7fBANK
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 7TH EDITION
LEIFER TEST BANK: Nursing Care of Women withComplications During
Pregnancy
Chapter 7f05: 7fNursing 7fCare 7fof 7fWomen 7fwith 7fComplications
During 7fPregnancyMULTIPLE 7fCHOICE
7f
1. A 7fpregnant 7fpatient 7ftells 7fthe 7fnurse 7fthat 7fshe 7fhas 7fbeen 7fnauseated 7fand
7fvomiting. 7fHow 7fwill 7fthenurse 7fexplain 7fthat 7fhyperemesis 7fgravidarum 7fis
7fdistinguished 7ffrom 7fmorning 7fsickness?
a. Hyperemesis 7fgravidarum 7f usually 7flasts 7ffor 7fthe 7fduration 7fof 7fthe 7fpregnancy.
b. Hyperemesis 7fgravidarum 7fcauses 7fdehydration 7fand 7felectrolyte 7fimbalances.
c. Sensitivity 7 f to 7 f smells 7 f is 7 f usually 7 f the 7 f cause 7 f of 7 f vomiting 7 f in 7 f hyperemesis 7 f gravidarum.
d. The 7fwoman 7fwith 7fhyperemesis 7fgravidarum 7fwill 7fhave 7fpersistent 7fvomiting
7fwithout 7fweight 7floss.ANS: 7fB
Dehydration 7fand 7felectrolyte 7fimbalances 7fresult 7ffrom 7fpersistent 7fnausea 7fand 7fvomiting
7fassociatedwith 7fhyperemesis 7fgravidarum. 7fDehydration 7fimpairs 7fthe 7fperfusion 7fto 7fthe
7fplacenta.
DIF: 7fCognitive 7fLevel: 7fComprehension 7fREF: 7fPage 7f79 7f| 7fPage
7f82OBJ: 7f4 7fTOP: 7fHyperemesis
KEY: 7fNursing 7fProcess 7fStep: 7fImplementation
MSC: 7 f NCLEX: 7 f Physiological 7 f Integrity: 7 f Physiological 7 f Adaptation
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2. A 7fwoman 7fis 7f9 7fweeks 7fpregnant 7fand 7fexperiencing 7fheavy 7fbleeding 7fand 7fcramping.
7fShe 7freports 7fpassing 7fsome 7ftissue. 7fCervical 7fdilation 7fis 7fnoted 7fon 7fexamination.
7fWhat 7fis 7fthe 7fmost 7flikely 7fcause 7fofthese 7fsymptoms?
a. Inevitable 7fabortion
b. Incomplete 7 f abortion
c. Complete 7 f abortion
d. Missed
7fabortionANS:
7fB
Signs 7fand 7fsymptoms 7fof 7fan 7fincomplete 7fabortion 7fare 7fsimilar 7fto 7fthose 7fof 7fan 7finevitable
7fabortion,but 7fsome 7ftissue 7fis 7fpassed.
DIF: 7fCognitive 7fLevel: 7fComprehension 7fREF: 7fPage 7f84, 7fTable 7f5-2 7f| 7fPage 7f82,
7 f Figure 7f5-2OBJ: 7f4 7fTOP: 7fIncomplete 7fAbortion
KEY: 7 f Nursing 7 f Process 7 f Step: 7 f Data 7 f Collection
MSC: 7 f NCLEX: 7 f Physiological 7 f Integrity: 7 f Physiological 7 f Adaptation
3. The 7fnurse 7ffinds 7fa 7fwoman 7fcrying 7fafter 7fshe 7fhas 7fundergone 7fa 7fdilation 7fand
7fevacuation 7f(D&E) 7ffora 7fmissed 7fabortion. 7fWhat 7fis 7fthe 7fmost 7fappropriate
7fstatement 7fby 7fthe 7fnurse?
a. “There 7fis 7fusually 7fsomething 7fwrong 7fwith 7fthe 7ffetus 7fwhen 7fthis 7fhappens
7fearly 7fin 7fpregnancy.”
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,INTRODUCTION 7fTO 7fMATERNITY 7fAND 7fPEDIATRIC 7fNURSING 7f7TH 7fEDITION 7fLEIFER 7fTEST
7fBANK
b. “Now 7fthere. 7fYou 7fcan 7ftry 7fto 7fconceive 7fon 7fyour 7fnext 7fcycle.”
