Test Bank Maternity, Newborn, And Women's Health Nursing 2e: A
Case-Based Approach Second, Edition Latest And Newest Edition
2026
, test bank for maternity newborn and women's health nursing a case-based approach 2nd
edition o'meara
maternity newborn and women's health nursing a case-based approach 2nd edition o'meara test
bank
isbn-10:1496368215 isbn- 13:9781496368218
Table Of Contents
1. Chapter 1 Immediate Postpartum Hemorrhage
2. Chapter 2 Later Postpartum Hemorrhage
3. Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, And Postpartum Pulmonary
Embolism
4. Chapter 4 Preeclampsia
5. Chapter 5 Cord Prolapse And Nonreassuring Fetal Status
6. Chapter 6 Placental Abruption And Fetal Loss
7. Chapter 7 Chorioamnionitis And Neonatal Sepsis
8. Chapter 8 Preterm Premature Rupture Of Membranes And Neonatal Respiratory Distress
Syndrome
9. Chapter 9 Gestational Diabetes, Macrosomia, And Neonatal Cephalhematoma
10.Chapter 10 Advanced Maternal Age, Hellp Syndrome, And Neonatal Necrotizing
Enterocolitis
11.Chapter 11 Migraine With Aura, Shoulder Dystocia, And Brachial Plexus Palsy
12.Chapter 12 Intimate Partner Violence, Formula Feeding, And Postpartum Depression
13.Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) And Advanced Maternal
Age
14.Chapter 14 Before Conception
15.Chapter 15 Pregnancy
16.Chapter 16 Labor And Delivery
17.Chapter 17 After Delivery
18.Chapter 18 The Newborn
19.Chapter 19 Conditions Existing Before Conception
20.Chapter 20 Conditions Occurring During Pregnancy
21.Chapter 21 Complications Occurring Before Labor And Delivery
22.Chapter 22 Complications Occurring During Labor And Delivery
23.Chapter 23 Conditions Occurring After Delivery
24.Chapter 24 Conditions In The Newborn Related To Gestational Age, Size, Injury, And Pain
25.Chapter 25 Acquired Conditions And Congenital Abnormalities In The Newborn
26. Chapter 26 Wellness And Health Promotion
27.Chapter 27 Common Gynecologic Conditions
28.Chapter 28 Infections
29.Chapter 29 Family Planning Chapter 30 Vulnerable Populations
, maternity newborn and women’s health nursing a case-based approach 2nd edition
o’meara test bank
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 discharge
teaching?
a. any vaginal discharge should be immediately reported to her health care provider.
b. the presence of any contractions, rupture of membranes (rom), or severe perineal pressure sho
c. the client will need to make arrangements for care at home, because her activity level will be re
the client will be scheduled for a cesarean birth. ANSWER: b
nursing care should stress the importance of monitoring for the signs and symptoms of preterm
labor. vaginal bleeding needs to be reported to her primary health care provider. bed rest is an element
of care. however, the woman may stand for periods 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
prepare for a vaginal birth), or a cesarean birth can be planned.
dif: cognitive level: apply ref: dm. 675
top: nursing process: planning | nursing process: implementationmsc:
client needs: health promotion and maintenance
2. a perinatal nurse is giving discharge instructions to a woman, status postsuction, and curettage
secondary to a hydatidiform mole. the woman asks why she must take oral contraceptives for the next
12 months. what is the bestresponse by the nurse?
if you get pregnant within 1 year, the chance of a successful pregnancy is very small. therefore,
a. pregnancy, it would be better for you to use the most reliable method of contraception available.
the major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only byhormone
that your body produces during pregnancy. if you were to get pregnant, then it would
b. this cancer more difficult.
if you can avoid a pregnancy for the next year, the chance of developing a second molar pregna
c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
oral contraceptives are the only form of birth control that will prevent a recurrence of a molar p ANSWER: 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 humanchorionic
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 drug
is most often used for which obstetric complication?
a. complete hydatidiform mole
b. missed abortion
c. unruptured ectopic pregnancy
abruptio placentae ANSWER: c
methotrexate is an effective nonsurgical treatment option for a hemodynamically stable woman
whose ectopic pregnancy is unruptured and measures less than 4 cm in diameter. methotrexate isnot
indicated or recommended as a treatment option for a complete hydatidiform mole, for a missed
abortion, or for abruptio placentae.
dif: cognitive level: apply ref: dm. 677 top: nursing process: planningmsc: client needs:
physiologic integrity
4. a 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she
experiences bright red, painless vaginal bleeding. on her arrival at the hospital, which diagnostic
procedure will the client most likely have performed?
