MATERNITY, NEWBORN, AND WOMEN'S HEALTH NURSING
A Case-Based Approach | 2nd Edition — Complete Test Bank
Dr. Amy O'Meara
Publisher: Wolters Kluwer | 2nd Edition | Newest 2025
All 30 Chapters • NCLEX-Style Questions • Rationales • Answers Included
Multiple Choice • Select All That Apply • Cognitive Level Tags • Nursing Process • Client Needs
All 30 Chapters Covered
Ch 01: Immediate Postpartum Hemorrhage Ch 16: Labor and Delivery
Ch 02: Later Postpartum Hemorrhage Ch 17: After Delivery
Ch 03: Gestational Diabetes, DVT, and Postpartum Pulmo Ch 18: The Newborn
Ch 04: Preeclampsia Ch 19: Conditions Existing Before Conception
Ch 05: Cord Prolapse and Nonreassuring Fetal Status Ch 20: Conditions Occurring During Pregnancy
Ch 06: Placental Abruption and Fetal Loss Ch 21: Complications Occurring Before Labor and Delive
Ch 07: Chorioamnionitis and Neonatal Sepsis Ch 22: Complications Occurring During Labor and Delive
Ch 08: Preterm Premature Rupture of Membranes & Neonat Ch 23: Conditions Occurring After Delivery
Ch 09: Gestational Diabetes, Macrosomia & Neonatal Cep Ch 24: Conditions in the Newborn: Gestational Age, Siz
Ch 10: Advanced Maternal Age, HELLP Syndrome & Neonata Ch 25: Acquired Conditions & Congenital Abnormalities
Ch 11: Migraine With Aura, Shoulder Dystocia & Brachia Ch 26: Wellness and Health Promotion
Ch 12: Intimate Partner Violence, Formula Feeding & PP Ch 27: Common Gynecologic Conditions
Ch 13: Gestational Trophoblastic Disease & Advanced Ma Ch 28: Infections
Ch 14: Before Conception Ch 29: Family Planning
Ch 15: Pregnancy Ch 30: Vulnerable Populations
NCLEX-Style Case-Based Answer Keys 586 Pages
Multiple Choice Clinical scenarios Full rationales 30-ch. full coverage
This complete test bank covers all 30 chapters of Maternity, Newborn, and Women's Health Nursing:
A Case-Based Approach, 2nd Edition by Dr. Amy O'Meara. Includes NCLEX-style Multiple Choice and
Select-All-That-Apply questions with rationales, cognitive levels, nursing process, and client needs tags.
Maternity, Newborn & Women's Health Nursing 2e — Complete Test Bank | Dr. Amy O'Meara
Wolters Kluwer | 2nd Edition 2025 | All 30 Chapters | For Academic Study Use
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
TEST BANK
Maternity, Newborn, and Women's Health Nursing A Case-Based Approach
by Dr. Amy O'Meara
2nd Edition
SE
D
O
C
S@
20
25
TEST BANK!!!
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Maternity Newborn and Women’s Health Nursing A Case-Based Approach 2nd
Edition O’Meara Test
BankChapter 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?
SE
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 shou
c. The client will need to make arrangements for care at home, because her activity level will be res
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
D
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 at
O
37 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: Implementation
MSC: Client Needs: Health Promotion and Maintenance
C
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,
S@
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 by m
hormone that your body produces during pregnancy. If you were to get pregnant, then it would m
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnan
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 pr
20
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 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
25
control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding pregnancy
Med C
!
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for 1 year is to ensure that carcinogenic cells are not present. Any contraceptive method except
an intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
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
SE
c. Unruptured ectopic pregnancy
d. Abruptio placentae
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.
D
DIF: Cognitive Level: Apply REF: dm. 677 TOP: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
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
O
procedure will the client most likely have performed?
a. Amniocentesis for fetal lung maturity
b. Transvaginal ultrasound for placental location
C
c. Contraction stress test (CST)
d. Internal fetal monitoring
ANS: B
S@
The presence of painless bleeding should always alert the health care team to the possibility of
placenta previa, which can be confirmed through ultrasonography. Amniocentesis is not
performed on a woman who is experiencing bleeding. In the event of an imminent delivery, the
fetus is presumed to have immature lungs at this gestational age, and the mother is given
corticosteroids to aid in fetal lung maturity. A CST is not performed at a preterm gestational age.
Furthermore, bleeding is a contraindication to a CST. Internal fetal monitoring is also
contraindicated in the presence of bleeding.
DIF: Cognitive Level: Apply REF: dm. 680
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
20
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
25
b. Vasa previa
c. Severe abruptio placentae
Med C
!
