Test Bank for Maternal Child Nursing Care 3rd CANADIAN
Edition Keenan Lindsay Chapter 1 - 55 Updated 2023 /
9780323759199 / All Chapters with Answers and Rationals
___ is a major cause of obstetric morbidity and mortality throughout the world. - ANSWER:
Postpartum hemorrhage
___ is the leading reason for obstetric intensive care unit admissions. - ANSWER: Postpartum
hemorrhage
___ is an emergency situation in which the perfusion of body organs can become severely
compromised and death can ensue. - ANSWER: Hemorrhagic (hypovolemic) shock
Postpartum hemorrhage and shock are best managed by an ___ according to standardized treatment
models. - ANSWER: interprofessional health care team
When bleeding is continuous and there is no identifiable source, ___ can be the cause. - ANSWER:
coagulopathy
The woman's coagulation status must be assessed ___. - ANSWER: quickly and continuously
What are three pregnancy complications that cause coagulopathies? - ANSWER: (1) idiopathic or
immune thrombocytopenic purpura (2) von Willebrand disease
(3) disseminated intravascular coagulation.
What does ITP stand for? - ANSWER: idiopathic/immune thrombocytopenic purpura
What does vWD stand for? - ANSWER: von Willebrand disease
What does DIC stand for? - ANSWER: disseminated intravascular coagulation
___ is a major cause of maternal morbidity and mortality throughout the world. - ANSWER:
Postpartum infection
___ is the most common postpartum infection. - ANSWER: Endometritis
___ are common because of trauma experienced during labor. - ANSWER: Postpartum UTIs
___ is the most effective and least expensive treatment of postpartum infection. - ANSWER:
Prevention
___ account for most mental health disorders in the postpartum period. - ANSWER: Mood disorders
Suicidal thoughts or attempts are among the most serious symptoms of ___. - ANSWER: postpartum
depression (PPD)
What does PPD stand for? - ANSWER: postpartum depression
When should screening for postpartum depression (PPD) occur? - ANSWER: (1) during pregnancy
(2) during the postpartum period
Women with postpartum mood disorders are most effectively managed by an ___ that involves
obstetric, mental health, nursing, and lactation health care members. - ANSWER: interprofessional
team
, ___ occurs in a small percentage of men from the first trimester of pregnancy through the first year
after birth. - ANSWER: Paternal perinatal depression
Paternal perinatal depression occurs in a small percentage of men from the ___ through the first year
after birth. - ANSWER: first trimester of pregnancy
Paternal perinatal depression occurs in a small percentage of men from the first trimester of
pregnancy through ___. - ANSWER: the first year after birth
What type of medications are the usual treatment for postpartum depression (PPD)? - ANSWER:
antidepressants
Specific precautions are needed for breastfeeding women taking ___. - ANSWER: antidepressants
___ include generalized anxiety disorder, obsessive-compulsive disorder, and social anxiety disorders.
- ANSWER: Anxiety disorders
Treatment of ___ requires a combination of medication, education, supportive measures, and
psychotherapy. - ANSWER: postpartum anxiety disorders
___ can be caused by a variety of complications and, in many cases, is sudden and unexpected. -
ANSWER: Maternal death
Any instance of ___ is tragic for the family, as well as for the nurses and other health professionals
who were involved in her care. - ANSWER: maternal death
Nurses and other health care professionals provide ___ for families who have experienced maternal
loss. - ANSWER: empathetic care and support
Prolapse of the urinary bladder through the anterior vaginal wall. - ANSWER: cystocele
Infection of the decidua, myometrium, and parametrial tissues of the uterus. - ANSWER: endometritis
Abnormal passageways between genital tract organs. - ANSWER: genital fistula
Shock associated with the sudden and rapid loss of significant amounts of blood. Severe traumatic
injuries often cause such blood losses. This results in inadequate perfusion to meet the metabolic
demands of cellular function. Death occurs within a relatively short time unless transfusion quickly
restores normal blood volume. Hemorrhagic shock often accompanies secondary shock. - ANSWER:
hemorrhagic (hypovolemic) shock
Autoimmune disorder in which antiplatelet antibodies decrease the life span of the platelets. -
ANSWER: idiopathic thrombocytopenic purpura
Weakness of the pelvic support structures. - ANSWER: pelvic relaxation
A placenta that is abnormally adherent to the uterine muscle. If the condition is more advanced, it is
called placenta increta (the placenta extends into the uterine muscle) or placenta percreta (the
placenta extends through the uterine muscle). - ANSWER: placenta accreta
An abnormal psychiatric condition that occurs after childbirth, typically from 3 days to 6 weeks after
birth. It is characterized by symptoms that range from mild ''postpartum blues'' to an intense suicidal
depressive psychosis. Severe postpartum depression occurs approximately once in every 2000 to
3000 pregnancies. The cause is not proved; neurochemical and psychologic influences have been
implicated. Approximately one third of patients are found to have had some degree of psychiatric
abnormality predating the pregnancy. The disorder recurs in subsequent pregnancies in 25% of cases.
