CASE-BASED APPROACH 1ST EDITION O'MEARA
Maternity Newborn and Women's Health Nursing A Case-Based Approach 1st Edition O'Meara
Test Ban𝑘
ISBN-10:1496368215ISBN-
13:9781496368218
Table of Contents
Chapter 1 Immediate Postpartum Hemorrhage
Chapter 2 Later Postpartum Hemorrhage
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartum Pulmonary
EmbolismChapter 4 Preeclampsia
Chapter 5 Cord Prolapse and Nonreassuring Fetal Status
Chapter 6 Placental Abruption and Fetal Loss
Chapter 7 Chorioamnionitis and Neonatal Sepsis
Chapter 8 Preterm Premature Rupture of Membranes and Neonatal Respiratory
DistressSyndrome
Chapter 9 Gestational Diabetes, Macrosomia, and Neonatal Cephalhematoma
Chapter 10 Advanced Maternal Age, HELLP Syndrome, and Neonatal Necrotizing
EnterocolitisChapter 11 Migraine With Aura, Shoulder Dystocia, and Brachial Plexus Palsy
Chapter 12 Intimate Partner Violence, Formula Feeding, and Postpartum Depression
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) and Advanced Maternal
AgeChapter 14 Before Conception
Chapter 15 Pregnancy
Chapter 16 Labor and Delivery
Chapter 17 After Delivery
,Chapter 18 The Newborn
Chapter 19 Conditions Existing Before Conception
Chapter 20 Conditions Occurring During Pregnancy
Chapter 21 Complications Occurring Before Labor and Delivery
Chapter 22 Complications Occurring During Labor and Delivery
Chapter 23 Conditions Occurring After Delivery
Chapter 24 Conditions in the Newborn Related to Gestational Age, Size, Injury, and
PainChapter 25 Acquired Conditions and Congenital Abnormalities in the Newborn
Chapter 26 Wellness and Health Promotion Chapter
27 Common Gynecologic Conditions Chapter 28
Infections
Chapter 29 Family Planning Chapter 30
Vulnerable Populations
, Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st
EditionO’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
cervicalcerclage because of a history of recurrent pregnancy loss, secondary to an incompetent
cervix.
Which information regarding postprocedural care should the nurse emphasize in the
dischargeteaching?
a. Any vaginal discharge should be
immediately reported to her health care
b. The presence of any contractions, rupture
of
Themembranes
client will (ROM), or 𝑘
severe perineal
c. need to ma e arrangements
for care at home, because her activity level
d. The client will be scheduled for a
ANS: B cesarean birth.
Nursing care should stress the importance of monitoring for the signs and symptoms of pretermlabor.
Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is anelement of
care. However, the woman may stand for periods of up to 90 minutes, which allows her thefreedom to
see her physician. Home uterine activity monitoring may be used to limit the womans needfor visits
and to monitor her status safely at home. The cerclage can be removed at 37 wee𝑘s ofgestation (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: Implementation MSC:
Client Needs: Health Promotion and Maintenance
2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and
curettagesecondary to a hydatidiform mole. The woman as𝑘s why she must ta𝑘e oral contraceptives for
the next12 months. What is thebestresponse 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
youoftocancer
use thethat
most
canreliable methodonly by
The major ris𝑘 to you after a molar pregnancy is a type be diagnosed
hormonethat 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
d. Oral contraceptives are the only
ANS: B form of birth control that will
Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensurethat the
mole is completely gone. The chance of developing choriocarcinoma after the development ofa
hydatidiform mole is increased. Therefore, the goal is to achieve a zero human chorionic
gonadotropin (hCG) level. If the woman were to become pregnant, then it may obscure the presence
ofthe potentially carcinogenic cells. Women should be instructed to use birth control for 1 year
aftertreatment for a hydatidiform mole. The rationale for avoiding pregnancy