MATERNITY NEWBORN AND WOMEN’S HEALTH NURSING
A CASE-BASED APPROACH 1ST 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,inform
ation,regarding,post,procedural,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,s
hould,be,reported
c. The,client,will,need,to,make,arrangements,for,care,at,home,,because,her,activity,level,will,be,r
estricted
d. The,client,will,be,scheduled,for,a,cesarean,birth.
ANS:,B
Nursing,care,should,stress,the,importance,of,monitoring,for,the,signs,and,symptoms,of,preterm,lab
or.,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,freedo
m,to,see,her,physician.,Home,uterine,activity,monitoring,may,be,used,to,limit,the,womans,need,for,v
isits,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,Promot
ion,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,best,response,by,the,nurse?
a. If,you,get,pregnant,within,1,year,,the,chance,of,a,successful,pregnancy,is,very,small.,Therefor
e,,if,pregnancy,,it,would,be,better,for,you,to,use,the,most,reliable,method,of,contraception,av
ailable.
b. The,major,risk,to,you,after,a,molar,pregnancy,is,a,type,of,cancer,that,can,be,diagnosed,only,b
y,me,hormone,that,your,body,produces,during,pregnancy.,If,you,were,to,get,pregnant,,then,it
,would,make,this,cancer,more,difficult.
c. If,you,can,avoid,a,pregnancy,for,the,next,year,,the,chance,of,developing,a,second,molar,pregn
ancy,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
ANS:,B
If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
, 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,beco
me,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,f
or,avoiding,pregnancy,for,1,year,is,to,ensure,that,carcinogenic,cells,are,not,present.,Any,contracept
ive,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,Int
egrity,
,
3.,The,nurse,is,preparing,to,administer,methotrexate,to,the,client.,This,hazardous,drug,is,most,ofte
n,used,for,which,obstetric,complication?,a.,Complete,hydatidiform,mole,
b. Missed,abortion,
c. Unruptured,ectopic,pregnancy,
d. Abruptio,placentae,ANS:,C,
Methotrexate,is,an,effective,nonsurgical,treatment,option,for,a,hemodynamically,stable,woman,whos
e,ectopic,pregnancy,is,unruptured,and,measures,less,than,4,cm,in,diameter.,Methotrexate,is,not,indic
ated,or,recommended,as,a,treatment,option,for,a,complete,hydatidiform,mole,,for,a,missed,abortion,,
or,for,abruptio,placentae.,
DIF:,Cognitive,Level:,Apply,REF:,dm.,677,TOP:,Nursing,Process:,Planning,MSC:,Client,Needs:,Physiolo
gic,Integrity,
,
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.,Amniocentes
is,for,fetal,lung,maturity,
b. Transvaginal,ultrasound,for,placental,location,
c. Contraction,stress,test,(CST),
d. Internal,fetal,monitoring,ANS:,B,
The,presence,of,painless,bleeding,should,always,alert,the,health,care,team,to,the,possibility,of,placent
a,previa,,which,can,be,confirmed,through,ultrasonography.,Amniocentesis,is,not,performed,on,a,wom
an,who,is,experiencing,bleeding.,In,the,event,of,an,imminent,delivery,,the,fetus,is,presumed,to,have,i
mmature,lungs,at,this,gestational,age,,and,the,mother,is,given,corticosteroids,to,aid,in,fetal,lung,matu
rity.,A,CST,is,not,performed,at,a,preterm,gestational,age.,Furthermore,,bleeding,is,a,contraindication,t
o,a,CST.,Internal,fetal,monitoring,is,also,contraindicated,in,the,presence,of,bleeding.,
DIF:,Cognitive,Level:,Apply,REF:,dm.,680,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Health,Promotion,and,Maintenance,
,
