TEST BANK
j
Maternity,jNewborn,jandjWomen'sjHealthjNursingjAjCase-
BasedjApproachjbyjDr.jAmyjO'Meara
2ndjEdition
TEST BANK!!!
j
, MaternityjNewbornjandjWomen’sjHealthjNursingjAjCase-BasedjApproachj2nd
EditionjO’MearajTest
BankChapterj1jImmediatejPostpartumjHemorrhagejMULTIPL
EjCHOICE
1. Ajpregnantjwomanjisjbeingjdischargedjfromjthejhospitaljafterjthejplacementjofjajcervicaljcercl
agejbecausejofjajhistoryjofjrecurrentjpregnancyjloss,jsecondaryjtojanjincompetentjcervix.jWhichji
nformationjregardingjpostproceduraljcarejshouldjthejnursejemphasizejinjthejdischargejteaching?
a. Anyjvaginaljdischargejshouldjbejimmediatelyjreportedjtojherjhealthjcarejprovider.
b. Thejpresencejofjanyjcontractions,jrupturejofjmembranesj(ROM),jorjseverejperinealjpressurejshould
c. Thejclientjwilljneedjtojmakejarrangementsjforjcarejatjhome,jbecausejherjactivityjleveljwilljbejrestri
d. Thejclientjwilljbejscheduledjforjajcesareanjbirth.j
ANS:jB
Nursingjcarejshouldjstressjthejimportancejofjmonitoringjforjthejsignsjandjsymptomsjofjpreterm
labor.jVaginaljbleedingjneedsjtojbejreportedjtojherjprimaryjhealthjcarejprovider.jBedjrestjisjanjelem
entjofjcare.jHowever,jthejwomanjmayjstandjforjperiodsjofjupjtoj90jminutes,jwhichjallowsjherjthejfre
edomjtojseejherjphysician.jHomejuterinejactivityjmonitoringjmayjbejusedjtojlimitjthejwomansjneedj
forjvisitsjandjtojmonitorjherjstatusjsafelyjatjhome.jThejcerclagejcanjbejremovedjatj37jweeksjofjgestat
ionj(tojpreparejforjajvaginaljbirth),jorjajcesareanjbirthjcanjbejplanned.
DIF:jCognitivejLevel:jApplyjREF:jdm.j675
TOP:jNursingjProcess:jPlanningj|jNursingjProcess:jImplementationj
MSC:jClientjNeeds:jHealthjPromotionjandjMaintenance
2. Ajperinataljnursejisjgivingjdischargejinstructionsjtojajwoman,jstatusjpostsuction,jandjcurettagejse
condaryjtojajhydatidiformjmole.jThejwomanjasksjwhyjshejmustjtakejoraljcontraceptivesjforjthejnex
tj12jmonths.jWhatjisjthejbestresponsejbyjthejnurse?
Ifjyoujgetjpregnantjwithinj1jyear,jthejchancejofjajsuccessfuljpregnancyjisjveryjsmall.jTherefore,jif
a. pregnancy,jitjwouldjbejbetterjforjyoujtojusejthejmostjreliablejmethodjofjcontraceptionjavailable.
Thejmajorjriskjtojyoujafterjajmolarjpregnancyjisjajtypejofjcancerjthatjcanjbejdiagnosedjonlyjbyjmejhor
monejthatjyourjbodyjproducesjduringjpregnancy.jIfj youjwerejtojgetjpregnant,jthenjitjwouldjmak
b. thisjcancerjmorejdifficult.
Ifjyoujcanjavoidjajpregnancyjforjthejnextjyear,jthejchancejofjdevelopingjajsecondjmolarjpregnancy
c. improvejyourjchancejofjajsuccessfuljpregnancy,jnotjgettingjpregnantjatjthisjtimejisjbest.
d. OraljcontraceptivesjarejthejonlyjformjofjbirthjcontroljthatjwilljpreventjajrecurrencejofjajmolarjpregjAN
S:jB
Betahumanjchorionicjgonadotropinj(beta-hCG)jhormonejlevelsjarejdrawnjforj1jyearjtojensure
thatjthejmolejisjcompletelyjgone.jThejchancejofjdevelopingjchoriocarcinomajafterjthejdevelopmentj
ofjajhydatidiformjmolejisjincreased.jTherefore,jthejgoaljisjtojachievejajzerojhumanjchorionicjgonad
otropinj(hCG)jlevel.jIfjthejwomanjwerejtojbecomejpregnant,jthenjitjmayjobscurejthejpresencejofjthej
potentiallyjcarcinogenicjcells.jWomenjshouldjbejinstructedjtojusejbirthjcontroljforj1jyearjafterjtreat
mentjforjajhydatidiformjmole.jThejrationalejforjavoidingjpregnancy
MedjC
, forj1jyearjisjtojensurejthatjcarcinogenicjcellsjarejnotjpresent.jAnyjcontraceptivejmethodjexceptjanji
ntrauterinejdevicej(IUD)jisjacceptable.
