her
til
l#physician. l # Home l#uterine activity l#monitoring l#may l#be l#used l#to l#limit
til l # the
l#womans l#need l#for l#visits l#and l#to l#monitor l# her status l#safely l#at l#home. l#The
til
l#cerclage l#can l#be l#removed l#at 37 l#weeks l#of l#gestation l#(to l#prepare l # for a l#vaginal
ilt t til
l#birth), l#or l#a l#cesarean l#birth l#can l#be l#planned.
DIF: l#Cognitive l#Level: l# Apply l#REF: l#dm. l # 675 t
TOP: l#Nursing l#Process: l# Planning l#| Nursing l# Process: til
ImplementationMSC: l#Client l#Needs: Health l#Promotion l#and
til
l#Maintenance
2. A l#perinatal l#nurse l#is l#giving#l discharge l#instructions l#to l#a l#woman, l#status
il
l#postsuction, l#and l#curettagesecondary l#to a hydatidiform l#mole. l#The l#woman
til til
l#asks l#why l#she l#must l#take l#oral l#contraceptives l#for l# the next l#12 l#months. il til
l#What l#is l#the l#bestresponse l#by l#the l#nurse?
If l#you get l#pregnant l#within l#1 l#year, l#the l#chance l#of l#a l#successful l#pregnancy l#is l#ver
til
l#small. l#Therefore, l# if
a. pregnancy, l#it l#would l#be l#better l#for l#you l#to l#use l#the l#most l#reliable l#method l#of
l#contraception l# available.
The l#major l#risk l#to l#you l#after l#a l#molar l#pregnancy l#is l#a l#type l#of l#cancer l#that l#can l#be
l#diagnosed l#only l#by l#me
hormone l#that l#your l#body l#produces l#during l#pregnancy. l#If l#you l#were l#to l#get
l#pregnant, l#then l#it l#would l#mak
, b. this l#cancer l#more l#difficult.
If l#you l#can l#avoid l#a l#pregnancy l#for l#the l#next l#year, l#the l#chance l#of l#developing l#a
l#second l#molar l#pregnancy
c. improve l#your l#chance l# of l#a l#successful l#pregnancy, l#not l#getting l#pregnant l#at l#this
l#time l#is l#best.
d. Oral l#contraceptives l#are l#the l#only l#form l#of l#birth l#control l#that l#will l#prevent l#a
l#recurrence l#of l#a l#molar l#preg ANS: l#B
ilt
Betahuman l#chorionic l#gonadotropin l#(beta-hCG) l#hormone l#levels l#are l#drawn l#for l#1 l#year l#to
l#ensure
that l#the l#mole l#is l#completely l#gone. l#The l#chance l#of l#developing l#choriocarcinoma
l#after l#the l#development l#of l#a l#hydatidiform l#mole l#is l#increased. l#Therefore, l#the
l#goal l#is l#to l#achieve l#a l#zero l # human l#chorionic l#gonadotropin l#(hCG) l#level. l#If l#the
l#woman l#were l#to l#become l#pregnant, l#then l#it l#may
, obscure the l#presence l#of l#the l#potentially l#carcinogenic l#cells. l#Women l#should l#be
ilt
l#instructed l#to l#use l#birth l#control l#for l#1 l#year l#after l#treatment l#for l#a l#hydatidiform
l#mole. l#The l#rationale l#for l#avoiding l#pregnancy
l# l# l# l#
NURSING A CASE-BASED l# l# l#
APPROACH 1ST EDITION l# l# l#
O’MEARA TEST BANK l# l# l#
Chapter l#1 l#Immediate l#Postpartum l#Hemorrhage
MULTIPLE l#CHOICE
1. l#A l#pregnant l#woman l#is l#being l#discharged l#from l#the l#hospital l#after l#the
l#placement l#of l#a l#cervical l#cerclage l#because l#of l#a l#history l#of l#recurrent l#pregnancy
l#loss, l#secondary l#to l#an l#incompetent l#cervix.Which l#information l#regarding
l#postprocedural l#care l#should l#the l#nurse l#emphasize l#in l#the l#dischargeteaching?
