100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara CA$23.00   Add to cart
Quickly navigate to
Preview
  2.  
  3. Maternity Newborn And Women’s Health Nursing
  4.  
  5. Maternity Newborn And Women’s Health Nursing

Exam (elaborations)

Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara
 0 view  0 purchase
  • Course
  • Maternity Newborn And Women’s Health Nursing
  • Institution
  • Maternity Newborn And Women’s Health Nursing
  • Book
  • Maternity, Newborn, and Women\'s Health Nursing

Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara,,,NURSECARE!!!

Preview 4 out of 585  pages

Document information

  • November 21, 2024
  • 585
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • womens
  • test bank for maternity newborn and womens health
  • test bank
  • test bank for maternity newborn and womens health
  • based approach 2nd edition omeara
  • test bank for maternity newborn and womens health

Connected book

book image

Book Title:

Author(s):

  • Edition:
  • ISBN:
  • Edition:

More summaries for

  • Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara
  • Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara
  • Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition by: O’Meara. Newest Edition 2024
All for this textbook (22)

Written for

  • Maternity Newborn And Women’s Health Nursing
  • Maternity Newborn And Women’s Health Nursing

Seller

avatar-seller
nursecare

Reviews received

Content preview

, MaternityNewbornandWomen’sHealthNursingACase-BasedApproach1stEditionO’Meara b b b b b b b b b




TestBank b b




Chapter1ImmediatePostpartumHemorrhage b b b b




MULTIPLECHOICE b




1. Apregnantwomanisbeingdischargedfromthehospitalaftertheplacementofacervical
b b b b b b b b b b b b b b




cerclage becauseofa history ofrecurrent pregnancy loss,secondarytoanincompetent cervix.
b b b b v




Which informationregardingpostprocedural careshould thenurseemphasizein thedischarg
b v v




e teaching?
b




a. Anyvaginaldischarge shouldbeimmediately reported toherhealthcareprovider. b b b b b




b. Thepresenceofanycontractions,ruptureofmembranes(ROM),orsevereperinealpressureshould b b b b b b b b b b




c. Theclientwillneedtomakearrangementsforcareathome,becauseheractivitylevelwillberestri b b b b b b b b b b b




d. Theclientwillbescheduledforacesareanbirth.
bANS:B b




Nursing careshouldstress theimportance ofmonitoring forthe signsandsymptoms ofpreterm
b b b b b b




labor. Vaginal bleeding needs to be reported to her primary health careprovider. Bed rest is an
b b b b b b b b b b b b b b b




belementofcare.However,thewomanmaystandforperiodsofupto90minutes,whichallowsherthe
b b b b b b b b b b b b b b b b b




freedom to see her physician. Home uterine activitymonitoring may be used to limit the womans
b b b b b b b b b b b b b b b




needforvisitsandtomonitorherstatussafely at home. Thecerclage can beremoved at 37 weeks of
b b b b b b b b b b




bgestation(toprepareforavaginalbirth),oracesareanbirthcanbeplanned.
b b b b b b b b b b b




DIF:CognitiveLevel:ApplyREF:dm.675
b b b b b b




TOP:Nursing Process:Planning|NursingProcess: Implementation v




bMSC:ClientNeeds:HealthPromotionandMaintenance
b b b b b




2. Aperinatalnurseisgivingdischargeinstructionstoawoman, statuspostsuction, andcurettage b b




bsecondarytoahydatidiformmole.Thewomanaskswhyshemusttakeoralcontraceptivesfor thenext
b b b b b b b b b b b b bb b




12months.Whatisthebestresponsebythenurse?
b b b b b b b b




Ifyougetpregnantwithin1year,thechanceofasuccessfulpregnancyisverysmall.Therefore,if b b b b b b b b b b b b b




a. pregnancy,it wouldbebetter foryouto usethemost reliablemethod ofcontraception available. b b b b b b b




Themajorrisktoyouafteramolarpregnancyisatypeofcancerthatcanbediagnosedonlybyme hormone
b b b b b b b b b b b b b b b b




that yourbodyproduces during pregnancy. If youweretoget pregnant, thenitwouldmak
b b b b b b b b b




b. thiscancermoredifficult.b b b




Ifyoucanavoidapregnancyforthenextyear,thechanceofdevelopingasecondmolarpregnancy
b b b b b b b b b b b b




c. improveyourchanceofasuccessfulpregnancy,notgettingpregnantatthistimeisbest. b b b b b b b b b b




d. Oralcontraceptivesaretheonlyformofbirthcontrolthatwillpreventarecurrence ofamolarpreg ANS: bb b bb b




