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Test Bank -Maternity Newborn And
Women’s Health Nursing: A Case-Based
Approach 2nd Edition (Amy O'meara,
2026/2027) All Chapters 1-30| Newest
Edition
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Table Of Contents
Part 1: Foundations For Nursing Care Of Childbearing Families
1. Clinical Judgment And The Nursing Process
2. Social, Cultural, And Ethical Issues
3. Reproductive Anatomy And Physiology
4. Hereditary And Environmental Influences On Childbearing
Part 2: The Family Before Birth
5. Conception And Prenatal Development
6. Adaptations To Pregnancy
7. Antepartum Assessment, Care, And Education
8. Nutrition For Childbearing
9. Prenatal Diagnosis And Fetal Assessment During The Antepartum Period
10. Complications Of Pregnancy
11. The Childbearing Family With Special Needs
Part 3: The Family During Birth
12. Processes Of Birth
13. Pain Management During Childbirth
14. Intrapartum Fetal Surveillance
15. Nursing Care During Labor And Birth
16. Intrapartum Complications
Part 4: The Family Following Birth
17. Postpartum Adaptations And Nursing Care
18. Postpartum Complications
19. Critical Care Obstetrics
20. Newborn: Processes Of Adaptation
21. Assessment Of The Newborn
22. Care Of The Newborn
23. Infant Feeding
24. High Risk Newborn: Complications Associated With Gestational Age And
Development
25. High Risk Newborn: Acquired And Congenital Conditions
Part 5: Women’s Health Care
26. Family Planning
27. Infertility
28. Women’s Health
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maternity newborn and women’shealth nursing acase-based approach 2nd edition o’meara test bank chapter 1
immediatepostpartumhemorrhage
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 post
procedural care should the nurse emphasize in the discharge teaching?
a. any vaginal dischargeshouldbeimmediately reportedtoher health careprovider.
b. thepresenceof any contractions, ruptureof membranes(rom), or severeperineal pressure should
be reported
c. the client will need to make arrangements for care at home, becauseher activity level will be restricted
d. theclient will bescheduled for a cesarean birth. ANS: b
nursing care should stress the importance of monitoring for the signs and symptoms of preterm
labor. vaginal bleedingneeds to bereported 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 allowsher the freedom to see her physician.
home uterine activity monitoring may be usedto limit thewomans need for visitsand tomonitor her status safely at home.
the cerclage can beremovedat 37 weeks of gestation (topreparefor avaginal birth), or acesarean birth can be planned.
dif: cognitive level: apply ref: dm. 675
top: nursing process: planning | nursing process: implementation msc: client needs: health promotion and
maintenance
2. a perinatal nurse is giving discharge instructions to awoman, status postsuction, and curettage secondary
to ahydatidiformmole. the woman asks why shemust take oral contraceptives for the next 12 months. what is the best
response by the nurse?
a. if you get pregnant within 1 year, the chance of a successful pregnancy is very small. therefore, if
pregnancy, it would be better for you to use the most reliable method of contraception available.
b. the major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by me hormone that
your body produces during pregnancy. if you were to get pregnant, then it would make this cancer more difficult.
c. if you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy improve your
chanceof a successful pregnancy, not gettingpregnant at this timeis best.
d. oral contraceptives aretheonly formof birth control that will prevent arecurrenceofa
molar pregnancy
ANS: 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
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human chorionic gonadotropin (hcg) level. if the woman were to becomepregnant, then it may obscure the presence of
the potentially carcinogenic cells. women should be instructed to use birth control for 1 year after treatment for a
hydatidiformmole. therationale for avoiding pregnancy for 1 year is to ensure that carcinogenic cells are not present. any
contraceptive method except an intrauterine device (iud) is acceptable.
