100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st Edition O’Meara Test Bank (All chapters complete, Question and Answers With Rationale) Newly Updated 2021$10.49
Add to cart
Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st Edition O’Meara Test Bank (All chapters complete, Question and Answers With Rationale) Newly Updated 2021
4 views 0 purchase
Course
, NSG516
Institution
Chamberlain College Nursing
Book
Maternity, Newborn, and Women\'s Health Nursing
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 discharge tea...
maternity newborn and women’s health nursing a case based approach 1st edition o’meara test bank
Connected book
Book Title:
Author(s):
Edition:
ISBN:
Edition:
More summaries for
TEST BANK MATERNITY, NEWBORN, & WOMEN'S HEALTH NURSING: A CASE-BASED APPROACH 1st EDITION by AMY O'MEARA
Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 1st Edition O’Meara |complete and verified
Test Banks For Maternity, Newborn, and Women's Health Nursing by Amy O'Meara, 9781496368218, Chapter 1-32 Complete Guide
All for this textbook (25)
Written for
Chamberlain College Nursing
, NSG516
All documents for this subject (9)
Seller
Follow
eleesium
Reviews received
Content preview
,Get a unique, conceptual approach to nursing care in this rapidly changing healthcare
environment Maternity Newborn and Women’s Health Nursing A Case-Based Approach
1st Edition O’Meara Test Bank gives you a solid foundation in Maternity Newborn and
Women’s Health Nursing. This thoroughly revised text includes a more conversational
writing style, an increased focus on nursing concepts and clinical trends, strong evidence-
based content, and an essential pathophysiology review. Content covers all aspects of
nursing care including health promotion, acute intervention, and ambulatory care. Helpful
rationales make it easy for you to find essential information, and a building-block
approach makes even the most complex concepts simple to grasp
Maternity Newborn and Women’s Health Nursing A Case-Based Approach 1st 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 discharge
teaching?
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 sho
c. The client will need to make arrangements for care at home, because her activity level will be re
d. The client will be scheduled for a cesarean birth.
ANS: 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
womans need for visits and to monitor her status safely at home. The cerclage can be removed at
37 weeks of gestation (to prepare for a vaginal birth), or a cesarean birth can be planned.
DIF: Cognitive Level: Apply REF: dm. 675
TOP: Nursing Process: Planning | Nursing Process: Implementation
MSC: 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. Therefore,
a. pregnancy, it would be better for you to use the most reliable method of contraception available.
The major risk to you after a molar pregnancy is a type of cancer that can be diagnosed only by m
hormone that your body produces during pregnancy. If you were to get pregnant, then it would m
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnan
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 molar pr
ANS: B
Betahuman chorionic gonadotropin (beta-hCG) hormone levels are drawn for 1 year to 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 obscure
the 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 except
an intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation
MSC: 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
ANS: 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.
DIF: Cognitive Level: Apply REF: dm. 677 TOP: Nursing Process: Planning
MSC: 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
ANS: 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.
DIF: Cognitive Level: Apply REF: dm. 680
TOP: Nursing Process: Assessment MSC: 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?
a. Placenta previa
b. Vasa previa
c. Severe abruptio placentae
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 eleesium. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
