,Maternity crNewborn crand crWomen’s crHealth crNursing crA crCase-Based crApproach cr1st crEdition
O’Meara crTest crBank
Chapter cr1 crImmediate crPostpartum crHemorrhage
MULTIPLE crCHOICE
1. A crpregnant crwoman cris crbeing crdischarged crfrom crthe crhospital crafter crthe crplacement crof cra
crcervical crcerclage crbecause crof cra crhistory crof crrecurrent crpregnancy crloss, crsecondary crto cran
crincompetent crcervix. crWhich crinformation crregarding crpostprocedural crcare crshould crthe crnurse
cremphasize crin crthe crdischarge crteaching?
a. Any crvaginal crdischarge crshould crbe crimmediately crreported crto crher crhealth crcare crprovider.
b. The crpresence crof crany crcontractions, crrupture crof crmembranes cr(ROM), cror crsevere crperineal crpressur
crshould
c. The crclient crwill crneed crto crmake crarrangements crfor crcare crat crhome, crbecause crher cractivity crlevel crwil
crbe crrestri
d. The crclient crwill crbe crscheduled crfor cra crcesarean
crbirth. crANS: crB
Nursing crcare crshould crstress crthe crimportance crof crmonitoring crfor crthe crsigns crand crsymptoms crof crpreterm
labor. crVaginal crbleeding crneeds crto crbe crreported crto crher crprimary crhealth crcare crprovider. crBed crrest
cris cran crelement crof crcare. crHowever, crthe crwoman crmay crstand crfor crperiods crof crup crto cr90 crminutes,
crwhich crallows crher crthe crfreedom crto crsee crher crphysician. crHome cruterine cractivity cr monitoring crmay
crbe crused crto crlimit crthe crwomans crneed crfor crvisits crand crto crmonitor crher crstatus crsafely crat crhome. crThe
crcerclage crcan crbe crremoved crat cr37 crweeks crof crgestation cr(to crprepare crfor cra crvaginal crbirth), cror cra
crcesarean crbirth crcan crbe crplanned.
DIF: crCognitive crLevel: crApply crREF: crdm. cr675
TOP: crNursing crProcess: crPlanning cr| crNursing crProcess:
crImplementation crMSC: crClient crNeeds: crHealth crPromotion crand
crMaintenance
2. A crperinatal crnurse cris crgiving crdischarge crinstructions crto cra crwoman, crstatus crpostsuction, crand
crcurettage crsecondary crto cra crhydatidiform crmole. crThe crwoman crasks crwhy crshe crmust crtake croral
crcontraceptives crfor c r the cr next cr12 crmonths. crWhat cris crthe crbestresponse crby crthe crnurse?
If cryou crget crpregnant crwithin cr1 cryear, crthe crchance crof cra crsuccessful crpregnancy cris crvery crsmall.
crTherefore, crif
a. pregnancy, crit crwould crbe crbetter crfor cryou crto cruse crthe crmost crreliable crmethod crof crcontraception
cravailable.
The crmajor crrisk crto cryou crafter cra crmolar crpregnancy cris cra crtype crof crcancer crthat crcan crbe crdiagnosed
cronly crby crme
hormone crthat cryour crbody crproduces crduring crpregnancy. crIf cryou crwere crto crget crpregnant, crthen crit
crwould crmak
b. this crcancer crmore crdifficult.
If cryou crcan cravoid cra crpregnancy crfor crthe crnext cryear, crthe crchance crof crdeveloping cra crsecond crmolar
crpregnancy
c. improve cryour crchance crof cra crsuccessful crpregnancy, crnot crgetting crpregnant crat crthis crtime cris crbest.
