, Maternityf#Newborn f#and f#Women’s f#Health f#Nursing f#A f#Case-Based f#Approach f#1st f#Edition
f#O’Meara f#Test f#Bank
Chapter f#1 f#Immediate f#Postpartum f#Hemorrhage
MULTIPLE f#CHOICE
1. Af#pregnant f#woman f#isf#being f#discharged f#from f#thef#hospital f#afterf#the f#placement f#off#a
f#cervical f#cerclage f#because f#of f#a f#history f#of f#recurrent f#pregnancy f#loss, f#secondary f#to f#an
f#incompetent f#cervix.Whichf#information f#regardingf#postprocedural f#care f#shouldf#the f#nurse
f#emphasizef#in f#the f#dischargeteaching?
a. Anyvaginal f#discharge f#should f#be f#immediately f#reportedf#to f#herf#healthf#caref#provider.
b. Thef#presence f#off#anyf#contractions, f#rupturef#off#membranes f#(ROM), f#or severe f#perineal f#pressure f#shoul
q,
c. Thef#client f#will f#need f#tof#makef#arrangements f#forf#caref#at f#home,f#because herf#activityf#level f#will f#bef#restri
q,
d. The f#client f#will f#be f#scheduled f#for f#a
f#cesarean f#birth. ANS: f#B ,
q
Nursing f#care f#should f#stress f#the f#importance f#of f#monitoring f#for f#the f#signs f#and f#symptoms f#of f#preterm
labor. f#Vaginal f#bleeding f#needs f#to f#be f#reported f#to f#her f#primary f#health care f#provider. f#Bed f#rest f#is
q,
f#an f#element f#of f#care. f#However, f#the f#woman f#mayf#stand f#forf#periods f#of f#up f#tof#90 f#minutes,f#which
f#allows f#her f#the f#freedom f#to f#see f#her f#physician. f#Home f#uterine f#activity monitoring f#may f#be f#used
q,
f#to f#limit f#the f#womansf#need f#forf#visits f#and f#tof#monitorf#her f#statusf#safely at home. f#The f#cerclage f#can f#be
q, q,
f#removed f#at 3 7 f# weeks f#of f#gestation f#(to f#prepare f#for f#a f#vaginal f#birth), or a cesarean f# birth f#can f#be
q, q, q, q,
f#planned.
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#675
TOP: f#Nursingf#Process: f#Planning f#|f#Nursingf#Process:
ImplementationMSC: f#Client f#Needs: f#Health f#Promotion f#and
f#Maintenance
2. A f#perinatal f#nurse f#is f#giving f#discharge instructions f#to f#a f#woman, f#status f#postsuction,
q,
f#and f#curettagesecondary f# to f#a f#hydatidiform mole. f# The f#woman f#asks f#why f#she
,
q q,
f#must f#take f#oral f#contraceptives f#for f#the f#next f#12 f#months. f#What f#is f#the
f#bestresponse f#bythe f#nurse?
If f#you f#get f#pregnant within f#1 f#year,f#the f#chance f#off#a f#successful f#pregnancyf#is f#veryf#small. f#Therefore, f#if
q,
a. pregnancy, it would f#bef#better f#for f#youf#to f#use f#the f#most f#reliable f#method f#of f#contraception f#available.
q, q,
The major f#risk f#to f#you f#after f#a f#molar f#pregnancy f#is f#a f#type f#of f#cancer f#that f#can f#be f#diagnosed f#only f#by
q,
f#me f#hormone that f#your f#bodyproduces f#duringf#pregnancy. f#If f#youf#weref#to f#get f#pregnant, f#thenf#itf#would
q,
f#mak
b. this f#cancer f#more f#difficult.