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A Case-Based Approach | 2nd Edition — Complete Test Bank
Dr. Amy O'Meara
Publisher: Wolters Kluwer | 2nd Edition | Newest 2025
All 30 Chapters • NCLEX-Style Questions • Rationales • Answers Included
Multiple Choice • Select All That Apply • Cognitive Level Tags • Nursing Process • Client Needs
All 30 Chapters Covered
Ch 01: Immediate Postpartum Hemorrhage Ch 16: Labor and Delivery
Ch 02: Later Postpartum Hemorrhage Ch 17: After Delivery
Ch 03: Gestational Diabetes, DVT, and Postpartum Pulmo Ch 18: The Newborn
Ch 04: Preeclampsia Ch 19: Conditions Existing Before Conception
Ch 05: Cord Prolapse and Nonreassuring Fetal Status Ch 20: Conditions Occurring During Pregnancy
Ch 06: Placental Abruption and Fetal Loss Ch 21: Complications Occurring Before Labor and Delive
Ch 07: Chorioamnionitis and Neonatal Sepsis Ch 22: Complications Occurring During Labor and Delive
Ch 08: Preterm Premature Rupture of Membranes & Neonat Ch 23: Conditions Occurring After Delivery
Ch 09: Gestational Diabetes, Macrosomia & Neonatal Cep Ch 24: Conditions in the Newborn: Gestational Age, Siz
Ch 10: Advanced Maternal Age, HELLP Syndrome & Neonata Ch 25: Acquired Conditions & Congenital Abnormalities
Ch 11: Migraine With Aura, Shoulder Dystocia & Brachia Ch 26: Wellness and Health Promotion
Ch 12: Intimate Partner Violence, Formula Feeding & PP Ch 27: Common Gynecologic Conditions
Ch 13: Gestational Trophoblastic Disease & Advanced Ma Ch 28: Infections
Ch 14: Before Conception Ch 29: Family Planning
Ch 15: Pregnancy Ch 30: Vulnerable Populations
NCLEX-Style Case-Based Answer Keys 586 Pages
Multiple Choice Clinical scenarios Full rationales 30-ch. full coverage
This complete test bank covers all 30 chapters of Maternity, Newborn, and Women's Health Nursing:
A Case-Based Approach, 2nd Edition by Dr. Amy O'Meara. Includes NCLEX-style Multiple Choice and
Select-All-That-Apply questions with rationales, cognitive levels, nursing process, and client needs tags.
Maternity, Newborn & Women's Health Nursing 2e — Complete Test Bank | Dr. Amy O'Meara
Wolters Kluwer | 2nd Edition 2025 | All 30 Chapters | For Academic Study Use
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
TEST BANK
Maternity, Newborn, and Women's Health Nursing A Case-Based Approach
by Dr. Amy O'Meara
2nd Edition
SE
D
O
C
S@
20
25
TEST BANK!!!
!
Downloaded by: Testbanksmafia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Maternity Newborn and Women’s Health Nursing A Case-Based Approach 2nd
Edition O’Meara Test
BankChapter 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?
SE
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 shou
c. The client will need to make arrangements for care at home, because her activity level will be res
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
D
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 at
O
37 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: Implementation
MSC: Client Needs: Health Promotion and Maintenance
C
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,
S@
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 by m
hormone that your body produces during pregnancy. If you were to get pregnant, then it would m
b. this cancer more difficult.
If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnan
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 pr
20
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 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
25
control for 1 year after treatment for a hydatidiform mole. The rationale for avoiding pregnancy
Med C
!
Downloaded by: Testbanksmafia | Want to earn $1.236
Distribution of this document is illegal extra per year?
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
for 1 year is to ensure that carcinogenic cells are not present. Any contraceptive method except
an intrauterine device (IUD) is acceptable.
DIF: Cognitive Level: Apply REF: dm. 679
TOP: Nursing Process: Planning | Nursing Process: Implementation
MSC: Client Needs: Physiologic Integrity
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
SE
c. Unruptured ectopic pregnancy
d. Abruptio placentae
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.
D
DIF: Cognitive Level: Apply REF: dm. 677 TOP: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
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
O
procedure will the client most likely have performed?
a. Amniocentesis for fetal lung maturity
b. Transvaginal ultrasound for placental location
C
c. Contraction stress test (CST)
d. Internal fetal monitoring
ANS: B
S@
The presence of painless bleeding should always alert the health care team to the possibility of
placenta previa, which can be confirmed through ultrasonography. Amniocentesis is not
performed on a woman who is experiencing bleeding. In the event of an imminent delivery, the
fetus is presumed to have immature lungs at this gestational age, and the mother is given
corticosteroids to aid in fetal lung maturity. A CST is not performed at a preterm gestational age.
Furthermore, bleeding is a contraindication to a CST. Internal fetal monitoring is also
contraindicated in the presence of bleeding.
DIF: Cognitive Level: Apply REF: dm. 680
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
20
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
25
b. Vasa previa
c. Severe abruptio placentae
Med C
!
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Distribution of this document is illegal extra per year?
