5tBANK
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 7TH EDITION
LEIFER TEST BANK: Nursing Care of Women with Complications During
Pregnancy
Chapter 5t05: 5tNursing 5tCare 5tof 5tWomen 5twith 5tComplications
During 5tPregnancyMULTIPLE 5tCHOICE
5t
1. A 5tpregnant 5tpatient 5ttells 5tthe 5tnurse 5tthat 5tshe 5thas 5tbeen 5tnauseated 5tand
5tvomiting. 5tHow 5twill 5tthenurse 5texplain 5tthat 5thyperemesis 5tgravidarum 5tis
5tdistinguished 5tfrom 5tmorning 5tsickness?
a. Hyperemesis 5tgravidarum 5t usually 5tlasts 5tfor 5tthe 5tduration 5tof 5tthe 5tpregnancy.
b. Hyperemesis 5tgravidarum 5tcauses 5tdehydration 5tand 5telectrolyte 5timbalances.
c. Sensitivity 5 t to 5 t smells 5 t is 5 t usually 5 t the 5 t cause 5 t of 5 t vomiting 5 t in 5 t hyperemesis
5 t gravidarum.
d. The 5twoman 5twith 5thyperemesis 5tgravidarum 5twill 5thave 5tpersistent 5tvomiting
5twithout 5tweight 5tloss.ANS: 5tB
Dehydration 5tand 5telectrolyte 5timbalances 5tresult 5tfrom 5tpersistent 5tnausea 5tand 5tvomiting
5tassociatedwith 5thyperemesis 5tgravidarum. 5tDehydration 5timpairs 5tthe 5tperfusion 5tto 5tthe
5tplacenta.
DIF: 5tCognitive 5tLevel: 5tComprehension 5tREF: 5tPage 5t79 5t| 5tPage
5t82OBJ: 5t4 5tTOP: 5tHyperemesis
KEY: 5tNursing 5tProcess 5tStep: 5tImplementation
MSC: 5 t NCLEX: 5 t Physiological 5 t Integrity: 5 t Physiological 5 t Adaptation
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2. A 5twoman 5tis 5t9 5tweeks 5tpregnant 5tand 5texperiencing 5theavy 5tbleeding 5tand
5tcramping. 5tShe 5treports 5tpassing 5tsome 5ttissue. 5tCervical 5tdilation 5tis 5tnoted 5ton
5texamination. 5tWhat 5tis 5tthe 5tmost 5tlikely 5tcause 5tofthese 5tsymptoms?
a. Inevitable 5tabortion
b. Incomplete 5 t abortion
c. Complete 5 t abortion
d. Missed
5tabortionANS:
5tB
Signs 5tand 5tsymptoms 5tof 5tan 5tincomplete 5tabortion 5tare 5tsimilar 5tto 5tthose 5tof 5tan 5tinevitable
5tabortion,but 5tsome 5ttissue 5tis 5tpassed.
DIF: 5tCognitive 5tLevel: 5tComprehension 5tREF: 5tPage 5t84, 5tTable 5t5-2 5t| 5tPage 5t82,
5 t Figure 5t5-2OBJ: 5t4 5tTOP: 5tIncomplete 5tAbortion
KEY: 5 t Nursing 5 t Process 5 t Step: 5 t Data 5 t Collection
MSC: 5 t NCLEX: 5 t Physiological 5 t Integrity: 5 t Physiological 5 t Adaptation
3. The 5tnurse 5tfinds 5ta 5twoman 5tcrying 5tafter 5tshe 5thas 5tundergone 5ta 5tdilation 5tand
5tevacuation 5t(D&E) 5tfora 5tmissed 5tabortion. 5tWhat 5tis 5tthe 5tmost 5tappropriate
5tstatement 5tby 5tthe 5tnurse?
a. “There 5tis 5tusually 5tsomething 5twrong 5twith 5tthe 5tfetus 5twhen 5tthis 5thappens
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,INTRODUCTION 5tTO 5tMATERNITY 5tAND 5tPEDIATRIC 5tNURSING 5t7TH 5tEDITION 5tLEIFER 5tTEST
5tBANK
5tearly 5tin 5tpregnancy.”
b. “Now 5tthere. 5tYou 5tcan 5ttry 5tto 5tconceive 5ton 5tyour 5tnext 5tcycle.”