dif: cognitive level: apply ref: dm. 679
top: nursing process: planning | nursing process: implementation msc: 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
d. abruptioplacentae
ANS: c
methotrexateisan effectivenonsurgical treatment option for ahemodynamically stablewoman whose ectopic
pregnancy is unruptured and measures less than 4 cm in diameter. methotrexate is not 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: planning msc: 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)
d. internal fetal monitoring
ANS: 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 whois experiencing
bleeding. in the event of an imminent delivery, the fetusis 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
Test Bank -Maternity Newborn And
Women’s Health Nursing: A Case-Based
Approach 2nd Edition (Amy O'meara,
2026/2027) All Chapters 1-30| Newest
Edition
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Table Of Contents
Part 1: Foundations For Nursing Care Of Childbearing Families
1. Clinical Judgment And The Nursing Process
2. Social, Cultural, And Ethical Issues
3. Reproductive Anatomy And Physiology
4. Hereditary And Environmental Influences On Childbearing
Part 2: The Family Before Birth
5. Conception And Prenatal Development
6. Adaptations To Pregnancy
7. Antepartum Assessment, Care, And Education
8. Nutrition For Childbearing
9. Prenatal Diagnosis And Fetal Assessment During The Antepartum Period
10. Complications Of Pregnancy
11. The Childbearing Family With Special Needs
Part 3: The Family During Birth
12. Processes Of Birth
13. Pain Management During Childbirth
14. Intrapartum Fetal Surveillance
15. Nursing Care During Labor And Birth
16. Intrapartum Complications
Part 4: The Family Following Birth
17. Postpartum Adaptations And Nursing Care
18. Postpartum Complications
19. Critical Care Obstetrics
20. Newborn: Processes Of Adaptation
21. Assessment Of The Newborn
22. Care Of The Newborn
23. Infant Feeding
24. High Risk Newborn: Complications Associated With Gestational Age And
Development
25. High Risk Newborn: Acquired And Congenital Conditions
Part 5: Women’s Health Care
26. Family Planning
27. Infertility
28. Women’s Health
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
maternity newborn and women’shealth nursing acase-based approach 2nd edition o’meara test bank chapter 1
immediatepostpartumhemorrhage
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 post
procedural care should the nurse emphasize in the discharge teaching?
a. any vaginal dischargeshouldbeimmediately reportedtoher health careprovider.
b. thepresenceof any contractions, ruptureof membranes(rom), or severeperineal pressure should
be reported
c. the client will need to make arrangements for care at home, becauseher activity level will be restricted
d. theclient will bescheduled for a cesarean birth. ANS: b
nursing care should stress the importance of monitoring for the signs and symptoms of preterm
labor. vaginal bleedingneeds to bereported 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 allowsher the freedom to see her physician.
home uterine activity monitoring may be usedto limit thewomans need for visitsand tomonitor her status safely at home.
the cerclage can beremovedat 37 weeks of gestation (topreparefor avaginal birth), or acesarean birth can be planned.
dif: cognitive level: apply ref: dm. 675
top: nursing process: planning | nursing process: implementation msc: client needs: health promotion and
maintenance
2. a perinatal nurse is giving discharge instructions to awoman, status postsuction, and curettage secondary
to ahydatidiformmole. the woman asks why shemust take oral contraceptives for the next 12 months. what is the best
response by the nurse?
a. if you get pregnant within 1 year, the chance of a successful pregnancy is very small. therefore, if
pregnancy, it would be better for you to use the most reliable method of contraception available.
b. the major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by me hormone that
your body produces during pregnancy. if you were to get pregnant, then it would make this cancer more difficult.
c. if you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy improve your
chanceof a successful pregnancy, not gettingpregnant at this timeis best.
d. oral contraceptives aretheonly formof birth control that will prevent arecurrenceofa
molar pregnancy
ANS: 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
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
human chorionic gonadotropin (hcg) level. if the woman were to becomepregnant, then it may obscure the presence of
the potentially carcinogenic cells. women should be instructed to use birth control for 1 year after treatment for a
hydatidiformmole. therationale for avoiding pregnancy for 1 year is to ensure that carcinogenic cells are not present. any
contraceptive method except an intrauterine device (iud) is acceptable.
dif: cognitive level: apply ref: dm. 679
top: nursing process: planning | nursing process: implementation msc: 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
d. abruptioplacentae
ANS: c
methotrexateisan effectivenonsurgical treatment option for ahemodynamically stablewoman whose ectopic
pregnancy is unruptured and measures less than 4 cm in diameter. methotrexate is not 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: planning msc: 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)
d. internal fetal monitoring
ANS: 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 whois experiencing
bleeding. in the event of an imminent delivery, the fetusis 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
