INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION
LEIFER 9vTEST 9vBANK: 9vNursing 9 v Care 9vof9vWomen 9vwithComplications 9vDuring
9vPregnancy
Chapter 9v05: 9vNursing 9vCare 9vof 9vWomen 9vwith 9vComplications
During 9vPregnancyMULTIPLE 9vCHOICE
9v
1. A 9vpregnant 9vpatient 9vtells 9vthe 9vnurse 9vthat 9vshe 9vhas 9vbeen 9vnauseated 9vand
9vvomiting. 9vHow 9vwill 9vthenurse 9vexplain 9vthat 9vhyperemesis 9vgravidarum 9vis
9vdistinguished 9vfrom 9vmorning 9vsickness?
a. Hyperemesis 9vgravidarum 9v usually 9vlasts 9vfor 9vthe 9vduration 9vof 9vthe 9vpregnancy.
b. Hyperemesis 9vgravidarum 9vcauses 9vdehydration 9vand 9velectrolyte 9vimbalances.
c. Sensitivity 9 v to 9 v smells 9 v is 9 v usually 9 v the 9 v cause 9 v of 9 v vomiting 9 v in 9 v hyperemesis
9 v gravidarum.
d. The 9vwoman 9vwith 9vhyperemesis 9vgravidarum 9vwill 9vhave 9vpersistent 9vvomiting
9vwithout 9vweight 9vloss.ANS: 9vB
Dehydration 9vand 9velectrolyte 9vimbalances 9vresult 9vfrom 9vpersistent 9vnausea 9vand 9vvomiting
9vassociatedwith 9vhyperemesis 9vgravidarum. 9vDehydration 9vimpairs 9vthe 9vperfusion 9vto 9vthe
9vplacenta.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v79 9v| 9vPage
9v82OBJ: 9v4 9vTOP: 9vHyperemesis
KEY: 9vNursing 9vProcess 9vStep: 9vImplementation
MSC: 9 v NCLEX: 9 v Physiological 9 v Integrity: 9 v Physiological 9 v Adaptation
NURSINGTB.COM
2. A 9vwoman 9vis 9v9 9vweeks 9vpregnant 9vand 9vexperiencing 9vheavy 9vbleeding 9vand
9vcramping. 9vShe 9vreports 9vpassing 9vsome 9vtissue. 9vCervical 9vdilation 9vis 9vnoted 9von
9vexamination. 9vWhat 9vis 9vthe 9vmost 9vlikely 9vcause 9vofthese 9vsymptoms?
a. Inevitable 9vabortion
b. Incomplete 9 v abortion
c. Complete 9 v abortion
d. Missed
9vabortionANS:
9vB
Signs 9vand 9vsymptoms 9vof 9van 9vincomplete 9vabortion 9vare 9vsimilar 9vto 9vthose 9vof 9van
9vinevitable 9vabortion,but 9vsome 9vtissue 9vis 9vpassed.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v84, 9vTable 9v5-2 9v| 9vPage
9v82, 9 v Figure 9v5-2OBJ: 9v4 9vTOP: 9vIncomplete 9vAbortion
KEY: 9 v Nursing 9 v Process 9 v Step: 9 v Data 9 v Collection
MSC: 9 v NCLEX: 9 v Physiological 9 v Integrity: 9 v Physiological 9 v Adaptation
3. The 9vnurse 9vfinds 9va 9vwoman 9vcrying 9vafter 9vshe 9vhas 9vundergone 9va 9vdilation 9vand
9vevacuation 9v(D&E) 9vfora 9vmissed 9vabortion. 9vWhat 9vis 9vthe 9vmost 9vappropriate
9vstatement 9vby 9vthe 9vnurse?
a. “There 9vis 9vusually 9vsomething 9vwrong 9vwith 9vthe 9vfetus 9vwhen 9vthis 9vhappens
NURSINGTB.COM
,INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
9vearly 9vin 9vpregnancy.”
b. “Now 9vthere. 9vYou 9vcan 9vtry 9vto 9vconceive 9von 9vyour 9vnext 9vcycle.”
NURSINGTB.COM
,INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
c. “I’m 9v here 9vif 9vyou 9v need 9v to 9vtalk.”