B
Betahumanchorionicgonadotropin(beta-hCG)hormonelevelsaredrawnfor1yeartoensure b b b b b b b b b




thatthemoleiscompletelygone.Thechanceofdevelopingchoriocarcinomaafterthedevelopment of a
b b b b b b b b b b b b b b




bhydatidiformmole is increased. Therefore, the goal is toachieve a zero human chorionic b b b b b b b b b b b




bgonadotropin(hCG)level. Ifthe womanweretobecomepregnant, thenitmayobscure the presence of b b b b b b




thepotentiallycarcinogeniccells.Womenshouldbeinstructedtousebirthcontrolfor1yearafter
b b b b b b b b b b b b b b b




btreatmentforahydatidiformmole.Therationaleforavoidingpregnancy b b b b b b b

,for1 yearistoensurethatcarcinogeniccellsarenotpresent. Anycontraceptivemethodexcept an
b b b




intrauterinedevice(IUD)isacceptable.
b b b b b




DIF:CognitiveLevel:ApplyREF:dm.679
b b b b b b




TOP:Nursing Process:Planning|NursingProcess:Implementation v b




bMSC:ClientNeeds:PhysiologicIntegrity
b b b b




3. Thenurseispreparingtoadministermethotrexatetotheclient. Thishazardousdrug is b b




mostoftenusedforwhichobstetriccomplication?
b b b b




a. Completehydatidiformmole
b. Missedabortion
c. Unrupturedectopicpregnancy b




d. Abruptioplacentae v




ANS:C
b b




Methotrexateis aneffective nonsurgicaltreatmentoptionforahemodynamically stable woman b b b b b




whoseectopic pregnancyisunrupturedand measures less than 4cmindiameter.Methotrexate isnot b b v b b b b




indicated or recommended as a treatment optionfora complete hydatidiform mole, fora missed
b b b b b b b b b b b b




abortion,orforabruptioplacentae.
b b b b




DIF:CognitiveLevel:ApplyREF:dm.677TOP:NursingProcess:PlanningMSC:Client
b b b b b b b b b b b b




Needs:PhysiologicIntegrity
b b b




4. A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnantwhen she
b b b b b b b b b b b b




experiences bright red,painless vaginal bleeding.Onher arrivalatthehospital,whichdiagnostic
b v b b b b b b




procedurewilltheclientmostlikelyhaveperformed?
b b b b b b b




a. Amniocentesisforfetallungmaturity b b




b. Transvaginalultrasoundforplacentallocation b b b




c. Contractionstresstest(CST) b b




d. Internalfetalmonitoring
ANS:B
b b




Thepresenceofpainlessbleedingshouldalwaysalertthehealthcareteamtothepossibilityof
b b b b b b b b b




placentaprevia,whichcanbeconfirmedthroughultrasonography.Amniocentesisisnotperformed ona
b b b b b b b b b b b b b




womanwhoisexperiencingbleeding.Intheeventofanimminentdelivery,thefetusispresumedtohave
b b b b b b b b b b b b b b b b b




immaturelungsatthisgestationalage,andthemotherisgivencorticosteroidstoaidinfetal lung maturity.
b b b b b b b b b b b b b




A CST is not performed at apreterm gestationalage.Furthermore,bleedingisa contraindication to a
b v v b b b b b b b b b




CST. Internal fetal monitoringis also contraindicated in the presence of bleeding.
b b b b b b b b b b b




DIF:CognitiveLevel:ApplyREF:dm.680
b b b b b b




TOP:NursingProcess:AssessmentMSC:ClientNeeds:HealthPromotionandMaintenance
b b b b b b b b b




5. A laboring woman with no known risk factors suddenly experiences spontaneous ROM. The
b b b b b b b b b b b b




fluid consists ofbright red blood.Her contractions areconsistent with hercurrent stageoflabor.No
b v b b




changeinuterinerestingtonehasoccurred.Thefetalheartrate(FHR)beginstodeclinerapidlyafterthe
b b b b b b b b b b b b b b b b b b




