Lowdermilk 11th Ed. Chapter 28: Hemorrhagic Disorders Complete
Study Test.
ANS: B
1. 1. A pregnant woman is be-
ing discharged from the hos- Nursing care should stress the importance of monitoring for
pital after the placement of a the signs and symptoms of preterm labor. Vaginal bleeding
cervical cerclage because of a
history of recurrent pregnancy needs to be reported to her primary health care provider. Bed
loss, secondary to an incompe- rest is an element of care. However, the woman may stand for
tent cervix. Which information periods of up to 90 minutes, which allows her the freedom
regarding postprocedural care to see her physician. Home uterine activity monitoring may
should the nurse emphasize in be used to limit the woman's need for visits and to monitor
the discharge teaching? her status safely at home. The cerclage can be removed at
37 weeks of gestation (to prepare for a vaginal birth), or a
a. Any vaginal discharge cesarean birth can be planned.
should be immediately report-
ed to her health care provider. DIF: Cognitive Level: Apply REF: p. 675
b. The presence of any contrac- TOP: Nursing Process: Planning | Nursing Process: Implemen-
tions, rupture of membranes tation
(ROM), or severe perineal pres-
MSC: Client Needs: Health Promotion and Maintenance
sure should be reported.
c. The client will need to
make arrangements for care at
home, because her activity lev-
el will be restricted.
d. The client will be scheduled
for a cesarean birth.
2. 2. A perinatal nurse is giv- ing discharge instructions to a
, Lowdermilk 11th Ed. Chapter 28: Hemorrhagic Disorders Complete
Study Test.
woman, status postsuc- ANS: B
tion, and curettage secondary
Beta-human chorionic gonadotropin (beta-hCG) hormone
levels are drawn for 1 year to ensure that the mole is complete-
ly gone. The chance of developing choriocarcinoma after the
, Lowdermilk 11th Ed. Chapter 28: Hemorrhagic Disorders Complete
Study Test.
to a hydatidiform mole. The development of a hydatidiform mole is increased. Therefore,
woman asks why she must the goal is to achieve a zero human chorionic gonadotropin
take oral contraceptives for the (hCG) level. If the woman were to become pregnant, then
next 12 months. What is the it may obscure the presence of the potentially carcinogenic
bestresponse by the nurse? cells. Women should be instructed to use birth control for 1
year after treatment for a hydatidiform mole. The rationale for
a. "If you get pregnant within 1 avoiding pregnancy for 1 year is to ensure that carcinogenic
year, the chance of a success- ting pregnant at this time is
ful pregnancy is very small.
Therefore, if you desire a fu-
ture pregnancy, it would be
better for you to use the most
reliable method of contracep-
tion 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 pro-
duces 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 pregnan-
cy for the next year, the chance
of developing a second molar
pregnancy is rare. Therefore,
to improve your chance of a
successful pregnancy, not get-
Study Test.
ANS: B
1. 1. A pregnant woman is be-
ing discharged from the hos- Nursing care should stress the importance of monitoring for
pital after the placement of a the signs and symptoms of preterm labor. Vaginal bleeding
cervical cerclage because of a
history of recurrent pregnancy needs to be reported to her primary health care provider. Bed
loss, secondary to an incompe- rest is an element of care. However, the woman may stand for
tent cervix. Which information periods of up to 90 minutes, which allows her the freedom
regarding postprocedural care to see her physician. Home uterine activity monitoring may
should the nurse emphasize in be used to limit the woman's need for visits and to monitor
the discharge teaching? her status safely at home. The cerclage can be removed at
37 weeks of gestation (to prepare for a vaginal birth), or a
a. Any vaginal discharge cesarean birth can be planned.
should be immediately report-
ed to her health care provider. DIF: Cognitive Level: Apply REF: p. 675
b. The presence of any contrac- TOP: Nursing Process: Planning | Nursing Process: Implemen-
tions, rupture of membranes tation
(ROM), or severe perineal pres-
MSC: Client Needs: Health Promotion and Maintenance
sure should be reported.
c. The client will need to
make arrangements for care at
home, because her activity lev-
el will be restricted.
d. The client will be scheduled
for a cesarean birth.
2. 2. A perinatal nurse is giv- ing discharge instructions to a
, Lowdermilk 11th Ed. Chapter 28: Hemorrhagic Disorders Complete
Study Test.
woman, status postsuc- ANS: B
tion, and curettage secondary
Beta-human chorionic gonadotropin (beta-hCG) hormone
levels are drawn for 1 year to ensure that the mole is complete-
ly gone. The chance of developing choriocarcinoma after the
, Lowdermilk 11th Ed. Chapter 28: Hemorrhagic Disorders Complete
Study Test.
to a hydatidiform mole. The development of a hydatidiform mole is increased. Therefore,
woman asks why she must the goal is to achieve a zero human chorionic gonadotropin
take oral contraceptives for the (hCG) level. If the woman were to become pregnant, then
next 12 months. What is the it may obscure the presence of the potentially carcinogenic
bestresponse by the nurse? cells. Women should be instructed to use birth control for 1
year after treatment for a hydatidiform mole. The rationale for
a. "If you get pregnant within 1 avoiding pregnancy for 1 year is to ensure that carcinogenic
year, the chance of a success- ting pregnant at this time is
ful pregnancy is very small.
Therefore, if you desire a fu-
ture pregnancy, it would be
better for you to use the most
reliable method of contracep-
tion 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 pro-
duces 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 pregnan-
cy for the next year, the chance
of developing a second molar
pregnancy is rare. Therefore,
to improve your chance of a
successful pregnancy, not get-
