Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st Edition O’Meara Test Bank-Latest
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 d. Disseminated intravascular coagulation (DIC4. 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 monitoring3. 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. Abruptio placentae2. 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, if 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 by me hormone that your body produces during pregnancy. If you were to get pregnant, then it would mak b. this cancer more difficult. If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy c. improve your chance of a successful pregnancy, not getting pregnant at this time is best. d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar preg1. 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 should c. The client will need to make arrangements for care at home because her activity level will be restri d. The client will be sched
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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
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