NURSINGTB.COM
, INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
d. “You 9vare 9vyoung 9vand 9vstrong. 9vI 9vknow 9vyou 9vcan 9vhave 9va 9vhealthy
9vpregnancy.” 9vANS: 9vC
An 9veffective 9vtechnique 9vwhen 9vcommunicating 9vwith 9va 9vwoman 9vexperiencing
9vpregnancy 9vloss 9vis 9vto
say, 9v“I’m 9vhere 9vif 9vyou 9vneed 9vto 9vtalk.” 9vThe 9vnurse 9vlistens 9vand 9vacknowledges 9vthe
9vwoman’s 9vgrief.
DIF: 9 v Cognitive 9v Level: 9 v Application 9 v REF: 9v Page 9 v 85 9v OBJ: 9 v 4
TOP: 9vDilation 9vand 9vEvacuation 9v(D&E) 9vKEY: 9vNursing 9vProcess
9vStep: 9vImplementationMSC: 9vNCLEX: 9vPsychosocial 9vIntegrity:
9vCoping 9vand 9vAdaptation
4. A 9vwoman 9vwho 9vis 9v8 9vweeks 9vpregnant 9vbecomes 9vconcerned 9vwhen9vshe 9vhas 9vlight
9vvaginal 9vbleedingaccompanied 9vby 9vabdominal 9vpain. 9vAn 9vectopic 9vpregnancy 9vis
9vconfirmed 9vby 9vultrasound. 9vWhich 9vstatement 9vindicates 9vthat 9vthe 9vwoman
9vunderstands 9vthe 9vexplanation 9vof 9van 9vectopic 9vpregnancy?
a. “The 9 v chorionic 9 v villi 9 v develop 9 v vesicles 9 v within 9 v the 9 v uterus.”
b. “The 9vplacenta 9vdevelops 9vin 9vthe 9vlower 9vpart 9vof 9vthe 9vuterus.”
c. “The 9vfetus 9vdies 9vin 9vthe 9vuterus 9vduring 9vthe 9vfirst 9vhalf 9vof 9vthe 9vpregnancy.”
d. “The 9vembryo 9vis 9vimplanted 9vin 9vthe 9vfallopian
9vtube.” 9vANS: 9vD
Ectopic9vpregnancy 9voccurs 9vwhen 9vthe 9vfertilized 9vovum 9vis 9vimplanted9voutside 9vof 9vthe
9vuterine 9vcavity.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v86 9vOBJ:
4 9vTOP: 9vEctopic 9vPregnancy 9vKEY: 9vNursing 9vProcess 9vStep:
Evaluation
MSC: 9vNCLEX: 9vHealth 9vPromotion 9vand 9vMaintenance: 9vPrevention 9vand 9vEarly 9vDetection 9vof
Disease NURSINGTB.COM
5. An 9vultrasound 9von 9va 9vwoman 9vwho 9vis 9v32 9vweeks 9vpregnant 9vreveals 9vthe
9vplacenta 9vimplanted 9voverthe 9ventire 9vcervical 9vos. 9vWhat 9vdoes 9vthe 9vnurse
9vunderstand 9vbest 9vdescribes 9vthis 9vcondition?
a. Low-lying 9v placenta
b. Marginal 9v placenta 9v previa
c. Partial 9vplacenta 9vprevia
d. Total
9vplacenta
9vpreviaANS: 9vD
A 9vtotal 9vplacenta 9vprevia 9vdescribes 9va 9vcondition 9vin 9vwhich 9vthe 9vplacenta 9vcompletely
9vcovers 9vthecervical 9vopening.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v88-
89 9vOBJ: 9v4 9vTOP: 9vPlacenta 9vPrevia 9vKEY: 9vNursing
9vProcess 9vStep:
Data 9vCollection
MSC: 9vNCLEX: 9vHealth 9vPromotion 9vand 9vMaintenance: 9vPrevention 9vand 9vEarly 9vDetection
NURSINGTB.COM
9vBANK
INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION
LEIFER 9vTEST 9vBANK: 9vNursing 9 v Care 9vof9vWomen 9vwithComplications 9vDuring
9vPregnancy
Chapter 9v05: 9vNursing 9vCare 9vof 9vWomen 9vwith 9vComplications
During 9vPregnancyMULTIPLE 9vCHOICE
9v
1. A 9vpregnant 9vpatient 9vtells 9vthe 9vnurse 9vthat 9vshe 9vhas 9vbeen 9vnauseated 9vand
9vvomiting. 9vHow 9vwill 9vthenurse 9vexplain 9vthat 9vhyperemesis 9vgravidarum 9vis
9vdistinguished 9vfrom 9vmorning 9vsickness?
