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Test Bank Maternity &Pediatric Nursing 8e (by Leifer) Nursing Care of Women with Complications During Pregnancy,100% CORRECT $17.99   Add to cart

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Test Bank Maternity &Pediatric Nursing 8e (by Leifer) Nursing Care of Women with Complications During Pregnancy,100% CORRECT

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Test Bank Maternity &Pediatric Nursing 8e (by Leifer) Nursing Care of Women with Complications During Pregnancy MULTIPLE CHOICE 1. A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from m...

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  • July 9, 2022
  • 19
  • 2021/2022
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 40



Test Bank Maternity &Pediatric Nursing 8e (by Leifer) Nursing Care of
Women with Complications DuringPregnancy
MULTIPLE CHOICE

1. A pregnant patient tells the nurse that she has been nauseated and vomiting.
How will the nurse explain that hyperemesis gravidarum is distinguished from
morning sickness?
a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy.
b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances.
c. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum.
d. The woman with hyperemesis gravidarum will have persistent vomiting without
weight loss.

ANS: B
Dehydration and electrolyte imbalances result from persistent nausea and
vomiting associated with hyperemesis gravidarum. Dehydration impairs the
perfusion to the placenta.

DIF: Cognitive Level: Comprehension
REF: Page 85 OBJ: 4 TOP:
Hyperemesis
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

2. A woman is 9 weeks pregnant and experiencing heavy bleeding and
cramping. She reports passing some tissue. Cervical dilation is noted on
examination. What is the most likely cause of these symptoms?
a. Inevitable abortion
b. Incomplete abortion
c. Complete abortion
d. Missed abortion


ANS: NURSINGTB.COM
B
Signs and symptoms of an incomplete abortion are similar to those of an inevitable
abortion, but some tissue is passed.
DIF: Cognitive Level: Comprehension
REF: Page 90 OBJ: 4 TOP: Incomplete
Abortion
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

3. The
nurse finds a woman crying after she has undergone a dilation and
evacuation (D&E) for a missed abortion. What is the most appropriate

NURSINGTB.COM

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 41


statement by the nurse?
a. There is usually something wrong with the fetus when this happens early in
pregnancy.
b. Now there. You can try to conceive on your next cycle.
c. Im here if you need to talk.
d. You are young and strong. I know you can have a healthy pregnancy.


ANS: C
An effective technique when communicating with a woman experiencing
pregnancy loss is to say, Im here if you need to talk. The nurse listens and
acknowledges the womans grief.

DIF: Cognitive Level: Application REF: Page 91
TOP: Dilation and Evacuation (D&E) KEY: Nursing Process
Step: Implementation MSC: NCLEX: Psychosocial Integrity:
Coping and Adaptation

4. A woman who is 8 weeks pregnant becomes concerned when she has light
vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is
confirmed by ultrasound. Which statement indicates that the woman understands
the explanation of an ectopic pregnancy?
a. The chorionic villi develop vesicles within the uterus.
b. The placenta develops in the lower part of the uterus.
c. The fetus dies in the uterus during the first half of the pregnancy.




NURSINGTB.COM

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 42



d. The embryo is implanted in the fallopian tube.

ANS: D
Ectopic pregnancy occurs when the fertilized ovum is implanted outside of the
uterine cavity.

DIF: Cognitive Level: Comprehension REF: Page 92
TOP: Ectopic Pregnancy KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease

5. An ultrasound on a woman who is 32 weeks pregnant reveals the placenta
implanted over the entire cervical os. What does the nurse understand best
describes this condition?
a. Low-lying placenta
b. Marginal placenta previa
c. Partial placenta previa
d. Total placenta previa


ANS: D
A total placenta previa describes a condition in which the placenta completely
covers the cervical opening.

DIF: Cognitive Level: Comprehension REF: Page 94
TOP: Placenta Previa KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease

6. What symptom presented by a pregnant women is indicative of abruptio
placentae?
a. Painless vaginal bleeding
b. Uterine irritability with contractions
c. Vaginal bleeding and back pain
d. Premature rupture of membranes


ANS: NURSINGTB.COM
C
Bleeding accompanied by abdominal or lower back pain is a typical manifestation
of abruptio placentae.

DIF: Cognitive Level: Knowledge REF: Page 95
TOP: Abruptio Placenta KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease

7. What situation would concern the nurse about the presence of Rh incompatibility?
a. Rh-negative mother, Rh-positive fetus


NURSINGTB.COM

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