DIF:jCognitivejLevel:jApplyjREF:jdm.j679
TOP:jNursingjProcess:jPlanningj|jNursingjProcess:jImplementationj
MSC:jClientjNeeds:jPhysiologicjIntegrity
3. Thejnursejisjpreparingjtojadministerjmethotrexatejtojthejclient.jThisjhazardousjdrugjisj
mostjoftenjusedjforjwhichjobstetricjcomplication?
a. Completejhydatidiformjmole
b. Missedjabortion
c. Unrupturedjectopicjpregnancy
d. Abruptiojplacentae
jANS:jC
Methotrexatejisjanjeffectivejnonsurgicaljtreatmentjoptionjforjajhemodynamicallyjstablejwoman
whosejectopicjpregnancyjisjunrupturedjandjmeasuresjlessjthanj4jcmjinjdiameter.jMethotrexatejisjnotj
indicatedjorjrecommendedjasjajtreatmentjoptionjforjajcompletejhydatidiformjmole,jforjajmissedjabo
rtion,jorjforjabruptiojplacentae.
DIF:jCognitivejLevel:jApplyjREF:jdm.j677jTOP:jNursingjProcess:jPlanningjMSC:j
ClientjNeeds:jPhysiologicjIntegrity
4. Aj26-year-oldjpregnantjwoman,jgravidaj2,jparaj1-0-0-
1,jisj28jweeksjpregnantjwhenjshejexperiencesjbrightjred,jpainlessjvaginaljbleeding.jOnjherjarrivaljat
jthejhospital,jwhichjdiagnosticjprocedurejwilljthejclientjmostjlikelyjhavejperformed?
a. Amniocentesisjforjfetaljlungjmaturity
b. Transvaginaljultrasoundjforjplacentaljlocation
c. Contractionjstressjtestj(CST)
d. Internaljfetaljmonitoringj
ANS:jB
Thejpresencejofjpainlessjbleedingjshouldjalwaysjalertjthejhealthjcarejteamjtojthejpossibilityjof
placentajprevia,jwhichjcanjbejconfirmedjthroughjultrasonography.jAmniocentesisjisjnotjperformedj
onjajwomanjwhojisjexperiencingjbleeding.jInjthejeventjofjanjimminentjdelivery,jthejfetusjisjpresum
edjtojhavejimmaturejlungsjatjthisjgestationaljage,jandjthejmotherjisjgivenjcorticosteroidsjtojaidjinjfet
aljlungjmaturity.jAjCSTjisjnotjperformedjatjajpretermjgestationaljage.jFurthermore,jbleedingjisjajcon
traindicationjtojajCST.jInternaljfetaljmonitoringjisjalsojcontraindicatedjinjthejpresencejofjbleeding.
DIF:jCognitivejLevel:jApplyjREF:jdm.j680
TOP:jNursingjProcess:jAssessmentjMSC:jClientjNeeds:jHealthjPromotionjandjMaintenance
5. AjlaboringjwomanjwithjnojknownjriskjfactorsjsuddenlyjexperiencesjspontaneousjROM.jThejflu
idjconsistsjofjbrightjredjblood.jHerjcontractionsjarejconsistentjwithjherjcurrentjstagejofjlabor.jNojch
angejinjuterinejrestingjtonejhasjoccurred.jThejfetaljheartjratej(FHR)jbeginsjtojdeclinejrapidlyjafterj
thejROM.jThejnursejshouldjsuspectjthejpossibilityjofjwhatjcondition?
