, MATERNITYiiNEWBORNiiANDiiWOMEN’SiiHEALTHii
NURSINGiiAiiCASE-
BASEDiiAPPROACHii1STiiEDITIONiiO’
MEARAiTESTiiBANK
Chapteri i 1i i Immediatei i Postpartumi i Hemorrhage
MULTIPLE CHOICE
1. Ai i pregnanti i womani i isiiiiii beingiiiiii dischargediiiiii fromiiiiii theiiiiii hospitaliiiiii afteriiiiii theiiiiii pl
acementiofi i ai i cervicali i cerclageiiiiii becauseiiiiii ofiiiiii aiiiiii historyiiiiii ofiiiiii recurrentiiiiii pregnan
cyiiiiiiloss,iisecondaryi i toi i aniiiiii incompetentiiiiii cervix.Whichiiiiii informationiiiiii regardingiiiiii
postproceduraliicareii shouldii theii nurseii emphasizeii inii theii dischargeteaching?
a. Anyi i vaginaliiiiii dischargeiiiiii should beiiiiii immediately
reportedi i toiibzheriibzhealthiicareiiprovider.
b. Theii presenceii ofii anyii contractions,ii rupturei i ofi i membranesiibz(ROM),iioriisevereipe
rinealii pressureii should
c. Thei i clienti i willi i needi i toi i makei i arrangementsi i fori i carei i ati i home,i i because
i i heriactivityi i levelii willii beii restri
d. Theiiclientii willii beiischeduledii foriiaicesar
eanii birth.ANS:ii B
Nursingiiiiii care should stress the importance ofiibzmonitoringiiforiitheiisigns andiiiiiisymptoms ofi i preter
labor.i i Vaginali i bleedingi i needsi i toi i bei i reportediibztoiibzheriibzprimaryiihealthiiiiii careiiiiii pro
vider.iBedi i resti i isi i i i ani i i i elementi i i i ofiiiiiicare.iiiiiiHowever,iibztheiibzwomaniiiiiimayiiiiii
standiiiiiiforiiperiodsiofii upii toii 90ii minutes,ii whichii allowsii heriibztheiibzfreedomii toii seeii herii ph
ysician.
Homei i uterineiiactivityi i monitoringiiiiii mayiibzbeiibzusediiiiii toiiiiii limit
theiiwomansiineedifori i visitsi i
andi i toi i monitori i heriistatusiibzsafelyi i ati i home.i i Thei i cerclagei i caniiiiii beiiremov
edi i ati37i i weeksi i ofiiiiii gestationiiiiii (toiibzprepare
foriiaii vaginalii birth),ii ori i aiice
sareanii birthii canii beii planned.
DIF:iiiiii Cognitive Level: ApplyiibzREF:iibzdm.
675iiTOP:Nursing Process:
Planningiibz|iiNursing Process:
ImplementationMSC:iiClientiibzNeeds:iiHealthiiPromotioniiandiMainte
nance
2. Aiiperinatalii nurseiibzisiibzgivingii dischargeii instructionsii toii aii woman,ii statusiposts
uction,i i andiibzcurettagesecondaryi i toiiaiihydatidiformi i mole.i i Thei i womaniias
ksi i whyi i sheiibzmusti i takei i orali i contraceptivesi i fori i theiinextiiiiii 12iiiiii mont
hs.iiWhatii isii theiibzbestresponseii byii theii nurse?
Ifiibzyouiigeti i pregnant withiniiiiii 1 year, theiiiiii chance
ofi i aiiiii i successfuliiiiii pregnancyi i isiiiiii very
bzsmall. Therefore, if
a. pregnancy,i i it wouldiiiiiibeiiiiii betteriiiiii for youi i to
useii theii mostii reliableii methodii oficontraception available.
Theiimajori i riski i toi i youi i afteri i ai i molari i pregnancyi i isi i ai i typei i ofi i canceri i thati i
, cani i beidiagnosedii onlyi i byii me
hormonei i thati i youri i bodyi i producesi i duringi i pregnancy.i i Ifi i youi i werei i toiiiiii getiiii
ii pregnant,itheni i itii wouldii mak
b. thisi i canceriiiiiimorei i difficult.
Ifi i youiiiiii caniiiiii avoidiiiiii aiiiiii pregnancyi i foriiiiiithei i nextiiiiii year,iiiiiitheiiiiii chanceiiiiii ofi i deve
pingi i a
, secondi i molari i pregnancy
c. improveiiiiii youriiiiii chance ofi i aiiiiii successfuli i pregnancy,
notiiiiii gettingiiiii i pregnantiiiiii at thisiitimeiisii best.
d. Oralii contraceptivesii areii theii onlyi i formi i ofi i birthi i controli i thati i willi i preventi i ai
recurrenceii ofii aii molarii pregANS:ii B
Betahuman chorionic gonadotropiniiiiii (beta-hCG)iiiiii hormoneiiiiii levels
areiiiii i drawni i fori i 1 year toi i ensure
thatiiiiii theiiiiii moleiiiiii isiiiiii completelyiiiiii gone.iiiiii Theiiiiii chanceiiiiii ofiiiiii developingiiiiii choriocarc
inomaiiafteri i thei i developmentiiiiii ofiiiiii aiiiiii hydatidiformiiiiii moleiiiiii isiiiiii increased.iiiiii There
fore,iiiiii theiiiiii goaliisiiiiii toiiiiii achieveiiiiii aiiiiii zero
humaniiiii i chorioniciiiii i gonadotropiniiiiii (hCG)iiiiiilevel.iiiiii Ifi i the
iiwomanii werei i toii becomeii pregnant,ii theni i iti i may
NURSINGiiAiiCASE-
BASEDiiAPPROACHii1STiiEDITIONiiO’
MEARAiTESTiiBANK
Chapteri i 1i i Immediatei i Postpartumi i Hemorrhage
MULTIPLE CHOICE
1. Ai i pregnanti i womani i isiiiiii beingiiiiii dischargediiiiii fromiiiiii theiiiiii hospitaliiiiii afteriiiiii theiiiiii pl
acementiofi i ai i cervicali i cerclageiiiiii becauseiiiiii ofiiiiii aiiiiii historyiiiiii ofiiiiii recurrentiiiiii pregnan
cyiiiiiiloss,iisecondaryi i toi i aniiiiii incompetentiiiiii cervix.Whichiiiiii informationiiiiii regardingiiiiii
postproceduraliicareii shouldii theii nurseii emphasizeii inii theii dischargeteaching?
