Test Bank-
Maternity Newborn And Women’s Health Nursing: A Case-
Based Approach
Author(S): Amy O'Meara
2nd Edition
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
Dischargeteaching?
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
B Restri
d. The Client Will Be Scheduled For A Cesarean Birth.
CORRECT 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
Woman’s Need For Visits And To Monitor Her Status Safely At Home. The Cerclage Can Be Removed
At37 Weeks Of Gestation (To Prepare For A Vaginal Birth), Or A Cesarean Birth Can Be Planned.
,DIFFICULTY: Cognitive Level: Apply REF: Dm. 675 TOP: Nursing Process: Planning | Nursing Process:
Implementation MULTIPLE CHOICE QUESTION: 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.
Theref If
a. Pregnancy, It Would Be Better For You To Use The Most Reliable Method Of Contraception
Availa
The Major Risk To You After A Molar Pregnancy Is A Type Of Cancer That Can Be Diagnosed Only Me
Hormone That Your Body Produces During Pregnancy. If You Were To Get Pregnant, Then It Woul 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
Mola Preg
CORRECT 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
Obscurethe 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 Exceptan
Intrauterine Device (IUD) Is Acceptable.
DIFFICULTY: Cognitive Level: Apply REF: Dm. 679 TOP: Nursing Process: Planning | Nursing Process:
Implementation MULTIPLE CHOICE QUESTION: 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?
a. Complete Hydatidiform Mole
b. Missed Abortion
c. Unruptured Ectopic Pregnancy
d. Abruptio Placentae CORRECT ANSWER: C
Methotrexate Is An Effective Nonsurgical Treatment Option For A Hemodynamically Stable Woman
Whose Ectopic Pregnancy Is Unruptured And Measures Less Than 4 Cm In Diameter. Methotrexate Is
Not Indicated Or Recommended As A Treatment Option For A Complete Hydatidiform Mole, For A
Missed Abortion, Or For Abruptio Placentae.
DIFFICULTY: Cognitive Level: Apply REF: Dm. 677 TOP: Nursing Process: Planning MULTIPLE CHOICE
QUESTION: Client Needs:
Physiologic 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. Amniocentesis For Fetal Lung Maturity
b. Transvaginal Ultrasound For Placental Location
c. Contraction Stress Test (CST)
d. Internal Fetal Monitoring
CORRECT ANSWER:B
The Presence Of Painless Bleeding Should Always Alert The Health Care Team To The Possibility Of
Placenta Previa, Which Can Be Confirmed Through Ultrasonography. Amniocentesis Is Not Performed
On A Woman Who Is Experiencing Bleeding. In The Event Of An Imminent Delivery, The Fetus Is
, Presumed To Have Immature Lungs At This Gestational Age, And The Mother Is Given Corticosteroids To
Aid In Fetal Lung Maturity. A CST Is Not Performed At A Preterm Gestational Age.Furthermore, Bleeding
Is A Contraindication To A CST. Internal Fetal Monitoring Is Also Contraindicated In The Presence Of
Bleeding.
DIFFICULTY: Cognitive Level: Apply REF: Dm. 680
TOP: Nursing Process: Assessment MULTIPLE CHOICE QUESTION: Client Needs: Health Promotion And
Maintenance
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) CORRECT ANSWER: 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 Risk For Laceration At Any Time, But Laceration Occurs Most Frequently During ROM. The Sudden
Appearance Of Bright Red Blood At The Time Of ROM And A Sudden Change In The FHR Without Other
Known Risk Factors Should Immediately Alert The Nurse To The Possibility Of Vasa Previa. The Presence
Of Placenta Previa Most Likely Would Be Ascertained Before Labor And Is Considered A Risk Factor For
This Pregnancy. In Addition, If The Woman Had A Placenta Previa, It Is Unlikely That She Would Be
Allowed To Pursue Labor And A Vaginal Birth. With The Presence Of Severe Abruptio Placentae, The
Uterine Tonicity Typically Is Tetanus (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 Secondary Diagnosis, Often Associated With Obstetric Risk
Factors Such As The Hemolysis, Elevated Liver Enzyme Levels, And Low Platelet Levels (HELLP)
Syndrome. This Woman Did Not Have Any Prior Risk Factors.
DIFFICULTY: Cognitive Level: Analyze REF: Dm. 684 TOP: Nursing Process: Diagnosis MULTIPLE CHOICE
QUESTION: Client Needs: Physiologic Integrity
Maternity Newborn And Women’s Health Nursing: A Case-
Based Approach
Author(S): Amy O'Meara
2nd Edition
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
Dischargeteaching?