a. Placentajprevia
b. Vasajprevia
c. Severejabruptiojplacentae
MedjC
, d. Disseminatedjintravascularjcoagulationj(DIC)j
ANS:jB
Vasajpreviajisjthejresultjofjajvelamentousjinsertionjofjthejumbilicaljcord.jThejumbilicaljvessels
arejnotjsurroundedjbyjWhartonjjellyjandjhavejnojsupportivejtissue.jThejumbilicaljbloodjvesselsjthu
sjarejatjriskjforjlacerationjatjanyjtime,jbutjlacerationjoccursjmostjfrequentlyjduringjROM.jThejsudde
njappearancejofjbrightjredjbloodjatjthejtimejofjROMjandjajsuddenjchangejinjthejFHRjwithoutjotherj
knownjriskjfactorsjshouldjimmediatelyjalertjthejnursejtojthejpossibilityjofjvasajprevia.jThejpresence
jofjplacentajpreviajmostjlikelyjwouldjbejascertainedjbeforejlaborjandjisjconsideredjajriskjfactorjforjt
hisjpregnancy.jInjaddition,jifjthejwomanjhadjajplacentajprevia,jitjisjunlikelyjthatjshejwouldjbejallow
edjtojpursuejlaborjandjajvaginaljbirth.jWithjthejpresencejofjseverejabruptiojplacentae,jthejuterinejton
icityjtypicallyjisjtetanusj(i.e.,jajboardlikejuterus).jDICjisjajpathologicjformjofjdiffusejclottingjthatjco
nsumesjlargejamountsjofjclottingjfactors,jcausingjwidespreadjexternaljbleeding,jinternaljbleeding,j
orjboth.jDICjisjalwaysjajsecondaryjdiagnosis,joftenjassociatedjwithjobstetricjriskjfactorsjsuchjasjthej
hemolysis,jelevatedjliverjenzymejlevels,jandjlowjplateletjlevelsj(HELLP)jsyndrome.jThisjwomanjd
idjnotjhavejanyjpriorjriskjfactors.
DIF:jCognitivejLevel:jAnalyzejREF:jdm.j684jTOP:jNursingjProcess:jDiagnosisjMS
C:jClientjNeeds:jPhysiologicjIntegrity
6. Ajwomanjarrivesjforjevaluationjofjsignsjandjsymptomsjthatjincludejajmissedjperiod,jadnexaljful
lness,jtenderness,jandjdarkjredjvaginaljbleeding.jOnjexamination,jthejnursejnoticesjanjecchymoti
cjbluenessjaroundjthejwomansjumbilicus.jWhatjdoesjthisjfindingjindicate?
a. Normaljintegumentaryjchangesjassociatedjwithjpregnancy
b. Turnerjsignjassociatedjwithjappendicitis
c. Cullenjsignjassociatedjwithjajrupturedjectopicjpregnancy
d. Chadwickjsignjassociatedjwithjearlyjpregnancyj
ANS:jC
Cullenjsign,jthejbluejecchymosisjobservedjinjthejumbilicaljarea,jindicatesjhematoperitoneum
associatedjwithjanjundiagnosedjrupturedjintraabdominaljectopicjpregnancy.jLineajnigrajonjthejabd
omenjisjthejnormaljintegumentaryjchangejassociatedjwithjpregnancyjandjexhibitsjajbrownjpigment
ed,jverticaljlinejonjthejlowerjabdomen.jTurnerjsignjisjecchymosisjinjthejflankjarea,joftenjassociatedj
withjpancreatitis.jAjChadwickjsignjisjajblue-
purplejcervixjthatjmayjbejseenjduringjorjaroundjthejeighthjweekjofjpregnancy.
DIF:jCognitivejLevel:jAnalyzejREF:jdm.j676
TOP:jNursingjProcess:jAssessmentjMSC:jClientjNeeds:jPhysiologicjIntegrity
7. Thejnursejwhojelectsjtojpracticejinjthejareajofjwomensjhealthjmustjhavejajthoroughjunde
rstandingjofjmiscarriage.jWhichjstatementjregardingjthisjconditionjisjmostjaccurate?
a. Ajmiscarriagejisjajnaturaljpregnancyjlossjbeforejlaborjbegins.
b. Itjoccursjinjfewerjthanj5%jofjalljclinicallyjrecognizedjpregnancies.
c. Carelessjmaternaljbehavior,jsuchjasjpoorjnutritionjorjexcessivejexercise,jcanjbejajfactorjinjcausingjIfjaj
miscarriagejoccursjbeforejthej12thjweekjofjpregnancy,jthenjitjmayjbejobservedjonlyjasjmodera
d. bloodjloss.