ROM.Thenurseshouldsuspectthepossibilityofwhatcondition?
b b b b b b b b b




a. Placentaprevia b




b. Vasaprevia b




c. Severeabruptioplacentae b

, d. Disseminated intravascularcoagulation(DIC) v




ANS:B
b b




Vasapreviaistheresultofavelamentousinsertionoftheumbilicalcord.Theumbilicalvessels
b b b b b b b b b




arenotsurroundedbyWhartonjellyandhavenosupportivetissue.Theumbilicalbloodvesselsthusare
b b b b b b b b b b b b b b b




at riskforlacerationatany time,but laceration occurs most frequently duringROM.Thesudden
b v b b b b b b b




appearanceofbrightredbloodatthe timeofROMandasuddenchangeintheFHR withoutother known
b b b b b b b b b b b b b b b b v b b




riskfactorsshouldimmediatelyalertthenursetothepossibilityofvasaprevia.Thepresenceofplacenta
b b b b b b b b b b b b b b b




previamostlikelywouldbeascertainedbeforelaborandisconsideredariskfactorfor this pregnancy. In
b b b b b b b b b b b b b b b b b b




addition, if the woman had aplacenta previa, it is unlikely that she would be allowed to pursuelabor
b b b b b b b b b b b b b b b b b




and a vaginal birth. Withthepresence of severeabruptioplacentae, the uterinetonicitytypically is
b b b b b b b b b b




tetanus(i.e., aboardlikeuterus). DICis a pathologic form of diffuse clotting that consumes large
b b b b b b b b b b b b




amounts of clotting factors, causing widespread external bleeding, internalbleeding,orboth.DICis
b b b b b b b b b b b b b b




alwaysasecondarydiagnosis,oftenassociatedwithobstetricrisk factors such as the hemolysis,
b b b b b b b b b b b b b b




elevated liver enzyme levels, and low platelet levels (HELLP) syndrome.Thiswomandidnothave
b b b b b b b b b b b b b b




anypriorriskfactors.
b b b b




DIF:CognitiveLevel:AnalyzeREF:dm.684TOP:NursingProcess:Diagnosis
b b b b b b b b b b




MSC:ClientNeeds:PhysiologicIntegrity
b b b b b




6. Awomanarrivesforevaluationofsignsandsymptomsthatincludeamissedperiod, adnexal b




fullness, tenderness, and dark red vaginal bleeding. On examination, the nursenotices an
b b b b b b b b b b b b




ecchymoticbluenessaroundthewomansumbilicus.Whatdoesthisfindingindicate?
b b b b b b b b b




a. Normalintegumentarychangesassociatedwithpregnancy b b b b




b. Turnersignassociatedwithappendicitis b b b b




c. Cullensignassociatedwitharupturedectopicpregnancy b b b b




d. Chadwicksignassociated withearlypregnancy v




ANS:C
b b




Cullensign,theblueecchymosisobservedintheumbilicalarea,indicateshematoperitoneum b b b b b b




associatedwithanundiagnosedrupturedintraabdominalectopicpregnancy.Lineanigraonthe
b b b b b b b b b b b




abdomenisthenormalintegumentarychangeassociatedwithpregnancyandexhibitsabrown
b b b b b b b b b b b b b




pigmented,verticallineon thelowerabdomen.Turnersign isecchymosis intheflank area,often
b b b v b




associatedwithpancreatitis.AChadwicksignisablue-purplecervixthatmaybeseenduringor
b b b b b b b b b b b b b b b




aroundtheeighthweekofpregnancy.
b b b b b




DIF:CognitiveLevel:AnalyzeREF:dm.676
b b b b b b




TOP:NursingProcess:AssessmentMSC:ClientNeeds:PhysiologicIntegrity
b b b b b b b b




7. Thenursewhoelectstopracticeintheareaofwomenshealthmusthaveathorough
b b b b b b b b b b b b b b




understandingofmiscarriage.Whichstatement regarding thiscondition ismostaccurate?
b b v v b




a. Amiscarriageisanaturalpregnancy loss beforelaborbegins. b b b b b




b. Itoccursinfewerthan5%ofallclinicallyrecognizedpregnancies.
b b b b b b b b




c. Carelessmaternalbehavior,suchaspoornutritionorexcessiveexercise,canbeafactorincausingIfa
b b b b b b b b b b b b b b b b b




miscarriageoccurs before the12th week ofpregnancy,thenit maybeobserved onlyasmodera
b b b v b b




d. bloodloss. b




ANS:D b




Beforethesixthweek,theonlyevidencemightbeaheavymenstrualflow.Afterthe12thweek,more
b b b b b b b b b b b b b b b b




severepain,similartothatoflabor,islikely.Miscarriageisanaturalpregnancyloss,butit
b b b b b

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller nursecare. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$23.00. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

71184 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$23.00
  • (0)
  Add to cart