TESTBANK For Introduction To Maternity And Pediatric
Nursing 8
th Edition Exam Answers With Rationale
Latest Updated 2024
Chapter 01: Nursing Care
... [Show More] of Women with
Complications During Pregnancy
MULTIPLE CHOICE
1. A pregnant patient tells thenursethatshehasbeennauseatedandvomiting.
How willthenurseexplainthathyperemesis gravidarum isdistinguishedfrom
morningsickness?
a. Hyperemesisgravidarum usuallylasts for thedurationof thepregnancy.
b. Hyperemesisgravidarum causesdehydration andelectrolyteimbalances.
c. Sensitivitytosmells isusuallythe causeof vomitinginhyperemesisgravidarum.
d. The woman withhyperemesisgravidarum willhavepersistentvomiting
without weightloss.
ANS: B
Dehydration and electrolyte imbalances result from persistent nausea and
vomiting associated withhyperemesisgravidarum. Dehydrationimpairs the
perfusiontotheplacenta.
DIF: CognitiveLevel: Comprehension REF: Page79 | Page
82OBJ:4TOP: Hyperemesis
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A woman is 9 weeks pregnant and experiencing heavy bleeding and
cramping. She reports passing sometissue. Cervicaldilationis notedon
examination. What is the mostlikelycauseof these symptoms?
a. Inevitableabortion
b. Incompleteabortion
c. Completeabortion
d. Missed
abortionANS: B
Signs andsymptomsofanincompleteabortionaresimilar tothoseof an
inevitableabortion,but sometissueis passed.
DIF: Cognitive Level: Comprehension REF: Page 84, Table 5-2 | Page 82,
Figure 5-2OBJ:4TOP: Incomplete Abortion
KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. Thenursefindsa woman crying after shehasundergoneadilation and
evacuation(D&E) for a missed abortion. What is the mostappropriate
statement bythenurse?
a. Thereisusuallysomething wrong with thefetus whenthishappens earlyin
pregnancy.
b. Now there. You can try to conceive on yournextcycle.
c. Im hereif youneed totalk.
d.You areyoung and strong. I know you canhaveahealthy
pregnancy.ANS: C
Aneffectivetechnique whencommunicating witha womanexperiencing
pregnancylossistosay, Im hereif youneedto talk. Thenurselistens and
acknowledges the womans grief.
DIF: Cognitive Level: Application REF: Page 85 OBJ:4
TOP: DilationandEvacuation (D&E)KEY: Nursing Process Step:
ImplementationMSC: NCLEX: Psychosocial Integrity: Coping and
Adaptation
4. A woman who is 8 weeks pregnant becomes concerned when she has light
vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is
confirmed by ultrasound.Whichstatement indicates that the woman
understands the explanation of anectopicpregnancy?
a. Thechorionic villidevelopvesicles withintheuterus.
b. Theplacentadevelops in thelowerpartof the uterus.
c. Thefetusdies intheuterus duringthefirsthalf of thepregnancy.
d. Theembryois implantedinthefallopian
tube.ANS: D
Ectopicpregnancyoccurs whenthefertilizedovum is implantedoutside of
theuterinecavity.
DIF: Cognitive Level: Comprehension REF: Page 86 OBJ: 4
TOP:Ectopic PregnancyKEY: Nursing Process Step:
Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Preventionand Early
DetectionofDisease
5. An ultrasound on a woman who is 32 weeks pregnant reveals the placenta
implanted over theentirecervicalos. What does thenurseunderstandbest
describes this condition?
a. Low-lyingplacenta
b. Marginalplacentaprevia
c. Partialplacentaprevia
d. Totalplacenta [Show Less]