, 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 مکمل ،63-1 ابواب
of gestation :طرف سے
(to prepare for a کی ایسلہارڈ
vaginal birth),.ای
or ڈونالڈ برانڈ اور
a cesarean birth .ڈبلیو ٹیسٹ بینک رچرڈ
can be planned.
laicaforO
DIF: Cognitive foApply
Level: ymotanA REF:ساتھ اوروفیشل ماسٹری میں غوطہ لگائیں اس ناگزیر ٹیسٹ بینک کے
dm. 675
Structures:
TOP: Nursing Process:APlanning
Comprehensive Approach,
| Nursing Process: 9ویلبڈ ڈرچر ےیل ےک نشیڈیا ںیو. یا ڈلانوڈ روا ڈنارب.
Implementation
MSC: ClientکرتےNeeds:کور طور پر
Health کو مکملand
Promotion ابواب 63 ف سے—ڈینٹل پروفیشنلز کے لیے گولڈ سٹینڈرڈ۔ تمام
Maintenance
،ڈایاگرامز
2. A perinatal nurse isلیبلنگ ، انتخابinstructions
giving discharge متعدد:کرتا ہے سوالات پیش
to a woman, status گئے ڈیزائن کیے
postsuction, سے زیادہ سخت005,
and curettage
secondaryکی to a لعاب
hydatidiform mole. The woman asks why she must
، میکینکسJMT ،گردن کی ہڈیوں کی ساخت/تجزیاتی مضامین جو سر take oral contraceptives for اور،ل کوریلیشنز
the next 12کوmonths. What is the bestresponse by the nurse?
اور ریڈیوگرافک لینڈ مارکس، دانتوں کی نشوونما، زبانی مخاط، وعائی سسٹمز،صابی انوریشنز
میںIfآبادیوں
you get متنوع
pregnant ،امیجنگ
within D3 گئے
1 year, theبنائے
chanceبہتر کے ساتھpregnancy
of a successful اپ ڈیٹسis کی 6202
very سبTherefore,
small. ،کرتے ہیں if
a. مطابق۔ خطوط کے
pregnancy, رہنماAEDA
it would اورfor
be better ADAyouپر پروستھیٹکس
to use the most reliableڈیجٹل اور،تغیرات
method اناٹومیکل
of contraception available.
اورThe
،•••ت تفصیلی
major risk to youجڑےafter
میںaسٹڈیز اور امیجنگisشواہد
molar pregnancy a typeکیڈیوورک ،جوابات
of cancer that can beشدہ تصدیقonly
diagnosed ساتھ
byکےme
،ساتھ اینالیٹکس کے
hormone that your body پرفارمنس
produces اور ،اٹلسز
during انٹریکٹو
pregnancy. If you ،کوئز ایڈاپٹو
were to شامل ہیں۔
get pregnant, thenایشن ریذیڈی
it would makے
b. لیے thisکے کامیابی
cancer EHDBN یاEDBN اور تعلیم دہندگان کو، ہائیجینسٹس، طلباءHD/SDD سائل
more difficult.
برانڈ اور ایسلہارڈ کی درستگی کو انلاک،ا ہے۔ کرانیئل سوزش سے پیرئوڈونٹل لیگامنٹس تک
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy
مرکز شدہ- اور مریض، تشخیصی ہنر کو باریک بنائیں،کریں—امتحانات پاس کریں
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
,for 1 year is to ensure that carcinogenic cells are not present. Any contraceptive method except
an intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation
MSC: 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
ANS: C Your text he רובע תולאש קנבAnatomy of Orofacial Structures: A
MethotrexateComprehensive Approach,
is an effective nonsurgical הרודהמoption
treatment 9 תאמfor Richard W. Brand ו-Donald
a hemodynamically E.
stable woman
whose ectopicIsselhard:
pregnancyםיקרפ 1-36, אלמ
is unruptured and measures less than 4 cm in diameter. Methotrexate is
not indicated foor ymotanA-ל
recommended הזה asנמנע השאלות הבלתי
a treatment option forבנק באורופציאלית עם
a complete לשליטה
hydatidiform mole,צללו
for a
Orofacial
missed abortion, or for Structures: A Comprehensive Approach, הרודהמ9 תאמRichard
abruptio placentae.
