,Maternity HNewborn Hand HWomen’s HHealth HNursing HA HCase-Based HApproach H1st HEdition
O’Meara HTest HBank
Chapter H1 HImmediate HPostpartum HHemorrhage
MULTIPLE HCHOICE
1. A Hpregnant Hwoman His Hbeing Hdischarged Hfrom Hthe Hhospital Hafter Hthe Hplacement Hof Ha
Hcervical Hcerclage Hbecause Hof Ha Hhistory Hof Hrecurrent Hpregnancy Hloss, Hsecondary Hto Han
Hincompetent Hcervix. HWhich Hinformation Hregarding Hpostprocedural Hcare Hshould Hthe Hnurse
Hemphasize Hin Hthe Hdischarge Hteaching?
a. Any Hvaginal Hdischarge Hshould Hbe Himmediately Hreported Hto Hher Hhealth Hcare Hprovider.
b. The Hpresence Hof Hany Hcontractions, Hrupture Hof Hmembranes H(ROM), Hor Hsevere Hperineal Hpressure
Hshould
c. The Hclient Hwill Hneed Hto Hmake Harrangements Hfor Hcare Hat Hhome, Hbecause Hher Hactivity Hlevel Hwill
Hrestri
d. The Hclient Hwill Hbe Hscheduled Hfor Ha Hcesarean
Hbirth. HANS: HB
Nursing Hcare Hshould Hstress Hthe Himportance Hof Hmonitoring Hfor Hthe Hsigns Hand Hsymptoms Hof Hpreterm
labor. HVaginal Hbleeding Hneeds Hto Hbe Hreported Hto Hher Hprimary Hhealth Hcare Hprovider. HBed Hrest
His Han Helement Hof Hcare. HHowever, Hthe Hwoman Hmay Hstand Hfor Hperiods Hof Hup Hto H90 Hminutes,
Hwhich Hallows Hher Hthe Hfreedom Hto Hsee Hher Hphysician. HHome Huterine Hactivity Hmonitoring Hmay
Hbe Hused Hto Hlimit Hthe Hwomans Hneed Hfor Hvisits Hand Hto Hmonitor Hher Hstatus Hsafely Hat Hhome. HThe
Hcerclage Hcan Hbe Hremoved Hat H37 Hweeks Hof Hgestation H(to Hprepare Hfor Ha Hvaginal Hbirth), Hor Ha
Hcesarean Hbirth Hcan Hbe Hplanned.
DIF: HCognitive HLevel: HApply HREF: Hdm. H675
TOP: HNursing HProcess: HPlanning H| HNursing HProcess:
HImplementation HMSC: HClient HNeeds: HHealth HPromotion Hand
HMaintenance
2. A Hperinatal Hnurse His Hgiving Hdischarge Hinstructions Hto Ha Hwoman, Hstatus Hpostsuction, Hand
Hcurettage Hsecondary Hto Ha Hhydatidiform Hmole. HThe Hwoman Hasks Hwhy Hshe Hmust Htake Horal
Hcontraceptives Hfor H the Hnext H12 Hmonths. HWhat His Hthe Hbestresponse Hby Hthe Hnurse?
If Hyou Hget Hpregnant Hwithin H1 Hyear, Hthe Hchance Hof Ha Hsuccessful Hpregnancy His Hvery Hsmall.
HTherefore, Hif
a. pregnancy, Hit Hwould Hbe Hbetter Hfor Hyou Hto Huse Hthe Hmost Hreliable Hmethod Hof Hcontraception
Havailable.
The Hmajor Hrisk Hto Hyou Hafter Ha Hmolar Hpregnancy His Ha Htype Hof Hcancer Hthat Hcan Hbe Hdiagnosed Hon
Hby Hme
hormone Hthat Hyour Hbody Hproduces Hduring Hpregnancy. HIf Hyou Hwere Hto Hget Hpregnant, Hthen Hit
Hwould Hmak
b. this Hcancer Hmore Hdifficult.
