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MATERNITY NEWBORN AND WOMEN’S HEALTH NURSING
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- Harvard College
MATERNITY NEWBORN AND WOMEN’S HEALTH NURSING
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TEST BANK FOR MATERNITY NEWBORN ANDWOMEN’S HEALTH NURSING: A CASE-BASED
APPROACH 1ST EDITION O’MEARA|QUESTIONS AND
CORRECT ANSWERS 2024|100%
PASS|A+GUARANTEED
Chapter 28 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 post procedural care should the
nurse emphasize in the
dischargeteaching
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 should be reported.
c. The client will need to make arrangements for care at home, because her activity
level will be restricted.
d. The client will be scheduled for a cesarean birth.
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?
a. "If you get pregnant within 1 year, the chance of a successful pregnancy is very small.
Therefore, if you desire a future pregnancy, it would be better for you to use the most
reliable method of contraception available."
b. "The major risk to you after a molar pregnancy is a type of cancer that can be
diagnosed only by measuring the same hormone that your body produces during
pregnancy. If you were to get pregnant, then it would make the diagnosis of this cancer
more difficult."
c. "If you can avoid a pregnancy for the next year, the chance of developing a second
molar pregnancy is rare. Therefore, to 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 pregnancy."
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
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
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
d. Disseminated intravascular coagulation (DIC)
6. A woman arrives for evaluation of signs and symptoms that include a missed period,
adnexal fullness, tenderness, and dark red vaginal bleeding. On examination, the nurse
notices an ecchymotic blueness around the woman's umbilicus. What does this finding
indicate?
a. Normal integumentary changes associated with pregnancy
b. Turner sign associated with appendicitis
c. Cullen sign associated with a ruptured ectopic pregnancy
d. Chadwick sign associated with early pregnancy
7. The nurse who elects to practice in the area of women's health must have a thorough
understanding of miscarriage. Which statement regarding this condition is most
accurate?
,a. A miscarriage is a natural pregnancy loss before labor begins.
b. It occurs in fewer than 5% of all clinically recognized pregnancies.
c. Careless maternal behavior, such as poor nutrition or excessive exercise, can be a
factor in causing a miscarriage.
d. If a miscarriage occurs before the 12th week of pregnancy, then it may be observed
only as moderate discomfort and blood loss.
8. A woman who is 30 weeks of gestation arrives at the hospital with bleeding. Which
differential diagnosis would not be applicable for this client?
a. Placenta previa
b. Abruptio placentae
c. Spontaneous abortion
d. Cord insertion
9. With regard to hemorrhagic complications that may occur during pregnancy, what
information is most accurate?
a. An incompetent cervix is usually not diagnosed until the woman has lost one or two
pregnancies.
b. Incidences of ectopic pregnancy are declining as a result of improved diagnostic
techniques.
c. One ectopic pregnancy does not affect a woman's fertility or her likelihood of having a
normal pregnancy the next time.
d. Gestational trophoblastic neoplasia (GTN) is one of the persistently incurable
gynecologic malignancies.
10. The management of the pregnant client who has experienced a pregnancy loss
depends on the type of miscarriage and the signs and symptoms. While planning care
for a client who desires outpatient management after a first-trimester loss, what would
the nurse expect the plan to include?
a. Dilation and curettage (D&C)
b. Dilation and evacuation (D&E)
, c. Misoprostol
d. Ergot products
11. Which laboratory marker is indicative of DIC?
a. Bleeding time of 10 minutes
b. Presence of fibrin split products
c. Thrombocytopenia
d. Hypofibrinogenemia
12. When is a prophylactic cerclage for an incompetent cervix usually placed (in weeks
of gestation)?
a. 12 to 14
b. 6 to 8
c. 23 to 24
d. After 24
ANS: A
13. In caring for an immediate postpartum client, the nurse notes petechiae and oozing
from her intravenous (IV) site. The client would be closely monitored for which clotting
disorder?
a. DIC
b. Amniotic fluid embolism (AFE)
c. Hemorrhage
d. HELLP syndrome
14. In caring for the woman with DIC, which order should the nurse anticipate?
a. Administration of blood
b. Preparation of the client for invasive hemodynamic monitoring
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