TEST BANK y
Maternal-NewbornyNursing:yTheyCriticalyComponentsyOfyNursingyCarey3rdyEditionyDurhamyChapman
, Maternal-
NewbornyNursing:yTheyCriticalyComponentsyOfyNursingyCare,y3rdyEdition,yRobertayDurham,y
LindayChapman
Chaptery1:yTrendsyandyIssues
MULTIPLEyCHOICE
1.
Theynurseyisycaringyforyaypatientywhoyisyinylaborywithyheryfirstychild.yTheypatient’symothery
isypresentyforysupportyandynotesythatythingsyhaveychangedyinytheydeliveryyroomysinceysheylastygavey
birthyinytheyearlyy1980s.yWhichycurrentytrendyoryinterventionymayytheypatient’symotheryfindymosty
different?
1. Fetalymonitoringythroughoutylabor
2. Postpartumystayyofy10ydays
3. Expectantypartneryandyfamilyyinyoperatingyroomyforycesareanybirth
4. Hospitalysupportyforybreastfeedingy
ANS:y4
Chapter:yChaptery1yTrendsyandyIssues
ChapteryLearningyObjective:y1.yDiscussycurrentytrendsyinytheymanagementyofylaboryandybirthyP
age:y4
Heading:yTabley1-1:yPastyandyPresentyTrendsyIntegratedyProcesses:yNursingyProcess
ClientyNeed:yHealthyPromotionyandyMaintenanceyCognitiveyLevel:yApplicationy[Applying]yConcept
:yEvidence-BasedyPractice
Difficulty:yModerate
Feedback
1 Thisyisyincorrect.yFetalymonitoringyduringylaborybeganyinytheylatey1970s.yAsysuch,y
thisylikelyywouldyhaveyoccurredyduringytheymother’sylaboryandydeliveryyduringythey1980s.
,Maternal-
NewbornyNursing:yTheyCriticalyComponentsyOfyNursingyCare,y3rdyEdition,yRobertayDurham,y
LindayChapman
2 Thisyisyincorrect.yInytheypast,ytheyaverageyhospitalypostpartumystayywasy10ydays.y
Presently,ytheyaverageypostpartumystayyisy48yhoursyoryless.
3 Thisyisyincorrect.yInytheypast,yexpectantypartnersyandyfamiliesywereyexcludedyfromytheyl
aboryandybirthyexperience.yPresentytrendsyinvolveytheyexpectantypartneryandyfamilyyinytheylabory
andybirthyexperience,yincludingypresenceyinytheyoperating
roomyforycesareanybirths.
4 Thisyisycorrect.yHospitalysupportyforybreastfeeding,yincludingyaylactationyconsultantyandy
employmentyofytheyBaby-FriendlyyHospitalyInitiative,ywereyboth
enactedyduringytheyearlyy1990s.
PTS: 1 CON:yEvidence-BasedyPractice
2.
Aypatientywithyayhistoryyofyhypertensionyisygivingybirth.yDuringydelivery,ytheystaffywasynoty
ableytoystabilizeytheypatient’sybloodypressure.yAsyayresult,ytheypatientydiedyshortlyyafterydelivery.y
Thisyisyanyexampleyofywhatytypeyofydeath?
1. Earlyymaternalydeath
2. Lateymaternalydeath
3. Directyobstetricydeath
4. IndirectyobstetricydeathyANS:y4
Chapter:yChaptery1yTrendsyandyIssues
ChapteryLearningyObjective:y2.yDiscussycurrentytrendsyinymaternalyandyinfantyhealthyoutcomes.yPage
:y7
Heading:yTrendsy>yMaternalyDeathyandyMortalityyRatesyIntegratedyProcesses:yNursingyProcessyCli
entyNeed:yPhysiologicalyIntegrity:yReductionyofyRiskyPotentialyCognitiveyLevel:yApplicationy[Apply
ing]
Concept:yAnte/Intra/Post-partumyDifficulty:yHard
, Maternal-
NewbornyNursing:yTheyCriticalyComponentsyOfyNursingyCare,y3rdyEdition,yRobertayDurham,y
LindayChapman
Feedback
1 Thisyisyincorrect.yEarlyymaternalydeathyisynotyanyexampleyofymaternalydeath.
Examplesyofymaternalydeathyincludeylateymaternalydeath,yindirectyobstetricydeath,ydirectyobstetricyde
ath,yandypregnancy-relatedydeath.
2 Thisyisyincorrect.yLateymaternalydeathyoccursy42ydaysyafteryterminationyofy
pregnancyyfromyaydirectyoryindirectyobstetricycause.
3 Thisyisyincorrect.yDirectyobstetricydeathyresultsyfromycomplicationsyduringy
pregnancy,ylabor,ybirth,yand/orypostpartumyperiod.
4 Thisyisycorrect.yIndirectyobstetricydeathyisycausedybyyaypreexistingydisease,yoryay
diseaseythatydevelopsyduringypregnancy.
PTS: 1 CON:yAnte/Intra/Post-partum
3.
Theynurseyisyprovidingyeducationytoyaypatientywhoyhasygivenybirthytoyheryfirstychildyandyisy
beingydischargedyhome.yTheypatientyexpressedyconcernyregardingyinfantymortalityyandysuddenyi
nfantydeathysyndromey(SIDS).yTheypatientyhadyanyuncomplicatedypregnancy,ylabor,yandyvaginaly
delivery.ySheyhasyaybodyymassyindexyofy25yandyhasynoyotheryhealthyconditions.yTheyinfantyisyhea
lthyyandywasydeliveredyfull-term.yWhatywillybeymostyhelpfulythingytoyexplainytoytheypatient?
1. Usesyofyextracorporealymembraneyoxygenationytherapyy(ECMO)
2. Usesyofyexogenousypulmonaryysurfactant
3. TheyBaby-FriendlyyHospitalyInitiative
4. TheySafeytoySleepycampaigny
ANS:y4
Chapter:yChaptery1yTrendsyandyIssues
ChapteryLearningyObjective:y3.yIdentifyyleadingycausesyofyinfantydeath.yPage:y7yHeadi
ng:yTrendsy>yInfantyMortalityyRatesyIntegratedyProcesses:yNursingyprocess
ClientyNeed:ySafeyandyEffectiveyCareyEnvironment:ySafetyyandyInfectionyControlyCognitiveyLevel
:yApplicationy[Applying]
Concept:yHealthyPromotionyDifficulty:yModerate