5.,
A,laboring,woman,with,no,known,risk,factors,suddenly,experiences,spontaneous,ROM.,The,flu
id,consists,of,bright,red,blood.,Her,contractions,are,consistent,with,her,current,stage,of,labor.,No,chan
ge,in,uterine,resting,tone,has,occurred.,The,fetal,heart,rate,(FHR),begins,to,decline,rapidly,after,the,R
OM.,The,nurse,should,suspect,the,possibility,of,what,condition?,a., Placenta,previa,
b. Vasa,previa,
c. Severe,abruptio,placentae,
, If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
, d. Disseminated,intravascular,coagulation,(DIC),ANS:,B,
Vasa,previa,is,the,result,of,a,velamentous,insertion,of,the,umbilical,cord.,The,umbilical,vessels,are,not,
surrounded,by,Wharton,jelly,and,have,no,supportive,tissue.,The,umbilical,blood,vessels,thus,are,at,ris
k,for,laceration,at,any,time,,but,laceration,occurs,most,frequently,during,ROM.,The,sudden,appearanc
e,of,bright,red,blood,at,the,time,of,ROM,and,a,sudden,change,in,the,FHR,without,other,known,risk,fact
ors,should,immediately,alert,the,nurse,to,the,possibility,of,vasa,previa.,The,presence,of,placenta,previ
a,most,likely,would,be,ascertained,before,labor,and,is,considered,a,risk,factor,for,this,pregnancy.,In,a
ddition,,if,the,woman,had,a,placenta,previa,,it,is,unlikely,that,she,would,be,allowed,to,pursue,labor,an
d,a,vaginal,birth.,With,the,presence,of,severe,abruptio,placentae,,the,uterine,tonicity,typically,is,tetan
us,(i.e.,,a,boardlike,uterus).,DIC,is,a,pathologic,form,of,diffuse,clotting,that,consumes,large,amounts,of,
clotting,factors,,causing,widespread,external,bleeding,,internal,bleeding,,or,both.,DIC,is,always,a,seco
ndary,diagnosis,,often,associated,with,obstetric,risk,factors,such,as,the,hemolysis,,elevated,liver,enzy
me,levels,,and,low,platelet,levels,(HELLP),syndrome.,This,woman,did,not,have,any,prior,risk,factors.,
DIF:,Cognitive,Level:,Analyze,REF:,dm.,684,TOP:,Nursing,Process:,Diagnosis,MSC:,Client,Needs:,Physi
ologic,Integrity,
,
6.,A,woman,arrives,for,evaluation,of,signs,and,symptoms,that,include,a,missed,period,,adnexal,fulln
ess,,tenderness,,and,dark,red,vaginal,bleeding.,On,examination,,the,nurse,notices,an,ecchymotic,blu
eness,around,the,womans,umbilicus.,What,does,this,finding,indicate?,a.,Normal,integumentary,cha
nges,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,
ANS:,C,
Cullen,sign,,the,blue,ecchymosis,observed,in,the,umbilical,area,,indicates,hematoperitoneum,associat
ed,with,an,undiagnosed,ruptured,intraabdominal,ectopic,pregnancy.,Linea,nigra,on,the,abdomen,is,t
he,normal,integumentary,change,associated,with,pregnancy,and,exhibits,a,brown,pigmented,,vertica
l,line,on,the,lower,abdomen.,Turner,sign,is,ecchymosis,in,the,flank,area,,often,associated,with,pancrea
titis.,A,Chadwick,sign,is,a,blue-
purple,cervix,that,may,be,seen,during,or,around,the,eighth,week,of,pregnancy.,
DIF:,Cognitive,Level:,Analyze,REF:,dm.,676,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Physiologic,Integrity,
,
7.,
The,nurse,who,elects,to,practice,in,the,area,of,womens,health,must,have,a,thorough,unders
tanding,of,miscarriage.,Which,statement,regarding,this,condition,is,most,accurate?,a.,
A,miscarriage,is,a,natural,pregnancy,loss,before,labor,begins.,
b. It,occurs,in,fewer,than,5%,of,all,clinically,recognized,pregnancies.,
c. Careless,maternal,behavior,,such,as,poor,nutrition,or,excessive,exercise,,can,be,a,factor,in,cau
sing,miscarriage,
d. If,a,miscarriage,occurs,before,the,12th,week,of,pregnancy,,then,it,may,be,observed,only,as,mo