d. Oral crcontraceptives crare crthe cronly crform crof crbirth crcontrol crthat crwill crprevent cra crrecurrence crof cra
crmolar crpreg crANS: crB
Betahuman crchorionic crgonadotropin cr(beta-hCG) crhormone crlevels crare crdrawn crfor cr1 cryear crto crensure
that crthe crmole cris crcompletely crgone. crThe crchance crof crdeveloping crchoriocarcinoma crafter crthe
,crdevelopment crof cra crhydatidiform crmole cris crincreased. crTherefore, crthe crgoal cris crto crachieve cra crzero
crhuman crchorionic crgonadotropin cr(hCG) crlevel. crIf crthe crwoman crwere crto crbecome crpregnant, crthen crit
crmay crobscure crthe crpresence crof crthe crpotentially crcarcinogenic crcells. crWomen crshould crbe
crinstructed crto cruse crbirth crcontrol crfor cr1 cr year crafter crtreatment crfor cra crhydatidiform crmole. crThe
crrationale crfor cravoiding crpregnancy
, for cr1 cryear cris crto crensure crthat crcarcinogenic crcells crare crnot crpresent. crAny crcontraceptive crmethod
crexcept cran crintrauterine crdevice cr(IUD) cris cracceptable.
DIF: crCognitive crLevel: crApply crREF: crdm. cr679
TOP: crNursing crProcess: crPlanning cr| crNursing crProcess:
crImplementation crMSC: crClient crNeeds: crPhysiologic crIntegrity
3. The crnurse cris crpreparing crto cradminister crmethotrexate crto crthe crclient. crThis crhazardous
crdrug cris crmost croften crused crfor crwhich crobstetric crcomplication?
a. Complete crhydatidiform crmole
b. Missed crabortion
c. Unruptured crectopic crpregnancy
d. Abruptio crplacentae
crANS: crC
Methotrexate cris cran creffective crnonsurgical crtreatment croption crfor cra crhemodynamically crstable crwoman
whose crectopic crpregnancy cris crunruptured crand crmeasures crless crthan cr4 crcm crin crdiameter.
crMethotrexate cris crnot crindicated cror crrecommended cras cra crtreatment croption crfor cra cr complete
crhydatidiform crmole, crfor cr a crmissed crabortion, cror crfor crabruptio crplacentae.
DIF: crCognitive crLevel: crApply crREF: crdm. cr677 crTOP: crNursing crProcess: crPlanning
crMSC: crClient crNeeds: crPhysiologic cr Integrity
4. A cr26-year-old crpregnant crwoman, crgravida cr2, crpara cr1-0-0-1, cris cr28 crweeks crpregnant crwhen crshe
crexperiences crbright crred, crpainless crvaginal crbleeding. crOn crher crarrival crat crthe crhospital, crwhich
crdiagnostic crprocedure crwill crthe crclient crmost crlikely crhave crperformed?
a. Amniocentesis crfor crfetal crlung crmaturity
b. Transvaginal crultrasound crfor crplacental crlocation
c. Contraction crstress crtest cr(CST)
d. Internal crfetal crmonitoring
crANS: crB
The crpresence crof crpainless crbleeding crshould cralways cralert crthe crhealth crcare crteam crto crthe crpossibility crof
placenta crprevia, crwhich crcan crbe crconfirmed crthrough crultrasonography. crAmniocentesis cris crnot
crperformed cron cra crwoman crwho cris crexperiencing crbleeding. cr In crthe crevent crof cran crimminent
crdelivery, crthe crfetus cris crpresumed crto crhave crimmature crlungs crat crthis crgestational cr age, crand crthe
crmother cris crgiven crcorticosteroids crto craid crin crfetal crlung crmaturity. crA crCST cris crnot crperformed crat cra
crpreterm crgestational crage. crFurthermore, crbleeding cris cra crcontraindication crto cra crCST. cr Internal crfetal
crmonitoring cris cralso crcontraindicated crin crthe crpresence crof crbleeding.
DIF: crCognitive crLevel: crApply crREF: crdm. cr680
TOP: crNursing crProcess: crAssessment crMSC: crClient crNeeds: crHealth crPromotion crand crMaintenance
5. A crlaboring crwoman crwith crno crknown crrisk crfactors crsuddenly crexperiences crspontaneous crROM.
crThe crfluid crconsists crof crbright crred crblood. crHer crcontractions crare crconsistent crwith crher crcurrent
crstage crof crlabor. crNo crchange crin cruterine crresting crtone crhas croccurred. crThe crfetal crheart crrate cr(FHR)
crbegins crto crdecline crrapidly crafter crthe crROM. crThe crnurse crshould crsuspect crthe crpossibility crof crwhat
crcondition?
