SING49A49CASE-BASED49APPROACH491ST49EDITION49O'MEARA
Maternity49Newborn49and49Women's49Health49Nursing49A49Case-
Based49Approach491st49EditionO'Meara49Test49Bank
ISBN-10:149636821549ISBN-
4913:9781496368218
Table49of49Contents
Chapter49149Immediate49Postpartum49Hemorrh
age49Chapter49249Later49Postpartum49Hemorrh
age
Chapter49349Gestational49Diabetes,49Deep49Vein49Thrombosis,49and49Postpartum49Pulmonary49E
mbolism49Chapter49449Preeclampsia
Chapter49549Cord49Prolapse49and49Nonreassuring49Fetal49Stat
us49Chapter49649Placental49Abruption49and49Fetal49Loss
Chapter49749Chorioamnionitis49and49Neonatal49Sepsis
Chapter49849Preterm49Premature49Rupture49of49Membranes49and49Neonatal49Respiratory49Distres
s49Syndrome
Chapter49949Gestational49Diabetes,49Macrosomia,49and49Neonatal49Cephalhematoma
Chapter491049Advanced49Maternal49Age,49HELLP49Syndrome,49and49Neonatal49Necrotizing49En
terocolitis49Chapter491149Migraine49With49Aura,49Shoulder49Dystocia,49and49Brachial49Plexus49
Palsy
Chapter491249Intimate49Partner49Violence,49Formula49Feeding,49and49Postpartum49Depression
Chapter491349Gestational49Trophoblastic49Disease49(Molar49Pregnancy)49and49Advanced49Mater
nal49Age49Chapter491449Before49Conception
Chapter491549Pregnancy
Chapter491649Labor49and49Deliv
ery49Chapter491749After49Deliv
ery
,Chapter491849The49Newborn
Chapter491949Conditions49Existing49Before49Conception49
Chapter492049Conditions49Occurring49During49Pregnancy
Chapter492149Complications49Occurring49Before49Labor49and49Deliver
y49Chapter492249Complications49Occurring49During49Labor49and49Deli
very49Chapter492349Conditions49Occurring49After49Delivery
Chapter492449Conditions49in49the49Newborn49Related49to49Gestational49Age,49Size,49Injury,49and
49Pain49Chapter492549Acquired49Conditions49and49Congenital49Abnormalities49in49the49Newbor
n
Chapter492649Wellness49and49Health49Promotion49Cha
pter492749Common49Gynecologic49ConditionsChapter
492849Infections
Chapter492949Family49Planning49Chapter493049
Vulnerable49Populations
, Maternity49Newborn49and49Women’s49Health49Nursing49A49Case-
Based49Approach491st49Edition49O’Meara49Test49Bank
Chapter49149Immediate49Postpartum49Hemorrhage
MULTIPLE49CHOICE
1. A49pregnant49woman49is49being49discharged49from49the49hospital49after49the49placement49of49a49ce
rvicalcerclage49because49of49a49history49of49recurrent49pregnancy49loss,49secondary49to49an49inco
mpetent49cervix.49Which49information49regarding49postprocedural49care49should49the49nurse49em
phasize49in49the49discharge49teaching?
a. Any49vaginal49discharge49should49be49immediately49reported49to49her49health49care49provider.
b. The49presence49of49any49contractions,49rupture49of49membranes49(ROM),49or49severe49perineal49pressu
re49sho
c. The49client49will49need49to49make49arrangements49for49care49at49home,49because49her49activity49level49
will49be49re
d. The49client49will49be49scheduled49for49a49cesarea
n49birth.49ANS:49B
Nursing49care49should49stress49the49importance49of49monitoring49for49the49signs49and49symptoms49of49preterm
labor.49Vaginal49bleeding49needs49to49be49reported49to49her49primary49health49care49provider.49Bed49re
st49is49an49element49of49care.49However,49the49woman49may49stand49for49periods49of49up49to499049minu
tes,49which49allows49her49the49freedom49to49see49her49physician.49Home49uterine49activity49monitoring
49may49be49used49to49limit49the49womans49need49for49visits49and49to49monitor49her49status49safely49at49
home.49The49cerclage49can49be49removed49at3749weeks49of49gestation49(to49prepare49for49a49vaginal49b
irth),49or49a49cesarean49birth49can49be49planned.
DIF:49Cognitive49Level:49Apply49REF:49dm.49675
TOP:49Nursing49Process:49Planning49|49Nursing49Process:49ImplementationMSC:
Client49Needs:49Health49Promotion49and49Maintenance
2. A49perinatal49nurse49is49giving49discharge49instructions49to49a49woman,49status49postsuction,49a
nd49curettage49secondary49to49a49hydatidiform49mole.49The49woman49asks49why49she49must49take49oral4
9contraceptives49for49the49next491249months.49What49is49the49bestresponse49by49the49nurse?
If49 you49get49pregnant49within49149year,49the49chance49of49a49successful49pregnancy49is49very49small.49Therefore,
a. pregnancy,49it49would49be49better49for49you49to49use49the49most49reliable49method49of49contraception49availa
ble.
The49major49risk49to49you49after49a49molar49pregnancy49is49a49type49of49cancer49that49can49be49diagnosed
49only49byhormone49that49your49body49produces49 during49pregnancy.49 If49 you49were4
9to49get49pregnant,49then49it49would
b. this49cancer49more49difficult.
If49 you49can49avoid49a49pregnancy49for49the49next49 year,49the49chance49of49developing49a49second49mol
ar49pregna
c. improve49your49chance49of49a49successful49pregnancy,49not49getting49pregnant49at49this49time49is49best.
d. Oral49contraceptives49are49the49only49form49of49birth49control49that49will49prevent49a49recurrence
49of49a49molar49p49ANS:49B
Betahuman49chorionic49gonadotropin49(beta-hCG)49hormone49levels49are49drawn49for49149 year49to49ensure
that49the49mole49is49completely49gone.49The49chance49of49developing49choriocarcinoma49after49the49de
velopment49of49a49hydatidiform49mole49is49increased.49Therefore,49the49goal49is49to49achieve49a49zero4
9humanchorionic49gonadotropin49(hCG)49level.49If49the49woman49were49to49become49pregnant,49then49
it49may49obscurethe49presence49of49the49potentially49carcinogenic49cells.49Women49should49be49instru
cted49to49use49birth49control49for49149year49after49treatment49for49a49hydatidiform49mole.49The49rationa
le49for49avoiding49pregnancy