, MATERNITY NEWBORN AND WOMEN’S HEALTH
NURSING A CASE-BASED
APPROACH 1ST EDITION O’MEARA
TEST BANK
Chapter bz1 bzImmediate bzPostpartum bzHemorrhage
MULTIPLE bzCHOICE
1. bzA bzpregnant bzwoman bzis bzbeing bzdischarged bzfrom bzthe bzhospital bzafter bzthe bzplacement
bzof bza bzcervical bzcerclage bzbecause bzof bza bzhistory bzof bzrecurrent bzpregnancy bzloss,
bzsecondary bzto bzan bzincompetent bzcervix.Which bzinformation bzregarding bzpostprocedural
bzcare bzshould bzthe bznurse bzemphasize bzin bzthe bzdischargeteaching?
a. Any bzvaginal bzdischarge bzshould bzbe bzimmediately bzreported bzto bzher bzhealth care provider. til til
b. The bzpresence bzof bzany bzcontractions, bzrupture bzof bzmembranes bz(ROM), or severe til til
bzperineal bzpressure bzshould
c. The bzclient bzwill bzneed bzto bzmake bzarrangements bzfor bzcare bzat bzhome, bzbecause bzher
bzactivity bzlevel bzwill bzbe bzrestri
d. The bzclient bzwill bzbe bzscheduled bzfor bza
bzcesarean bzbirth.ANS: bzB
Nursing bzcare bzshould bzstress bzthe bzimportance bz of bzmonitoring for the signs bz and bzsymptoms bzof bzpreter
til til til
labor. bzVaginal bzbleeding bzneeds bzto bzbe bzreported bzto bzher bzprimary health bzcare bzprovider. til
bzBed bzrest bzis bzan bzelement bzof bzcare. bzHowever, bzthe bzwoman bzmay bzstand bzfor periods til
bzof bzup bzto bz90 bzminutes, bzwhich bzallows bzher bzthe bzfreedom bzto bzsee bzher bzphysician.
b z Home bzuterine activity bzmonitoring bzmay bzbe bzused bzto bzlimit b z the bzwomans bzneed
til
bzfor bzvisits bzand bzto bzmonitor bzher status bzsafely bzat bzhome. bzThe bzcerclage bzcan bzbe
til
bzremoved bzat 37 bzweeks bzof bzgestation bz(to bzprepare b z for a bzvaginal bzbirth), bzor bza
ilt t til
bzcesarean bzbirth bzcan bzbe bzplanned.
DIF: bzCognitive bz Level: bzApply bzREF: bzdm. b z 675 t
TOP: bzNursing bzProcess: bzPlanning bz | Nursing bz Process:
til
ImplementationMSC: bzClient bzNeeds: Health bzPromotion bzand
til
bzMaintenance
2. A bzperinatal bznurse bzis bzgiving bzdischarge bzinstructions bzto bza bzwoman, bzstatus
il
bzpostsuction, bzand bzcurettagesecondary bzto a hydatidiform bzmole. bzThe bzwoman
til til
bzasks bzwhy bzshe bzmust bztake bzoral bzcontraceptives bzfor bz the next bz12 bzmonths.
il til
bzWhat bzis bzthe bzbestresponse bzby bzthe bznurse?
If bzyou get bzpregnant bzwithin bz1 bzyear, bzthe bzchance bzof bza bzsuccessful bzpregnancy bzis bzvery
til
bzsmall. bzTherefore, bz if
a. pregnancy, bzit bzwould bzbe bzbetter bzfor bzyou bzto bzuse bzthe bzmost bzreliable bzmethod bzof
bzcontraception bzavailable.
The bzmajor bzrisk bzto bzyou bzafter bza bzmolar bzpregnancy bzis bza bztype bzof bzcancer bzthat bzcan bzb
bzdiagnosed bzonly bzby bzme
hormone bzthat bzyour bzbody bzproduces bzduring bzpregnancy. bzIf bzyou bzwere bzto bzget bzpregnant,
bzthen bzit bzwould bzmak
b. this bzcancer bzmore bzdifficult.
If bzyou bzcan bzavoid bza bzpregnancy bzfor bzthe bznext bzyear, bzthe bzchance bzof bzdeveloping bza
, bzsecond bzmolar bzpregnancy
c. improve bzyour bzchance bzof bza bzsuccessful bzpregnancy, bznot bzgetting bzpregnant bzat bzthis bztim
bzis bzbest.
d. Oral bzcontraceptives bzare bzthe bzonly bzform bzof bzbirth bzcontrol bzthat bzwill bzprevent bza
bzrecurrence bzof bza bzmolar bzpreg ANS: bzB
ilt
Betahuman bzchorionic bzgonadotropin bz(beta-hCG) bzhormone bzlevels bzare bzdrawn bzfor bz1 bzyear bzto bzensur
that bzthe bzmole bzis bzcompletely bzgone. bzThe bzchance bzof bzdeveloping bzchoriocarcinoma
bzafter bzthe bzdevelopment bzof bza bzhydatidiform bzmole bzis bzincreased. bzTherefore, bzthe bzgoal
bzis bzto bzachieve bza bzzero b z human bzchorionic bzgonadotropin bz(hCG) bzlevel. bzIf bzthe
bzwoman bzwere bzto bzbecome bzpregnant, bzthen bzit bzmay
, obscure the bzpresence bzof bzthe bzpotentially bzcarcinogenic bzcells. bzWomen bzshould bzbe
ilt
bzinstructed bzto bzuse bzbirth bzcontrol bzfor bz1 bzyear bzafter bztreatment bzfor bza bzhydatidiform
bzmole. bzThe bzrationale bzfor bzavoiding bzpregnancy
NURSING A CASE-BASED
APPROACH 1ST EDITION O’MEARA
TEST BANK
Chapter bz1 bzImmediate bzPostpartum bzHemorrhage
MULTIPLE bzCHOICE
1. bzA bzpregnant bzwoman bzis bzbeing bzdischarged bzfrom bzthe bzhospital bzafter bzthe bzplacement
bzof bza bzcervical bzcerclage bzbecause bzof bza bzhistory bzof bzrecurrent bzpregnancy bzloss,
bzsecondary bzto bzan bzincompetent bzcervix.Which bzinformation bzregarding bzpostprocedural
bzcare bzshould bzthe bznurse bzemphasize bzin bzthe bzdischargeteaching?
