TEST BANK FOR MATERNAL-NEWBORN NURSING: THE
CRITICAL COMPONENTS OF NURSING CARE 4TH EDITION BY
DURHAM /ALL CHAPTERS 1-19
, Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The professional nurse is caring for a hospital patient who is in labor with her first child.
The hospital patient’s mother is present 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 hospital patient’s mother find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Pregenant partner and family in operating room for cesarean birth
4. Health center support for breastfeeding
CORRECT CHOICE:-4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Hospital patient Need: Health Promotion and
Maintenance Cognitive Level: Application
[Applying] Concept: Evidence-Based Practice
Difficulty: Moderate
Reasoning :->>
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 during
the 1980s.
2 This is incorrect. In the past, the average health center postpartum stay was 10
days. Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, pregenant partners and families were excluded from
the labor and birth experience. Present trends involve the pregenant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Health center support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Health center Initiative, were
both enacted during the early 1990s.
POINTS:- 1 CON: Evidence-Based Practice
2. A hospital patient with a history of hypertension is giving birth. During delivery, the staff
was not able to stabilize the hospital patient’s blood pressure. As a result, the hospital
patient died shortly after delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
CORRECT CHOICE:-4
, Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
outcomes.
Page: 7
Heading: Trends > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Hospital patient Need: Physiological Integrity: Reduction of Risk
Potential Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
Reasoning:->>
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 gestation-related death.
2 This is incorrect. Late maternal death occurs 42 days after termination of
gestation from a direct or indirect obstetric cause.
3 This is incorrect. Direct obstetric death results from complications during
gestation, 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 gestation.
POINTS 1 CON: Ante/Intra/Post-partum
3. The medical caretaker is providing education to a hospital patient who has given birth to her
first child and is being discharged home. The hospital patient expressed concern regarding
infant mortality and sudden infant death syndrome (SIDS). The hospital patient had an
uncomplicated gestation, 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 explain to the hospital patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Health center Initiative
4. The Safe to Sleep campaign
CORRECT CHOICE:-4
Chapter: Chapter 1 Trend and Issues
Chapter Learning Objective: 3. Identify leading causes of infant death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process
Hospital patient Need: Safe and Effective Care Environment: Safety and Infection
Control Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Reasoning :->>
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 Health center 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 were
designed to promote healthy infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign.
POINTS: 1 CON: Health Promotion
4. The medical caretaker is caring for a 14-year-old hospital patient who is 32 weeks
pregenant. After complaining of genital sores and discomfort, the hospital patient tests
positive for syphilis. The fetus is at increased risk of which condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
CORRECT CHOICE:-4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 10
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth
Integrated Processes: Nursing Process
Hospital patient Need: Physiological Integrity: Reduction of Risk
Potential Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Reasoning :->>
1 This is incorrect. Maternal obesity increases a child’s risk of developing
childhood obesity and diabetes.
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
associated with a hospital patient who contracts syphilis during gestation.
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
transmitted illnesses and hypertension during gestation; however, maternal
syphilis is not associated with fetal hypertension.
POINTS:- 1 CON: Ante/Intra/Post-partum
5. The medical caretaker is caring for a 15-year-old female who is pregenant with her first
child. In her previous prenatal visit, the hospital patient tested negative for chlamydia,
syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the
hospital patient’s baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
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