a. amniocentesis for fetal lung maturity
b. transvaginal ultrasound for placental location
c. contraction stress test (cst)
internal fetal monitoring ANSWER: b
the presence of painless bleeding should always alert the health care team to the possibility of
placenta previa, which can be confirmed through ultrasonography. amniocentesis is not performed on
a woman who is experiencing bleeding. in the event of an imminent delivery, the fetus is presumed to
have immature lungs at this gestational age, and the mother is given corticosteroids to aid in fetal lung
maturity. a cst is not performed at a preterm gestational age.furthermore, bleeding is a contraindication
to a cst. internal fetal monitoring is also contraindicated in the presence of bleeding. dif: cognitive
level: apply ref: dm. 680
top: nursing process: assessment msc: client needs: health promotion and maintenance
5. a laboring woman with no known risk factors suddenly experiences spontaneous rom. the
fluid consists of bright red blood. her contractions are consistent with her current stage of labor.no
change in uterine resting tone has occurred. the fetal heart rate (fhr) begins to decline rapidly after the
rom. the nurse should suspect the possibility of what condition?
a. placenta previa
b. vasa previa
c. severe abruptio placentae
disseminated intravascular coagulation (dic) ANSWER: b
vasa previa is the result of a velamentous insertion of the umbilical cord. the umbilical vessels
are not surrounded by wharton jelly and have no supportive tissue. the umbilical blood vessels thus are
at risk for laceration at any time, but laceration occurs most frequently during rom. thesudden
appearance of bright red blood at the time of rom and a sudden change in the fhr without other known
risk factors should immediately alert the nurse to the possibility of vasa previa. the presence of placenta
previa most likely would be ascertained before labor and is considered a risk factor for this pregnancy.
in addition, if the woman had a placenta previa, it is unlikely that she would be allowed to pursue labor
and a vaginal birth. with the presence of severe abruptio placentae, the uterine tonicity typically is
tetanus (i.e., a boardlike uterus). dic isa pathologic form of diffuse clotting that consumes large
amounts of clotting factors, causing widespread external bleeding, internal bleeding, or both. dic is
always a secondary diagnosis, often associated with obstetric risk factors such as the hemolysis,
elevated liver enzyme levels, and low platelet levels (hellp) syndrome. this woman did not have any
Case-Based Approach Second, Edition Latest And Newest Edition
2026
, test bank for maternity newborn and women's health nursing a case-based approach 2nd
edition o'meara
maternity newborn and women's health nursing a case-based approach 2nd edition o'meara test
bank
isbn-10:1496368215 isbn- 13:9781496368218
Table Of Contents
1. Chapter 1 Immediate Postpartum Hemorrhage
2. Chapter 2 Later Postpartum Hemorrhage
3. Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, And Postpartum Pulmonary
Embolism
4. Chapter 4 Preeclampsia
5. Chapter 5 Cord Prolapse And Nonreassuring Fetal Status
6. Chapter 6 Placental Abruption And Fetal Loss
7. Chapter 7 Chorioamnionitis And Neonatal Sepsis
8. Chapter 8 Preterm Premature Rupture Of Membranes And Neonatal Respiratory Distress
Syndrome
9. Chapter 9 Gestational Diabetes, Macrosomia, And Neonatal Cephalhematoma
10.Chapter 10 Advanced Maternal Age, Hellp Syndrome, And Neonatal Necrotizing
Enterocolitis
11.Chapter 11 Migraine With Aura, Shoulder Dystocia, And Brachial Plexus Palsy
12.Chapter 12 Intimate Partner Violence, Formula Feeding, And Postpartum Depression
13.Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) And Advanced Maternal
Age
14.Chapter 14 Before Conception
15.Chapter 15 Pregnancy
16.Chapter 16 Labor And Delivery
17.Chapter 17 After Delivery
18.Chapter 18 The Newborn
19.Chapter 19 Conditions Existing Before Conception
20.Chapter 20 Conditions Occurring During Pregnancy
21.Chapter 21 Complications Occurring Before Labor And Delivery
22.Chapter 22 Complications Occurring During Labor And Delivery
23.Chapter 23 Conditions Occurring After Delivery
24.Chapter 24 Conditions In The Newborn Related To Gestational Age, Size, Injury, And Pain
25.Chapter 25 Acquired Conditions And Congenital Abnormalities In The Newborn
26. Chapter 26 Wellness And Health Promotion
27.Chapter 27 Common Gynecologic Conditions
28.Chapter 28 Infections
29.Chapter 29 Family Planning Chapter 30 Vulnerable Populations
, maternity newborn and women’s health nursing a case-based approach 2nd edition
o’meara test bank
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 discharge
teaching?