a. Hyperemesis 9vgravidarum 9v usually 9vlasts 9vfor 9vthe 9vduration 9vof 9vthe 9vpregnancy.
b. Hyperemesis 9vgravidarum 9vcauses 9vdehydration 9vand 9velectrolyte 9vimbalances.
c. Sensitivity 9 v to 9 v smells 9 v is 9 v usually 9 v the 9 v cause 9 v of 9 v vomiting 9 v in 9 v hyperemesis
9 v gravidarum.
d. The 9vwoman 9vwith 9vhyperemesis 9vgravidarum 9vwill 9vhave 9vpersistent 9vvomiting
9vwithout 9vweight 9vloss.ANS: 9vB
Dehydration 9vand 9velectrolyte 9vimbalances 9vresult 9vfrom 9vpersistent 9vnausea 9vand 9vvomiting
9vassociatedwith 9vhyperemesis 9vgravidarum. 9vDehydration 9vimpairs 9vthe 9vperfusion 9vto 9vthe
9vplacenta.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v79 9v| 9vPage
9v82OBJ: 9v4 9vTOP: 9vHyperemesis
KEY: 9vNursing 9vProcess 9vStep: 9vImplementation
MSC: 9 v NCLEX: 9 v Physiological 9 v Integrity: 9 v Physiological 9 v Adaptation
NURSINGTB.COM
2. A 9vwoman 9vis 9v9 9vweeks 9vpregnant 9vand 9vexperiencing 9vheavy 9vbleeding 9vand
9vcramping. 9vShe 9vreports 9vpassing 9vsome 9vtissue. 9vCervical 9vdilation 9vis 9vnoted 9von
9vexamination. 9vWhat 9vis 9vthe 9vmost 9vlikely 9vcause 9vofthese 9vsymptoms?
a. Inevitable 9vabortion
b. Incomplete 9 v abortion
c. Complete 9 v abortion
d. Missed
9vabortionANS:
9vB
Signs 9vand 9vsymptoms 9vof 9van 9vincomplete 9vabortion 9vare 9vsimilar 9vto 9vthose 9vof 9van
9vinevitable 9vabortion,but 9vsome 9vtissue 9vis 9vpassed.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v84, 9vTable 9v5-2 9v| 9vPage
9v82, 9 v Figure 9v5-2OBJ: 9v4 9vTOP: 9vIncomplete 9vAbortion
KEY: 9 v Nursing 9 v Process 9 v Step: 9 v Data 9 v Collection
MSC: 9 v NCLEX: 9 v Physiological 9 v Integrity: 9 v Physiological 9 v Adaptation
3. The 9vnurse 9vfinds 9va 9vwoman 9vcrying 9vafter 9vshe 9vhas 9vundergone 9va 9vdilation 9vand
9vevacuation 9v(D&E) 9vfora 9vmissed 9vabortion. 9vWhat 9vis 9vthe 9vmost 9vappropriate
9vstatement 9vby 9vthe 9vnurse?
a. “There 9vis 9vusually 9vsomething 9vwrong 9vwith 9vthe 9vfetus 9vwhen 9vthis 9vhappens
NURSINGTB.COM
,INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
9vearly 9vin 9vpregnancy.”
b. “Now 9vthere. 9vYou 9vcan 9vtry 9vto 9vconceive 9von 9vyour 9vnext 9vcycle.”
NURSINGTB.COM
,INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
c. “I’m 9v here 9vif 9vyou 9v need 9v to 9vtalk.”