Some women at risk for postpartum depression may be identified during the prenatal period: those
Edition Keenan Lindsay Chapter 1 - 55 Updated 2023 /
9780323759199 / All Chapters with Answers and Rationals
___ is a major cause of obstetric morbidity and mortality throughout the world. - ANSWER:
Postpartum hemorrhage
___ is the leading reason for obstetric intensive care unit admissions. - ANSWER: Postpartum
hemorrhage
___ is an emergency situation in which the perfusion of body organs can become severely
compromised and death can ensue. - ANSWER: Hemorrhagic (hypovolemic) shock
Postpartum hemorrhage and shock are best managed by an ___ according to standardized treatment
models. - ANSWER: interprofessional health care team
When bleeding is continuous and there is no identifiable source, ___ can be the cause. - ANSWER:
coagulopathy
The woman's coagulation status must be assessed ___. - ANSWER: quickly and continuously
What are three pregnancy complications that cause coagulopathies? - ANSWER: (1) idiopathic or
immune thrombocytopenic purpura (2) von Willebrand disease
(3) disseminated intravascular coagulation.
What does ITP stand for? - ANSWER: idiopathic/immune thrombocytopenic purpura
What does vWD stand for? - ANSWER: von Willebrand disease
What does DIC stand for? - ANSWER: disseminated intravascular coagulation
___ is a major cause of maternal morbidity and mortality throughout the world. - ANSWER:
Postpartum infection
___ is the most common postpartum infection. - ANSWER: Endometritis
___ are common because of trauma experienced during labor. - ANSWER: Postpartum UTIs
___ is the most effective and least expensive treatment of postpartum infection. - ANSWER:
Prevention
___ account for most mental health disorders in the postpartum period. - ANSWER: Mood disorders
Suicidal thoughts or attempts are among the most serious symptoms of ___. - ANSWER: postpartum
depression (PPD)
What does PPD stand for? - ANSWER: postpartum depression
When should screening for postpartum depression (PPD) occur? - ANSWER: (1) during pregnancy
(2) during the postpartum period
Women with postpartum mood disorders are most effectively managed by an ___ that involves
obstetric, mental health, nursing, and lactation health care members. - ANSWER: interprofessional
team
, ___ occurs in a small percentage of men from the first trimester of pregnancy through the first year
after birth. - ANSWER: Paternal perinatal depression
Paternal perinatal depression occurs in a small percentage of men from the ___ through the first year
after birth. - ANSWER: first trimester of pregnancy
Paternal perinatal depression occurs in a small percentage of men from the first trimester of
pregnancy through ___. - ANSWER: the first year after birth
What type of medications are the usual treatment for postpartum depression (PPD)? - ANSWER:
antidepressants
Specific precautions are needed for breastfeeding women taking ___. - ANSWER: antidepressants
___ include generalized anxiety disorder, obsessive-compulsive disorder, and social anxiety disorders.
- ANSWER: Anxiety disorders
Treatment of ___ requires a combination of medication, education, supportive measures, and
psychotherapy. - ANSWER: postpartum anxiety disorders
___ can be caused by a variety of complications and, in many cases, is sudden and unexpected. -
ANSWER: Maternal death
Any instance of ___ is tragic for the family, as well as for the nurses and other health professionals
who were involved in her care. - ANSWER: maternal death
Nurses and other health care professionals provide ___ for families who have experienced maternal
loss. - ANSWER: empathetic care and support
Prolapse of the urinary bladder through the anterior vaginal wall. - ANSWER: cystocele
Infection of the decidua, myometrium, and parametrial tissues of the uterus. - ANSWER: endometritis
Abnormal passageways between genital tract organs. - ANSWER: genital fistula
Shock associated with the sudden and rapid loss of significant amounts of blood. Severe traumatic
injuries often cause such blood losses. This results in inadequate perfusion to meet the metabolic
demands of cellular function. Death occurs within a relatively short time unless transfusion quickly
restores normal blood volume. Hemorrhagic shock often accompanies secondary shock. - ANSWER:
hemorrhagic (hypovolemic) shock
Autoimmune disorder in which antiplatelet antibodies decrease the life span of the platelets. -
ANSWER: idiopathic thrombocytopenic purpura
Weakness of the pelvic support structures. - ANSWER: pelvic relaxation
A placenta that is abnormally adherent to the uterine muscle. If the condition is more advanced, it is
called placenta increta (the placenta extends into the uterine muscle) or placenta percreta (the
placenta extends through the uterine muscle). - ANSWER: placenta accreta
An abnormal psychiatric condition that occurs after childbirth, typically from 3 days to 6 weeks after
birth. It is characterized by symptoms that range from mild ''postpartum blues'' to an intense suicidal
depressive psychosis. Severe postpartum depression occurs approximately once in every 2000 to
3000 pregnancies. The cause is not proved; neurochemical and psychologic influences have been
implicated. Approximately one third of patients are found to have had some degree of psychiatric
abnormality predating the pregnancy. The disorder recurs in subsequent pregnancies in 25% of cases.
Some women at risk for postpartum depression may be identified during the prenatal period: those
