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Test Bank for Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Edition by Durham, Chapman, and Miller

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Test Bank for Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Edition by Durham, Chapman, and Miller

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  • September 9, 2024
  • February 5, 2025
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  • 2024/2025
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Test Bank for Davis Advantage for Maternal-Newborn Nursing Critical Components of
Nursing Care 4th Edition by Durham, Chapman, and Miller

, Chapter 1: Trends and Issues




Multiple Choice Questions
1.


A nurse is attending to a patient who is in labor with her first child. The patient's mother, who is there for support, remarks
that delivery room practices have changed since she gave birth in the early 1980s. Which modern approach or intervention
would likely seem the most different to the patient’s mother?

1. Continuous fetal monitoring during labor
2. A postpartum hospital stay lasting 10 days
3. The presence of the expectant partner and family in the operating room during a cesarean section
4. Hospital-led breastfeeding support


Correct Answer: 4

Explanation:

 1 Incorrect. Fetal monitoring became common practice in the late 1970s, so it was likely in use during the mother's own labor
in the 1980s.
 2 Incorrect. Historically, postpartum hospital stays averaged 10 days, but they have since been reduced to around 48 hours or
less.
 3 Incorrect. In the past, partners and families were not allowed in the delivery room. Today, they are often included, even in
cesarean births.
 4 Correct. Hospital initiatives promoting breastfeeding, such as lactation consultants and the Baby-Friendly Hospital Initiative,
were introduced in the early 1990s.



2.


A patient with a history of hypertension experiences complications during childbirth. Despite efforts to stabilize her blood
pressure, she passes away shortly after delivery. What classification best describes this type of maternal death?

1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death


Correct Answer: 4

,Explanation:

 1 Incorrect. Early maternal death is not a recognized category of maternal death.
 2 Incorrect. Late maternal death occurs more than 42 days after the end of pregnancy due to complications related to
pregnancy.
 3 Incorrect. Direct obstetric death results from complications directly linked to pregnancy, labor, or the postpartum period.
 4 Correct. Indirect obstetric death occurs when a preexisting medical condition or a disease that arises during pregnancy leads
to death.



3.


A nurse is educating a first-time mother being discharged home. The patient expresses concern about infant mortality and
sudden infant death syndrome (SIDS). She had an uncomplicated pregnancy, labor, and vaginal birth, has a body mass
index (BMI) of 25, and no other health issues. Her full-term baby is healthy. What information would be most beneficial to
share?

1. The use of extracorporeal membrane oxygenation (ECMO) therapy
2. The application of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign


Correct Answer: 4

Explanation:

 1 Incorrect. ECMO is used primarily to improve survival rates for preterm infants with respiratory distress.
 2 Incorrect. Exogenous pulmonary surfactant helps premature infants with lung function but is not directly related to SIDS.
 3 Incorrect. The Baby-Friendly Hospital Initiative promotes breastfeeding but is not directly tied to reducing SIDS.
 4 Correct. The Safe to Sleep campaign (formerly known as Back to Sleep) educates parents on proper sleep practices to lower
the risk of SIDS.



4.


A 14-year-old patient who is 32 weeks pregnant complains of genital sores and is diagnosed with syphilis. What condition
is the fetus at increased risk for?

1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension

,Correct Answer: 2

Explanation:

 1 Incorrect. Maternal obesity is linked to childhood obesity and diabetes, not syphilis.
 2 Correct. Syphilis during pregnancy can cause neonatal blindness, maternal death, and infant mortality.
 3 Incorrect. Pneumonia in newborns is often associated with chlamydia rather than syphilis.
 4 Incorrect. Although teen mothers have a higher likelihood of developing hypertension, syphilis does not directly cause fetal
hypertension.



5.


A 15-year-old pregnant patient previously tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on this
information, which condition is her baby most at risk for?

1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia


Correct Answer: 1

Explanation:

 1 Correct. Babies born to teen mothers are more likely to experience complications like premature birth, infant mortality,
intestinal issues, and respiratory distress syndrome.
 2 Incorrect. Neonatal conjunctivitis is linked to maternal gonorrhea, which the patient tested negative for.
 3 Incorrect. Blindness is associated with syphilis and gonorrhea, neither of which the patient has.
 4 Incorrect. Pneumonia in newborns is often caused by maternal chlamydia, which was ruled out.



6.


A 23-year-old patient arrives at a clinic for a pregnancy test, which confirms she is pregnant. She states, "I don’t need to
quit using my electronic cigarette because it won’t harm my baby." What is the best response from the nurse?

1. "You’re right. Electronic cigarettes are safe during pregnancy."
2. "Tobacco products, including e-cigarettes, should be avoided during pregnancy due to the risk of nicotine toxicity."
3. "The FDA considers e-cigarettes safe for you, but they can harm the baby."
4. "E-cigarettes are only dangerous during the first trimester."


Correct Answer: 2

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