W. Level:
DIF: Cognitive BrandApply
ו-DonaldREF:E.dm. Isselhard—ןקתה
677 TOP: Nursing בהזה םינעוצקמל
Process: םיילטנד. הסכמ
Planning
MSC: Client :בקפידה שאלות מעוצבות005,1- הוא מציע למעלה מ, הפרקים63 במלואו את כל
Needs: Physiologic Integrity
אנליטיים שחוקרים
4. A 26-year-old pregnant woman, ומאמרים
gravida,קליניות קורלציותis,תיוג
2, para 1-0-0-1, תרשימי
28 weeks ,ברירה-רב
pregnant when she
מערכות, חיבורים עצביים, בלוטות רוק,JMT מכניקת,צוואר/אוסטיאולוגיה של ראש
experiences bright red, painless vaginal bleeding. On her arrival at the hospital, which diagnostic
procedure willעםthe משודרגים
client mostכולם ,רדיוגרפיות
likely ונקודות ציון, התפתחות שיניים, רירית פה,וסקולריות
have performed?
a. ,באוכלוסיות מגוונות
Amniocentesis אנטומיות
for fetal וריאציות,ממדית- על הדמיה תלת6202 עדכוני
lung maturity
b. .AEDA-ו
TransvaginalADAultrasound
לפי הנחיות forדיגיטליות
placental ופרוטזות
location
תרציונות מפורטים המבוססים על עדויות,כל שאלה כוללת תשובות מאומתות
c. Contraction stress test (CST)
אטלסים, עם מבחנים אדפטיביים. ותיקון לדמיון מרחבי,קדאבריות ומחקרי הדמיה
d. ,HD/SDD
Internal סטודנטים
fetal monitoring המשאב המלא הזה מצייד, וניתוחי ביצועים,אינטראקטיביים
ANS: B מחיבורים גולגולתיים לרצועות.EHDBN אוEDBN- ומרצים להצלחה ב,היגייניסטים
The presenceשפרו ,בבחינות
of painless —הצטיינוdrahlessI-ו
bleeding should always alert dnarB הדיוק של
the health careאת פתחו
team ,פרודונטליות
to the possibility of
5 er!מטופל- והעלו טיפול אוראלי ממוקד,כישורי אבחון
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.
DIF: Cognitive Level: Apply REF: dm. 680
TOP: Nursing Process: Assessment MSC: 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
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,
구강 안면 구조 해부학: 포괄적 접근, 9판 테스트뱅크 Richard
and low platelet levels (HELLP) syndrome. This woman did not have any prior risk factors.
W. Brand와 Donald E. Isselhard 저: 챕터 1-36, 완전
DIF: Cognitive Level: Analyze REF: dm. 684 TOP: Nursing Process: Diagnosis
구강 안면 전문성을 심화하세요. Anatomy of Orofacial
MSC: Client Needs: Physiologic Integrity
6. A woman Structures: A Comprehensive
arrives for evaluation of signs andApproach,
symptoms 9판의 필수 a missed period, adnexal
that include
테스트뱅크로. Richard W. Brand와 Donald E. Isselhard가
fullness, tenderness, and dark red vaginal bleeding. On examination, the nurse notices an
저술한 이
ecchymotic blueness 책은the
around 모든 36 챕터를
womans 완전히
umbilicus. 다루며,
What 1,500개
does this finding이상의
indicate?
엄격하게 설계된 질문—다지선다형, 라벨링 다이어그램, 임상
a. Normal integumentary changes associated with pregnancy
상관관계, 분석 에세이—을 제공합니다. 머리/목 골학, TMJ
b. 역학,
Turner타액선, 신경 분포,
sign associated with혈관 시스템, 구강 점막, 치아 발달,
appendicitis
c. 방사선 랜드마크를 탐구하며, 2026 업데이트로
Cullen sign associated with a ruptured ectopic 3D 이미징,
pregnancy
다양한 인구의 해부학 변이, 디지털 보철물을 강조한 ADA와
d. Chadwick sign associated with early pregnancy
ADEA 지침에 따릅니다.
ANS: C 각 질문은 검증된 답변, 시체 증거와 이미징 연구에 기반한
Cullen sign, the
상세한 blue 이유,
ecchymosis observed in
공간 시각화를 위한the umbilical
보완을 포함합니다.area, indicates hematoperitoneum
적응형
associated with an undiagnosed ruptured intraabdominal ectopic pregnancy. Linea nigra on the
퀴즈, 인터랙티브 아틀라스, 성과 분석으로, 이 완전한 자원은
abdomen is the normal integumentary change associated with pregnancy and exhibits a brown
DDS/DH 학생, 위생사, 교육자를 NBDE나 NBDHE 성공으로
pigmented, vertical line on the lower abdomen. Turner sign is ecchymosis in the flank area, often
준비시킵니다. 두개골 봉합부터 치주 인대까지, Brand와
associated with pancreatitis. A Chadwick sign is a blue-purple cervix that may be seen during or
Isselhard의
around the eighth week of 정밀성을
pregnancy.풀어—시험 통과, 진단 기술 다듬기, 환자
DIF: Cognitive중심 구강Analyze
Level: 관리 향상! 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