derate,blood,loss,
ANS:,D,
Before,the,sixth,week,,the,only,evidence,might,be,a,heavy,menstrual,flow.,After,the,12th,week,,more,
severe,pain,,similar,to,that,of,labor,,is,likely.,Miscarriage,is,a,natural,pregnancy,loss,,but,it,occurs,,by,d
efinition,,before,20,weeks,of,gestation,,before,the,fetus,is,viable.,Miscarriages,occur,in,approximately,
, If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
, 10%,to,15%,of,all,clinically,recognized,pregnancies.,Miscarriages,can,be,caused,by,a,number,of,disor
ders,or,illnesses,outside,the,mothers,control,or,knowledge.,DIF:,Cognitive,Level:,Understand,REF:,dm
.,670,
,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Physiologic,Integrity,
8.,
A,woman,who,is,30,weeks,of,gestation,arrives,at,the,hospital,with,bleeding.,Which,differ
ential,diagnosis,would,not,be,applicable,for,this,client?,a., Placenta,previa,
b. Abruptio,placentae,
c. Spontaneous,abortion,
d. Cord,insertion,
ANS:,C,
Spontaneous,abortion,is,another,name,for,miscarriage;,it,occurs,,by,definition,,early,in,pregnancy.,P
lacenta,previa,is,a,well-
known,reason,for,bleeding,late,in,pregnancy.,The,premature,separation,of,the,placenta,(abruptio,pl
acentae),is,a,bleeding,disorder,that,can,occur,late,in,pregnancy.,Cord,insertion,may,cause,a,bleeding
,disorder,that,can,also,occur,late,in,
pregnancy.,
DIF:,Cognitive,Level:,Understand,REF:,dm.,669,TOP:,Nursing,Process:,Assessment,
MSC:,Client,Needs:,Physiologic,Integrity,,Physiologic,Adaptation,
,
9.,With,regard,to,hemorrhagic,complications,that,may,occur,during,pregnancy,,what,information,is,m
ost,accurate?,
a. An,incompetent,cervix,is,usually,not,diagnosed,until,the,woman,has,lost,one,or,two,
pregnancies.,
b. Incidences,of,ectopic,pregnancy,are,declining,as,a,result,of,improved,diagnostic,
techniques.,
c. One,ectopic,pregnancy,does,not,affect,a,womans,fertility,or,her,likelihood,of,having,a,normal,p
regnancy,
d. Gestational,trophoblastic,neoplasia,(GTN),is,one,of,the,persistently,incurable,gynecologic,mali
gna,
ANS:,A,
Short,labors,and,recurring,losses,of,pregnancy,at,progressively,earlier,gestational,ages,are,chara
cteristics,of,reduced,cervical,competence.,Because,diagnostic,technology,is,improving,,more,ecto
pic,pregnancies,are,being,diagnosed.,One,ectopic,pregnancy,places,the,woman,at,increased,risk,f
or,another,one.,Ectopic,pregnancy,is,a,leading,cause,of,infertility.,Once,invariably,fatal,,GTN,now,i
s,the,most,curable,gynecologic,malignancy.,DIF:,Cognitive,Level:,Understand,REF:,dm.,675,
,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Health,Promotion,and,Maintenance,10.,The,ma
nagement,of,the,pregnant,client,who,has,experienced,a,pregnancy,loss,depends,on,the,type,of,miscar
riage,and,the,signs,and,symptoms.,While,planning,care,for,a,client,who,desires,outpatient,manageme
nt,after,a,first-trimester,loss,,what,would,the,nurse,expect,the,plan,to,include?,
a. Dilation,and,curettage,(D&C),
b. Dilation,and,evacuation,(D&E),
c. Misoprostol,
d., Ergot,products,ANS:,C,
, If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
A CASE-BASED APPROACH 1ST 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,inform
ation,regarding,post,procedural,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,s
hould,be,reported
c. The,client,will,need,to,make,arrangements,for,care,at,home,,because,her,activity,level,will,be,r
estricted
d. The,client,will,be,scheduled,for,a,cesarean,birth.
