Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
1. Which statement by the client indicates she understands how her
newly inserted progestin-release intrauterine system (IUS) works?
Select all that apply.
A) "It keeps my cervical mucus thick."
B) "I can expect to see a decrease in menstrual bleeding."
C) "It prevents the release of an egg from the ovary."
D) "It secretes a spermicide to immobilize and kill sperm."
E) "It provides protection against sexually transmitted infections."
2. The nurse is collecting the health history on a newly pregnant 37-year-old client. This
client is at increased risk for which gene-mediated complication of the pregnancy?
A) Trisomy
B) Neural tube defect
C) Cystic fibrosis
D) Tay-Sachs disease
3. The nurse is reviewing a client's history. Which findings would indicate increased risk
for postpartum hemorrhage? Select all that apply.
A) Previous history of postpartum hemorrhage
B) Current diagnosis of low-lying placenta
C) Premature rupture of membranes in current pregnancy
D) Oxytocin augmentation of labor in previous pregnancy
E) Polyhydramnios in current pregnancy
4. The nurse assesses a client for signs of hypovolemic shock. What signs indicate the
presence of hypovolemic shock? Select all that apply.
A) Restlessness
B) Tachypnea
C) Urine output of 20 mL/hr
D) Back pain
E) Increased fundal height
5. At 32 weeks' gestation a woman is diagnosed with a mild placental abruption. The fetus
is active and the vaginal bleeding and uterine pain have decreased. The nurse will
implement which interventions in the care of this client? Select all that apply.
A) Assess blood pressure
B) Place an external fetal monitor
C) Initiate IV fluids
D) Insert a Foley catheter
E) Administer oxygen
6. The nurse is reviewing a client's health history. Which risk factors for placental
abruption exist during this pregnancy? Select all that apply.
A) Previous pregnancy was 12 years ago
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,Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
B) Postpartum hemorrhage with previous delivery
C) Maternal age 36
D) Maternal cigarette smoking
E) Chronic hypertension
7. At 16 weeks' gestation laboratory tests are drawn as a follow-up to the first-trimester
integrated screening. The results are in the chart (above). Based on these findings, what
procedure would the health care provider recommend for this client? Select all that
apply.
A) Amniocentesis
B) Chorionic villi sampling
C) Biophysical profile
D) Percutaneous umbilical blood sampling
E) Nuchal translucency scan
8. The nurse is educating a client about an upcoming a biophysical profile. What behaviors
of the fetus will be assessed by ultrasound examination? Select all that apply.
A) Fetal breathing movement
B) Fetal activity
C) Fetal cardiac response
D) Fetal muscle tone
E) Fetal renal function
9. The nurse is caring for a client at 30 weeks' gestation with a diagnosis of placental
abruption. The client has a weekly biophysical profile ordered. The nurse reviews the
results of the day's biophysical profile (below). What is the recommended management
for this client?
A) If cervix is favorable, induce labor today
B) Repeat the biophysical profile today
C) Cesarean delivery today
D) Repeat biophysical profile in 2 days
Page
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,Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
10. The nurse is caring for Lisa, who is 36 hours post-cesarean birth, due to a complete
placental abruption. The infant was stillborn. At the beginning of the shift, the nurse
observes the client in bed, dressed in a gown, with the bed covers on the floor, and
mumbling. The client is pale and cool to touch. The radial pulse is 52 and weak.
Suddenly the client says, "They stole my baby." The nurse asks the client, "What is your
name", and the client responds "Susan," and then says "Get out of my house." Based on
this interaction, what is the nurse's priority action?
A) Assess for hypovolemic shock
B) Assess for postpartum depression
C) Assess for postpartum psychosis
D) Assess for postpartum hemorrhage
11. While reviewing standard obstetric care with a newly pregnant client, the nurse informs
her that pregnant women are screened for which complication during the second
trimester?
A) Gestational diabetes
B) Preeclampsia
C) Preterm labor
D) Ectopic pregnancy
12. The charge nurse is reviewing the clients admitted to labor and delivery. Which client is
at greatest risk for a postpartum hemorrhage after birth?