If you f#can f#avoid f#af#pregnancyf#forf#thef#next f#year,f#the f#chance f#off#developingf#a f#secondf#molar f#pregnancy
q,
c. improve f#your f#chance f#of f#a f#successful f#pregnancy, f#not f#getting f#pregnant f#at f#this f#time f#is f#best.
d. Oral f#contraceptives f#aref#thef#onlyf#form f#of f#birth f#control f#thatf#will f#prevent f#a f#recurrence f#of f#a
f#molar f#pregANS: f#B
q,
Betahuman f#chorionic f#gonadotropin f#(beta-hCG) f#hormone f#levels f#are f#drawnf#for f#1 f#year f#to f#ensure
that f#the f#mole f#is f#completely f#gone. f#The f#chance f#of f#developing f#choriocarcinoma f#after f#the
f#development f#of f#a f#hydatidiform f#mole f#is f#increased. f#Therefore, f#the f#goal f#is f#to f#achieve f#a f#zero
f#human f#chorionic f#gonadotropinf#(hCG)f#level. f#Iff#thef#woman f#weref#to f#become f#pregnant, f#thenf#itf#may
f#obscurethe f#presence f#of f#the f#potentially f#carcinogenic f#cells. f#Women f#should f#be f#instructed f#to
q,
f#use f#birth f#control f#for f#1 f#year f#after f#treatment f#for f#a f#hydatidiform f#mole. f#The f#rationale f#for
f#avoiding f#pregnancy
,for f#1 f#year f#is f#to f#ensure f#that f#carcinogenic f#cells f#are f#not f#present. f#Any f#contraceptive f#method
f#exceptan f# intrauterine f#device f#(IUD) f#is f#acceptable.
q,
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#679
TOP: f#Nursingf#Process: f#Planning f#|f#Nursingf#Process:
ImplementationMSC: f#Client f#Needs: f#Physiologic f#Integrity
3. The f#nurse f#is f#preparing f#to f#administer f#methotrexate f#to f#the f#client. f#This f#hazardous f#drugi s q,
most f#oftenf#used f#for f#which f#obstetric f#complication?
a. Complete f#hydatidiform f#mole
b. Missed f#abortion
c. Unruptured f#ectopic f#pregnancy
d. Abruptio
f#placentae ANS: f#C
q,
Methotrexatef#is f#anf#effectivef#nonsurgical f#treatment f#optionf#forf#af#hemodynamically stable f#woman
q,
whose f#ectopic f#pregnancy f#is f#unrupturedf#and f#measures f#less f#thanf#4 f#cm f#in f#diameter. f#Methotrexate
f#isn ot f# indicated f#or f#recommended f#as f#a f#treatment f#option f#for f#a f#complete f#hydatidiform f#mole,
q,
f#for f#a f#missed f#abortion, f#or f#for f#abruptio f#placentae.
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#677 f#TOP: f#Nursing f#Process:
PlanningMSC: f#Client f#Needs: f#Physiologic f#Integrity
q,
4. Af#26-year-old f#pregnant f#woman, f#gravidaf#2, f#para f#1-0-0-1, is 28 f#weeks f#pregnant f#when
q, q,
f#she f#experiences f#bright f#red, f#painless f#vaginal f#bleeding. f#On her arrival f# at f#the
q, q,
f#hospital, f#which f#diagnosticprocedure f#will f#the f#client f#most f#likely f#have f#performed?
,
q
a. Amniocentesis f#for f#fetal f#lung f#maturity
b. Transvaginal f#ultrasound f#for f#placental f#location
c. Contraction f#stress f#test f#(CST)
d. Internal f#fetal
f#monitoringANS: f#B ,
q
Thef#presence f#off#painlessf#bleeding should f#always f#alert f#the f#health f#care f#teamf#to f#thef#possibilityf#of
q,
placenta f#previa, f#which f#can be f#confirmedf#through f#ultrasonography. f#Amniocentesis f#isf#not
q,
f#performed f#on f#a f#woman f#who f#is f#experiencing f#bleeding. f#In f#the f#event f#of f#an f#imminent f#delivery,
f#the f#fetus f#is f#presumed f#to f#have immature f#lungs f#at f#this f#gestational f#age, f#and f#the f#mother f#is f#given
q,
f#corticosteroids f#to f#aid f#in f#fetal f#lung maturity. f# A f#CST f#is f#not f#performed f#at f#a f#preterm
q,
f#gestational f#age.Furthermore, f#bleeding f#is f#a contraindication f#to f#a f#CST. f#Internal f#fetal
q,
f#monitoring f#is f#also f#contraindicated f#in f#the f#presence f#of bleeding.
