MATERNITY NEWBORN AND WOMEN'S HEALTH NURSING A CASE-BASED APPROACH 1ST EDITIONO'MEARA TEST BANK
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Course
Maternity Newborn and Women’s Health Nursing
Institution
Maternity Newborn And Women’s Health Nursing
MATERNITY NEWBORN AND WOMEN'S HEALTH NURSING A CASE-BASED APPROACH 1ST EDITIONO'MEARA TEST BANK
Table of Contents
Chapter 1 Immediate Postpartum Hemorrhage Chapter 2 Later Postpartum Hemorrhage
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, and Postpartum Pulmonary Embolism Chapter ...
Chapter 11 Migraine With Aura, Shoulder Dystocia, and Brachial Plexus Palsy
Chapter 12 Intimate Partner Violence, Formula Feeding, and Postpartum Depression
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) and Advanced Maternal Age
Chapter 14 Before Conception
Chapter 15 Pregnancy
Chapter 16 Labor and Delivery
Chapter 17 After Delivery
,Chapter 18 The Newborn
Chapter 19 Conditions Existing Before Conception
Chapter 20 Conditions Occurring During Pregnancy
Chapter 21 Complications Occurring Before Labor and Delivery
Chapter 22 Complications Occurring During Labor and Delivery
Chapter 23 Conditions Occurring After Delivery
Chapter 24 Conditions in the Newborn Related to Gestational Age, Size, Injury, and Pain
Chapter 25 Acquired Conditions and Congenital Abnormalities in the Newborn
Chapter 26 Wellness and Health Promotion Chapter
27 Common Gynecologic ConditionsChapter 28
Infections
Chapter 29 Family Planning Chapter 30
Vulnerable Populations
, 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 at37 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: ImplementationMSC:
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 byhormone
that your body produces during pregnancy. If you were to get pregnant, then it would
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregna
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 p
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 humanchorionic
gonadotropin (hCG) level. If the woman were to become pregnant, then it may obscurethe 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
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