ANS:,B
Nursing,care,should,stress,the,importance,of,monitoring,for,the,signs,and,symptoms,of,preterm,lab
or.,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,freedo
m,to,see,her,physician.,Home,uterine,activity,monitoring,may,be,used,to,limit,the,womans,need,for,v
isits,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,Promot
ion,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,best,response,by,the,nurse?
a. If,you,get,pregnant,within,1,year,,the,chance,of,a,successful,pregnancy,is,very,small.,Therefor
e,,if,pregnancy,,it,would,be,better,for,you,to,use,the,most,reliable,method,of,contraception,av
ailable.
b. The,major,risk,to,you,after,a,molar,pregnancy,is,a,type,of,cancer,that,can,be,diagnosed,only,b
y,me,hormone,that,your,body,produces,during,pregnancy.,If,you,were,to,get,pregnant,,then,it
,would,make,this,cancer,more,difficult.
c. If,you,can,avoid,a,pregnancy,for,the,next,year,,the,chance,of,developing,a,second,molar,pregn
ancy,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
ANS:,B
If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
, 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,beco
me,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,f
or,avoiding,pregnancy,for,1,year,is,to,ensure,that,carcinogenic,cells,are,not,present.,Any,contracept
ive,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,Int
egrity,
,
3.,The,nurse,is,preparing,to,administer,methotrexate,to,the,client.,This,hazardous,drug,is,most,ofte
n,used,for,which,obstetric,complication?,a.,Complete,hydatidiform,mole,
b. Missed,abortion,
c. Unruptured,ectopic,pregnancy,
d. Abruptio,placentae,ANS:,C,
Methotrexate,is,an,effective,nonsurgical,treatment,option,for,a,hemodynamically,stable,woman,whos
e,ectopic,pregnancy,is,unruptured,and,measures,less,than,4,cm,in,diameter.,Methotrexate,is,not,indic
ated,or,recommended,as,a,treatment,option,for,a,complete,hydatidiform,mole,,for,a,missed,abortion,,
or,for,abruptio,placentae.,
DIF:,Cognitive,Level:,Apply,REF:,dm.,677,TOP:,Nursing,Process:,Planning,MSC:,Client,Needs:,Physiolo
gic,Integrity,
,
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.,Amniocentes
is,for,fetal,lung,maturity,
b. Transvaginal,ultrasound,for,placental,location,
c. Contraction,stress,test,(CST),
d. Internal,fetal,monitoring,ANS:,B,
The,presence,of,painless,bleeding,should,always,alert,the,health,care,team,to,the,possibility,of,placent
a,previa,,which,can,be,confirmed,through,ultrasonography.,Amniocentesis,is,not,performed,on,a,wom
an,who,is,experiencing,bleeding.,In,the,event,of,an,imminent,delivery,,the,fetus,is,presumed,to,have,i
mmature,lungs,at,this,gestational,age,,and,the,mother,is,given,corticosteroids,to,aid,in,fetal,lung,matu
rity.,A,CST,is,not,performed,at,a,preterm,gestational,age.,Furthermore,,bleeding,is,a,contraindication,t
o,a,CST.,Internal,fetal,monitoring,is,also,contraindicated,in,the,presence,of,bleeding.,
DIF:,Cognitive,Level:,Apply,REF:,dm.,680,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Health,Promotion,and,Maintenance,
,
5.,
A,laboring,woman,with,no,known,risk,factors,suddenly,experiences,spontaneous,ROM.,The,flu
id,consists,of,bright,red,blood.,Her,contractions,are,consistent,with,her,current,stage,of,labor.,No,chan