q,
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#680
TOP: f#Nursing f#Process: f#Assessment f#MSC: f#Client f#Needs: f#Health f#Promotion f#and f#Maintenance
5. A f#laboring f#woman f#with f#no f#known f#risk f#factors f#suddenly f#experiences f#spontaneous
f#ROM. f#The f#fluid f#consists f#of f#bright f#red f#blood. f#Her f#contractions f#are f#consistent f#with f#her
f#current f#stage f#of f#labor.No f#change f#in f#uterine f#resting f#tone f#has f#occurred. f#The f#fetal f#heart f#rate
,
q
f#(FHR) f#begins f#to f#decline f#rapidly f#after f#the f#ROM. f#The f#nurse f#should f#suspect f#the f#possibility
f#of f#what f#condition?
a. Placenta f#previa
b. Vasa f#previa
c. Severe f#abruptio f#placentae
, d. Disseminated f#intravascular
f#coagulation f#(DIC) ANS: f#B
q,
Vasa f#previa f#is f#the f#result f#off#a f#velamentous f#insertion f#of f#the f#umbilical f#cord. f#The f#umbilical f#vessels
are f#notf#surrounded f#byf#Wharton f#jellyf#and f#havef#no f#supportivef#tissue. f#Thef#umbilical f#bloodf#vessels
f#thus f#are f#atf#risk f#for f#laceration f#at f#anyf#time,f#but f#laceration f#occurs f#most f#frequentlyf#duringf#ROM.
f#Thesudden f# appearance f#of f#bright f#red f#blood f#at f#the f#time f#of f#ROM f#and f#a f#sudden f#change f#in f#the
q,
f#FHR f#without f#other f#known f#riskf#factors f#should f#immediatelyf#alert f#thef#nurse f#to f#the f#possibilityf#of
f#vasa f#previa. f#The f#presence f#of f#placenta f#previa f#most f#likely f#would f#be f#ascertained f#before f#labor
f#and f#is f#considered f#a f#risk f#factor f#for f#this f#pregnancy. f#In f#addition, f#if f#the f#woman f#had f#a f#placenta
f#previa, f#it f#is f#unlikely f#that f#she f#would f#be f#allowed f#to f#pursue f#labor f#and f#a f#vaginal f#birth. f#With
f#the f#presence f#of f#severe f#abruptio f#placentae, f#the f#uterine f#tonicity f#typically f#is f#tetanus f#(i.e., f#a
f#boardlike f#uterus). f#DIC f#is a f#pathologic f#form of f#diffuse f#clotting f#that f#consumes f#large f#amounts
q, q,
f#of f#clotting f#factors, f#causing f#widespread f#external f#bleeding, f#internal f#bleeding, f#or f#both. f#DIC f#is
f#always f#a f#secondary f#diagnosis, f#often f#associated f#with f#obstetric f#risk f#factors f#such f#as f#the
f#hemolysis, f#elevated f#liver f#enzyme f#levels, f#and f#low f#platelet f#levels f#(HELLP) f#syndrome. f#This
f#woman f#did f#not f#have f#anyprior f#risk f#factors.
DIF: f#Cognitive f#Level: f#Analyze f#REF: f#dm. f#684 f#TOP: f#Nursing f#Process:
DiagnosisMSC: f#Client f#Needs: f#Physiologic f#Integrity
6. A f#woman f#arrives f#for f#evaluation f#of f#signs f#and f#symptoms f#that f#include f#a f#missed f#period,
f#adnexalf ullness, f#tenderness, f#and f#dark f#redf#vaginal f#bleeding. On examination, f#the f#nurse f#notices
q, q, q,
f#an f#ecchymotic f#blueness f#around f#the f#womans f#umbilicus. f#What does this f# finding f#indicate?
