TESTwBANKwMaternal-NewbornwNursing:wThewCriticalwComponents
wOfw
Nursing wCare w3rd wEdition wDurham wChapman
,Maternal-Newborn w Nursing: w The w Critical w Components w Of w Nursing w Care,
w 3rd w Edition,wRoberta w Durham, w Linda w Chapman
Chapter w 1: w Trends w and w Issues
MULTIPLE w CHOICE
1. The w nurse w is w caring w for w a w patient w who w is w in w labor w with w her w first
w child. w The w patient’swmother wis wpresent w for w support w and w notes wthat w things
w have wchanged w in wthe wdelivery wroom wsince w she w last w gave w birth w in w the w early
w 1980s. w Which w current w trend w or w intervention w may w the wpatient’s w mother w find
w most w different?
1. Fetal w monitoring w throughout w labor
2. Postpartum w stay w of w 10 w days
3. Expectant w partner w and w family w in w operating w room w for w cesarean w birth
4. Hospital wsupport
wforwbreastfeeding w ANS:
w4
Chapter: w Chapter w 1 w Trends w and w Issues
Chapter w Learning w Objective: w 1. w Discuss w current w trends w in w the w management w of
w labor w and w birthwPage: w 4
Heading: wTable w1-1: w Past w and wPresent w Trends w Integrated wProcesses: w Nursing
w Process wClient w Need: w Health w Promotion w and w Maintenance w Cognitive w Level:
w Application w [Applying]wConcept: w Evidence-Based w Practice
Difficulty: w Moderate
Feedback
1 This w is w incorrect. w Fetal w monitoring w during w labor w began w in w the
w late w 1970s. w As wsuch, w this w likely wwould w have w occurred w during w the
w mother’s w labor w and w delivery w duringwthe w 1980s.
,Maternal-Newborn w Nursing: w The w Critical w Components w Of w Nursing w Care,
w 3rd w Edition,wRoberta w Durham, w Linda w Chapman
2 This wis wincorrect. wIn wthe wpast, wthe waverage whospital wpostpartum wstay
wwas w10 wdays. w Presently, w the w average w postpartum w stay w is w 48 w hours
w or w less.
3 This w is w incorrect. w In w the w past, w expectant w partners w and w families w were
w excluded w from wthe wlabor wand wbirth wexperience. wPresent wtrends w involve wthe
wexpectant w partner wand w family win wthe w labor w and w birth w experience, w including
w presence w in w the w operating
room w for w cesarean w births.
4 This wis wcorrect. wHospital wsupport wfor wbreastfeeding, wincluding wa wlactation
wconsultant wand w employment w of w the w Baby-Friendly w Hospital w Initiative, w were
w both
enacted w during w the w early w 1990s.
PTS: w w w w1 CON: w Evidence-Based w Practice
2. A wpatient wwith wa whistory wof whypertension wis wgiving w birth. w During w delivery,
w the w staff wwas w not w able w to w stabilize w the w patient’s w blood w pressure. w As w a
w result, w the w patient w died w shortlywafter w delivery. w This w is w an w example w of w what
w type w of w death?
1. Early w maternal w death
2. Late w maternal w death
3. Direct w obstetric w death
4. Indirect w obstetric w death w ANS: w 4
Chapter: w Chapter w 1 w Trends w and w Issues
Chapter wLearning wObjective: w2. wDiscuss wcurrent wtrends win wmaternal wand winfant
w health woutcomes. w Page: w 7
Heading: wTrends w> wMaternal wDeath wand wMortality wRates wIntegrated w Processes:
w Nursing wProcess wClient wNeed: wPhysiological wIntegrity: wReduction wof wRisk wPotential
wCognitive wLevel: wApplication w [Applying]
Concept: w Ante/Intra/Post-partum wDifficulty: w Hard
, Maternal-Newborn w Nursing: w The w Critical w Components w Of w Nursing w Care,
w 3rd w Edition,wRoberta w Durham, w Linda w Chapman
Feedback
1 This wis wincorrect. wEarly wmaternal wdeath wis wnot wan wexample wof wmaternal
wdeath. wExamples w of w maternal w death w include w late w maternal w death, w indirect
w obstetric w death, w directwobstetric w death, w and w pregnancy-related w death.
2 This w is w incorrect. w Late w maternal w death w occurs w 42
w days w after wtermination w of w pregnancy w from w a w direct w or
w indirect w obstetric w cause.
3 This w is w incorrect. w Direct w obstetric w death w results w from
w complicationswduring w pregnancy, w labor, w birth, w and/or w postpartum
w period.
4 This w is w correct. w Indirect w obstetric w death w is w caused w by w a
w preexisting w disease,wor w a w disease w that w develops w during w pregnancy.
PTS: 1 CON: w Ante/Intra/Post-partum
3. The w nurse w is w providing w education w to w a w patient w who w has w given w birth
w to w her w first w childwand w is w being w discharged w home. w The w patient w expressed
w concern w regarding w infant w mortality wand w sudden w infant w death w syndrome
w (SIDS). w The w patient w had w an w uncomplicated w pregnancy, wlabor, wand wvaginal
wdelivery. wShe whas wa wbody wmass windex wof w25 wand whas wno wother whealth wconditions.
w The w infant w is w healthy w and w was w delivered w full-term. w What w will w be w most
w helpfulwthing w to w explain w to w the w patient?
1. Uses w of w extracorporeal w membrane w oxygenation w therapy w (ECMO)
2. Uses w of w exogenous w pulmonary w surfactant
3. The w Baby-Friendly w Hospital w Initiative
4. The wSafe wto
w Sleepwcampaign
w ANS: w 4
Chapter: w Chapter w 1 w Trends w and w Issues
Chapter w Learning w Objective: w 3. w Identify w leading w causes w of w infant
w death. w Page: w 7wHeading: w Trends w > w Infant w Mortality wRates w Integrated
w Processes: w Nursing w process
Client w Need: w Safe w and w Effective w Care w Environment: w Safety wand w Infection
w Control w CognitivewLevel: w Application w [Applying]