ge,in,uterine,resting,tone,has,occurred.,The,fetal,heart,rate,(FHR),begins,to,decline,rapidly,after,the,R
OM.,The,nurse,should,suspect,the,possibility,of,what,condition?,a., Placenta,previa,
b. Vasa,previa,
c. Severe,abruptio,placentae,
, If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
, d. Disseminated,intravascular,coagulation,(DIC),ANS:,B,
Vasa,previa,is,the,result,of,a,velamentous,insertion,of,the,umbilical,cord.,The,umbilical,vessels,are,not,
surrounded,by,Wharton,jelly,and,have,no,supportive,tissue.,The,umbilical,blood,vessels,thus,are,at,ris
k,for,laceration,at,any,time,,but,laceration,occurs,most,frequently,during,ROM.,The,sudden,appearanc
e,of,bright,red,blood,at,the,time,of,ROM,and,a,sudden,change,in,the,FHR,without,other,known,risk,fact
ors,should,immediately,alert,the,nurse,to,the,possibility,of,vasa,previa.,The,presence,of,placenta,previ
a,most,likely,would,be,ascertained,before,labor,and,is,considered,a,risk,factor,for,this,pregnancy.,In,a
ddition,,if,the,woman,had,a,placenta,previa,,it,is,unlikely,that,she,would,be,allowed,to,pursue,labor,an
d,a,vaginal,birth.,With,the,presence,of,severe,abruptio,placentae,,the,uterine,tonicity,typically,is,tetan
us,(i.e.,,a,boardlike,uterus).,DIC,is,a,pathologic,form,of,diffuse,clotting,that,consumes,large,amounts,of,
clotting,factors,,causing,widespread,external,bleeding,,internal,bleeding,,or,both.,DIC,is,always,a,seco
ndary,diagnosis,,often,associated,with,obstetric,risk,factors,such,as,the,hemolysis,,elevated,liver,enzy
me,levels,,and,low,platelet,levels,(HELLP),syndrome.,This,woman,did,not,have,any,prior,risk,factors.,
DIF:,Cognitive,Level:,Analyze,REF:,dm.,684,TOP:,Nursing,Process:,Diagnosis,MSC:,Client,Needs:,Physi
ologic,Integrity,
,
6.,A,woman,arrives,for,evaluation,of,signs,and,symptoms,that,include,a,missed,period,,adnexal,fulln
ess,,tenderness,,and,dark,red,vaginal,bleeding.,On,examination,,the,nurse,notices,an,ecchymotic,blu
eness,around,the,womans,umbilicus.,What,does,this,finding,indicate?,a.,Normal,integumentary,cha
nges,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,
ANS:,C,
Cullen,sign,,the,blue,ecchymosis,observed,in,the,umbilical,area,,indicates,hematoperitoneum,associat
ed,with,an,undiagnosed,ruptured,intraabdominal,ectopic,pregnancy.,Linea,nigra,on,the,abdomen,is,t
he,normal,integumentary,change,associated,with,pregnancy,and,exhibits,a,brown,pigmented,,vertica
l,line,on,the,lower,abdomen.,Turner,sign,is,ecchymosis,in,the,flank,area,,often,associated,with,pancrea
titis.,A,Chadwick,sign,is,a,blue-
purple,cervix,that,may,be,seen,during,or,around,the,eighth,week,of,pregnancy.,
DIF:,Cognitive,Level:,Analyze,REF:,dm.,676,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Physiologic,Integrity,
,
7.,
The,nurse,who,elects,to,practice,in,the,area,of,womens,health,must,have,a,thorough,unders
tanding,of,miscarriage.,Which,statement,regarding,this,condition,is,most,accurate?,a.,
A,miscarriage,is,a,natural,pregnancy,loss,before,labor,begins.,
b. It,occurs,in,fewer,than,5%,of,all,clinically,recognized,pregnancies.,
c. Careless,maternal,behavior,,such,as,poor,nutrition,or,excessive,exercise,,can,be,a,factor,in,cau
