ky
Test Bank-
Maternity Newborn And Women’s Health Nursing: A Case-Based
Approach
Author(S): Amy O'meara
2nd Edition
,ky
Table of content
Unit 1: scenarios for clinical preparation
o Chapter 1: immediate postpartum hemorrhage
o Chapter 2: later postpartum hemorrhage
o Chapter 3: gestational diabetes, deep vein thrombosis, and postpartum pulmonary
embolism
o Chapter 4: sophie bloom: preeclampsia
o Chapter 5: letitia richford: cord prolapse and nonreassuring fetal status
o Chapter 6: rebecca sweet: placental abruption and fetal loss
o Chapter 7: hannah wilder: chorioamnionitis and neonatal sepsis
o Chapter 8: graciella muñez: preterm premature rupture of membranes and neonatal respiratory
distress syndrome
o Chapter 9: nancy ng: gestational diabetes, macrosomia, and neonatal cephalhematoma
o Chapter 10: lexi cowslip: advanced maternal age, hellp syndrome, and neonatal necrotizing
enterocolitis
o Chapter 11: edie wilson: migraine with aura, shoulder dystocia, and brachial plexus palsy
o Chapter 12: loretta hale: intimate partner violence, formula feeding, and postpartum depression
o Chapter 13: tanya green: gestational trophoblastic disease (molar pregnancy) and advanced maternal age
Unit 2: maternity and newborn nursing for uncomplicated pregnancies
o Chapter 14: before conception
o Chapter 15: pregnancy
o Chapter 16: labor and delivery
o Chapter 17: after delivery
o Chapter 18: the newborn
Unit 3: high-risk conditions and complications
o Chapter 19: conditions existing before conception
o Chapter 10: conditions occurring during pregnancy
o Chapter 21: complications occurring before labor and delivery
o Chapter 22: complications occurring during labor and delivery
o Chapter 23: conditions occurring after delivery
o Chapter 24: conditions in the newborn related to gestational age, size, injury, and pain
o Chapter 25: acquired conditions and congenital abnormalities in the newborn
Unit 4: women’s and gendered health
o Chapter 26: wellness and health promotion
o Chapter 27: common gynecologic conditions
o Chapter 28: infections
o Chapter 29: family planning
o Chapter 30: vulnerable populations
,ky
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
, ky
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?
Test Bank-
Maternity Newborn And Women’s Health Nursing: A Case-Based
Approach
Author(S): Amy O'meara
2nd Edition
,ky
Table of content
Unit 1: scenarios for clinical preparation
o Chapter 1: immediate postpartum hemorrhage
o Chapter 2: later postpartum hemorrhage
o Chapter 3: gestational diabetes, deep vein thrombosis, and postpartum pulmonary
embolism
o Chapter 4: sophie bloom: preeclampsia
o Chapter 5: letitia richford: cord prolapse and nonreassuring fetal status
o Chapter 6: rebecca sweet: placental abruption and fetal loss
o Chapter 7: hannah wilder: chorioamnionitis and neonatal sepsis
o Chapter 8: graciella muñez: preterm premature rupture of membranes and neonatal respiratory
distress syndrome
o Chapter 9: nancy ng: gestational diabetes, macrosomia, and neonatal cephalhematoma
o Chapter 10: lexi cowslip: advanced maternal age, hellp syndrome, and neonatal necrotizing
enterocolitis
o Chapter 11: edie wilson: migraine with aura, shoulder dystocia, and brachial plexus palsy
o Chapter 12: loretta hale: intimate partner violence, formula feeding, and postpartum depression
o Chapter 13: tanya green: gestational trophoblastic disease (molar pregnancy) and advanced maternal age
Unit 2: maternity and newborn nursing for uncomplicated pregnancies
o Chapter 14: before conception
o Chapter 15: pregnancy
o Chapter 16: labor and delivery
o Chapter 17: after delivery
o Chapter 18: the newborn
Unit 3: high-risk conditions and complications
o Chapter 19: conditions existing before conception
o Chapter 10: conditions occurring during pregnancy
o Chapter 21: complications occurring before labor and delivery
o Chapter 22: complications occurring during labor and delivery
o Chapter 23: conditions occurring after delivery
o Chapter 24: conditions in the newborn related to gestational age, size, injury, and pain
o Chapter 25: acquired conditions and congenital abnormalities in the newborn
Unit 4: women’s and gendered health
o Chapter 26: wellness and health promotion
o Chapter 27: common gynecologic conditions
o Chapter 28: infections
o Chapter 29: family planning
o Chapter 30: vulnerable populations
,ky
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
, ky
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?