A) A woman on magnesium sulfate for the past 36 hours for preeclampsia and
receiving oxytocin to induce labor
B) A primigravida in spontaneous labor with twins at 28 weeks' gestation with intact
amniotic membranes
C) A 42-year-old woman with five children, who is admitted for a primary cesarean
birth for a breech presentation
D) A primiparous woman who progressed to 7cm dilation but is being prepared for a
cesarean birth for fetal distress
13. A postpartum hemorrhage emergency is called for a woman who gave birth 45 minutes
ago. Which medications does the nurse anticipate will be administered in this situation?
Select all that apply.
A) Oxytocin
B) Misoprostol
C) Methylergonovine maleate
D) Magnesium sulfate
E) Morphine sulfate
Page
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, Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
14. The nurse receives the client with the below transfer notes. Which risk factors for
postpartum hemorrhage are present in this client? Select all that apply.
A) Maternal age
B) Induction of labor with oxytocin
C) Large-for-gestational age infant
D) Failure to progress in the second stage
E) Hypertensive disorders
15. After a postpartum hemorrhage the provider orders methylergonovine maleate 0.2 mg
PO every 6 hours. The nurse takes the medication to the client. The client refuses to take
the medication and tells the nurse, "It makes my uterus cramp really bad and it hurts too
much." Which action by the nurse is best in this situation?
A) Offer the client pain medication with the methylergonovine maleate.
B) Document the client's refusal in the medication administration record.
C) Tell the client she might bleed again without the methylergonovine maleate.
D) Hide the pill in the client's food.
16. The nurse examines a woman at 34 weeks' gestation who presents to labor and delivery
with vaginal bleeding and back pain. Which finding would lead to a diagnosis of
placental abruption?
A) Uterus is soft with no contractions.
B) Second trimester sonogram showed the placenta covering the cervical os.
C) Fetus is in a breech position.
D) Onset of vaginal bleeding was sudden and painful.
Page
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O'Meara
1. Which statement by the client indicates she understands how her
newly inserted progestin-release intrauterine system (IUS) works?
Select all that apply.
A) "It keeps my cervical mucus thick."
B) "I can expect to see a decrease in menstrual bleeding."
C) "It prevents the release of an egg from the ovary."
D) "It secretes a spermicide to immobilize and kill sperm."
E) "It provides protection against sexually transmitted infections."
2. The nurse is collecting the health history on a newly pregnant 37-year-old client. This
client is at increased risk for which gene-mediated complication of the pregnancy?
A) Trisomy
B) Neural tube defect
C) Cystic fibrosis
D) Tay-Sachs disease
3. The nurse is reviewing a client's history. Which findings would indicate increased risk
for postpartum hemorrhage? Select all that apply.
A) Previous history of postpartum hemorrhage
B) Current diagnosis of low-lying placenta
C) Premature rupture of membranes in current pregnancy
D) Oxytocin augmentation of labor in previous pregnancy
E) Polyhydramnios in current pregnancy
4. The nurse assesses a client for signs of hypovolemic shock. What signs indicate the
presence of hypovolemic shock? Select all that apply.
A) Restlessness
B) Tachypnea
C) Urine output of 20 mL/hr
D) Back pain
E) Increased fundal height
5. At 32 weeks' gestation a woman is diagnosed with a mild placental abruption. The fetus
is active and the vaginal bleeding and uterine pain have decreased. The nurse will
implement which interventions in the care of this client? Select all that apply.
A) Assess blood pressure
B) Place an external fetal monitor
C) Initiate IV fluids
D) Insert a Foley catheter
E) Administer oxygen
6. The nurse is reviewing a client's health history. Which risk factors for placental
abruption exist during this pregnancy? Select all that apply.
A) Previous pregnancy was 12 years ago
Page
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,Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
B) Postpartum hemorrhage with previous delivery
C) Maternal age 36
D) Maternal cigarette smoking
E) Chronic hypertension
7. At 16 weeks' gestation laboratory tests are drawn as a follow-up to the first-trimester
integrated screening. The results are in the chart (above). Based on these findings, what
procedure would the health care provider recommend for this client? Select all that
apply.
