NURSING: A CASE-BASED APPROACH 2ND EDITION ( AMY
O'MEARA,2023) ALL CHAPTERS 1-30| NEWEST EDITION
,TEST BANK -MATERNITY NEWBORN AND
WOMEN’S HEALTH NURSING: A CASE-BASED
APPROACH 2ND EDITION ( AMY O'MEARA,2023)
ALL CHAPTERS 1-30| NEWEST EDITION
TABLE OF CONTENTS
CHAPTER 1 IMMEDIATE POSTPARTUM HEMORRHAGE 3
CHAPTER 2 LATER POSTPARTUM HEMORRHAGE 17
CHAPTER 3 GESTATIONAL DIABETES, DEEP VEIN THROMBOSIS, AND POSTPARTUM
PULMONARYEMBOLISM 18
CHAPTER 4 PREECLAMPSIA 30
CHAPTER 5 CORD PROLAPSE IIAND NONREASSURING FETAL STATUS 31
CHAPTER 6 PLACENTAL ABRUPTION AND FETAL LOSS 32
CHAPTER 7 CHORIOAMNIONITIS AND NEONATAL SEPSIS 41
CHAPTER 8 PRETERM PREMATURE RUPTURE OF MEMBRANES AND NEONATAL RESPIRATORY
DISTRESSSYNDROME 43
CHAPTER 9 GESTATIONAL DIABETES, MACROSOMIA, AND NEONATAL CEPHALHEMATOMA 67
CHAPTER 10 ADVANCED MATERNAL AGE, HELLP SYNDROME, AND NEONATAL NECROTIZING
ENTEROCOLITIS 68
CHAPTER 11 MIGRAINE WITH AURA, SHOULDER DYSTOCIA, AND BRACHIAL PLEXUS PALSY 78
CHAPTER 12 INTIMATE PARTNER VIOLENCE, IIFORMULA FEEDING, AND POSTPARTUM DEPRESSION
79
CHAPTER 13 GESTATIONAL TROPHOBLASTIC DISEASE (MOLAR PREGNANCY) AND ADVANCED MATERNAL
AGE 96
CHAPTER 15 PREGNANCY MULTIPLE CHOICE 117
CHAPTER 16 LABOR AND DELIVERYMULTIPLE 131
CHAPTER 17 AFTER DELIVERY 146
,CHAPTER 18 THE NEWBORN 159
CHAPTER 19 CONDITIONS EXISTING BEFORE CONCEPTION 182
CHAPTER 20 CONDITIONS OCCURRING DURING PREGNANCY 196
CHAPTER 21 COMPLICATIONS OCCURRING BEFORE LABOR AND DELIVERY 222
CHAPTER 22 COMPLICATIONS OCCURRING DURING LABOR AND DELIVERYMULTIPLE CHOICE 258
CHAPTER 23 CONDITIONS OCCURRING AFTER DELIVERYMULTIPLE CHOICE 345
CHAPTER 24 CONDITIONS IN THE NEWBORN RELATED TO GESTATIONAL AGE, SIZE, INJURY, AND PAIN
MULTIPLE 440
CHAPTER 25 ACQUIRED CONDITIONS AND CONGENITAL ABNORMALITIES IN THE NEWBORNMULTIPLE
CHOICE 511
CHAPTER 26 WELLNESS AND HEALTH PROMOTIONMULTIPLE CHOICE 599
CHAPTER 27 COMMON GYNECOLOGIC CONDITIONSMULTIPLE CHOICE 709
CHAPTER 28 INFECTIONS 811
CHAPTER 29 FAMILY PLANNING 820
CHAPTER 30 VULNERABLE POPULATIONS 868
CHAPTER 1 IMMEDIATE POSTPARTUM HEMORRHAGE
MULTIPLE CHOICE
1. A PREGNANT WOMAN IS BEING DISCHARGED FROM THE HOSPITAL AFTER THE PLACEMENT OF
A CERVICAL CERCLAGE BECAUSE OF A HISTORY OF RECURRENT PREGNANCY LOSS, SECONDARY TO AN
INCOMPETENT CERVIX.WHICH INFORMATION REGARDING POSTPROCEDURAL CARE SHOULD THE NURSE
EMPHASIZE IN THE DISCHARGETEACHING?
