Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 1st Edition O’Meara 9781496368218 Chapter 1-30. Table of Contents Chapter 1 Immediate Postpartum Hemorrhage Chapter 2 Later Postpartum Hemorrhage Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartu...
, TEST BANK FOR MATERNITY NEWBORN AND WOMEN'S HEALTH NURSING A
CASE-BASED APPROACH 1ST EDITION O'MEARA
Maternity Newborn and Women's Health Nursing A Case-Based Approach 1st EditionO'Meara
Test Bank
ISBN-10:1496368215 ISBN- RC
13:9781496368218
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Table of Contents
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Chapter 1 Immediate Postpartum Hemorrhage
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Chapter 2 Later Postpartum Hemorrhage
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Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartum Pulmonary Embolism
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Chapter 4 Preeclampsia
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Chapter 5 Cord Prolapse and Nonreassuring Fetal Status
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Chapter 6 Placental Abruption and Fetal Loss
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1. A pregnant woman is being discharged from the hospital after the placement of a cervical
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cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Whi
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ch information regarding postprocedural care should the nurse emphasize in the discharge teaching
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?
a. Any vaginal discharge should be immediately reported to her health care provider. RC RC RC RC RC RC RC RC RC RC RC
b. The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure sho
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c. The client will need to make arrangements for care at home, because her activity level will be re
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d. The client will be scheduled for a cesarean birth. RC RC RC RC RC RC RC RC R
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ANS: B RC
Nursing care should stress the importance of monitoring for the signs and symptoms of preterm
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labor. Vaginal bleeding needs to be reported to her primary health care provider. Bed rest is an element
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of care. However, the woman may stand for periods of up to 90 minutes, which allows her thefreedom t
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o see her physician. Home uterine activity monitoring may be used to limit the womans needfor visits a
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nd to monitor her status safely at home. The cerclage can be removed at37 weeks of gestation (to prepa
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re for a vaginal birth), or a cesarean birth can be planned.
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Client Needs: Health Promotion and Maintenance
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2. A perinatal nurse is giving discharge instructions to a woman, status postsuction, and curettages
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econdary to a hydatidiform mole. The woman asks why she must take oral contraceptives for the next 12
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months. What is the bestresponse by the nurse?
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If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC
a. pregnancy, it would be better for you to use the most reliable method of contraception available. RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only byhormoneth
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at your body produces during pregnancy. If you were to get pregnant, then it would RC RC RC RC RC RC RC RC RC RC RC RC RC RC
b. this cancer more difficult. RC RC RC
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregna
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c. improve your chance of a successful pregnancy, not getting pregnant at this time is best.
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d. Oral contraceptives are the only form of birth control that will prevent a recurrence of a molar p RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC RC R
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Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to ensure
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that the mole is completely gone. The chance of developing choriocarcinoma after the development ofa
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hydatidiform mole is increased. Therefore, the goal is to achieve a zero humanchorionic gonadotropin
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(hCG) level. If the woman were to become pregnant, then it may obscurethe presence ofthe potentially
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carcinogenic cells. Women should be instructed to use birth control for 1 year after treatment for a hyd
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atidiform mole. The rationale for avoiding pregnancy RC RC RC RC RC RC
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