sing,miscarriage,
d. If,a,miscarriage,occurs,before,the,12th,week,of,pregnancy,,then,it,may,be,observed,only,as,mo
derate,blood,loss,
ANS:,D,
Before,the,sixth,week,,the,only,evidence,might,be,a,heavy,menstrual,flow.,After,the,12th,week,,more,
severe,pain,,similar,to,that,of,labor,,is,likely.,Miscarriage,is,a,natural,pregnancy,loss,,but,it,occurs,,by,d
efinition,,before,20,weeks,of,gestation,,before,the,fetus,is,viable.,Miscarriages,occur,in,approximately,
, If,you,need,any,other,Test,Banks,or,eTextbooks,contact,us:,
, 10%,to,15%,of,all,clinically,recognized,pregnancies.,Miscarriages,can,be,caused,by,a,number,of,disor
ders,or,illnesses,outside,the,mothers,control,or,knowledge.,DIF:,Cognitive,Level:,Understand,REF:,dm
.,670,
,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Physiologic,Integrity,
8.,
A,woman,who,is,30,weeks,of,gestation,arrives,at,the,hospital,with,bleeding.,Which,differ
ential,diagnosis,would,not,be,applicable,for,this,client?,a., Placenta,previa,
b. Abruptio,placentae,
c. Spontaneous,abortion,
d. Cord,insertion,
ANS:,C,
Spontaneous,abortion,is,another,name,for,miscarriage;,it,occurs,,by,definition,,early,in,pregnancy.,P
lacenta,previa,is,a,well-
known,reason,for,bleeding,late,in,pregnancy.,The,premature,separation,of,the,placenta,(abruptio,pl
acentae),is,a,bleeding,disorder,that,can,occur,late,in,pregnancy.,Cord,insertion,may,cause,a,bleeding
,disorder,that,can,also,occur,late,in,
pregnancy.,
DIF:,Cognitive,Level:,Understand,REF:,dm.,669,TOP:,Nursing,Process:,Assessment,
MSC:,Client,Needs:,Physiologic,Integrity,,Physiologic,Adaptation,
,
9.,With,regard,to,hemorrhagic,complications,that,may,occur,during,pregnancy,,what,information,is,m
ost,accurate?,
a. An,incompetent,cervix,is,usually,not,diagnosed,until,the,woman,has,lost,one,or,two,
pregnancies.,
b. Incidences,of,ectopic,pregnancy,are,declining,as,a,result,of,improved,diagnostic,
techniques.,
c. One,ectopic,pregnancy,does,not,affect,a,womans,fertility,or,her,likelihood,of,having,a,normal,p
regnancy,
d. Gestational,trophoblastic,neoplasia,(GTN),is,one,of,the,persistently,incurable,gynecologic,mali
gna,
ANS:,A,
Short,labors,and,recurring,losses,of,pregnancy,at,progressively,earlier,gestational,ages,are,chara
cteristics,of,reduced,cervical,competence.,Because,diagnostic,technology,is,improving,,more,ecto
pic,pregnancies,are,being,diagnosed.,One,ectopic,pregnancy,places,the,woman,at,increased,risk,f
or,another,one.,Ectopic,pregnancy,is,a,leading,cause,of,infertility.,Once,invariably,fatal,,GTN,now,i
s,the,most,curable,gynecologic,malignancy.,DIF:,Cognitive,Level:,Understand,REF:,dm.,675,
,
TOP:,Nursing,Process:,Assessment,MSC:,Client,Needs:,Health,Promotion,and,Maintenance,10.,The,ma
nagement,of,the,pregnant,client,who,has,experienced,a,pregnancy,loss,depends,on,the,type,of,miscar
riage,and,the,signs,and,symptoms.,While,planning,care,for,a,client,who,desires,outpatient,manageme
nt,after,a,first-trimester,loss,,what,would,the,nurse,expect,the,plan,to,include?,
a. Dilation,and,curettage,(D&C),
b. Dilation,and,evacuation,(D&E),
c. Misoprostol,
d., Ergot,products,ANS:,C,
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