TEST BANK for; Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara||ISBN NO:10,1975209028||ISBN NO:13,978-1975209025|All Chapters Covered| Complete guide A+.

, MaternityNewborn andWomen’s Health Nursing ACase-Based Approach 1stEdition 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d




O’Meara Test Bank 2d 2d




Chapter 1 Immediate PostpartumHemorrhage
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MULTIPLE CHOICE 2d




1. A pregnant woman is being discharged from the hospital after the placement of a cervical
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cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent
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cervix.Whichinformationregardingpostproceduralcareshould the nurse emphasize in the
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dischargeteaching?
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a. Anyvaginaldischargeshould be immediately reportedto herhealthcareprovider. 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d




b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure
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should 2d




c. Theclientwillneedto makearrangementsforcareathome,becauseheractivitylevel willbe restri
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d. Theclient will bescheduled fora cesarean 2d 2d 2d 2d 2d 2d 2d




2dbirth.ANS: B 2d




Nursing care should stress the importance of monitoring for the signs andsymptoms of preterm
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labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an
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2delement of care. However, the woman may stand for periods of up to 90 minutes, which allows her
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2dthe freedom to see her physician. Home uterine activitymonitoring may be used to limit the
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2dwomans need for visits and to monitor her status safely at home. The cerclage can be removed at
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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 2d 2d til 2d 2d




2dMaintenance
2. A perinatal nurse is givingdischarge instructions to a woman, status postsuction, and
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2dcurettagesecondary to a hydatidiform mole. The woman asks why she must take oral 2d til til 2d 2d 2d 2d 2d 2d 2d 2d 2d




2dcontraceptives for the next 12 months. What is the bestresponse by the nurse? 2d 2d til 2d 2d 2d 2d 2d 2d 2d 2d 2d




If you get pregnant within1 year, the chance ofa successful pregnancyisverysmall. Therefore, if
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a. pregnancy,it wouldbe betterfor youto use the most reliablemethodof contraception available. 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d




Themajor riskto you after amolar pregnancyisa type of cancer that canbe diagnosed onlyby me hormon
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thatyourbodyproducesduringpregnancy.If youwereto getpregnant,thenit would mak
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b. this cancer more difficult. 2d 2d 2d




If you can avoid a pregnancyfor thenext year, the chance ofdevelopinga second molar pregnancy
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c. improveyourchance ofa successfulpregnancy, not gettingpregnantat this timeisbest.
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d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d




pregANS: B
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Betahumanchorionic gonadotropin (beta-hCG) hormone levels aredrawnfor1 year to ensure
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that the mole is completely gone. The chance of developing choriocarcinoma after the
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developmentof a hydatidiformmole isincreased. Therefore,thegoal isto achieve azero human
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chorionic gonadotropin (hCG) level. Ifthe woman were to become pregnant, thenitmay
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,obscurethe presenceofthepotentiallycarcinogenic cells.Womenshould beinstructedtouse
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birth control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding
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pregnancy
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, for 1 year is to ensure that carcinogenic cells are not present. Anycontraceptive method exceptan
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2dintrauterine device (IUD) is acceptable. 2d 2d 2d 2d




DIF:Cognitive Level: ApplyREF: dm. 679
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TOP: Nursing Process: Planning | Nursing Process:
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ImplementationMSC:ClientNeeds: Physiologic Integrity 2d 2d 2d 2d




3. The nurse is preparing to administer methotrexate to the client. This hazardous
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2ddrugis most often used for which obstetric complication?
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a. Complete hydatidiform mole 2d 2d




b. Missedabortion 2d




c. Unruptured ectopic pregnancy 2d 2d




d. Abruptio
placentaeANS: C
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Methotrexateisan effectivenonsurgical treatment optionfora hemodynamicallystable woman 2d 2d 2d 2d 2d 2d 2d 2d 2d 2d




whose ectopic pregnancy is unruptured and measures less than 4 cm in diameter. Methotrexate
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isnot indicated or recommended as a treatment option for a complete hydatidiform mole, for a
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missed abortion, or for abruptio placentae.
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DIF: Cognitive Level: ApplyREF: dm. 677 TOP: Nursing Process:
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PlanningMSC: Client Needs: Physiologic Integrity 2d 2d 2d 2d




4. A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she
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experiences bright red, painless vaginal bleeding. On her arrival at the hospital, which
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diagnosticprocedure will the client most likely have performed?
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a. Amniocentesis forfetallung maturity 2d 2d 2d 2d




b. Transvaginalultrasound for placental location 2d 2d til 2d




c. Contractionstress test (CST) 2d 2d




d. Internalfetal
monitoringANS: B
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Thepresence of painless bleeding should always alert the healthcare teamto the possibility of
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placenta previa, which can be confirmed through ultrasonography. Amniocentesis is not
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performed on a woman who is experiencing bleeding. In the event of an imminent delivery, the
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fetus is presumed to have immature lungs at this gestational age, and the mother is given
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corticosteroids to aid in fetal lung maturity. A CST is not performed at a preterm gestational
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age.Furthermore, bleeding is a contraindication to a CST. Internal fetal monitoring is also
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contraindicated in the presence of bleeding.
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DIF:Cognitive Level: ApplyREF: dm. 680
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TOP:Nursing Process: Assessment MSC: ClientNeeds: HealthPromotion and Maintenance
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5. A laboring woman with no known risk factors suddenly experiences spontaneous ROM. The
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fluid consists of bright red blood. Her contractions are consistent with her current stage of
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labor.No change in uterine resting tone has occurred. The fetal heart rate (FHR) begins to decline
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rapidly after the ROM. The nurse should suspect the possibility of what condition?
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a. Placenta previa 2d




b. Vasaprevia 2d




c. Severe abruptio placentae 2d 2d