MULTIPLEzCHOICE
1. Azpregnantzwomanziszbeingzdischargedzfromzthezhospitalzafterzthezplacementzofzazcervicalz
cerclagezbecausezofzazhistoryzofzrecurrentzpregnancyzloss,zsecondaryztozanzincompetentzcervix.zWhi
chzinformationzregardingzpostproceduralzcarezshouldztheznursezemphasizezinzthezdischargezteaching
?
a. Anyzvaginalzdischargezshouldzbezimmediatelyzreportedztozherzhealthzcarezprovider.
b. Thezpresencezofzanyzcontractions,zrupturezofzmembranesz(ROM),zorzseverezperinealzpressurezsho
c. Thezclientzwillzneedztozmakezarrangementszforzcarezatzhome,zbecausezherzactivityzlevelzwillzbezre
d. Thezclientzwillzbezscheduledzforzazcesareanzbirth.z
ANS:zB
Nursingzcarezshouldzstresszthezimportancezofzmonitoringzforzthezsignszandzsymptomszofzpreterm
labor.zVaginalzbleedingzneedsztozbezreportedztozherzprimaryzhealthzcarezprovider.zBedzrestziszanzelementz
ofzcare.zHowever,zthezwomanzmayzstandzforzperiodszofzupztoz90zminutes,zwhichzallowszherzthezfreedomzt
ozseezherzphysician.zHomezuterinezactivityzmonitoringzmayzbezusedztozlimitzthezwomanszneedzforzvisitsza
ndztozmonitorzherzstatuszsafelyzatzhome.zThezcerclagezcanzbezremovedzat37zweekszofzgestationz(tozprepa
rezforzazvaginalzbirth),zorzazcesareanzbirthzcanzbezplanned.
DIF:zCognitivezLevel:zApplyzREF:zdm.z675
TOP:zNursingzProcess:zPlanningz|zNursingzProcess:zImplementationMSC:
ClientzNeeds:zHealthzPromotionzandzMaintenance
2. Azperinatalznurseziszgivingzdischargezinstructionsztozazwoman,zstatuszpostsuction,zandzcurettagezs
econdaryztozazhydatidiformzmole.zThezwomanzaskszwhyzshezmustztakezoralzcontraceptiveszforztheznextz12
zmonths.zWhatziszthezbestresponsezbyztheznurse?
Ifz youzgetzpregnantzwithinz1zyear,zthezchancezofzazsuccessfulzpregnancyziszveryzsmall.zTherefore,
a. pregnancy,zitzwouldzbezbetterzforzyouztozusezthezmostzreliablezmethodzofzcontraceptionzavailable.
Thezmajorzriskztoz youzafterzazmolarzpregnancyziszaztypezofzcancerzthatzcanzbezdiagnosedzonlyzbyhormonezt
hatzyourzbodyzproduceszduringzpregnancy.zIfz youzwereztozgetzpregnant,zthenzitzwould
b. thiszcancerzmorezdifficult.
Ifz youzcanzavoidzazpregnancyzforztheznextzyear,zthezchancezofzdevelopingzazsecondzmolarzpregna
c. improvezyourzchancezofzazsuccessfulzpregnancy,znotzgettingzpregnantzatzthisztimeziszbest.
d. Oralzcontraceptiveszarezthezonlyzformzofzbirthzcontrolzthatzwillzpreventzazrecurrencezofzazmolarzpz
ANS:zB
Betahumanzchorioniczgonadotropinz(beta-hCG)zhormonezlevelszarezdrawnzforz1zyearztozensure
thatzthezmoleziszcompletelyzgone.zThezchancezofzdevelopingzchoriocarcinomazafterzthezdevelopmentzofza
zhydatidiformzmoleziszincreased.zTherefore,zthezgoalzisztozachievezazzerozhumanchorioniczgonadotropinz
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