If Hyou Hcan Havoid Ha Hpregnancy Hfor Hthe Hnext Hyear, Hthe Hchance Hof Hdeveloping Ha Hsecond Hmolar
Hpregnancy
c. improve Hyour Hchance Hof Ha Hsuccessful Hpregnancy, Hnot Hgetting Hpregnant Hat Hthis Htime His Hbest.
d. Oral Hcontraceptives Hare Hthe Honly Hform Hof Hbirth Hcontrol Hthat Hwill Hprevent Ha Hrecurrence Hof Ha
Hmolar Hpreg HANS: HB
Betahuman Hchorionic Hgonadotropin H(beta-hCG) Hhormone Hlevels Hare Hdrawn Hfor H1 Hyear Hto Hensure
that Hthe Hmole His Hcompletely Hgone. HThe Hchance Hof Hdeveloping Hchoriocarcinoma Hafter Hthe
,Hdevelopment Hof Ha Hhydatidiform Hmole His Hincreased. HTherefore, Hthe Hgoal His Hto Hachieve Ha Hzero
Hhuman Hchorionic Hgonadotropin H(hCG) Hlevel. HIf Hthe Hwoman Hwere Hto Hbecome Hpregnant, Hthen Hit
Hmay Hobscure Hthe Hpresence Hof Hthe Hpotentially Hcarcinogenic Hcells. HWomen Hshould Hbe Hinstructed
Hto Huse Hbirth Hcontrol Hfor H1 Hyear Hafter Htreatment Hfor Ha Hhydatidiform Hmole. HThe Hrationale Hfor
Havoiding Hpregnancy
, for H1 Hyear His Hto Hensure Hthat Hcarcinogenic Hcells Hare Hnot Hpresent. HAny Hcontraceptive Hmethod
Hexcept Han Hintrauterine Hdevice H(IUD) His Hacceptable.
DIF: HCognitive HLevel: HApply HREF: Hdm. H679
TOP: HNursing HProcess: HPlanning H| HNursing HProcess:
HImplementation HMSC: HClient HNeeds: HPhysiologic HIntegrity
3. The Hnurse His Hpreparing Hto Hadminister Hmethotrexate Hto Hthe Hclient. HThis Hhazardous
Hdrug His Hmost Hoften Hused Hfor Hwhich Hobstetric Hcomplication?
a. Complete Hhydatidiform Hmole
b. Missed Habortion
c. Unruptured Hectopic Hpregnancy
d. Abruptio
Hplacentae HANS: HC
Methotrexate His Han Heffective Hnonsurgical Htreatment Hoption Hfor Ha Hhemodynamically Hstable Hwoman
whose Hectopic Hpregnancy His Hunruptured Hand Hmeasures Hless Hthan H4 Hcm Hin Hdiameter.
HMethotrexate His Hnot Hindicated Hor Hrecommended Has Ha Htreatment Hoption Hfor Ha Hcomplete
Hhydatidiform Hmole, Hfor Ha Hmissed Habortion, Hor Hfor Habruptio Hplacentae.
DIF: HCognitive HLevel: HApply HREF: Hdm. H677 HTOP: HNursing HProcess: HPlanning
HMSC: HClient HNeeds: HPhysiologic HIntegrity
4. A H26-year-old Hpregnant Hwoman, Hgravida H2, Hpara H1-0-0-1, His H28 Hweeks Hpregnant Hwhen Hshe
Hexperiences Hbright Hred, Hpainless Hvaginal Hbleeding. HOn Hher Harrival Hat Hthe Hhospital, Hwhich
Hdiagnostic Hprocedure Hwill Hthe Hclient Hmost Hlikely Hhave Hperformed?
