Maternity, Newborn, and Women's Health
Nursing 2e: A Case-Based Approach Second,
North American Edition – Test Bank
by Dr. Amy O'Meara (Author)
, TABLE OF CONTENTS
Unit 1: Scenarios for Clinical Preparation
o Chapter 1: Bess Gaskell: Immediate Postpartum Hemorrhage
o Chapter 2: Tatiana Bennett: Later Postpartum Hemorrhage
o Chapter 3: Susan Rockwell: Gestational Diabetes, Deep Vein Thrombosis, and
Postpartum Pulmonary Embolism
o Chapter 4: Sophie Bloom: Preeclampsia
o Chapter 5: Letitia Richford: Cord Prolapse and Nonreassuring Fetal Status
o Chapter 6: Rebecca Sweet: Placental Abruption and Fetal Loss
o Chapter 7: Hannah Wilder: Chorioamnionitis and Neonatal Sepsis
o Chapter 8: Graciella Muñez: Preterm Premature Rupture of Membranes and
Neonatal Respiratory Distress Syndrome
o Chapter 9: Nancy Ng: Gestational Diabetes, Macrosomia, and Neonatal
Cephalhematoma
o Chapter 10: Lexi Cowslip: Advanced Maternal Age, HELLP Syndrome, and
Neonatal Necrotizing Enterocolitis
o Chapter 11: Edie Wilson: Migraine with Aura, Shoulder Dystocia, and Brachial
Plexus Palsy
o Chapter 12: Loretta Hale: Intimate Partner Violence, Formula Feeding, and
Postpartum Depression
o Chapter 13: Tanya Green: Gestational Trophoblastic Disease (Molar Pregnancy) and
Advanced Maternal Age
Unit 2: Maternity and Newborn Nursing for Uncomplicated Pregnancies
o Chapter 14: Before Conception
o Chapter 15: Pregnancy
o Chapter 16: Labor and Delivery
o Chapter 17: After Delivery
o Chapter 18: The Newborn
Unit 3: High-Risk Conditions and Complications
o Chapter 19: Conditions Existing Before Conception
o Chapter 10: Conditions Occurring During Pregnancy
o Chapter 21: Complications Occurring Before Labor and Delivery
o Chapter 22: Complications Occurring During Labor and Delivery
o Chapter 23: Conditions Occurring After Delivery
o Chapter 24: Conditions in the Newborn Related to Gestational Age, Size, Injury, and
Pain
o Chapter 25: Acquired Conditions and Congenital Abnormalities in the Newborn
Unit 4: Women’s and Gendered Health
o Chapter 26: Wellness and Health Promotion
o Chapter 27: Common Gynecologic Conditions
o Chapter 28: Infections
o Chapter 29: Family Planning
o Chapter 30: Vulnerable Populations
,Maternity Newborn and Women’s Health Nursing A
Case-Based Approach 2nd Edition
O’Meara Test Bank
Chapter 1 Immediate Postpartum Hemorrhage
MULTIPLE CHOICE
1. A pregnant woman is being discharged from the hospital after the placement of a
cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent
cervix. Which information regarding postprocedural care should the nurse emphasize in the
discharge teaching?
a. Any vaginal discharge should be immediately reported to her health care provider.
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal
pressure should
c. The client will need to make arrangements for care at home, because her activity level
will be restri
d. The client will be scheduled for a cesarean birth. ANSWER;B
Nursing care should stress the importance of monitoring for the signs and symptoms of
preterm
labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an
element of care. However, the woman may stand for periods of up to 90 minutes, which allows
her the freedom to see her physician. Home uterine activity monitoring may be used to limit
the womans need for visits and to monitor her status safely at home. The cerclage can be
removed at 37 weeks of gestation (to prepare for a vaginal birth), or a cesarean birth can be
planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning | Nursing Process: Implementation MSC: Client Needs: Health
Promotion and Maintenance
, 2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and
curettage secondary to a hydatidiform mole. The woman asks why she must take oral
contraceptives for the next 12 months. What is the bestresponse by the nurse?
If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore,
if
a. pregnancy, it would be better for you to use the most reliable method of contraception
available.
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by
me
hormone that your body produces during pregnancy. If you were to get pregnant, then it would
mak
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar
pregnancy
c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a
molar preg ANSWER;B
Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensure
that the mole is completely gone. The chance of developing choriocarcinoma after the
development of a hydatidiform mole is increased. Therefore, the goal is to achieve a zero
human chorionic gonadotropin (hCG) level. If the woman were to become pregnant, then it
may obscure the presence of the potentially carcinogenic cells. Women should be instructed to
use birth control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding
pregnancy
for 1 year is to ensure that carcinogenic cells are not present. Any contraceptive method except
an intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation MSC: Client Needs:
Physiologic Integrity
3. The nurse is preparing to administer methotrexate to the client. This hazardous drug is
most often used for which obstetric complication?