q, q,
a. Normal f#integumentary f#changes f#associated with f#pregnancy
q,
b. Turner f#sign f#associated f#with f#appendicitis
c. Cullen f#signf#associated f#with f#af#ruptured ectopic f#pregnancy
q,
d. Chadwick f#sign f#associated f#with
f#early f#pregnancyANS: f#C
Cullen f#sign, f#the f#blue f#ecchymosis f#observed f#in f#the f#umbilical f#area, f#indicates f#hematoperitoneum
associated f#with f#an f#undiagnosed ruptured f#intraabdominal f#ectopic f#pregnancy. f#Linea f#nigra f#on
q,
f#the f#abdomen f#is f#the f#normal f#integumentary f#change f#associated f#with f#pregnancy f#and f#exhibits f#a
f#brown f#pigmented, f#vertical f#line f#on f#the f#lower f#abdomen. f#Turner f#sign f#is f#ecchymosis f#in f#the
f#flank f#area, f#oftenassociated f#with f#pancreatitis. f#A f#Chadwick f#sign f#is f#a f#blue-purple f#cervix f#that
,
q
f#may f#be f#seen f#during f#or f#around f#the f#eighth week of f# pregnancy.
q, q,
DIF: f#Cognitive f#Level: Analyze f#REF: f#dm. f#676
q,
TOP: f#Nursing f#Process: f#Assessment f#MSC: f#Client f#Needs: f#Physiologic f#Integrity
7. The f#nurse f#who elects f#to f#practice f#in f#the f#area f#of f#womens f#health f#must f#have f#a
q,
f#thorough f#understanding of f#miscarriage. f#Whichf#statement f#regardingf#thisf#conditionf#is
q,
f#most f#accurate?
a. A f#miscarriage f#is f#a f#natural f#pregnancy f#loss f#before f#labor f#begins.
b. Itf#occurs f#in f#fewer f#than f#5% f#off#all f#clinically f#recognized f#pregnancies.
c. Careless f#maternal f#behavior, f#such f#as f#poor f#nutrition f#or f#excessive f#exercise, f#can f#be f#a f#factor f#in
causing f#If f#a f#miscarriage f#occurs f#before f#the f#12th f#week f#of f#pregnancy, f#then f#it f#may f#be f#observed
f#
f#only f#as f#modera
d. bloodf#loss.
ANS: f#D
Before f#the f#sixth f#week,f#the f#onlyf#evidence f#mightf#bef#a f#heavyf#menstrual f#flow. f#Afterf#the f#12th f#week,
f#more f#severe f#pain, f#similar f#to f#that f#off#labor, f#is f#likely. f#Miscarriage f#is f#a f#natural f#pregnancyf#loss, f#but
f#it
f#O’Meara f#Test f#Bank
Chapter f#1 f#Immediate f#Postpartum f#Hemorrhage
MULTIPLE f#CHOICE
1. Af#pregnant f#woman f#isf#being f#discharged f#from f#thef#hospital f#afterf#the f#placement f#off#a
f#cervical f#cerclage f#because f#of f#a f#history f#of f#recurrent f#pregnancy f#loss, f#secondary f#to f#an
f#incompetent f#cervix.Whichf#information f#regardingf#postprocedural f#care f#shouldf#the f#nurse
f#emphasizef#in f#the f#dischargeteaching?
a. Anyvaginal f#discharge f#should f#be f#immediately f#reportedf#to f#herf#healthf#caref#provider.
b. Thef#presence f#off#anyf#contractions, f#rupturef#off#membranes f#(ROM), f#or severe f#perineal f#pressure f#shoul
q,
c. Thef#client f#will f#need f#tof#makef#arrangements f#forf#caref#at f#home,f#because herf#activityf#level f#will f#bef#restri
q,
d. The f#client f#will f#be f#scheduled f#for f#a
f#cesarean f#birth. ANS: f#B ,
q
Nursing f#care f#should f#stress f#the f#importance f#of f#monitoring f#for f#the f#signs f#and f#symptoms f#of f#preterm
labor. f#Vaginal f#bleeding f#needs f#to f#be f#reported f#to f#her f#primary f#health care f#provider. f#Bed f#rest f#is
q,
f#an f#element f#of f#care. f#However, f#the f#woman f#mayf#stand f#forf#periods f#of f#up f#tof#90 f#minutes,f#which
f#allows f#her f#the f#freedom f#to f#see f#her f#physician. f#Home f#uterine f#activity monitoring f#may f#be f#used
q,
f#to f#limit f#the f#womansf#need f#forf#visits f#and f#tof#monitorf#her f#statusf#safely at home. f#The f#cerclage f#can f#be
q, q,
f#removed f#at 3 7 f# weeks f#of f#gestation f#(to f#prepare f#for f#a f#vaginal f#birth), or a cesarean f# birth f#can f#be
q, q, q, q,
f#planned.
