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Test Bank For Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition.
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Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3 rd Edition, Roberta Durham, Linda Chapman
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Test Bank: Maternal-NewbornNursing: The Critical
Components of Nursing Care,
3rd Edition, Roberta Durham,
Linda Chapman
Chapter 1: Trends and Issues
MULTIPL
E CHOICE
• The nurse is caring for a patient who is in labor with her first child. The
patient’s mother ispresent for support and notes that things have
changed in the delivery room since she last gave birth in the early 1980s.
Which current trend or intervention may the patient’s mother find most
different?
• Fetal monitoring throughout labor
• Postpartum stay of 10 days
• Expectant partner and family in operating room for cesarean birth
• Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management
of labor and birthPage: 4
Heading: Table 1-1: Past
and Present Trends
Integrated Processes:
Nursing Process
Client Need: Health
Promotion and Maintenance
Cognitive Level: Application
, [Applying] Concept:
Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As
such,
this likely would have occurred during the mother’s labor and delivery
duringthe 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10
days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were
excluded fromthe labor and birth experience. Present trends involve the
expectant partner and family in the labor and birth experience, including
presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative,
were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
• A patient with a history of hypertension is giving birth. During
delivery, the staff was not able to stabilize the patient’s blood pressure.
As a result, the patient died shortly after delivery. This is an example
of what type of death?
• Early maternal death
• Late maternal death
• Direct obstetric death
• Indir
ect
obstetric
death
ANS: 4
, Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in
maternal and infant healthoutcomes.
Page: 7
Heading: Trends > Maternal Death
and Mortality RatesIntegrated
Processes: Nursing Process
Client Need: Physiological Integrity:
Reduction of Risk PotentialCognitive Level:
Application [Applying]
Concept:
Ante/Intra/Pos
t-partum
Difficulty:
Hard
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
Examples of maternal death include late maternal death, indirect obstetric
death, direct obstetric death, and pregnancy-related death.
2 This is incorrect. Late maternal death occurs 42 days after termination of
pregnancy from a direct or indirect obstetric cause.
3 This is incorrect. Direct obstetric death results from complications during
pregnancy, labor, birth, and/or postpartum period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease,
or a
disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
• The nurse is providing education to a patient who has given birth to her
first child and is being discharged home. The patient expressed concern
regarding infant mortality and sudden infant death syndrome (SIDS). The
patient had an uncomplicated pregnancy, labor, and vaginal delivery. She
has a body mass index of 25 and has no other health conditions. The
infant is healthy and was delivered full-term. What will be most helpful
thing to explainto the patient?
• Uses of extracorporeal membrane oxygenation therapy (ECMO)
• Uses of exogenous pulmonary surfactant
• The Baby-Friendly Hospital Initiative
, • The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading
causes of infant death. Page: 7
Heading: Trends >
Infant Mortality Rates
Integrated Processes:
Nursing process
Client Need: Safe and Effective Care Environment: Safety and
Infection ControlCognitive Level: Application [Applying]
Concept:
Health
Promotio
n
Difficult
y:
Moderate
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has
reduced
infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased
infant mortality, exogenous pulmonary surfactant is primarily used to
reduce mortality of
preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to
support
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep
campaigns weredesigned to promote healthy infant sleeping habits. The
decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
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