Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition by: O’Meara. Newest Edition 2025

, MaternityNewbornandWomen’sHealth NursingACase-BasedApproach 1stEdition xn xn xn xn nx xn xn xn nx xn




O’Meara Test Bank nx nx




Chapter1 ImmediatePostpartumHemorrhage x
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MULTIPLECHOICE xn




1. Apregnant woman is beingdischarged from the hospital aftertheplacement ofa cervical
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cerclage because of a historyof recurrent pregnancy loss, secondaryto an incompetent
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cervix.Whichinformationregardingpostproceduralcareshouldthenurseemphasizeinthe
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dischargeteaching?
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a. Anyvaginaldischargeshouldbeimmediatelyreportedto herhealthcareprovider. nx nx nx x
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b. Thepresence ofanycontractions, rupture ofmembranes (ROM), or severeperineal pressure
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should nx




c. Theclientwillneedtomakearrangementsforcareathome,becauseheractivitylevelwillbe restri
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d. Theclientwillbescheduledforacesarean nx nx nx nx nx x
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nxbirth.ANS:B nx




Nursingcareshould stressthe importance ofmonitoring forthe signs andsymptomsofpreterm
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labor.Vaginalbleedingneedstobereportedtoherprimary healthcareprovider.Bedrestisan element
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ofcare.However,thewomanmaystandfor periodsofupto90minutes,whichallows herthefreedom
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toseeher physician. Homeuterine activitymonitoringmaybeusedtolimit the womans need for
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visits andto monitorher statussafelyat home. Thecerclage can be removedat37 weeks of gestation
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(toprepare for avaginal birth),oracesarean birth canbe planned.
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DIF:Cognitive Level: ApplyREF: dm. 675
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TOP:NursingProcess: Planning |Nursing Process:
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ImplementationMSC:Client Needs: HealthPromotion and Maintenance nx nx til nx nx nx




2. Aperinatal nurse is givingdischarge instructions to a woman, status postsuction, and
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nxcurettagesecondaryto a hydatidiform mole. The woman asks why she must take oral nx til til nx nx nx nx nx nx nx nx nx




nxcontraceptives for the next 12 months. What is the bestresponse bythe nurse? nx nx til nx nx nx nx nx nx nx nx nx




Ifyou get pregnant within1 year,thechance ofasuccessfulpregnancyisverysmall. Therefore, if nx ti nx y nx nx nx nx x
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a. pregnancy,it wouldbebetterfor youto usethemostreliablemethodofcontraception available. nx nx nx nx x
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Themajorrisktoyouafteramolarpregnancyisatypeofcancerthatcanbediagnosedonlybyme
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hormonethatyourbodyproducesduringpregnancy.Ifyouweretogetpregnant,thenitwouldmak
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b. thiscancermoredifficult. nx nx nx




If youcanavoid apregnancyforthenext year,thechanceofdevelopinga secondmolarpregnancy
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c. improveyourchance ofasuccessfulpregnancy, notgettingpregnantat thistimeisbest. nx nx nx nx nx x
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d. Oralcontraceptives aretheonlyformofbirthcontrolthatwillpreventarecurrenceofamolar nx nx nx nx x
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pregANS: B
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Betahumanchorionicgonadotropin(beta-hCG)hormonelevels aredrawnfor1 yeartoensure x
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that the mole is completely gone. The chance of developing choriocarcinoma after the
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developmentofahydatidiformmoleisincreased.Therefore,thegoalistoachieveazero human
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chorionic gonadotropin (hCG)level. Ifthe woman weretobecome pregnant, thenitmay
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,obscurethepresenceofthepotentiallycarcinogeniccells.Womenshouldbeinstructedtouse birth
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control for1 year aftertreatment for ahydatidiform mole. Therationale foravoiding pregnancy
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, for1 yearistoensurethat carcinogenic cells arenot present. Anycontraceptivemethodexcept an
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nxintrauterine device (IUD) is acceptable. nx nx nx nx




DIF:Cognitive Level: ApplyREF:dm. 679
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TOP:NursingProcess: Planning |NursingProcess:
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ImplementationMSC:ClientNeeds:PhysiologicIntegrity nx nx nx x
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3. The nurse is preparingto administer methotrexate to the client. Thishazardous
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nxdrugis most often used for which obstetric complication?
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a. Completehydatidiform mole nx n x




b. Missedabortion nx




c. Unrupturedectopic pregnancy nx nx




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




4. A26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28weeks 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 forfetallungmaturity nx nx nx x
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b. Transvaginalultrasoundfor placentallocation nx nx til x
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c. Contractionstress test (CST) nx nx




d. Internalfetal
monitoringANS: B
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Thepresenceofpainlessbleeding shouldalwaysalertthe healthcareteamtothepossibilityof
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placenta previa, which can be confirmed through ultrasonography. Amniocentesis is not
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performedonawoman whoisexperiencingbleeding. Intheeventofanimminent delivery, the fetus is
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presumed to have immature lungs at this gestational age, and the mother is given
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corticosteroids to aid infetallungmaturity. ACSTis not performedat apreterm gestational
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age.Furthermore, bleeding is a contraindication toa 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:NursingProcess:AssessmentMSC:ClientNeeds:HealthPromotionandMaintenance
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5. Alaboring woman with no known risk factors suddenlyexperiences spontaneous ROM. The fluid
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consists ofbright red blood. Hercontractions areconsistent with hercurrent stage of labor.Nochange
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inuterinerestingtonehasoccurred.Thefetalheart rate(FHR)beginstodecline rapidlyafter the ROM.
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The nurse should suspect the possibilityof what condition?
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a. Placentaprevia nx




b. Vasaprevia nx




c. Severeabruptio placentae nx nx