a. Anyi i vaginaliiiiii dischargeiiiiii should beiiiiii immediately
reportedi i toiibzheriibzhealthiicareiiprovider.
b. Theii presenceii ofii anyii contractions,ii rupturei i ofi i membranesiibz(ROM),iioriisevereipe
rinealii pressureii should
c. Thei i clienti i willi i needi i toi i makei i arrangementsi i fori i carei i ati i home,i i because
i i heriactivityi i levelii willii beii restri
d. Theiiclientii willii beiischeduledii foriiaicesar
eanii birth.ANS:ii B
Nursingiiiiii care should stress the importance ofiibzmonitoringiiforiitheiisigns andiiiiiisymptoms ofi i preter
labor.i i Vaginali i bleedingi i needsi i toi i bei i reportediibztoiibzheriibzprimaryiihealthiiiiii careiiiiii pro
vider.iBedi i resti i isi i i i ani i i i elementi i i i ofiiiiiicare.iiiiiiHowever,iibztheiibzwomaniiiiiimayiiiiii
standiiiiiiforiiperiodsiofii upii toii 90ii minutes,ii whichii allowsii heriibztheiibzfreedomii toii seeii herii ph
ysician.
Homei i uterineiiactivityi i monitoringiiiiii mayiibzbeiibzusediiiiii toiiiiii limit
theiiwomansiineedifori i visitsi i
andi i toi i monitori i heriistatusiibzsafelyi i ati i home.i i Thei i cerclagei i caniiiiii beiiremov
edi i ati37i i weeksi i ofiiiiii gestationiiiiii (toiibzprepare
foriiaii vaginalii birth),ii ori i aiice
sareanii birthii canii beii planned.
DIF:iiiiii Cognitive Level: ApplyiibzREF:iibzdm.
675iiTOP:Nursing Process:
Planningiibz|iiNursing Process:
ImplementationMSC:iiClientiibzNeeds:iiHealthiiPromotioniiandiMainte
nance
2. Aiiperinatalii nurseiibzisiibzgivingii dischargeii instructionsii toii aii woman,ii statusiposts
uction,i i andiibzcurettagesecondaryi i toiiaiihydatidiformi i mole.i i Thei i womaniias
ksi i whyi i sheiibzmusti i takei i orali i contraceptivesi i fori i theiinextiiiiii 12iiiiii mont
hs.iiWhatii isii theiibzbestresponseii byii theii nurse?
Ifiibzyouiigeti i pregnant withiniiiiii 1 year, theiiiiii chance
ofi i aiiiii i successfuliiiiii pregnancyi i isiiiiii very
bzsmall. Therefore, if
a. pregnancy,i i it wouldiiiiiibeiiiiii betteriiiiii for youi i to
useii theii mostii reliableii methodii oficontraception available.
Theiimajori i riski i toi i youi i afteri i ai i molari i pregnancyi i isi i ai i typei i ofi i canceri i thati i
, cani i beidiagnosedii onlyi i byii me
hormonei i thati i youri i bodyi i producesi i duringi i pregnancy.i i Ifi i youi i werei i toiiiiii getiiii
ii pregnant,itheni i itii wouldii mak
b. thisi i canceriiiiiimorei i difficult.
Ifi i youiiiiii caniiiiii avoidiiiiii aiiiiii pregnancyi i foriiiiiithei i nextiiiiii year,iiiiiitheiiiiii chanceiiiiii ofi i deve
pingi i a
, secondi i molari i pregnancy
c. improveiiiiii youriiiiii chance ofi i aiiiiii successfuli i pregnancy,
notiiiiii gettingiiiii i pregnantiiiiii at thisiitimeiisii best.
d. Oralii contraceptivesii areii theii onlyi i formi i ofi i birthi i controli i thati i willi i preventi i ai
recurrenceii ofii aii molarii pregANS:ii B
Betahuman chorionic gonadotropiniiiiii (beta-hCG)iiiiii hormoneiiiiii levels
areiiiii i drawni i fori i 1 year toi i ensure
thatiiiiii theiiiiii moleiiiiii isiiiiii completelyiiiiii gone.iiiiii Theiiiiii chanceiiiiii ofiiiiii developingiiiiii choriocarc
inomaiiafteri i thei i developmentiiiiii ofiiiiii aiiiiii hydatidiformiiiiii moleiiiiii isiiiiii increased.iiiiii There
fore,iiiiii theiiiiii goaliisiiiiii toiiiiii achieveiiiiii aiiiiii zero
humaniiiii i chorioniciiiii i gonadotropiniiiiii (hCG)iiiiiilevel.iiiiii Ifi i the
iiwomanii werei i toii becomeii pregnant,ii theni i iti i may