a. Amniocentesis Hfor Hfetal Hlung Hmaturity
b. Transvaginal Hultrasound Hfor Hplacental Hlocation
c. Contraction Hstress Htest H(CST)
d. Internal Hfetal
Hmonitoring HANS: HB
The Hpresence Hof Hpainless Hbleeding Hshould Halways Halert Hthe Hhealth Hcare Hteam Hto Hthe Hpossibility Hof
placenta Hprevia, Hwhich Hcan Hbe Hconfirmed Hthrough Hultrasonography. HAmniocentesis His Hnot
Hperformed Hon Ha Hwoman Hwho His Hexperiencing Hbleeding. HIn Hthe Hevent Hof Han Himminent
Hdelivery, Hthe Hfetus His Hpresumed Hto Hhave Himmature Hlungs Hat Hthis Hgestational Hage, Hand Hthe
Hmother His Hgiven Hcorticosteroids Hto Haid Hin Hfetal Hlung Hmaturity. HA HCST His Hnot Hperformed Hat Ha
Hpreterm Hgestational Hage. HFurthermore, Hbleeding His Ha Hcontraindication Hto Ha HCST. HInternal Hfetal
Hmonitoring His Halso Hcontraindicated Hin Hthe Hpresence Hof Hbleeding.
DIF: HCognitive HLevel: HApply HREF: Hdm. H680
TOP: HNursing HProcess: HAssessment HMSC: HClient HNeeds: HHealth HPromotion Hand HMaintenance
5. A Hlaboring Hwoman Hwith Hno Hknown Hrisk Hfactors Hsuddenly Hexperiences Hspontaneous HROM.
HThe Hfluid Hconsists Hof Hbright Hred Hblood. HHer Hcontractions Hare Hconsistent Hwith Hher Hcurrent
Hstage Hof Hlabor. HNo Hchange Hin Huterine Hresting Htone Hhas Hoccurred. HThe Hfetal Hheart Hrate H(FHR)
Hbegins Hto Hdecline Hrapidly Hafter Hthe HROM. HThe Hnurse Hshould Hsuspect Hthe Hpossibility Hof Hwhat
Hcondition?
a. Placenta Hprevia
b. Vasa Hprevia
c. Severe Habruptio Hplacentae
O’Meara HTest HBank
Chapter H1 HImmediate HPostpartum HHemorrhage
MULTIPLE HCHOICE
1. A Hpregnant Hwoman His Hbeing Hdischarged Hfrom Hthe Hhospital Hafter Hthe Hplacement Hof Ha
Hcervical Hcerclage Hbecause Hof Ha Hhistory Hof Hrecurrent Hpregnancy Hloss, Hsecondary Hto Han
Hincompetent Hcervix. HWhich Hinformation Hregarding Hpostprocedural Hcare Hshould Hthe Hnurse
Hemphasize Hin Hthe Hdischarge Hteaching?
a. Any Hvaginal Hdischarge Hshould Hbe Himmediately Hreported Hto Hher Hhealth Hcare Hprovider.
b. The Hpresence Hof Hany Hcontractions, Hrupture Hof Hmembranes H(ROM), Hor Hsevere Hperineal Hpressure
Hshould
c. The Hclient Hwill Hneed Hto Hmake Harrangements Hfor Hcare Hat Hhome, Hbecause Hher Hactivity Hlevel Hwill
Hrestri
d. The Hclient Hwill Hbe Hscheduled Hfor Ha Hcesarean
Hbirth. HANS: HB
Nursing Hcare Hshould Hstress Hthe Himportance Hof Hmonitoring Hfor Hthe Hsigns Hand Hsymptoms Hof Hpreterm
labor. HVaginal Hbleeding Hneeds Hto Hbe Hreported Hto Hher Hprimary Hhealth Hcare Hprovider. HBed Hrest
His Han Helement Hof Hcare. HHowever, Hthe Hwoman Hmay Hstand Hfor Hperiods Hof Hup Hto H90 Hminutes,
Hwhich Hallows Hher Hthe Hfreedom Hto Hsee Hher Hphysician. HHome Huterine Hactivity Hmonitoring Hmay
Hbe Hused Hto Hlimit Hthe Hwomans Hneed Hfor Hvisits Hand Hto Hmonitor Hher Hstatus Hsafely Hat Hhome. HThe
Hcerclage Hcan Hbe Hremoved Hat H37 Hweeks Hof Hgestation H(to Hprepare Hfor Ha Hvaginal Hbirth), Hor Ha
Hcesarean Hbirth Hcan Hbe Hplanned.