a. any vaginal discharge should be immediately reported to her health care provider.
b. the presence of any contractions, rupture of membranes (rom), or severe perineal pressure sho
c. the client will need to make arrangements for care at home, because her activity level will be re
the client will be scheduled for a cesarean birth. ANSWER: b
nursing care should stress the importance of monitoring for the signs and symptoms of preterm
labor. vaginal bleeding needs to be reported to her primary health care provider. bed rest is an element
of care. however, the woman may stand for periods 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
prepare for a vaginal birth), or a cesarean birth can be planned.
dif: cognitive level: apply ref: dm. 675
top: nursing process: planning | nursing process: implementationmsc:
client needs: health promotion and maintenance
2. a perinatal nurse is giving discharge instructions to a woman, status postsuction, and curettage
secondary to a hydatidiform mole. the woman asks why she must take oral contraceptives for the next
12 months. what is the bestresponse by the nurse?
if you get pregnant within 1 year, the chance of a successful pregnancy is very small. therefore,
a. pregnancy, it would be better for you to use the most reliable method of contraception available.
the major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only byhormone
that your body produces during pregnancy. if you were to get pregnant, then it would
b. this cancer more difficult.
if you can avoid a pregnancy for the next year, the chance of developing a second molar pregna
c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
oral contraceptives are the only form of birth control that will prevent a recurrence of a molar p ANSWER: 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 humanchorionic
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 drug
is most often used for which obstetric complication?
a. complete hydatidiform mole
b. missed abortion
c. unruptured ectopic pregnancy
abruptio placentae ANSWER: c
methotrexate is an effective nonsurgical treatment option for a hemodynamically stable woman
whose ectopic pregnancy is unruptured and measures less than 4 cm in diameter. methotrexate isnot
indicated or recommended as a treatment option for a complete hydatidiform mole, for a missed
abortion, or for abruptio placentae.
dif: cognitive level: apply ref: dm. 677 top: nursing process: planningmsc: client needs:
physiologic integrity
4. a 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she
experiences bright red, painless vaginal bleeding. on her arrival at the hospital, which diagnostic
procedure will the client most likely have performed?
a. amniocentesis for fetal lung maturity
b. transvaginal ultrasound for placental location
c. contraction stress test (cst)
internal fetal monitoring ANSWER: b
the presence of painless bleeding should always alert the health care team to the possibility of
placenta previa, which can be confirmed through ultrasonography. amniocentesis is not performed on
a woman who is experiencing bleeding. in the event of an imminent delivery, the fetus is presumed to
have immature lungs at this gestational age, and the mother is given corticosteroids to aid in fetal lung
maturity. a cst is not performed at a preterm gestational age.furthermore, bleeding is a contraindication
to a cst. internal fetal monitoring is also contraindicated in the presence of bleeding. dif: cognitive
level: apply ref: dm. 680
top: nursing process: assessment msc: client needs: health promotion and maintenance
5. a laboring woman with no known risk factors suddenly experiences spontaneous rom. the
fluid consists of bright red blood. her contractions are consistent with her current stage of labor.no
change in uterine resting tone has occurred. the fetal heart rate (fhr) begins to decline rapidly after the
rom. the nurse should suspect the possibility of what condition?
a. placenta previa
b. vasa previa
c. severe abruptio placentae
disseminated intravascular coagulation (dic) ANSWER: b
vasa previa is the result of a velamentous insertion of the umbilical cord. the umbilical vessels
are not surrounded by wharton jelly and have no supportive tissue. the umbilical blood vessels thus are
at risk for laceration at any time, but laceration occurs most frequently during rom. thesudden
appearance of bright red blood at the time of rom and a sudden change in the fhr without other known
risk factors should immediately alert the nurse to the possibility of vasa previa. the presence of placenta
previa most likely would be ascertained before labor and is considered a risk factor for this pregnancy.
in addition, if the woman had a placenta previa, it is unlikely that she would be allowed to pursue labor
and a vaginal birth. with the presence of severe abruptio placentae, the uterine tonicity typically is
tetanus (i.e., a boardlike uterus). dic isa pathologic form of diffuse clotting that consumes large
amounts of clotting factors, causing widespread external bleeding, internal bleeding, or both. dic is
always a secondary diagnosis, often associated with obstetric risk factors such as the hemolysis,
elevated liver enzyme levels, and low platelet levels (hellp) syndrome. this woman did not have any