ANS:jD
Beforejthejsixthjweek,jthejonlyjevidencejmightjbejajheavyjmenstrualjflow.jAfterjthej12thjweek,jmor
ejseverejpain,jsimilarjtojthatjofjlabor,jisjlikely.jMiscarriagejisjajnaturaljpregnancyjloss,jbutjit
MedjC
j
Maternity,jNewborn,jandjWomen'sjHealthjNursingjAjCase-
BasedjApproachjbyjDr.jAmyjO'Meara
2ndjEdition
TEST BANK!!!
j
, MaternityjNewbornjandjWomen’sjHealthjNursingjAjCase-BasedjApproachj2nd
EditionjO’MearajTest
BankChapterj1jImmediatejPostpartumjHemorrhagejMULTIPL
EjCHOICE
1. Ajpregnantjwomanjisjbeingjdischargedjfromjthejhospitaljafterjthejplacementjofjajcervicaljcercl
agejbecausejofjajhistoryjofjrecurrentjpregnancyjloss,jsecondaryjtojanjincompetentjcervix.jWhichji
nformationjregardingjpostproceduraljcarejshouldjthejnursejemphasizejinjthejdischargejteaching?
a. Anyjvaginaljdischargejshouldjbejimmediatelyjreportedjtojherjhealthjcarejprovider.
b. Thejpresencejofjanyjcontractions,jrupturejofjmembranesj(ROM),jorjseverejperinealjpressurejshould
c. Thejclientjwilljneedjtojmakejarrangementsjforjcarejatjhome,jbecausejherjactivityjleveljwilljbejrestri
d. Thejclientjwilljbejscheduledjforjajcesareanjbirth.j
ANS:jB
Nursingjcarejshouldjstressjthejimportancejofjmonitoringjforjthejsignsjandjsymptomsjofjpreterm
labor.jVaginaljbleedingjneedsjtojbejreportedjtojherjprimaryjhealthjcarejprovider.jBedjrestjisjanjelem
entjofjcare.jHowever,jthejwomanjmayjstandjforjperiodsjofjupjtoj90jminutes,jwhichjallowsjherjthejfre
edomjtojseejherjphysician.jHomejuterinejactivityjmonitoringjmayjbejusedjtojlimitjthejwomansjneedj
forjvisitsjandjtojmonitorjherjstatusjsafelyjatjhome.jThejcerclagejcanjbejremovedjatj37jweeksjofjgestat
ionj(tojpreparejforjajvaginaljbirth),jorjajcesareanjbirthjcanjbejplanned.
DIF:jCognitivejLevel:jApplyjREF:jdm.j675
TOP:jNursingjProcess:jPlanningj|jNursingjProcess:jImplementationj
MSC:jClientjNeeds:jHealthjPromotionjandjMaintenance
2. Ajperinataljnursejisjgivingjdischargejinstructionsjtojajwoman,jstatusjpostsuction,jandjcurettagejse
condaryjtojajhydatidiformjmole.jThejwomanjasksjwhyjshejmustjtakejoraljcontraceptivesjforjthejnex
tj12jmonths.jWhatjisjthejbestresponsejbyjthejnurse?
Ifjyoujgetjpregnantjwithinj1jyear,jthejchancejofjajsuccessfuljpregnancyjisjveryjsmall.jTherefore,jif
a. pregnancy,jitjwouldjbejbetterjforjyoujtojusejthejmostjreliablejmethodjofjcontraceptionjavailable.
Thejmajorjriskjtojyoujafterjajmolarjpregnancyjisjajtypejofjcancerjthatjcanjbejdiagnosedjonlyjbyjmejhor
monejthatjyourjbodyjproducesjduringjpregnancy.jIfj youjwerejtojgetjpregnant,jthenjitjwouldjmak
b. thisjcancerjmorejdifficult.
Ifjyoujcanjavoidjajpregnancyjforjthejnextjyear,jthejchancejofjdevelopingjajsecondjmolarjpregnancy
c. improvejyourjchancejofjajsuccessfuljpregnancy,jnotjgettingjpregnantjatjthisjtimejisjbest.
d. OraljcontraceptivesjarejthejonlyjformjofjbirthjcontroljthatjwilljpreventjajrecurrencejofjajmolarjpregjAN
S:jB
Betahumanjchorionicjgonadotropinj(beta-hCG)jhormonejlevelsjarejdrawnjforj1jyearjtojensure
thatjthejmolejisjcompletelyjgone.jThejchancejofjdevelopingjchoriocarcinomajafterjthejdevelopmentj
ofjajhydatidiformjmolejisjincreased.jTherefore,jthejgoaljisjtojachievejajzerojhumanjchorionicjgonad
otropinj(hCG)jlevel.jIfjthejwomanjwerejtojbecomejpregnant,jthenjitjmayjobscurejthejpresencejofjthej
potentiallyjcarcinogenicjcells.jWomenjshouldjbejinstructedjtojusejbirthjcontroljforj1jyearjafterjtreat
mentjforjajhydatidiformjmole.jThejrationalejforjavoidingjpregnancy
MedjC
, forj1jyearjisjtojensurejthatjcarcinogenicjcellsjarejnotjpresent.jAnyjcontraceptivejmethodjexceptjanji
ntrauterinejdevicej(IUD)jisjacceptable.