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#675
TOP: f#Nursingf#Process: f#Planning f#|f#Nursingf#Process:
ImplementationMSC: f#Client f#Needs: f#Health f#Promotion f#and
f#Maintenance
2. A f#perinatal f#nurse f#is f#giving f#discharge instructions f#to f#a f#woman, f#status f#postsuction,
q,
f#and f#curettagesecondary f# to f#a f#hydatidiform mole. f# The f#woman f#asks f#why f#she
,
q q,
f#must f#take f#oral f#contraceptives f#for f#the f#next f#12 f#months. f#What f#is f#the
f#bestresponse f#bythe f#nurse?
If f#you f#get f#pregnant within f#1 f#year,f#the f#chance f#off#a f#successful f#pregnancyf#is f#veryf#small. f#Therefore, f#if
q,
a. pregnancy, it would f#bef#better f#for f#youf#to f#use f#the f#most f#reliable f#method f#of f#contraception f#available.
q, q,
The major f#risk f#to f#you f#after f#a f#molar f#pregnancy f#is f#a f#type f#of f#cancer f#that f#can f#be f#diagnosed f#only f#by
q,
f#me f#hormone that f#your f#bodyproduces f#duringf#pregnancy. f#If f#youf#weref#to f#get f#pregnant, f#thenf#itf#would
q,
f#mak
b. this f#cancer f#more f#difficult.
If you f#can f#avoid f#af#pregnancyf#forf#thef#next f#year,f#the f#chance f#off#developingf#a f#secondf#molar f#pregnancy
q,
c. improve f#your f#chance f#of f#a f#successful f#pregnancy, f#not f#getting f#pregnant f#at f#this f#time f#is f#best.
d. Oral f#contraceptives f#aref#thef#onlyf#form f#of f#birth f#control f#thatf#will f#prevent f#a f#recurrence f#of f#a
f#molar f#pregANS: f#B
q,
Betahuman f#chorionic f#gonadotropin f#(beta-hCG) f#hormone f#levels f#are f#drawnf#for f#1 f#year f#to f#ensure
that f#the f#mole f#is f#completely f#gone. f#The f#chance f#of f#developing f#choriocarcinoma f#after f#the
f#development f#of f#a f#hydatidiform f#mole f#is f#increased. f#Therefore, f#the f#goal f#is f#to f#achieve f#a f#zero
f#human f#chorionic f#gonadotropinf#(hCG)f#level. f#Iff#thef#woman f#weref#to f#become f#pregnant, f#thenf#itf#may
f#obscurethe f#presence f#of f#the f#potentially f#carcinogenic f#cells. f#Women f#should f#be f#instructed f#to
q,
f#use f#birth f#control f#for f#1 f#year f#after f#treatment f#for f#a f#hydatidiform f#mole. f#The f#rationale f#for
f#avoiding f#pregnancy
,for f#1 f#year f#is f#to f#ensure f#that f#carcinogenic f#cells f#are f#not f#present. f#Any f#contraceptive f#method
f#exceptan f# intrauterine f#device f#(IUD) f#is f#acceptable.
q,
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#679
TOP: f#Nursingf#Process: f#Planning f#|f#Nursingf#Process:
ImplementationMSC: f#Client f#Needs: f#Physiologic f#Integrity
3. The f#nurse f#is f#preparing f#to f#administer f#methotrexate f#to f#the f#client. f#This f#hazardous f#drugi s q,
most f#oftenf#used f#for f#which f#obstetric f#complication?
a. Complete f#hydatidiform f#mole
b. Missed f#abortion
c. Unruptured f#ectopic f#pregnancy
d. Abruptio
f#placentae ANS: f#C
q,
Methotrexatef#is f#anf#effectivef#nonsurgical f#treatment f#optionf#forf#af#hemodynamically stable f#woman
q,
whose f#ectopic f#pregnancy f#is f#unrupturedf#and f#measures f#less f#thanf#4 f#cm f#in f#diameter. f#Methotrexate
f#isn ot f# indicated f#or f#recommended f#as f#a f#treatment f#option f#for f#a f#complete f#hydatidiform f#mole,
q,
f#for f#a f#missed f#abortion, f#or f#for f#abruptio f#placentae.