A. ANY VAGINAL DISCHARGE SHOULD BE IMMEDIATELY REPORTED TO HER HEALTHIICARE
PROVIDER.
B. THE PRESENCE OF ANY CONTRACTIONS, RUPTURE OF MEMBRANES (ROM), OR SEVERE
PERINEAL PRESSURE SHOULD
C. THE CLIENT WILL NEED TO MAKE ARRANGEMENTS FOR CARE AT HOME, BECAUSE HER ACTIVITY
LEVEL WILL B RESTRI
D. THE CLIENT WILL BE SCHEDULED FOR A CESAREAN BIRTH.ANS: B
NURSING CARE SHOULD STRESS THE IMPORTANCE OF MONITORINGIIFORIITHE SIGNS AND SYMPTOMS
OF PRETERM
, LABOR. VAGINAL BLEEDING NEEDS TO BE REPORTED TO HER PRIMARYIIHEALTH CARE PROVIDER. BED
REST IS AN ELEMENT OF CARE. HOWEVER, THE WOMAN MAY STANDIIFOR IIPERIODS OF UP TO 90
MINUTES, WHICH ALLOWS HER THE FREEDOM TO SEE HER PHYSICIAN. HOME UTERINE ACTIVITY
MONITORING MAY BE USED TO LIMIT THE WOMANS NEED FOR VISITS AND TO MONITOR HER STATUS
SAFELY AT HOME. THE CERCLAGE CAN BE REMOVED AT37 WEEKS OF GESTATION (TO IIPREPARE FOR A
VAGINAL BIRTH), OR A CESAREAN BIRTH CAN BE PLANNED.
DIF: COGNITIVE LEVEL: APPLY REF: DM. 675
TOP: NURSING PROCESS: PLANNING | IINURSING PROCESS:
IMPLEMENTATIONIIMSC: CLIENT NEEDS: IIHEALTH PROMOTION AND MAINTENANCE
2. A PERINATAL NURSE IS GIVING IIDISCHARGE INSTRUCTIONS TO A WOMAN, STATUS
POSTSUCTION, AND CURETTAGEIISECONDARY TO IIA IIHYDATIDIFORM MOLE. THE WOMAN ASKS WHY
SHE MUST TAKE ORAL CONTRACEPTIVES FOR IITHE IINEXT 12 MONTHS. WHAT IS THE BESTRESPONSE BY
THE NURSE?
IF YOUIIGET PREGNANT WITHIN 1 YEAR, THE CHANCE OF A SUCCESSFUL PREGNANCY IS VERY SMALL.
THEREF IF
A. PREGNANCY, IT WOULD BE BETTER FOR YOU TO USE THE MOST RELIABLE METHOD OF
CONTRACEPTION AVAILA THE MAJOR RISK TO YOU AFTER A MOLAR PREGNANCY IS A TYPE OF CANCER
THAT CAN BE DIAGNOSED ONLY ME HORMONE THAT YOUR BODY PRODUCES DURING PREGNANCY. IF
YOU WERE TO GET PREGNANT, THEN IT WOUL MAK
B. THIS CANCER MORE DIFFICULT.
IF YOU CAN AVOID A PREGNANCY FOR THE NEXT YEAR, THE CHANCE OF DEVELOPING A SECOND MOLAR
PREGNANCY
C. IMPROVE YOUR CHANCE OF A SUCCESSFUL PREGNANCY, NOT GETTING PREGNANT AT THIS
TIME IS BEST.
D. ORAL CONTRACEPTIVES ARE THE ONLY FORM OF BIRTH CONTROL THAT WILL PREVENT A
RECURRENCE OF A MOLA PREGANS: B
BETAHUMAN CHORIONIC GONADOTROPIN (BETA-HCG) HORMONE LEVELS ARE DRAWN FOR 1 YEAR TO
ENSURE
THAT THE MOLE IS COMPLETELY GONE. THE CHANCE OF DEVELOPING CHORIOCARCINOMA AFTER THE
DEVELOPMENT OF A HYDATIDIFORM MOLE IS INCREASED. THEREFORE, THE GOAL IS TO ACHIEVE A
ZERO