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,INTRODUCTION 5tTO 5tMATERNITY 5tAND 5tPEDIATRIC 5tNURSING 5t7TH 5tEDITION 5tLEIFER 5tTEST
5tBANK
c. “I’m 5t here 5tif 5tyou 5t need 5t to 5t talk.”
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, INTRODUCTION 5tTO 5tMATERNITY 5tAND 5tPEDIATRIC 5tNURSING 5t7TH 5tEDITION 5tLEIFER 5tTEST
5tBANK
d. “You 5tare 5tyoung 5tand 5tstrong. 5tI 5tknow 5tyou 5tcan 5thave 5ta 5thealthy
5tpregnancy.” 5tANS: 5tC
An 5teffective 5ttechnique 5twhen 5tcommunicating 5twith 5ta 5twoman 5texperiencing
5tpregnancy 5tloss 5tis 5tto
say, 5t“I’m 5there 5tif 5tyou 5tneed 5tto 5ttalk.” 5tThe 5tnurse 5tlistens 5tand 5tacknowledges 5tthe
5twoman’s 5tgrief.
DIF: 5 t Cognitive 5t Level: 5 t Application 5 t REF: 5t Page 5 t 85 5t OBJ: 5 t 4
TOP: 5tDilation 5tand 5tEvacuation 5t(D&E) 5tKEY: 5tNursing 5tProcess
5tStep: 5tImplementationMSC: 5tNCLEX: 5tPsychosocial 5tIntegrity:
5tCoping 5tand 5tAdaptation
4. A 5twoman 5twho 5tis 5t8 5tweeks 5tpregnant 5tbecomes 5tconcerned 5twhen 5tshe 5thas 5tlight
5tvaginal 5tbleedingaccompanied 5tby 5tabdominal 5tpain. 5tAn 5tectopic 5tpregnancy 5tis
5tconfirmed 5tby 5tultrasound. 5tWhich 5tstatement 5tindicates 5tthat 5tthe 5twoman
5tunderstands 5tthe 5texplanation 5tof 5tan 5tectopic 5tpregnancy?
a. “The 5 t chorionic 5 t villi 5 t develop 5 t vesicles 5 t within 5 t the 5 t uterus.”
b. “The 5tplacenta 5tdevelops 5tin 5tthe 5tlower 5tpart 5tof 5tthe 5tuterus.”
c. “The 5tfetus 5tdies 5tin 5tthe 5tuterus 5tduring 5tthe 5tfirst 5thalf 5tof 5tthe 5tpregnancy.”
d. “The 5tembryo 5tis 5timplanted 5tin 5tthe 5tfallopian
5ttube.” 5tANS: 5tD
Ectopic5tpregnancy 5toccurs 5twhen 5tthe 5tfertilized 5tovum 5tis 5timplanted5toutside 5tof 5tthe
5tuterine 5tcavity.
DIF: 5tCognitive 5tLevel: 5tComprehension 5tREF: 5tPage 5t86 5tOBJ:
4 5tTOP: 5tEctopic 5tPregnancy 5tKEY: 5tNursing 5tProcess 5tStep:
Evaluation
MSC: 5tNCLEX: 5tHealth 5tPromotion 5tand 5tMaintenance: 5tPrevention 5tand 5tEarly 5tDetection 5tof
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5. An 5tultrasound 5ton 5ta 5twoman 5twho 5tis 5t32 5tweeks 5tpregnant 5treveals 5tthe
5tplacenta 5timplanted 5toverthe 5tentire 5tcervical 5tos. 5tWhat 5tdoes 5tthe 5tnurse
5tunderstand 5tbest 5tdescribes 5tthis 5tcondition?
a. Low-lying 5t placenta
b. Marginal 5t placenta 5tprevia
c. Partial 5tplacenta 5tprevia
d. Total
5tplacenta
5tpreviaANS: 5tD
A 5ttotal 5tplacenta 5tprevia 5tdescribes 5ta 5tcondition 5tin 5twhich 5tthe 5tplacenta 5tcompletely
5tcovers 5tthecervical 5topening.
DIF: 5tCognitive 5tLevel: 5tComprehension 5tREF: 5tPage 5t88-
89 5tOBJ: 5t4 5tTOP: 5tPlacenta 5tPrevia 5tKEY: 5tNursing 5tProcess
5tStep:
Data 5tCollection
MSC: 5tNCLEX: 5tHealth 5tPromotion 5tand 5tMaintenance: 5tPrevention 5tand 5tEarly 5tDetection 5tof
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