TEST BANK FOR LEIFER'S INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING IN CANADA 1ST EDITION BY LEIFER

1. A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness? a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy. b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances. c. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum. d. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss. ANS: B Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta. DIF: Cognitive Level: Comprehension REF: 92 OBJ: 3 TOP: Hyperemesis KEY: Nursing Process Step: Implementation 2. A woman is 9 weeks pregnant and experiencing heavy bleeding and cramping. She reports passing some tissue. Cervical dilation is noted on examination. What is the most likely cause of these symptoms? a. Inevitable abortion b. Incomplete abortion c. Complete abortion d. Missed abortion ANS: B Signs and symptoms of an incomplete abortion are similar to those of an inevitable abortion, but some tissue is passed. DIF: Cognitive Level: Comprehension REF: 96 | 97 | 98 OBJ: 4 TOP: Abortion KEY: Nursing Process Step: Data Collection 3. A nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. What is the most appropriate statement by the nurse? a. “There is usually something wrong with the fetus when this happens early in pregnancy.” b. “Now there. You can try to conceive on your next cycle.” c. “I’m here if you need to talk.” d. “You are young and strong. I know you can have a healthy pregnancy.” ANS: C An effective technique when communicating with a woman experiencing pregnancy loss is to say, “I’m here if you need to talk.” The nurse listens and acknowledges the woman’s grief