A) Amniocentesis
B) Chorionic villi sampling
C) Biophysical profile
D) Percutaneous umbilical blood sampling
E) Nuchal translucency scan
8. The nurse is educating a client about an upcoming a biophysical profile. What behaviors
of the fetus will be assessed by ultrasound examination? Select all that apply.
A) Fetal breathing movement
B) Fetal activity
C) Fetal cardiac response
D) Fetal muscle tone
E) Fetal renal function
9. The nurse is caring for a client at 30 weeks' gestation with a diagnosis of placental
abruption. The client has a weekly biophysical profile ordered. The nurse reviews the
results of the day's biophysical profile (below). What is the recommended management
for this client?
A) If cervix is favorable, induce labor today
B) Repeat the biophysical profile today
C) Cesarean delivery today
D) Repeat biophysical profile in 2 days
Page
Any Issue? Contact me here
,Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
10. The nurse is caring for Lisa, who is 36 hours post-cesarean birth, due to a complete
placental abruption. The infant was stillborn. At the beginning of the shift, the nurse
observes the client in bed, dressed in a gown, with the bed covers on the floor, and
mumbling. The client is pale and cool to touch. The radial pulse is 52 and weak.
Suddenly the client says, "They stole my baby." The nurse asks the client, "What is your
name", and the client responds "Susan," and then says "Get out of my house." Based on
this interaction, what is the nurse's priority action?
A) Assess for hypovolemic shock
B) Assess for postpartum depression
C) Assess for postpartum psychosis
D) Assess for postpartum hemorrhage
11. While reviewing standard obstetric care with a newly pregnant client, the nurse informs
her that pregnant women are screened for which complication during the second
trimester?
A) Gestational diabetes
B) Preeclampsia
C) Preterm labor
D) Ectopic pregnancy
12. The charge nurse is reviewing the clients admitted to labor and delivery. Which client is
at greatest risk for a postpartum hemorrhage after birth?
A) A woman on magnesium sulfate for the past 36 hours for preeclampsia and
receiving oxytocin to induce labor
B) A primigravida in spontaneous labor with twins at 28 weeks' gestation with intact
amniotic membranes
C) A 42-year-old woman with five children, who is admitted for a primary cesarean
birth for a breech presentation
D) A primiparous woman who progressed to 7cm dilation but is being prepared for a
cesarean birth for fetal distress
13. A postpartum hemorrhage emergency is called for a woman who gave birth 45 minutes
ago. Which medications does the nurse anticipate will be administered in this situation?
Select all that apply.
A) Oxytocin
B) Misoprostol
C) Methylergonovine maleate
D) Magnesium sulfate
E) Morphine sulfate
Page
Any Issue? Contact me here
, Test Bank For Maternity, Newborn, and Women's Health Nursing A Case-Based Approach Amy
O'Meara
14. The nurse receives the client with the below transfer notes. Which risk factors for
postpartum hemorrhage are present in this client? Select all that apply.
A) Maternal age
B) Induction of labor with oxytocin
C) Large-for-gestational age infant
D) Failure to progress in the second stage
E) Hypertensive disorders
15. After a postpartum hemorrhage the provider orders methylergonovine maleate 0.2 mg
PO every 6 hours. The nurse takes the medication to the client. The client refuses to take
the medication and tells the nurse, "It makes my uterus cramp really bad and it hurts too
much." Which action by the nurse is best in this situation?
A) Offer the client pain medication with the methylergonovine maleate.
B) Document the client's refusal in the medication administration record.
C) Tell the client she might bleed again without the methylergonovine maleate.
D) Hide the pill in the client's food.
16. The nurse examines a woman at 34 weeks' gestation who presents to labor and delivery
with vaginal bleeding and back pain. Which finding would lead to a diagnosis of
placental abruption?
A) Uterus is soft with no contractions.
B) Second trimester sonogram showed the placenta covering the cervical os.
C) Fetus is in a breech position.
D) Onset of vaginal bleeding was sudden and painful.
Page
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