NURSINGTB.COM
, INTRODUCTION 9vTO 9vMATERNITY 9vAND 9vPEDIATRIC 9vNURSING 9v7TH 9vEDITION 9vLEIFER 9vTEST
9vBANK
d. “You 9vare 9vyoung 9vand 9vstrong. 9vI 9vknow 9vyou 9vcan 9vhave 9va 9vhealthy
9vpregnancy.” 9vANS: 9vC
An 9veffective 9vtechnique 9vwhen 9vcommunicating 9vwith 9va 9vwoman 9vexperiencing
9vpregnancy 9vloss 9vis 9vto
say, 9v“I’m 9vhere 9vif 9vyou 9vneed 9vto 9vtalk.” 9vThe 9vnurse 9vlistens 9vand 9vacknowledges 9vthe
9vwoman’s 9vgrief.
DIF: 9 v Cognitive 9v Level: 9 v Application 9 v REF: 9v Page 9 v 85 9v OBJ: 9 v 4
TOP: 9vDilation 9vand 9vEvacuation 9v(D&E) 9vKEY: 9vNursing 9vProcess
9vStep: 9vImplementationMSC: 9vNCLEX: 9vPsychosocial 9vIntegrity:
9vCoping 9vand 9vAdaptation
4. A 9vwoman 9vwho 9vis 9v8 9vweeks 9vpregnant 9vbecomes 9vconcerned 9vwhen9vshe 9vhas 9vlight
9vvaginal 9vbleedingaccompanied 9vby 9vabdominal 9vpain. 9vAn 9vectopic 9vpregnancy 9vis
9vconfirmed 9vby 9vultrasound. 9vWhich 9vstatement 9vindicates 9vthat 9vthe 9vwoman
9vunderstands 9vthe 9vexplanation 9vof 9van 9vectopic 9vpregnancy?
a. “The 9 v chorionic 9 v villi 9 v develop 9 v vesicles 9 v within 9 v the 9 v uterus.”
b. “The 9vplacenta 9vdevelops 9vin 9vthe 9vlower 9vpart 9vof 9vthe 9vuterus.”
c. “The 9vfetus 9vdies 9vin 9vthe 9vuterus 9vduring 9vthe 9vfirst 9vhalf 9vof 9vthe 9vpregnancy.”
d. “The 9vembryo 9vis 9vimplanted 9vin 9vthe 9vfallopian
9vtube.” 9vANS: 9vD
Ectopic9vpregnancy 9voccurs 9vwhen 9vthe 9vfertilized 9vovum 9vis 9vimplanted9voutside 9vof 9vthe
9vuterine 9vcavity.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v86 9vOBJ:
4 9vTOP: 9vEctopic 9vPregnancy 9vKEY: 9vNursing 9vProcess 9vStep:
Evaluation
MSC: 9vNCLEX: 9vHealth 9vPromotion 9vand 9vMaintenance: 9vPrevention 9vand 9vEarly 9vDetection 9vof
Disease NURSINGTB.COM
5. An 9vultrasound 9von 9va 9vwoman 9vwho 9vis 9v32 9vweeks 9vpregnant 9vreveals 9vthe
9vplacenta 9vimplanted 9voverthe 9ventire 9vcervical 9vos. 9vWhat 9vdoes 9vthe 9vnurse
9vunderstand 9vbest 9vdescribes 9vthis 9vcondition?
a. Low-lying 9v placenta
b. Marginal 9v placenta 9v previa
c. Partial 9vplacenta 9vprevia
d. Total
9vplacenta
9vpreviaANS: 9vD
A 9vtotal 9vplacenta 9vprevia 9vdescribes 9va 9vcondition 9vin 9vwhich 9vthe 9vplacenta 9vcompletely
9vcovers 9vthecervical 9vopening.
DIF: 9vCognitive 9vLevel: 9vComprehension 9vREF: 9vPage 9v88-
89 9vOBJ: 9v4 9vTOP: 9vPlacenta 9vPrevia 9vKEY: 9vNursing
9vProcess 9vStep:
Data 9vCollection
MSC: 9vNCLEX: 9vHealth 9vPromotion 9vand 9vMaintenance: 9vPrevention 9vand 9vEarly 9vDetection
NURSINGTB.COM