Nursing 2e: A Case-Based Approach Second,
North American Edition – Test Bank
by Dr. Amy O'Meara (Author)
, TABLE OF CONTENTS
Unit 1: Scenarios for Clinical Preparation
o Chapter 1: Bess Gaskell: Immediate Postpartum Hemorrhage
o Chapter 2: Tatiana Bennett: Later Postpartum Hemorrhage
o Chapter 3: Susan Rockwell: Gestational Diabetes, Deep Vein Thrombosis, and
Postpartum Pulmonary Embolism
o Chapter 4: Sophie Bloom: Preeclampsia
o Chapter 5: Letitia Richford: Cord Prolapse and Nonreassuring Fetal Status
o Chapter 6: Rebecca Sweet: Placental Abruption and Fetal Loss
o Chapter 7: Hannah Wilder: Chorioamnionitis and Neonatal Sepsis
o Chapter 8: Graciella Muñez: Preterm Premature Rupture of Membranes and
Neonatal Respiratory Distress Syndrome
o Chapter 9: Nancy Ng: Gestational Diabetes, Macrosomia, and Neonatal
Cephalhematoma
o Chapter 10: Lexi Cowslip: Advanced Maternal Age, HELLP Syndrome, and
Neonatal Necrotizing Enterocolitis
o Chapter 11: Edie Wilson: Migraine with Aura, Shoulder Dystocia, and Brachial
Plexus Palsy
o Chapter 12: Loretta Hale: Intimate Partner Violence, Formula Feeding, and
Postpartum Depression
o Chapter 13: Tanya Green: Gestational Trophoblastic Disease (Molar Pregnancy) and
Advanced Maternal Age
Unit 2: Maternity and Newborn Nursing for Uncomplicated Pregnancies
o Chapter 14: Before Conception
o Chapter 15: Pregnancy
o Chapter 16: Labor and Delivery
o Chapter 17: After Delivery
o Chapter 18: The Newborn
Unit 3: High-Risk Conditions and Complications
o Chapter 19: Conditions Existing Before Conception
o Chapter 10: Conditions Occurring During Pregnancy
o Chapter 21: Complications Occurring Before Labor and Delivery
o Chapter 22: Complications Occurring During Labor and Delivery
o Chapter 23: Conditions Occurring After Delivery
o Chapter 24: Conditions in the Newborn Related to Gestational Age, Size, Injury, and
Pain
o Chapter 25: Acquired Conditions and Congenital Abnormalities in the Newborn
Unit 4: Women’s and Gendered Health
o Chapter 26: Wellness and Health Promotion
o Chapter 27: Common Gynecologic Conditions
o Chapter 28: Infections
o Chapter 29: Family Planning
o Chapter 30: Vulnerable Populations
,Maternity Newborn and Women’s Health Nursing A
Case-Based Approach 2nd Edition
O’Meara Test Bank
Chapter 1 Immediate Postpartum Hemorrhage
MULTIPLE CHOICE
1. A pregnant woman is being discharged from the hospital after the placement of a
cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent
cervix. Which information regarding postprocedural care should the nurse emphasize in the
discharge teaching?
a. Any vaginal discharge should be immediately reported to her health care provider.
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal
pressure should
c. The client will need to make arrangements for care at home, because her activity level
will be restri
d. The client will be scheduled for a cesarean birth. ANSWER;B
Nursing care should stress the importance of monitoring for the signs and symptoms of
preterm
labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an
element of care. However, the woman may stand for periods of up to 90 minutes, which allows
her the freedom to see her physician. Home uterine activity monitoring may be used to limit
the womans need for visits and to monitor her status safely at home. The cerclage can be
removed at 37 weeks of gestation (to prepare for a vaginal birth), or a cesarean birth can be
planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning | Nursing Process: Implementation MSC: Client Needs: Health
Promotion and Maintenance
, 2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and
curettage secondary to a hydatidiform mole. The woman asks why she must take oral
contraceptives for the next 12 months. What is the bestresponse by the nurse?
If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore,
if
a. pregnancy, it would be better for you to use the most reliable method of contraception
available.
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by
me
hormone that your body produces during pregnancy. If you were to get pregnant, then it would
mak
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar
pregnancy
c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a
molar preg ANSWER;B
Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensure
that the mole is completely gone. The chance of developing choriocarcinoma after the
development of a hydatidiform mole is increased. Therefore, the goal is to achieve a zero
human chorionic gonadotropin (hCG) level. If the woman were to become pregnant, then it
may obscure the presence of the potentially carcinogenic cells. Women should be instructed to
use birth control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding
pregnancy
for 1 year is to ensure that carcinogenic cells are not present. Any contraceptive method except
an intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation MSC: Client Needs:
Physiologic Integrity
3. The nurse is preparing to administer methotrexate to the client. This hazardous drug is
most often used for which obstetric complication?