DIF: HCognitive HLevel: HApply HREF: Hdm. H675
TOP: HNursing HProcess: HPlanning H| HNursing HProcess:
HImplementation HMSC: HClient HNeeds: HHealth HPromotion Hand
HMaintenance
2. A Hperinatal Hnurse His Hgiving Hdischarge Hinstructions Hto Ha Hwoman, Hstatus Hpostsuction, Hand
Hcurettage Hsecondary Hto Ha Hhydatidiform Hmole. HThe Hwoman Hasks Hwhy Hshe Hmust Htake Horal
Hcontraceptives Hfor H the Hnext H12 Hmonths. HWhat His Hthe Hbestresponse Hby Hthe Hnurse?
If Hyou Hget Hpregnant Hwithin H1 Hyear, Hthe Hchance Hof Ha Hsuccessful Hpregnancy His Hvery Hsmall.
HTherefore, Hif
a. pregnancy, Hit Hwould Hbe Hbetter Hfor Hyou Hto Huse Hthe Hmost Hreliable Hmethod Hof Hcontraception
Havailable.
The Hmajor Hrisk Hto Hyou Hafter Ha Hmolar Hpregnancy His Ha Htype Hof Hcancer Hthat Hcan Hbe Hdiagnosed Hon
Hby Hme
hormone Hthat Hyour Hbody Hproduces Hduring Hpregnancy. HIf Hyou Hwere Hto Hget Hpregnant, Hthen Hit
Hwould Hmak
b. this Hcancer Hmore Hdifficult.
If Hyou Hcan Havoid Ha Hpregnancy Hfor Hthe Hnext Hyear, Hthe Hchance Hof Hdeveloping Ha Hsecond Hmolar
Hpregnancy
c. improve Hyour Hchance Hof Ha Hsuccessful Hpregnancy, Hnot Hgetting Hpregnant Hat Hthis Htime His Hbest.
d. Oral Hcontraceptives Hare Hthe Honly Hform Hof Hbirth Hcontrol Hthat Hwill Hprevent Ha Hrecurrence Hof Ha
Hmolar Hpreg HANS: HB
Betahuman Hchorionic Hgonadotropin H(beta-hCG) Hhormone Hlevels Hare Hdrawn Hfor H1 Hyear Hto Hensure
that Hthe Hmole His Hcompletely Hgone. HThe Hchance Hof Hdeveloping Hchoriocarcinoma Hafter Hthe
,Hdevelopment Hof Ha Hhydatidiform Hmole His Hincreased. HTherefore, Hthe Hgoal His Hto Hachieve Ha Hzero
Hhuman Hchorionic Hgonadotropin H(hCG) Hlevel. HIf Hthe Hwoman Hwere Hto Hbecome Hpregnant, Hthen Hit
Hmay Hobscure Hthe Hpresence Hof Hthe Hpotentially Hcarcinogenic Hcells. HWomen Hshould Hbe Hinstructed
Hto Huse Hbirth Hcontrol Hfor H1 Hyear Hafter Htreatment Hfor Ha Hhydatidiform Hmole. HThe Hrationale Hfor
Havoiding Hpregnancy
, for H1 Hyear His Hto Hensure Hthat Hcarcinogenic Hcells Hare Hnot Hpresent. HAny Hcontraceptive Hmethod
Hexcept Han Hintrauterine Hdevice H(IUD) His Hacceptable.
