, Maternity Newborn and Women’s Health Nursing A Case-Based Approach 2nd fj fj fj fj f j fj fj fj f j
EditionO’Meara Test Bank f j f j
Chapter 1 Immediate Postpartum Hemorrhage fj fj fj fj
MULTIPLE CHOICE f j
1. A pregnant woman is being discharged from the hospital after the placement of a cervi
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calcerclage because of a history of recurrent pregnancy loss, secondary to an incompete
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nt cervix.Which information regarding postprocedural care should the nurse emphasize i
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n the dischargeteaching?
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a. Anyvaginal discharge should be immediately reported to her health care provider. fj fj fj fj fj fj fj fj fj kr kr
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure s
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hould
c. The client will need to make arrangements for care at home, because her activitylevel will be
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restri
d. The client will be scheduled for a fj fj fj fj fj fj fj
cesarean b irth.ANS: B PL kr fj
Nursing care should stress the importance of monitoring for the signs and symptoms of preterm
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labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an el
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ement of care. However, the woman may stand for periods of up to 90 minutes, which allows
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her the freedom to see her physician. Home uterine activity monitoring may be used to limit the
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PL fj fj fj fj fj fj fj fj f
j womans need for visits and to monitor her status safely at home. The cerclage can be removed at
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k 37 weeks of gestation (to prepare for a vaginal birth), or a cesarean birth can be planned.
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DIF: Cognitive Level: Apply REF: dm. 675
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TOP: Nursing Process: Planning | Nursing Process:
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ImplementationMSC: Client Needs: Health Promotion and Mainten kr fj fj kr fj fj fj
ance
2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and
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curettagesecondary to a hydatidiform mole. The woman asks why she must take ora
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l contraceptives for the next 12 months. What is the bestresponse bythe nurse?
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PL fj fj fj f j fj fj fj f j fj
If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, if
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a. pregnancy, it would be better for youto use the most reliable method of contraception available. fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only byme
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hormone that your bodyproduces during pregnancy. If you were to get pregnant, then it would mak
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b. this cancer more difficult. fj fj fj
If you can avoid a pregnancy for the next year, the chance of developing a second molarpregnancy
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c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
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d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a m fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj
olarpregANS: B rk fj
Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensure
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that the mole is completely gone. The chance of developing choriocarcinoma after the develop
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ment of a hydatidiform mole is increased. Therefore, the goal is to achieve a zero human chori
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onic gonadotropin (hCG) level. If the woman were to become pregnant, then it
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,may
, obscurethe presence of the potentially carcinogenic cells. Women should be instructed to use bi
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rth control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding pregna
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ncy
EditionO’Meara Test Bank f j f j
Chapter 1 Immediate Postpartum Hemorrhage fj fj fj fj
MULTIPLE CHOICE f j
1. A pregnant woman is being discharged from the hospital after the placement of a cervi
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calcerclage because of a history of recurrent pregnancy loss, secondary to an incompete
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nt cervix.Which information regarding postprocedural care should the nurse emphasize i
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n the dischargeteaching?
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a. Anyvaginal discharge should be immediately reported to her health care provider. fj fj fj fj fj fj fj fj fj kr kr
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure s
fj fj fj fj fj fj fj fj kr kr fj fj fj
hould
c. The client will need to make arrangements for care at home, because her activitylevel will be
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restri
d. The client will be scheduled for a fj fj fj fj fj fj fj
cesarean b irth.ANS: B PL kr fj
Nursing care should stress the importance of monitoring for the signs and symptoms of preterm
fj fj fj fj fj fj fj kr kr kr fj fj fj fj
labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an el
fj fj fj fj fj fj fj fj fj kr fj fj fj fj fj fj fj
ement of care. However, the woman may stand for periods of up to 90 minutes, which allows
fj fj fj fj fj fj fj fj kr fj fj fj fj fj fj fj fj
her the freedom to see her physician. Home uterine activity monitoring may be used to limit the
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PL fj fj fj fj fj fj fj fj f
j womans need for visits and to monitor her status safely at home. The cerclage can be removed at
fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj r
k 37 weeks of gestation (to prepare for a vaginal birth), or a cesarean birth can be planned.
fj fj fj fj fj PL fj kr fj fj fj fj fj fj fj fj fj
DIF: Cognitive Level: Apply REF: dm. 675
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TOP: Nursing Process: Planning | Nursing Process:
fj fj fj fj fjr fj
ImplementationMSC: Client Needs: Health Promotion and Mainten kr fj fj kr fj fj fj
ance
2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and
fj fj fj fj fj fj fj fj fj fj fj fj PL
curettagesecondary to a hydatidiform mole. The woman asks why she must take ora
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l contraceptives for the next 12 months. What is the bestresponse bythe nurse?
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PL fj fj fj f j fj fj fj f j fj
If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, if
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a. pregnancy, it would be better for youto use the most reliable method of contraception available. fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only byme
fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj
hormone that your bodyproduces during pregnancy. If you were to get pregnant, then it would mak
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b. this cancer more difficult. fj fj fj
If you can avoid a pregnancy for the next year, the chance of developing a second molarpregnancy
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c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
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d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a m fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj
olarpregANS: B rk fj
Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensure
fj fj fj fj fj fj fj fj fj fj fj fj
that the mole is completely gone. The chance of developing choriocarcinoma after the develop
fj fj fj fj fj fj fj fj fj fj fj fj fj
ment of a hydatidiform mole is increased. Therefore, the goal is to achieve a zero human chori
fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj fj
onic gonadotropin (hCG) level. If the woman were to become pregnant, then it
fj fj fj fj fj fj fj fj fj fj fj fj
,may
, obscurethe presence of the potentially carcinogenic cells. Women should be instructed to use bi
rk fj fj fj fj fj fj fj fj fj fj fj fj fj
rth control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding pregna
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ncy