DIF:jCognitivejLevel:jApplyjREF:jdm.j679
TOP:jNursingjProcess:jPlanningj|jNursingjProcess:jImplementationj
MSC:jClientjNeeds:jPhysiologicjIntegrity
3. Thejnursejisjpreparingjtojadministerjmethotrexatejtojthejclient.jThisjhazardousjdrugjisj
mostjoftenjusedjforjwhichjobstetricjcomplication?
a. Completejhydatidiformjmole
b. Missedjabortion
c. Unrupturedjectopicjpregnancy
d. Abruptiojplacentae
jANS:jC
Methotrexatejisjanjeffectivejnonsurgicaljtreatmentjoptionjforjajhemodynamicallyjstablejwoman
whosejectopicjpregnancyjisjunrupturedjandjmeasuresjlessjthanj4jcmjinjdiameter.jMethotrexatejisjnotj
indicatedjorjrecommendedjasjajtreatmentjoptionjforjajcompletejhydatidiformjmole,jforjajmissedjabo
rtion,jorjforjabruptiojplacentae.
DIF:jCognitivejLevel:jApplyjREF:jdm.j677jTOP:jNursingjProcess:jPlanningjMSC:j
ClientjNeeds:jPhysiologicjIntegrity
4. Aj26-year-oldjpregnantjwoman,jgravidaj2,jparaj1-0-0-
1,jisj28jweeksjpregnantjwhenjshejexperiencesjbrightjred,jpainlessjvaginaljbleeding.jOnjherjarrivaljat
jthejhospital,jwhichjdiagnosticjprocedurejwilljthejclientjmostjlikelyjhavejperformed?
a. Amniocentesisjforjfetaljlungjmaturity
b. Transvaginaljultrasoundjforjplacentaljlocation
c. Contractionjstressjtestj(CST)
d. Internaljfetaljmonitoringj
ANS:jB
Thejpresencejofjpainlessjbleedingjshouldjalwaysjalertjthejhealthjcarejteamjtojthejpossibilityjof
placentajprevia,jwhichjcanjbejconfirmedjthroughjultrasonography.jAmniocentesisjisjnotjperformedj
onjajwomanjwhojisjexperiencingjbleeding.jInjthejeventjofjanjimminentjdelivery,jthejfetusjisjpresum
edjtojhavejimmaturejlungsjatjthisjgestationaljage,jandjthejmotherjisjgivenjcorticosteroidsjtojaidjinjfet
aljlungjmaturity.jAjCSTjisjnotjperformedjatjajpretermjgestationaljage.jFurthermore,jbleedingjisjajcon
traindicationjtojajCST.jInternaljfetaljmonitoringjisjalsojcontraindicatedjinjthejpresencejofjbleeding.
DIF:jCognitivejLevel:jApplyjREF:jdm.j680
TOP:jNursingjProcess:jAssessmentjMSC:jClientjNeeds:jHealthjPromotionjandjMaintenance
5. AjlaboringjwomanjwithjnojknownjriskjfactorsjsuddenlyjexperiencesjspontaneousjROM.jThejflu
idjconsistsjofjbrightjredjblood.jHerjcontractionsjarejconsistentjwithjherjcurrentjstagejofjlabor.jNojch
angejinjuterinejrestingjtonejhasjoccurred.jThejfetaljheartjratej(FHR)jbeginsjtojdeclinejrapidlyjafterj
thejROM.jThejnursejshouldjsuspectjthejpossibilityjofjwhatjcondition?