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
B Restri
d. The Client Will Be Scheduled For A Cesarean Birth.
CORRECT 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
Woman’s Need For Visits And To Monitor Her Status Safely At Home. The Cerclage Can Be Removed
At37 Weeks Of Gestation (To Prepare For A Vaginal Birth), Or A Cesarean Birth Can Be Planned.
,DIFFICULTY: Cognitive Level: Apply REF: Dm. 675 TOP: Nursing Process: Planning | Nursing Process:
Implementation MULTIPLE CHOICE QUESTION: 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.
Theref If
a. Pregnancy, It Would Be Better For You To Use The Most Reliable Method Of Contraception
Availa
The Major Risk To You After A Molar Pregnancy Is A Type Of Cancer That Can Be Diagnosed Only Me
Hormone That Your Body Produces During Pregnancy. If You Were To Get Pregnant, Then It Woul 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
Mola Preg
CORRECT 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
Obscurethe 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 Exceptan
Intrauterine Device (IUD) Is Acceptable.
DIFFICULTY: Cognitive Level: Apply REF: Dm. 679 TOP: Nursing Process: Planning | Nursing Process:
Implementation MULTIPLE CHOICE QUESTION: 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?
a. Complete Hydatidiform Mole
b. Missed Abortion
c. Unruptured Ectopic Pregnancy
d. Abruptio Placentae CORRECT ANSWER: C
Methotrexate Is An Effective Nonsurgical Treatment Option For A Hemodynamically Stable Woman
Whose Ectopic Pregnancy Is Unruptured And Measures Less Than 4 Cm In Diameter. Methotrexate Is
Not Indicated Or Recommended As A Treatment Option For A Complete Hydatidiform Mole, For A
Missed Abortion, Or For Abruptio Placentae.
DIFFICULTY: Cognitive Level: Apply REF: Dm. 677 TOP: Nursing Process: Planning MULTIPLE CHOICE
QUESTION: Client Needs:
Physiologic 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. Amniocentesis For Fetal Lung Maturity
b. Transvaginal Ultrasound For Placental Location
c. Contraction Stress Test (CST)
d. Internal Fetal Monitoring
CORRECT ANSWER:B
The Presence Of Painless Bleeding Should Always Alert The Health Care Team To The Possibility Of
Placenta Previa, Which Can Be Confirmed Through Ultrasonography. Amniocentesis Is Not Performed
On A Woman Who Is Experiencing Bleeding. In The Event Of An Imminent Delivery, The Fetus Is
, Presumed To Have Immature Lungs At This Gestational Age, And The Mother Is Given Corticosteroids To
Aid In Fetal Lung Maturity. A CST Is Not Performed At A Preterm Gestational Age.Furthermore, Bleeding
Is A Contraindication To A CST. Internal Fetal Monitoring Is Also Contraindicated In The Presence Of
Bleeding.
DIFFICULTY: Cognitive Level: Apply REF: Dm. 680
TOP: Nursing Process: Assessment MULTIPLE CHOICE QUESTION: Client Needs: Health Promotion And
Maintenance
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) CORRECT ANSWER: 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 Risk For Laceration At Any Time, But Laceration Occurs Most Frequently During ROM. The Sudden
Appearance Of Bright Red Blood At The Time Of ROM And A Sudden Change In The FHR Without Other
Known Risk Factors Should Immediately Alert The Nurse To The Possibility Of Vasa Previa. The Presence
Of Placenta Previa Most Likely Would Be Ascertained Before Labor And Is Considered A Risk Factor For
This Pregnancy. In Addition, If The Woman Had A Placenta Previa, It Is Unlikely That She Would Be
Allowed To Pursue Labor And A Vaginal Birth. With The Presence Of Severe Abruptio Placentae, The
Uterine Tonicity Typically Is Tetanus (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 Secondary Diagnosis, Often Associated With Obstetric Risk
Factors Such As The Hemolysis, Elevated Liver Enzyme Levels, And Low Platelet Levels (HELLP)
Syndrome. This Woman Did Not Have Any Prior Risk Factors.
DIFFICULTY: Cognitive Level: Analyze REF: Dm. 684 TOP: Nursing Process: Diagnosis MULTIPLE CHOICE
QUESTION: Client Needs: Physiologic Integrity
