Test Bank for Maternity Newborn and Women’s Health
Nursing: A Case-Based Approach 1st Edition O’Meara
Chapter 28 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 post procedural care should the
nurse emphasize in the dischargeteaching
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 be reported.
c. The client will need to make arrangements for care at home, because her activity
level will be restricted.
d. The client will be scheduled for a cesarean birth.
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?
a. "If you get pregnant within 1 year, the chance of a successful pregnancy is very
small. Therefore, if you desire a future pregnancy, it would be better for you to use the
most reliable method of contraception available."
b. "The major risk to you after a molar pregnancy is a type of cancer that can be
diagnosed only by measuring the same hormone that your body produces during
pregnancy. If you were to get pregnant, then it would make the diagnosis of this cancer
more difficult."
,c. "If you can avoid a pregnancy for the next year, the chance of developing a
second molar pregnancy is rare. Therefore, to 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 pregnancy."
3. The nurse is preparing to administer methotrexate to the client. This hazardous drug
is most often used for which obstetric complication?
a. Complete hydatidiform mole
b. Missed abortion
c. Unruptured ectopic pregnancy
,
, D. Abruptio placentae
4. A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when
she experiences bright red, painless vaginal bleeding. On her arrival at the hospital,
which diagnostic procedure will the client most likely have performed?
a. Amniocentesis for fetal lung maturity
b. Transvaginal ultrasound for placental location
c. Contraction stress test (CST)
d. Internal fetal monitoring
5. A laboring woman with no known risk factors suddenly experiences spontaneous
ROM. The fluid consists of bright red blood. Her contractions are consistent with her
current stage of labor. No change in uterine resting tone has occurred. The fetal heart
rate (FHR) begins to decline rapidly after the ROM. The nurse should suspect the
possibility of what condition?
a. Placenta previa
b. Vasa previa
c. Severe abruptio placentae
d. Disseminated intravascular coagulation (DIC)
6. A woman arrives for evaluation of signs and symptoms that include a missed period,
adnexal fullness, tenderness, and dark red vaginal bleeding. On examination, the nurse
notices an ecchymotic blueness around the woman's umbilicus. What does this finding
indicate?
a. Normal integumentary changes associated with pregnancy
b. Turner sign associated with appendicitis
c. Cullen sign associated with a ruptured ectopic pregnancy
d. Chadwick sign associated with early pregnancy
7. The nurse who elects to practice in the area of women's health must have a thorough
understanding of miscarriage. Which statement regarding this condition is most
accurate?
Nursing: A Case-Based Approach 1st Edition O’Meara
Chapter 28 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 post procedural care should the
nurse emphasize in the dischargeteaching
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 be reported.
c. The client will need to make arrangements for care at home, because her activity
level will be restricted.
d. The client will be scheduled for a cesarean birth.
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?
a. "If you get pregnant within 1 year, the chance of a successful pregnancy is very
small. Therefore, if you desire a future pregnancy, it would be better for you to use the
most reliable method of contraception available."
b. "The major risk to you after a molar pregnancy is a type of cancer that can be
diagnosed only by measuring the same hormone that your body produces during
pregnancy. If you were to get pregnant, then it would make the diagnosis of this cancer
more difficult."
,c. "If you can avoid a pregnancy for the next year, the chance of developing a
second molar pregnancy is rare. Therefore, to 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 pregnancy."
3. The nurse is preparing to administer methotrexate to the client. This hazardous drug
is most often used for which obstetric complication?
a. Complete hydatidiform mole
b. Missed abortion
c. Unruptured ectopic pregnancy
,
, D. Abruptio placentae
4. A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when
she experiences bright red, painless vaginal bleeding. On her arrival at the hospital,
which diagnostic procedure will the client most likely have performed?
a. Amniocentesis for fetal lung maturity
b. Transvaginal ultrasound for placental location
c. Contraction stress test (CST)
d. Internal fetal monitoring
5. A laboring woman with no known risk factors suddenly experiences spontaneous
ROM. The fluid consists of bright red blood. Her contractions are consistent with her
current stage of labor. No change in uterine resting tone has occurred. The fetal heart
rate (FHR) begins to decline rapidly after the ROM. The nurse should suspect the
possibility of what condition?
a. Placenta previa
b. Vasa previa
c. Severe abruptio placentae
d. Disseminated intravascular coagulation (DIC)
6. A woman arrives for evaluation of signs and symptoms that include a missed period,
adnexal fullness, tenderness, and dark red vaginal bleeding. On examination, the nurse
notices an ecchymotic blueness around the woman's umbilicus. What does this finding
indicate?
a. Normal integumentary changes associated with pregnancy
b. Turner sign associated with appendicitis
c. Cullen sign associated with a ruptured ectopic pregnancy
d. Chadwick sign associated with early pregnancy
7. The nurse who elects to practice in the area of women's health must have a thorough
understanding of miscarriage. Which statement regarding this condition is most
accurate?