a. Placentajprevia
b. Vasajprevia
c. Severejabruptiojplacentae
MedjC
, d. Disseminatedjintravascularjcoagulationj(DIC)j
ANS:jB
Vasajpreviajisjthejresultjofjajvelamentousjinsertionjofjthejumbilicaljcord.jThejumbilicaljvessels
arejnotjsurroundedjbyjWhartonjjellyjandjhavejnojsupportivejtissue.jThejumbilicaljbloodjvesselsjthu
sjarejatjriskjforjlacerationjatjanyjtime,jbutjlacerationjoccursjmostjfrequentlyjduringjROM.jThejsudde
njappearancejofjbrightjredjbloodjatjthejtimejofjROMjandjajsuddenjchangejinjthejFHRjwithoutjotherj
knownjriskjfactorsjshouldjimmediatelyjalertjthejnursejtojthejpossibilityjofjvasajprevia.jThejpresence
jofjplacentajpreviajmostjlikelyjwouldjbejascertainedjbeforejlaborjandjisjconsideredjajriskjfactorjforjt
hisjpregnancy.jInjaddition,jifjthejwomanjhadjajplacentajprevia,jitjisjunlikelyjthatjshejwouldjbejallow
edjtojpursuejlaborjandjajvaginaljbirth.jWithjthejpresencejofjseverejabruptiojplacentae,jthejuterinejton
icityjtypicallyjisjtetanusj(i.e.,jajboardlikejuterus).jDICjisjajpathologicjformjofjdiffusejclottingjthatjco
nsumesjlargejamountsjofjclottingjfactors,jcausingjwidespreadjexternaljbleeding,jinternaljbleeding,j
orjboth.jDICjisjalwaysjajsecondaryjdiagnosis,joftenjassociatedjwithjobstetricjriskjfactorsjsuchjasjthej
hemolysis,jelevatedjliverjenzymejlevels,jandjlowjplateletjlevelsj(HELLP)jsyndrome.jThisjwomanjd
idjnotjhavejanyjpriorjriskjfactors.
DIF:jCognitivejLevel:jAnalyzejREF:jdm.j684jTOP:jNursingjProcess:jDiagnosisjMS
C:jClientjNeeds:jPhysiologicjIntegrity
6. Ajwomanjarrivesjforjevaluationjofjsignsjandjsymptomsjthatjincludejajmissedjperiod,jadnexaljful
lness,jtenderness,jandjdarkjredjvaginaljbleeding.jOnjexamination,jthejnursejnoticesjanjecchymoti
cjbluenessjaroundjthejwomansjumbilicus.jWhatjdoesjthisjfindingjindicate?
a. Normaljintegumentaryjchangesjassociatedjwithjpregnancy
b. Turnerjsignjassociatedjwithjappendicitis
c. Cullenjsignjassociatedjwithjajrupturedjectopicjpregnancy
d. Chadwickjsignjassociatedjwithjearlyjpregnancyj
ANS:jC
Cullenjsign,jthejbluejecchymosisjobservedjinjthejumbilicaljarea,jindicatesjhematoperitoneum
associatedjwithjanjundiagnosedjrupturedjintraabdominaljectopicjpregnancy.jLineajnigrajonjthejabd
omenjisjthejnormaljintegumentaryjchangejassociatedjwithjpregnancyjandjexhibitsjajbrownjpigment
ed,jverticaljlinejonjthejlowerjabdomen.jTurnerjsignjisjecchymosisjinjthejflankjarea,joftenjassociatedj
withjpancreatitis.jAjChadwickjsignjisjajblue-
purplejcervixjthatjmayjbejseenjduringjorjaroundjthejeighthjweekjofjpregnancy.
DIF:jCognitivejLevel:jAnalyzejREF:jdm.j676
TOP:jNursingjProcess:jAssessmentjMSC:jClientjNeeds:jPhysiologicjIntegrity
7. Thejnursejwhojelectsjtojpracticejinjthejareajofjwomensjhealthjmustjhavejajthoroughjunde
rstandingjofjmiscarriage.jWhichjstatementjregardingjthisjconditionjisjmostjaccurate?
a. Ajmiscarriagejisjajnaturaljpregnancyjlossjbeforejlaborjbegins.
b. Itjoccursjinjfewerjthanj5%jofjalljclinicallyjrecognizedjpregnancies.
c. Carelessjmaternaljbehavior,jsuchjasjpoorjnutritionjorjexcessivejexercise,jcanjbejajfactorjinjcausingjIfjaj
miscarriagejoccursjbeforejthej12thjweekjofjpregnancy,jthenjitjmayjbejobservedjonlyjasjmodera
d. bloodjloss.
ANS:jD
Beforejthejsixthjweek,jthejonlyjevidencejmightjbejajheavyjmenstrualjflow.jAfterjthej12thjweek,jmor
ejseverejpain,jsimilarjtojthatjofjlabor,jisjlikely.jMiscarriagejisjajnaturaljpregnancyjloss,jbutjit
MedjC