a. Any bzvaginal bzdischarge bzshould bzbe bzimmediately bzreported bzto bzher bzhealth care provider. til til
b. The bzpresence bzof bzany bzcontractions, bzrupture bzof bzmembranes bz(ROM), or severe til til
bzperineal bzpressure bzshould
c. The bzclient bzwill bzneed bzto bzmake bzarrangements bzfor bzcare bzat bzhome, bzbecause bzher
bzactivity bzlevel bzwill bzbe bzrestri
d. The bzclient bzwill bzbe bzscheduled bzfor bza
bzcesarean bzbirth.ANS: bzB
Nursing bzcare bzshould bzstress bzthe bzimportance bz of bzmonitoring for the signs bz and bzsymptoms bzof bzpreter
til til til
labor. bzVaginal bzbleeding bzneeds bzto bzbe bzreported bzto bzher bzprimary health bzcare bzprovider. til
bzBed bzrest bzis bzan bzelement bzof bzcare. bzHowever, bzthe bzwoman bzmay bzstand bzfor periods til
bzof bzup bzto bz90 bzminutes, bzwhich bzallows bzher bzthe bzfreedom bzto bzsee bzher bzphysician.
b z Home bzuterine activity bzmonitoring bzmay bzbe bzused bzto bzlimit b z the bzwomans bzneed
til
bzfor bzvisits bzand bzto bzmonitor bzher status bzsafely bzat bzhome. bzThe bzcerclage bzcan bzbe
til
bzremoved bzat 37 bzweeks bzof bzgestation bz(to bzprepare b z for a bzvaginal bzbirth), bzor bza
ilt t til
bzcesarean bzbirth bzcan bzbe bzplanned.
DIF: bzCognitive bz Level: bzApply bzREF: bzdm. b z 675 t
TOP: bzNursing bzProcess: bzPlanning bz | Nursing bz Process:
til
ImplementationMSC: bzClient bzNeeds: Health bzPromotion bzand
til
bzMaintenance
2. A bzperinatal bznurse bzis bzgiving bzdischarge bzinstructions bzto bza bzwoman, bzstatus
il
bzpostsuction, bzand bzcurettagesecondary bzto a hydatidiform bzmole. bzThe bzwoman
til til
bzasks bzwhy bzshe bzmust bztake bzoral bzcontraceptives bzfor bz the next bz12 bzmonths.
il til
bzWhat bzis bzthe bzbestresponse bzby bzthe bznurse?
If bzyou get bzpregnant bzwithin bz1 bzyear, bzthe bzchance bzof bza bzsuccessful bzpregnancy bzis bzvery
til
bzsmall. bzTherefore, bz if
a. pregnancy, bzit bzwould bzbe bzbetter bzfor bzyou bzto bzuse bzthe bzmost bzreliable bzmethod bzof
bzcontraception bzavailable.
The bzmajor bzrisk bzto bzyou bzafter bza bzmolar bzpregnancy bzis bza bztype bzof bzcancer bzthat bzcan bzb
bzdiagnosed bzonly bzby bzme
hormone bzthat bzyour bzbody bzproduces bzduring bzpregnancy. bzIf bzyou bzwere bzto bzget bzpregnant,
bzthen bzit bzwould bzmak
b. this bzcancer bzmore bzdifficult.
If bzyou bzcan bzavoid bza bzpregnancy bzfor bzthe bznext bzyear, bzthe bzchance bzof bzdeveloping bza
, bzsecond bzmolar bzpregnancy
c. improve bzyour bzchance bzof bza bzsuccessful bzpregnancy, bznot bzgetting bzpregnant bzat bzthis bztim
bzis bzbest.
d. Oral bzcontraceptives bzare bzthe bzonly bzform bzof bzbirth bzcontrol bzthat bzwill bzprevent bza
bzrecurrence bzof bza bzmolar bzpreg ANS: bzB
ilt
Betahuman bzchorionic bzgonadotropin bz(beta-hCG) bzhormone bzlevels bzare bzdrawn bzfor bz1 bzyear bzto bzensur
that bzthe bzmole bzis bzcompletely bzgone. bzThe bzchance bzof bzdeveloping bzchoriocarcinoma
bzafter bzthe bzdevelopment bzof bza bzhydatidiform bzmole bzis bzincreased. bzTherefore, bzthe bzgoal
bzis bzto bzachieve bza bzzero b z human bzchorionic bzgonadotropin bz(hCG) bzlevel. bzIf bzthe
bzwoman bzwere bzto bzbecome bzpregnant, bzthen bzit bzmay
, obscure the bzpresence bzof bzthe bzpotentially bzcarcinogenic bzcells. bzWomen bzshould bzbe
ilt
bzinstructed bzto bzuse bzbirth bzcontrol bzfor bz1 bzyear bzafter bztreatment bzfor bza bzhydatidiform
bzmole. bzThe bzrationale bzfor bzavoiding bzpregnancy