a. Placenta crprevia
b. Vasa crprevia
c. Severe crabruptio crplacentae
O’Meara crTest crBank
Chapter cr1 crImmediate crPostpartum crHemorrhage
MULTIPLE crCHOICE
1. A crpregnant crwoman cris crbeing crdischarged crfrom crthe crhospital crafter crthe crplacement crof cra
crcervical crcerclage crbecause crof cra crhistory crof crrecurrent crpregnancy crloss, crsecondary crto cran
crincompetent crcervix. crWhich crinformation crregarding crpostprocedural crcare crshould crthe crnurse
cremphasize crin crthe crdischarge crteaching?
a. Any crvaginal crdischarge crshould crbe crimmediately crreported crto crher crhealth crcare crprovider.
b. The crpresence crof crany crcontractions, crrupture crof crmembranes cr(ROM), cror crsevere crperineal crpressur
crshould
c. The crclient crwill crneed crto crmake crarrangements crfor crcare crat crhome, crbecause crher cractivity crlevel crwil
crbe crrestri
d. The crclient crwill crbe crscheduled crfor cra crcesarean
crbirth. crANS: crB
Nursing crcare crshould crstress crthe crimportance crof crmonitoring crfor crthe crsigns crand crsymptoms crof crpreterm
labor. crVaginal crbleeding crneeds crto crbe crreported crto crher crprimary crhealth crcare crprovider. crBed crrest
cris cran crelement crof crcare. crHowever, crthe crwoman crmay crstand crfor crperiods crof crup crto cr90 crminutes,
crwhich crallows crher crthe crfreedom crto crsee crher crphysician. crHome cruterine cractivity cr monitoring crmay
crbe crused crto crlimit crthe crwomans crneed crfor crvisits crand crto crmonitor crher crstatus crsafely crat crhome. crThe
crcerclage crcan crbe crremoved crat cr37 crweeks crof crgestation cr(to crprepare crfor cra crvaginal crbirth), cror cra
crcesarean crbirth crcan crbe crplanned.
DIF: crCognitive crLevel: crApply crREF: crdm. cr675
TOP: crNursing crProcess: crPlanning cr| crNursing crProcess:
crImplementation crMSC: crClient crNeeds: crHealth crPromotion crand
crMaintenance
2. A crperinatal crnurse cris crgiving crdischarge crinstructions crto cra crwoman, crstatus crpostsuction, crand
crcurettage crsecondary crto cra crhydatidiform crmole. crThe crwoman crasks crwhy crshe crmust crtake croral
crcontraceptives crfor c r the cr next cr12 crmonths. crWhat cris crthe crbestresponse crby crthe crnurse?
If cryou crget crpregnant crwithin cr1 cryear, crthe crchance crof cra crsuccessful crpregnancy cris crvery crsmall.
crTherefore, crif
a. pregnancy, crit crwould crbe crbetter crfor cryou crto cruse crthe crmost crreliable crmethod crof crcontraception
cravailable.
The crmajor crrisk crto cryou crafter cra crmolar crpregnancy cris cra crtype crof crcancer crthat crcan crbe crdiagnosed
cronly crby crme
hormone crthat cryour crbody crproduces crduring crpregnancy. crIf cryou crwere crto crget crpregnant, crthen crit
crwould crmak
b. this crcancer crmore crdifficult.
If cryou crcan cravoid cra crpregnancy crfor crthe crnext cryear, crthe crchance crof crdeveloping cra crsecond crmolar
crpregnancy
c. improve cryour crchance crof cra crsuccessful crpregnancy, crnot crgetting crpregnant crat crthis crtime cris crbest.