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#677 f#TOP: f#Nursing f#Process:
PlanningMSC: f#Client f#Needs: f#Physiologic f#Integrity
q,
4. Af#26-year-old f#pregnant f#woman, f#gravidaf#2, f#para f#1-0-0-1, is 28 f#weeks f#pregnant f#when
q, q,
f#she f#experiences f#bright f#red, f#painless f#vaginal f#bleeding. f#On her arrival f# at f#the
q, q,
f#hospital, f#which f#diagnosticprocedure f#will f#the f#client f#most f#likely f#have f#performed?
,
q
a. Amniocentesis f#for f#fetal f#lung f#maturity
b. Transvaginal f#ultrasound f#for f#placental f#location
c. Contraction f#stress f#test f#(CST)
d. Internal f#fetal
f#monitoringANS: f#B ,
q
Thef#presence f#off#painlessf#bleeding should f#always f#alert f#the f#health f#care f#teamf#to f#thef#possibilityf#of
q,
placenta f#previa, f#which f#can be f#confirmedf#through f#ultrasonography. f#Amniocentesis f#isf#not
q,
f#performed f#on f#a f#woman f#who f#is f#experiencing f#bleeding. f#In f#the f#event f#of f#an f#imminent f#delivery,
f#the f#fetus f#is f#presumed f#to f#have immature f#lungs f#at f#this f#gestational f#age, f#and f#the f#mother f#is f#given
q,
f#corticosteroids f#to f#aid f#in f#fetal f#lung maturity. f# A f#CST f#is f#not f#performed f#at f#a f#preterm
q,
f#gestational f#age.Furthermore, f#bleeding f#is f#a contraindication f#to f#a f#CST. f#Internal f#fetal
q,
f#monitoring f#is f#also f#contraindicated f#in f#the f#presence f#of bleeding.
q,
DIF: f#Cognitive f#Level: f#Apply f#REF: f#dm. f#680
TOP: f#Nursing f#Process: f#Assessment f#MSC: f#Client f#Needs: f#Health f#Promotion f#and f#Maintenance
5. A f#laboring f#woman f#with f#no f#known f#risk f#factors f#suddenly f#experiences f#spontaneous
f#ROM. f#The f#fluid f#consists f#of f#bright f#red f#blood. f#Her f#contractions f#are f#consistent f#with f#her
f#current f#stage f#of f#labor.No f#change f#in f#uterine f#resting f#tone f#has f#occurred. f#The f#fetal f#heart f#rate
,
q
f#(FHR) f#begins f#to f#decline f#rapidly f#after f#the f#ROM. f#The f#nurse f#should f#suspect f#the f#possibility
f#of f#what f#condition?
a. Placenta f#previa
b. Vasa f#previa
c. Severe f#abruptio f#placentae
, d. Disseminated f#intravascular
f#coagulation f#(DIC) ANS: f#B
q,
Vasa f#previa f#is f#the f#result f#off#a f#velamentous f#insertion f#of f#the f#umbilical f#cord. f#The f#umbilical f#vessels
are f#notf#surrounded f#byf#Wharton f#jellyf#and f#havef#no f#supportivef#tissue. f#Thef#umbilical f#bloodf#vessels
f#thus f#are f#atf#risk f#for f#laceration f#at f#anyf#time,f#but f#laceration f#occurs f#most f#frequentlyf#duringf#ROM.