DIF: HCognitive HLevel: HApply HREF: Hdm. H679
TOP: HNursing HProcess: HPlanning H| HNursing HProcess:
HImplementation HMSC: HClient HNeeds: HPhysiologic HIntegrity
3. The Hnurse His Hpreparing Hto Hadminister Hmethotrexate Hto Hthe Hclient. HThis Hhazardous
Hdrug His Hmost Hoften Hused Hfor Hwhich Hobstetric Hcomplication?
a. Complete Hhydatidiform Hmole
b. Missed Habortion
c. Unruptured Hectopic Hpregnancy
d. Abruptio
Hplacentae HANS: HC
Methotrexate His Han Heffective Hnonsurgical Htreatment Hoption Hfor Ha Hhemodynamically Hstable Hwoman
whose Hectopic Hpregnancy His Hunruptured Hand Hmeasures Hless Hthan H4 Hcm Hin Hdiameter.
HMethotrexate His Hnot Hindicated Hor Hrecommended Has Ha Htreatment Hoption Hfor Ha Hcomplete
Hhydatidiform Hmole, Hfor Ha Hmissed Habortion, Hor Hfor Habruptio Hplacentae.
DIF: HCognitive HLevel: HApply HREF: Hdm. H677 HTOP: HNursing HProcess: HPlanning
HMSC: HClient HNeeds: HPhysiologic HIntegrity
4. A H26-year-old Hpregnant Hwoman, Hgravida H2, Hpara H1-0-0-1, His H28 Hweeks Hpregnant Hwhen Hshe
Hexperiences Hbright Hred, Hpainless Hvaginal Hbleeding. HOn Hher Harrival Hat Hthe Hhospital, Hwhich
Hdiagnostic Hprocedure Hwill Hthe Hclient Hmost Hlikely Hhave Hperformed?
a. Amniocentesis Hfor Hfetal Hlung Hmaturity
b. Transvaginal Hultrasound Hfor Hplacental Hlocation
c. Contraction Hstress Htest H(CST)
d. Internal Hfetal
Hmonitoring HANS: HB
The Hpresence Hof Hpainless Hbleeding Hshould Halways Halert Hthe Hhealth Hcare Hteam Hto Hthe Hpossibility Hof
placenta Hprevia, Hwhich Hcan Hbe Hconfirmed Hthrough Hultrasonography. HAmniocentesis His Hnot
Hperformed Hon Ha Hwoman Hwho His Hexperiencing Hbleeding. HIn Hthe Hevent Hof Han Himminent
Hdelivery, Hthe Hfetus His Hpresumed Hto Hhave Himmature Hlungs Hat Hthis Hgestational Hage, Hand Hthe
Hmother His Hgiven Hcorticosteroids Hto Haid Hin Hfetal Hlung Hmaturity. HA HCST His Hnot Hperformed Hat Ha
Hpreterm Hgestational Hage. HFurthermore, Hbleeding His Ha Hcontraindication Hto Ha HCST. HInternal Hfetal
Hmonitoring His Halso Hcontraindicated Hin Hthe Hpresence Hof Hbleeding.
DIF: HCognitive HLevel: HApply HREF: Hdm. H680
TOP: HNursing HProcess: HAssessment HMSC: HClient HNeeds: HHealth HPromotion Hand HMaintenance
5. A Hlaboring Hwoman Hwith Hno Hknown Hrisk Hfactors Hsuddenly Hexperiences Hspontaneous HROM.
HThe Hfluid Hconsists Hof Hbright Hred Hblood. HHer Hcontractions Hare Hconsistent Hwith Hher Hcurrent
Hstage Hof Hlabor. HNo Hchange Hin Huterine Hresting Htone Hhas Hoccurred. HThe Hfetal Hheart Hrate H(FHR)
Hbegins Hto Hdecline Hrapidly Hafter Hthe HROM. HThe Hnurse Hshould Hsuspect Hthe Hpossibility Hof Hwhat
Hcondition?
a. Placenta Hprevia
b. Vasa Hprevia
c. Severe Habruptio Hplacentae
