MATERNITY, NEWBORN, AND WOMEN'S HEALTH NURSING: A CASE-
BASED APPROACH FIRST EDITION by Dr. Amy O'Meara||COMPLETE
TEST BANK|| CHAPTER 1-30|| VERIFIED ANSWERS||A+ GRADE
GUARANTEED
, Table Of Contents
Unit 1 Scenarios For Clinical Preparation...................................................................................................... 3
Chapter 1 Immediate Postpartum Hemorrhage ....................................................................................... 3
Chapter 2 Later Postpartum Hemorrhage .............................................................................................. 14
Chapter 3 Gestational Diabetes, Deep Vein Thrombosis, And Postpartum Pulmonaryembolism ......... 25
Chapter 4 Preeclampsia .......................................................................................................................... 38
Chapter 5 Cord Prolapse And Nonreassuring Fetal Status ..................................................................... 49
Chapter 6 Placental Abruption And Fetal Loss ....................................................................................... 65
Chapter 7 Chorioamnionitis And Neonatal Sepsis .................................................................................. 73
Chapter 8 Preterm Premature Rupture Of Membranes And Neonatal Respiratory Distress Syndrome78
Chapter 9 Gestational Diabetes, Macrosomia, And Neonatal Cephalhematoma .................................. 98
Chapter 10 Advanced Maternal Age, HELLP Syndrome, And Neonatal Necrotizing Enterocolitis ....... 115
Chapter 11 Migraine With Aura, Shoulder Dystocia, And Brachial Plexus Palsy .................................. 124
Chapter 12 Intimate Partner Violence, Formula Feeding, And Postpartum Depression ...................... 134
Chapter 13 Gestational Trophoblastic Disease (Molar Pregnancy) And Advanced Maternal Age ....... 150
Unit 2 Maternity And Newborn Nursing For Uncomplicated Pregnancies ............................................... 159
Chapter 14 Before Conception ............................................................................................................. 159
Chapter 15 Pregnancy ........................................................................................................................... 172
Chapter 16 Labor And Delivery ............................................................................................................. 187
Chapter 17 After Delivery ..................................................................................................................... 203
Chapter 18 The Newborn...................................................................................................................... 218
Unit 3 High-Risk Conditions And Complications ....................................................................................... 241
Chapter 19 Conditions Existing Before Conception .............................................................................. 241
Chapter 20 Conditions Occurring During Pregnancy ............................................................................ 251
Chapter 21 Complications Occurring Before Labor And Delivery ......................................................... 274
Chapter 22 Complications Occurring During Labor And Delivery ......................................................... 290
Chapter 23 Conditions Occurring After Delivery .................................................................................. 303
Chapter 24 Conditions In The Newborn Related To Gestational Age, Size, Injury, And Pain ............... 315
Chapter 25 Acquired Conditions And Congenital Abnormalities In The Newborn ............................... 328
Unit 4 Women’s And Gendered Health .................................................................................................... 344
Chapter 26 Wellness And Health Promotion ........................................................................................ 344
Chapter 27 Common Gynecologic Conditions ...................................................................................... 364
Chapter 28 Infections ............................................................................................................................ 384
, Chapter 29 Family Planning .................................................................................................................. 392
Chapter 30 Vulnerable Populations ...................................................................................................... 405
Unit 1 Scenarios For Clinical Preparation
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
Should Be Reported.
C. The Client Will Need To Arrange For Care At Home, Because Her Activity Level Will Be Restricted.
D. The Client Will Be Scheduled For A Cesarean Birth.
CORRECT 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
Woman's 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.
2. A Perinatal Nurse Is Giving Discharge Instructions To A Woman, Status Post-Suction, And Curettage
Secondary To A Hydatidiform Mole. The Woman Asks Why She Must Take Oral Contraceptives For The
Next 12 Months. What Is The Best Response 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."
CORRECT ANS>> B
Beta-Human 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.
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
CORRECT 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.
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