f#Thesudden f# appearance f#of f#bright f#red f#blood f#at f#the f#time f#of f#ROM f#and f#a f#sudden f#change f#in f#the
q,
f#FHR f#without f#other f#known f#riskf#factors f#should f#immediatelyf#alert f#thef#nurse f#to f#the f#possibilityf#of
f#vasa f#previa. f#The f#presence f#of f#placenta f#previa f#most f#likely f#would f#be f#ascertained f#before f#labor
f#and f#is f#considered f#a f#risk f#factor f#for f#this f#pregnancy. f#In f#addition, f#if f#the f#woman f#had f#a f#placenta
f#previa, f#it f#is f#unlikely f#that f#she f#would f#be f#allowed f#to f#pursue f#labor f#and f#a f#vaginal f#birth. f#With
f#the f#presence f#of f#severe f#abruptio f#placentae, f#the f#uterine f#tonicity f#typically f#is f#tetanus f#(i.e., f#a
f#boardlike f#uterus). f#DIC f#is a f#pathologic f#form of f#diffuse f#clotting f#that f#consumes f#large f#amounts
q, q,
f#of f#clotting f#factors, f#causing f#widespread f#external f#bleeding, f#internal f#bleeding, f#or f#both. f#DIC f#is
f#always f#a f#secondary f#diagnosis, f#often f#associated f#with f#obstetric f#risk f#factors f#such f#as f#the
f#hemolysis, f#elevated f#liver f#enzyme f#levels, f#and f#low f#platelet f#levels f#(HELLP) f#syndrome. f#This
f#woman f#did f#not f#have f#anyprior f#risk f#factors.
DIF: f#Cognitive f#Level: f#Analyze f#REF: f#dm. f#684 f#TOP: f#Nursing f#Process:
DiagnosisMSC: f#Client f#Needs: f#Physiologic f#Integrity
6. A f#woman f#arrives f#for f#evaluation f#of f#signs f#and f#symptoms f#that f#include f#a f#missed f#period,
f#adnexalf ullness, f#tenderness, f#and f#dark f#redf#vaginal f#bleeding. On examination, f#the f#nurse f#notices
q, q, q,
f#an f#ecchymotic f#blueness f#around f#the f#womans f#umbilicus. f#What does this f# finding f#indicate?
q, q,
a. Normal f#integumentary f#changes f#associated with f#pregnancy
q,
b. Turner f#sign f#associated f#with f#appendicitis
c. Cullen f#signf#associated f#with f#af#ruptured ectopic f#pregnancy
q,
d. Chadwick f#sign f#associated f#with
f#early f#pregnancyANS: f#C
Cullen f#sign, f#the f#blue f#ecchymosis f#observed f#in f#the f#umbilical f#area, f#indicates f#hematoperitoneum
associated f#with f#an f#undiagnosed ruptured f#intraabdominal f#ectopic f#pregnancy. f#Linea f#nigra f#on
q,
f#the f#abdomen f#is f#the f#normal f#integumentary f#change f#associated f#with f#pregnancy f#and f#exhibits f#a
f#brown f#pigmented, f#vertical f#line f#on f#the f#lower f#abdomen. f#Turner f#sign f#is f#ecchymosis f#in f#the
f#flank f#area, f#oftenassociated f#with f#pancreatitis. f#A f#Chadwick f#sign f#is f#a f#blue-purple f#cervix f#that
,
q
f#may f#be f#seen f#during f#or f#around f#the f#eighth week of f# pregnancy.
q, q,
DIF: f#Cognitive f#Level: Analyze f#REF: f#dm. f#676
q,
TOP: f#Nursing f#Process: f#Assessment f#MSC: f#Client f#Needs: f#Physiologic f#Integrity
7. The f#nurse f#who elects f#to f#practice f#in f#the f#area f#of f#womens f#health f#must f#have f#a
q,
f#thorough f#understanding of f#miscarriage. f#Whichf#statement f#regardingf#thisf#conditionf#is
q,
f#most f#accurate?
a. A f#miscarriage f#is f#a f#natural f#pregnancy f#loss f#before f#labor f#begins.
b. Itf#occurs f#in f#fewer f#than f#5% f#off#all f#clinically f#recognized f#pregnancies.
c. Careless f#maternal f#behavior, f#such f#as f#poor f#nutrition f#or f#excessive f#exercise, f#can f#be f#a f#factor f#in
causing f#If f#a f#miscarriage f#occurs f#before f#the f#12th f#week f#of f#pregnancy, f#then f#it f#may f#be f#observed
f#
f#only f#as f#modera
d. bloodf#loss.
ANS: f#D
Before f#the f#sixth f#week,f#the f#onlyf#evidence f#mightf#bef#a f#heavyf#menstrual f#flow. f#Afterf#the f#12th f#week,
f#more f#severe f#pain, f#similar f#to f#that f#off#labor, f#is f#likely. f#Miscarriage f#is f#a f#natural f#pregnancyf#loss, f#but
f#it