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,INTRODUCTION 7fTO 7fMATERNITY 7fAND 7fPEDIATRIC 7fNURSING 7f7TH 7fEDITION 7fLEIFER 7fTEST
7fBANK
c. “I’m 7f here 7fif 7fyou 7f need 7f to 7f talk.”
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, INTRODUCTION 7fTO 7fMATERNITY 7fAND 7fPEDIATRIC 7fNURSING 7f7TH 7fEDITION 7fLEIFER 7fTEST
7fBANK
d. “You 7fare 7fyoung 7fand 7fstrong. 7fI 7fknow 7fyou 7fcan 7fhave 7fa 7fhealthy
7fpregnancy.” 7fANS: 7fC
An 7feffective 7ftechnique 7fwhen7fcommunicating 7fwith 7fa 7fwoman 7fexperiencing
7fpregnancy 7floss 7fis 7fto
say, 7f“I’m 7fhere 7fif 7fyou 7fneed 7fto 7ftalk.” 7fThe 7fnurse 7flistens 7fand 7facknowledges 7fthe
7fwoman’s 7fgrief.
DIF: 7 f Cognitive 7f Level: 7 f Application 7 f REF: 7f Page 7 f 85 7f OBJ: 7 f 4
TOP: 7fDilation 7fand 7fEvacuation 7f(D&E) 7fKEY: 7fNursing 7fProcess
7fStep: 7fImplementationMSC: 7fNCLEX: 7fPsychosocial 7fIntegrity:
7fCoping 7fand 7fAdaptation
4. A 7fwoman 7fwho 7fis 7f8 7fweeks 7fpregnant 7fbecomes 7fconcerned 7fwhen 7fshe 7fhas 7flight
7fvaginal 7fbleedingaccompanied 7fby 7fabdominal 7fpain. 7fAn 7fectopic 7fpregnancy 7fis
7fconfirmed 7fby 7fultrasound. 7fWhich 7fstatement 7findicates 7fthat 7fthe 7fwoman
7funderstands 7fthe 7fexplanation 7fof 7fan 7fectopic 7fpregnancy?
a. “The 7 f chorionic 7 f villi 7 f develop 7 f vesicles 7 f within 7 f the 7 f uterus.”
b. “The 7fplacenta 7fdevelops 7fin 7fthe 7flower 7fpart 7fof 7fthe 7futerus.”
c. “The 7ffetus 7fdies 7fin 7fthe 7futerus 7fduring 7fthe 7ffirst 7fhalf 7fof 7fthe 7fpregnancy.”
d. “The 7fembryo 7fis 7fimplanted 7fin 7fthe 7ffallopian
7ftube.” 7fANS: 7fD
Ectopic7fpregnancy 7foccurs 7fwhen 7fthe 7ffertilized 7fovum 7fis 7fimplanted 7foutside 7fof 7fthe
7futerine 7fcavity.
DIF: 7fCognitive 7fLevel: 7fComprehension 7fREF: 7fPage 7f86 7fOBJ:
4 7fTOP: 7fEctopic 7fPregnancy 7fKEY: 7fNursing 7fProcess 7fStep:
Evaluation
MSC: 7fNCLEX: 7fHealth 7fPromotion 7fand 7fMaintenance: 7fPrevention 7fand 7fEarly 7fDetection 7fof
Disease NURSINGTB.COM
5. An 7fultrasound 7fon 7fa 7fwoman 7fwho 7fis 7f32 7fweeks 7fpregnant 7freveals 7fthe
7fplacenta 7fimplanted 7foverthe 7fentire 7fcervical 7fos. 7fWhat 7fdoes 7fthe 7fnurse
7funderstand 7fbest 7fdescribes 7fthis 7fcondition?
a. Low-lying 7f placenta
b. Marginal 7f placenta 7fprevia
c. Partial 7fplacenta 7fprevia
d. Total
7fplacenta
7fpreviaANS: 7fD
A 7ftotal 7fplacenta 7fprevia 7fdescribes 7fa 7fcondition 7fin 7fwhich 7fthe 7fplacenta 7fcompletely 7fcovers
7fthecervical 7fopening.
DIF: 7fCognitive 7fLevel: 7fComprehension 7fREF: 7fPage 7f88-
89 7fOBJ: 7f4 7fTOP: 7fPlacenta 7fPrevia 7fKEY: 7fNursing 7fProcess
7fStep:
Data 7fCollection
MSC: 7fNCLEX: 7fHealth 7fPromotion 7fand 7fMaintenance: 7fPrevention 7fand 7fEarly 7fDetection 7fof
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