d. Oral crcontraceptives crare crthe cronly crform crof crbirth crcontrol crthat crwill crprevent cra crrecurrence crof cra
crmolar crpreg crANS: crB
Betahuman crchorionic crgonadotropin cr(beta-hCG) crhormone crlevels crare crdrawn crfor cr1 cryear crto crensure
that crthe crmole cris crcompletely crgone. crThe crchance crof crdeveloping crchoriocarcinoma crafter crthe
,crdevelopment crof cra crhydatidiform crmole cris crincreased. crTherefore, crthe crgoal cris crto crachieve cra crzero
crhuman crchorionic crgonadotropin cr(hCG) crlevel. crIf crthe crwoman crwere crto crbecome crpregnant, crthen crit
crmay crobscure crthe crpresence crof crthe crpotentially crcarcinogenic crcells. crWomen crshould crbe
crinstructed crto cruse crbirth crcontrol crfor cr1 cr year crafter crtreatment crfor cra crhydatidiform crmole. crThe
crrationale crfor cravoiding crpregnancy
, for cr1 cryear cris crto crensure crthat crcarcinogenic crcells crare crnot crpresent. crAny crcontraceptive crmethod
crexcept cran crintrauterine crdevice cr(IUD) cris cracceptable.
DIF: crCognitive crLevel: crApply crREF: crdm. cr679
TOP: crNursing crProcess: crPlanning cr| crNursing crProcess:
crImplementation crMSC: crClient crNeeds: crPhysiologic crIntegrity
3. The crnurse cris crpreparing crto cradminister crmethotrexate crto crthe crclient. crThis crhazardous
crdrug cris crmost croften crused crfor crwhich crobstetric crcomplication?
a. Complete crhydatidiform crmole
b. Missed crabortion
c. Unruptured crectopic crpregnancy
d. Abruptio crplacentae
crANS: crC
Methotrexate cris cran creffective crnonsurgical crtreatment croption crfor cra crhemodynamically crstable crwoman
whose crectopic crpregnancy cris crunruptured crand crmeasures crless crthan cr4 crcm crin crdiameter.
crMethotrexate cris crnot crindicated cror crrecommended cras cra crtreatment croption crfor cra cr complete
crhydatidiform crmole, crfor cr a crmissed crabortion, cror crfor crabruptio crplacentae.
DIF: crCognitive crLevel: crApply crREF: crdm. cr677 crTOP: crNursing crProcess: crPlanning
crMSC: crClient crNeeds: crPhysiologic cr Integrity
4. A cr26-year-old crpregnant crwoman, crgravida cr2, crpara cr1-0-0-1, cris cr28 crweeks crpregnant crwhen crshe
crexperiences crbright crred, crpainless crvaginal crbleeding. crOn crher crarrival crat crthe crhospital, crwhich
crdiagnostic crprocedure crwill crthe crclient crmost crlikely crhave crperformed?
a. Amniocentesis crfor crfetal crlung crmaturity
b. Transvaginal crultrasound crfor crplacental crlocation
c. Contraction crstress crtest cr(CST)
d. Internal crfetal crmonitoring
crANS: crB
The crpresence crof crpainless crbleeding crshould cralways cralert crthe crhealth crcare crteam crto crthe crpossibility crof
placenta crprevia, crwhich crcan crbe crconfirmed crthrough crultrasonography. crAmniocentesis cris crnot
crperformed cron cra crwoman crwho cris crexperiencing crbleeding. cr In crthe crevent crof cran crimminent
crdelivery, crthe crfetus cris crpresumed crto crhave crimmature crlungs crat crthis crgestational cr age, crand crthe
crmother cris crgiven crcorticosteroids crto craid crin crfetal crlung crmaturity. crA crCST cris crnot crperformed crat cra
crpreterm crgestational crage. crFurthermore, crbleeding cris cra crcontraindication crto cra crCST. cr Internal crfetal
crmonitoring cris cralso crcontraindicated crin crthe crpresence crof crbleeding.
DIF: crCognitive crLevel: crApply crREF: crdm. cr680
TOP: crNursing crProcess: crAssessment crMSC: crClient crNeeds: crHealth crPromotion crand crMaintenance
5. A crlaboring crwoman crwith crno crknown crrisk crfactors crsuddenly crexperiences crspontaneous crROM.
crThe crfluid crconsists crof crbright crred crblood. crHer crcontractions crare crconsistent crwith crher crcurrent
crstage crof crlabor. crNo crchange crin cruterine crresting crtone crhas croccurred. crThe crfetal crheart crrate cr(FHR)
crbegins crto crdecline crrapidly crafter crthe crROM. crThe crnurse crshould crsuspect crthe crpossibility crof crwhat
crcondition?
a. Placenta crprevia
b. Vasa crprevia
c. Severe crabruptio crplacentae
