TEST BANK -MATERNITY NEWBORN
AND WOMEN’S HEALTH NURSING: A
CASE-BASED APPROACH 2ND EDITION
(AMY O'MEARA, 2025/2026) ALL
CHAPTERS 1-30| NEWEST EDITION
1
,TABLE OF CONTENTS
Part 1: Foundations for Nursing Care of Childbearing Families
1. Clinical Judgment and the Nursing Process
2. Social, Cultural, and Ethical Issues
3. Reproductive Anatomy and Physiology
4. Hereditary and Environmental Influences on Childbearing
Part 2: The Family Before Birth
5. Conception and Prenatal Development
6. Adaptations to Pregnancy
7. Antepartum Assessment, Care, and Education
8. Nutrition for Childbearing
9. Prenatal Diagnosis and Fetal Assessment During the Antepartum Period
10. Complications of Pregnancy
11. The Childbearing Family with Special Needs
Part 3: The Family During Birth
12. Processes of Birth
13. Pain Management During Childbirth
14. Intrapartum Fetal Surveillance
15. Nursing Care During Labor and Birth
16. Intrapartum Complications
Part 4: The Family Following Birth
17. Postpartum Adaptations and Nursing Care
18. Postpartum Complications
19. Critical Care Obstetrics
20. Newborn: Processes of Adaptation
21. Assessment of the Newborn
22. Care of the Newborn
23. Infant Feeding
24. High Risk Newborn: Complications Associated with Gestational Age and
Development
25. High Risk Newborn: Acquired and Congenital Conditions
Part 5: Women’s Health Care
26. Family Planning
27. Infertility
28. Women’s Health
2
,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 Post Procedural 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 Be Reported
c. The Client Will Need To Make Arrangements For Care At Home, Because Her Activity Level Will
Be Restricted
d. The Client Will Be Scheduled For A Cesarean Birth.
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 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 Best Response By The Nurse?
a. If You Get Pregnant Within 1 Year, The Chance Of A Successful Pregnancy Is Very Small.
Therefore, If Pregnancy, It Would Be Better For You To Use The Most Reliable Method Of
Contraception Available.
b. 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
Make This Cancer More Difficult.
c. If You Can Avoid A Pregnancy For The Next Year, The Chance Of Developing A Second Molar
Pregnancy 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 Pregnancy
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
3
, 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 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
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.
DIF: Cognitive Level: Apply REF: Dm. 677 TOP: Nursing Process: 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
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.
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
4
AND WOMEN’S HEALTH NURSING: A
CASE-BASED APPROACH 2ND EDITION
(AMY O'MEARA, 2025/2026) ALL
CHAPTERS 1-30| NEWEST EDITION
1
,TABLE OF CONTENTS
Part 1: Foundations for Nursing Care of Childbearing Families
1. Clinical Judgment and the Nursing Process
2. Social, Cultural, and Ethical Issues
3. Reproductive Anatomy and Physiology
4. Hereditary and Environmental Influences on Childbearing
Part 2: The Family Before Birth
5. Conception and Prenatal Development
6. Adaptations to Pregnancy
7. Antepartum Assessment, Care, and Education
8. Nutrition for Childbearing
9. Prenatal Diagnosis and Fetal Assessment During the Antepartum Period
10. Complications of Pregnancy
11. The Childbearing Family with Special Needs
Part 3: The Family During Birth
12. Processes of Birth
13. Pain Management During Childbirth
14. Intrapartum Fetal Surveillance
15. Nursing Care During Labor and Birth
16. Intrapartum Complications
Part 4: The Family Following Birth
17. Postpartum Adaptations and Nursing Care
18. Postpartum Complications
19. Critical Care Obstetrics
20. Newborn: Processes of Adaptation
21. Assessment of the Newborn
22. Care of the Newborn
23. Infant Feeding
24. High Risk Newborn: Complications Associated with Gestational Age and
Development
25. High Risk Newborn: Acquired and Congenital Conditions
Part 5: Women’s Health Care
26. Family Planning
27. Infertility
28. Women’s Health
2
,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 Post Procedural 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 Be Reported
c. The Client Will Need To Make Arrangements For Care At Home, Because Her Activity Level Will
Be Restricted
d. The Client Will Be Scheduled For A Cesarean Birth.
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 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 Best Response By The Nurse?
a. If You Get Pregnant Within 1 Year, The Chance Of A Successful Pregnancy Is Very Small.
Therefore, If Pregnancy, It Would Be Better For You To Use The Most Reliable Method Of
Contraception Available.
b. 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
Make This Cancer More Difficult.
c. If You Can Avoid A Pregnancy For The Next Year, The Chance Of Developing A Second Molar
Pregnancy 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 Pregnancy
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
3
, 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 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
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.
DIF: Cognitive Level: Apply REF: Dm. 677 TOP: Nursing Process: 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
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.
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
4