a. Any l#vaginal l#discharge l#should l#be l#immediately l#reported l#to l#her l#health care provide til til
b. The l#presence l#of l#any l#contractions, l#rupture l#of l#membranes l#(ROM), or severe til til
l#perineal l#pressure l#should
c. The l#client l#will l#need l#to l#make l#arrangements l#for l#care l#at l#home, l#because l#her
l#activity l#level l#will l#be l#restri
d. The l#client l#will l#be l#scheduled l#for l#a
l#cesarean l#birth.ANS: l#B
Nursing l#care l#should l#stress l#the l#importance l# of l#monitoring for the signs l# and l#symptoms l#of til til til
l#preterm
labor. l#Vaginal l#bleeding l#needs l#to l#be l#reported l#to l#her l#primary health l#care til
l#provider. l#Bed l#rest l#is l#an l#element l#of l#care. l#However, l#the l#woman l#may l#stand
l#for periods l#of l#up l#to l#90 l#minutes, l#which l#allows l#her l#the l#freedom l#to l#see l#her
til
l#physician. l # Home l#uterine activity l#monitoring l#may l#be l#used l#to l#limit
til l # the
l#womans l#need l#for l#visits l#and l#to l#monitor l# her status l#safely l#at l#home. l#The
til
l#cerclage l#can l#be l#removed l#at 37 l#weeks l#of l#gestation l#(to l#prepare l # for a l#vaginal
ilt t til
l#birth), l#or l#a l#cesarean l#birth l#can l#be l#planned.
DIF: l#Cognitive l#Level: l# Apply l#REF: l#dm. l # 675 t
TOP: l#Nursing l#Process: l# Planning l#| Nursing l# Process: til
ImplementationMSC: l#Client l#Needs: Health l#Promotion l#and
til
l#Maintenance
2. A l#perinatal l#nurse l#is l#giving#l discharge l#instructions l#to l#a l#woman, l#status
il
l#postsuction, l#and l#curettagesecondary l#to a hydatidiform l#mole. l#The l#woman
til til
l#asks l#why l#she l#must l#take l#oral l#contraceptives l#for l# the next l#12 l#months. il til
l#What l#is l#the l#bestresponse l#by l#the l#nurse?
If l#you get l#pregnant l#within l#1 l#year, l#the l#chance l#of l#a l#successful l#pregnancy l#is l#ver
til
l#small. l#Therefore, l# if
a. pregnancy, l#it l#would l#be l#better l#for l#you l#to l#use l#the l#most l#reliable l#method l#of
l#contraception l# available.
The l#major l#risk l#to l#you l#after l#a l#molar l#pregnancy l#is l#a l#type l#of l#cancer l#that l#can l#be
l#diagnosed l#only l#by l#me
hormone l#that l#your l#body l#produces l#during l#pregnancy. l#If l#you l#were l#to l#get
l#pregnant, l#then l#it l#would l#mak
, b. this l#cancer l#more l#difficult.
If l#you l#can l#avoid l#a l#pregnancy l#for l#the l#next l#year, l#the l#chance l#of l#developing l#a
l#second l#molar l#pregnancy
c. improve l#your l#chance l# of l#a l#successful l#pregnancy, l#not l#getting l#pregnant l#at l#this
l#time l#is l#best.
d. Oral l#contraceptives l#are l#the l#only l#form l#of l#birth l#control l#that l#will l#prevent l#a
l#recurrence l#of l#a l#molar l#preg ANS: l#B
ilt
Betahuman l#chorionic l#gonadotropin l#(beta-hCG) l#hormone l#levels l#are l#drawn l#for l#1 l#year l#to
l#ensure
that l#the l#mole l#is l#completely l#gone. l#The l#chance l#of l#developing l#choriocarcinoma
l#after l#the l#development l#of l#a l#hydatidiform l#mole l#is l#increased. l#Therefore, l#the
l#goal l#is l#to l#achieve l#a l#zero l # human l#chorionic l#gonadotropin l#(hCG) l#level. l#If l#the
l#woman l#were l#to l#become l#pregnant, l#then l#it l#may
, obscure the l#presence l#of l#the l#potentially l#carcinogenic l#cells. l#Women l#should l#be
ilt
l#instructed l#to l#use l#birth l#control l#for l#1 l#year l#after l#treatment l#for l#a l#hydatidiform
l#mole. l#The l#rationale l#for l#avoiding l#pregnancy
