Med C
, 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 information regarding postprocedural 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 should
c. The client will need to make arrangements for care at home, because her activity level will be restri
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
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
womans need for visits 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 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. Therefore, if
a. pregnancy, it would be better for you to use the most reliable method of contraception available.
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by me
hormone that your body produces during pregnancy. If you were to get pregnant, then it would 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 molar preg
ANS: 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 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 for avoiding pregnancy
Med C
, Banquefor 1deyear
Questions pour
is to ensure Maternity
that Newborn
carcinogenic and
cells are notWomen’s
present. AnyHealth Nursing: method
contraceptive A Case-Based
except
Approach, 2e Édition
an intrauterine par (IUD)
device Amy O'Meara
is acceptable.
Renforcez votre parcours en soins
DIF: Cognitive Level: Apply REF:infirmiers
dm. 679 pour la maternité et la santé des femmes avec cette
banqueTOP:deNursing
questions dynamique
Process: Planning pour Maternity
| Nursing Newborn
Process: and Women’s Health Nursing: A
Implementation
Case-Based Approach, 2e Édition d’Amy O'Meara. Conçue pour un apprentissage immersif, elle
MSC: Client Needs: Physiologic Integrity
sélectionne plus de
3. The nurse 1 500 questions
is preparing basées
to administer sur des cas
methotrexate – àclient.
to the choixThis
multiple, scénarios
hazardous drug évolutifs,
is most
vignettes often used
centrées surfor which obstetric
la famille complication?
et incitations à la pensée critique – sur plus de 40 chapitres.
Plongez dans les domaines essentiels : évaluation prénatale, urgences du travail/accouchement,
a. Complete hydatidiform mole
récupération
b. post-partum, réanimation néonatale, troubles gynécologiques, éthique reproductive,
Missed abortion
soutien à l’allaitement et compétence culturelle, toutes rafraîchies pour 2026 avec innovations en
c. Unruptured ectopic pregnancy
télétriage, dépistage génomique, équité en fertilité et résilience maternelle post-pandémie selon les
normesd.AWHONN et AACN.
Abruptio placentae
ChaqueANS: question
C fournit des réponses vérifiées, rationales basées sur des preuves liant les cas aux
compétences
MethotrexateQSEN,is aneteffective
remédiation pour une
nonsurgical approche
treatment optionholistique. Avec quizzes
for a hemodynamically adaptatifs,
stable woman
constructeurs de simulations
whose ectopic pregnancy isetunruptured
analyses and de performance, cette
measures less than ressource
4 cm équipe
in diameter. les étudiants
Methotrexate is
BSN/MCN, aspirants CNM et éducateurs pour les examens NCLEX-RN ou CNE. De la conception
not indicated or recommended as a treatment option for a complete hydatidiform mole, for a
au continuum, cultivez
missed abortion, or une expertise
for abruptio empathique – excellez aux évaluations, optimisez les résultats
placentae.
et défendez le bien-être des femmes dm.
DIF: Cognitive Level: Apply REF: avec677la sagesse centrée
TOP: Nursing sur les
Process: cas d’O'Meara !
Planning
MSC: 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
ANS: B
Banco de Pruebas pa' Maternity Newborn and Women’s Health Nursing: A Case-Based Approach,
The presence of painless bleeding should always alert the health care team to the possibility of
2da Edición por previa,
placenta Amy O'Meara
which can be confirmed through ultrasonography. Amniocentesis is not
Fortalece tu camino en
performed on a woman enfermería
who isde maternidad
experiencing y saludIndethe
bleeding. laevent
mujerofcon este banco
an imminent de pruebas
delivery, the
dinámicofetus
pa' is
Maternity
presumed to have immature lungs at this gestational age, and the mother is given 2da Edición
Newborn and Women’s Health Nursing: A Case-Based Approach,
de Amy corticosteroids
O'Meara. Diseñao to aid pa' un aprendizaje
in fetal lung maturity.inmersivo,
A CST is notarma más deat1.500
performed preguntas
a preterm basadas
gestational age. en
casos – Furthermore,
opción múltiple, escenarios
bleeding que se desenrollen,
is a contraindication to a CST. viñetas
Internal centradas en laisfamilia
fetal monitoring also y prompts pa'
pensamiento crítico – en más de 40 capítulos.
contraindicated in the presence of bleeding. Búscale a los dominios clave: evaluación prenatal,
emergencias de parto/parto,
DIF: Cognitive recuperación
Level: Apply REF: dm.post-parto,
680 resucitación neonatal, desórdenes
ginecológicos, ética reproductiva, apoyo a la lactancia
TOP: Nursing Process: Assessment MSC: Client Needs: y competencia cultural,
Health Promotion andto'Maintenance
actualizao pa' 2026
con innovaciones
5. A laboringenwoman
tele-triage, screening
with no known riskgenómico, equidadexperiences
factors suddenly en fertilidad y resiliencia
spontaneous ROM.materna
The
post-pandemia según
fluid consists ofestándares AWHONN
bright red blood. y AACN. are consistent with her current stage of labor.
Her contractions
Cada pregunta
No change trae
in respuestas
uterine restingverificadas, racionalizaciones
tone has occurred. The fetal heartbasadas en evidencia
rate (FHR) que unen casos
begins to decline
a competencias QSEN, y remediación pa' cuidado holístico. Con quizzes adaptativos, constructores
rapidly after the ROM. The nurse should suspect the possibility of what condition?
de simulación
a. y analíticas
Placentadeprevia
rendimiento, este recurso equipa estudiantes BSN/MCN, aspirantes
CNM y educadores pa' exámenes NCLEX-RN o CNE. De la concepción al continuum, cultiva
b. Vasa previa
expertise empática – aprueba evaluaciones, optimiza resultados y defiende el bienestar de las
mujeres conc. la sabiduría
Severecaso-céntrica de O'Meara, ¡chévere!
abruptio placentae
Med C
, 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 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.
DIF: Cognitive Level: Analyze REF: dm. 684 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Physiologic Integrity
6. A woman arrives for evaluation of signs and symptoms that include a missed period, adnexal
fullness, tenderness, and dark red vaginal bleeding. On examination, the nurse notices an
ecchymotic blueness around the womans umbilicus. What does this finding indicate?
a. Normal integumentary changes 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
associated with an undiagnosed ruptured intraabdominal ectopic pregnancy. Linea nigra on the
abdomen is the normal integumentary change associated with pregnancy and exhibits a brown
pigmented, vertical line on the lower abdomen. Turner sign is ecchymosis in the flank area, often
associated with pancreatitis. 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
understanding 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 causing
If a miscarriage occurs before the 12th week of pregnancy, then it may be observed only as modera
d. 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
Med C
, 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 information regarding postprocedural 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 should
c. The client will need to make arrangements for care at home, because her activity level will be restri
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
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
womans need for visits 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 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. Therefore, if
a. pregnancy, it would be better for you to use the most reliable method of contraception available.
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by me
hormone that your body produces during pregnancy. If you were to get pregnant, then it would 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 molar preg
ANS: 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 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 for avoiding pregnancy
Med C
, Banquefor 1deyear
Questions pour
is to ensure Maternity
that Newborn
carcinogenic and
cells are notWomen’s
present. AnyHealth Nursing: method
contraceptive A Case-Based
except
Approach, 2e Édition
an intrauterine par (IUD)
device Amy O'Meara
is acceptable.
Renforcez votre parcours en soins
DIF: Cognitive Level: Apply REF:infirmiers
dm. 679 pour la maternité et la santé des femmes avec cette
banqueTOP:deNursing
questions dynamique
Process: Planning pour Maternity
| Nursing Newborn
Process: and Women’s Health Nursing: A
Implementation
Case-Based Approach, 2e Édition d’Amy O'Meara. Conçue pour un apprentissage immersif, elle
MSC: Client Needs: Physiologic Integrity
sélectionne plus de
3. The nurse 1 500 questions
is preparing basées
to administer sur des cas
methotrexate – àclient.
to the choixThis
multiple, scénarios
hazardous drug évolutifs,
is most
vignettes often used
centrées surfor which obstetric
la famille complication?
et incitations à la pensée critique – sur plus de 40 chapitres.
Plongez dans les domaines essentiels : évaluation prénatale, urgences du travail/accouchement,
a. Complete hydatidiform mole
récupération
b. post-partum, réanimation néonatale, troubles gynécologiques, éthique reproductive,
Missed abortion
soutien à l’allaitement et compétence culturelle, toutes rafraîchies pour 2026 avec innovations en
c. Unruptured ectopic pregnancy
télétriage, dépistage génomique, équité en fertilité et résilience maternelle post-pandémie selon les
normesd.AWHONN et AACN.
Abruptio placentae
ChaqueANS: question
C fournit des réponses vérifiées, rationales basées sur des preuves liant les cas aux
compétences
MethotrexateQSEN,is aneteffective
remédiation pour une
nonsurgical approche
treatment optionholistique. Avec quizzes
for a hemodynamically adaptatifs,
stable woman
constructeurs de simulations
whose ectopic pregnancy isetunruptured
analyses and de performance, cette
measures less than ressource
4 cm équipe
in diameter. les étudiants
Methotrexate is
BSN/MCN, aspirants CNM et éducateurs pour les examens NCLEX-RN ou CNE. De la conception
not indicated or recommended as a treatment option for a complete hydatidiform mole, for a
au continuum, cultivez
missed abortion, or une expertise
for abruptio empathique – excellez aux évaluations, optimisez les résultats
placentae.
et défendez le bien-être des femmes dm.
DIF: Cognitive Level: Apply REF: avec677la sagesse centrée
TOP: Nursing sur les
Process: cas d’O'Meara !
Planning
MSC: 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
ANS: B
Banco de Pruebas pa' Maternity Newborn and Women’s Health Nursing: A Case-Based Approach,
The presence of painless bleeding should always alert the health care team to the possibility of
2da Edición por previa,
placenta Amy O'Meara
which can be confirmed through ultrasonography. Amniocentesis is not
Fortalece tu camino en
performed on a woman enfermería
who isde maternidad
experiencing y saludIndethe
bleeding. laevent
mujerofcon este banco
an imminent de pruebas
delivery, the
dinámicofetus
pa' is
Maternity
presumed to have immature lungs at this gestational age, and the mother is given 2da Edición
Newborn and Women’s Health Nursing: A Case-Based Approach,
de Amy corticosteroids
O'Meara. Diseñao to aid pa' un aprendizaje
in fetal lung maturity.inmersivo,
A CST is notarma más deat1.500
performed preguntas
a preterm basadas
gestational age. en
casos – Furthermore,
opción múltiple, escenarios
bleeding que se desenrollen,
is a contraindication to a CST. viñetas
Internal centradas en laisfamilia
fetal monitoring also y prompts pa'
pensamiento crítico – en más de 40 capítulos.
contraindicated in the presence of bleeding. Búscale a los dominios clave: evaluación prenatal,
emergencias de parto/parto,
DIF: Cognitive recuperación
Level: Apply REF: dm.post-parto,
680 resucitación neonatal, desórdenes
ginecológicos, ética reproductiva, apoyo a la lactancia
TOP: Nursing Process: Assessment MSC: Client Needs: y competencia cultural,
Health Promotion andto'Maintenance
actualizao pa' 2026
con innovaciones
5. A laboringenwoman
tele-triage, screening
with no known riskgenómico, equidadexperiences
factors suddenly en fertilidad y resiliencia
spontaneous ROM.materna
The
post-pandemia según
fluid consists ofestándares AWHONN
bright red blood. y AACN. are consistent with her current stage of labor.
Her contractions
Cada pregunta
No change trae
in respuestas
uterine restingverificadas, racionalizaciones
tone has occurred. The fetal heartbasadas en evidencia
rate (FHR) que unen casos
begins to decline
a competencias QSEN, y remediación pa' cuidado holístico. Con quizzes adaptativos, constructores
rapidly after the ROM. The nurse should suspect the possibility of what condition?
de simulación
a. y analíticas
Placentadeprevia
rendimiento, este recurso equipa estudiantes BSN/MCN, aspirantes
CNM y educadores pa' exámenes NCLEX-RN o CNE. De la concepción al continuum, cultiva
b. Vasa previa
expertise empática – aprueba evaluaciones, optimiza resultados y defiende el bienestar de las
mujeres conc. la sabiduría
Severecaso-céntrica de O'Meara, ¡chévere!
abruptio placentae
Med C
, 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 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.
DIF: Cognitive Level: Analyze REF: dm. 684 TOP: Nursing Process: Diagnosis
MSC: Client Needs: Physiologic Integrity
6. A woman arrives for evaluation of signs and symptoms that include a missed period, adnexal
fullness, tenderness, and dark red vaginal bleeding. On examination, the nurse notices an
ecchymotic blueness around the womans umbilicus. What does this finding indicate?
a. Normal integumentary changes 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
associated with an undiagnosed ruptured intraabdominal ectopic pregnancy. Linea nigra on the
abdomen is the normal integumentary change associated with pregnancy and exhibits a brown
pigmented, vertical line on the lower abdomen. Turner sign is ecchymosis in the flank area, often
associated with pancreatitis. 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
understanding 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 causing
If a miscarriage occurs before the 12th week of pregnancy, then it may be observed only as modera
d. 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
Med C
