TEST BANK z
Maternal-NewbornzNursing:zThezCriticalzComponentszOfzNursingzCarez3rdzEditionzDurhamzChapman
, Maternal-
NewbornzNursing:zThezCriticalzComponentszOfzNursingzCare,z3rdzEdition,zRobertazDurham,z
LindazChapman
Chapterz1:zTrendszandzIssues
MULTIPLEzCHOICE
1.
Theznurseziszcaringzforzazpatientzwhoziszinzlaborzwithzherzfirstzchild.zThezpatient’szmotherzi
szpresentzforzsupportzandznoteszthatzthingszhavezchangedzinzthezdeliveryzroomzsincezshezlastzgavezbi
rthzinzthezearlyz1980s.zWhichzcurrentztrendzorzinterventionzmayzthezpatient’szmotherzfindzmostzdif
ferent?
1. Fetalzmonitoringzthroughoutzlabor
2. Postpartumzstayzofz10zdays
3. Expectantzpartnerzandzfamilyzinzoperatingzroomzforzcesareanzbirth
4. Hospitalzsupportzforzbreastfeedingz
ANS:z4
Chapter:zChapterz1zTrendszandzIssues
ChapterzLearningzObjective:z1.zDiscusszcurrentztrendszinzthezmanagementzofzlaborzandzbirthzPa
ge:z4
Heading:zTablez1-1:zPastzandzPresentzTrendszIntegratedzProcesses:zNursingzProcess
ClientzNeed:zHealthzPromotionzandzMaintenancezCognitivezLevel:zApplicationz[Applying]zConcept:
zEvidence-BasedzPractice
Difficulty:zModerate
Feedback
1 Thisziszincorrect.zFetalzmonitoringzduringzlaborzbeganzinzthezlatez1970s.zAszsuch,zt
hiszlikelyzwouldzhavezoccurredzduringzthezmother’szlaborzandzdeliveryzduringzthez1980s.
,Maternal-
NewbornzNursing:zThezCriticalzComponentszOfzNursingzCare,z3rdzEdition,zRobertazDurham,z
LindazChapman
2 Thisziszincorrect.zInzthezpast,zthezaveragezhospitalzpostpartumzstayzwasz10zdays.z
Presently,zthezaveragezpostpartumzstayzisz48zhourszorzless.
3 Thisziszincorrect.zInzthezpast,zexpectantzpartnerszandzfamilieszwerezexcludedzfromzthezla
borzandzbirthzexperience.zPresentztrendszinvolvezthezexpectantzpartnerzandzfamilyzinzthezlaborzan
dzbirthzexperience,z includingzpresencezinzthezoperating
roomzforzcesareanzbirths.
4 Thisziszcorrect.zHospitalzsupportzforzbreastfeeding,zincludingzazlactationzconsultantzandz
employmentzofzthezBaby-FriendlyzHospitalzInitiative,zwerezboth
enactedzduringzthezearlyz1990s.
PTS: 1 CON:zEvidence-BasedzPractice
2.
Azpatientzwithzazhistoryzofzhypertensionziszgivingzbirth.zDuringzdelivery,zthezstaffzwasznotza
bleztozstabilizezthezpatient’szbloodzpressure.zAszazresult,zthezpatientzdiedzshortlyzafterzdelivery.zThi
sziszanzexamplezofzwhatztypezofzdeath?
1. Earlyzmaternalzdeath
2. Latezmaternalzdeath
3. Directzobstetriczdeath
4. IndirectzobstetriczdeathzANS:z4
Chapter:zChapterz1zTrendszandzIssues
ChapterzLearningzObjective:z2.zDiscusszcurrentztrendszinzmaternalzandzinfantzhealthzoutcomes.zPage:
7
z
Heading:zTrendsz>zMaternalzDeathzandzMortalityzRateszIntegratedzProcesses:zNursingzProcesszClie
ntzNeed:zPhysiologicalzIntegrity:zReductionzofzRiskzPotentialzCognitivezLevel:zApplicationz[Applyi
ng]
Concept:zAnte/Intra/Post-partumzDifficulty:zHard
, Maternal-
NewbornzNursing:zThezCriticalzComponentszOfzNursingzCare,z3rdzEdition,zRobertazDurham,z
LindazChapman
Feedback
1 Thisziszincorrect.zEarlyzmaternalzdeathzisznotzanzexamplezofzmaternalzdeath.
Exampleszofzmaternalzdeathzincludezlatezmaternalzdeath,zindirectzobstetriczdeath,zdirectzobstetriczdea
th,zandzpregnancy-relatedzdeath.
2 Thisziszincorrect.zLatezmaternalzdeathzoccursz42zdayszafterzterminationzofz
pregnancyzfromzazdirectzorzindirectzobstetriczcause.
3 Thisziszincorrect.zDirectzobstetriczdeathzresultszfromzcomplicationszduringz
pregnancy,zlabor,zbirth,zand/orzpostpartumzperiod.
4 Thisziszcorrect.zIndirectzobstetriczdeathziszcausedzbyzazpreexistingzdisease,zorzaz
diseasezthatzdevelopszduringzpregnancy.
PTS: 1 CON:zAnte/Intra/Post-partum
3.
Theznurseziszprovidingzeducationztozazpatientzwhozhaszgivenzbirthztozherzfirstzchildzandziszb
eingzdischargedzhome.zThezpatientzexpressedzconcernzregardingzinfantzmortalityzandzsuddenzinfa
ntzdeathzsyndromez(SIDS).zThezpatientzhadzanzuncomplicatedzpregnancy,zlabor,zandzvaginalzdeli
very.zShezhaszazbodyzmasszindexzofz25zandzhasznozotherzhealthzconditions.zThezinfantziszhealthyza
ndzwaszdeliveredzfull-term.zWhatzwillzbezmostzhelpfulzthingztozexplainztozthezpatient?
1. Useszofzextracorporealzmembranezoxygenationztherapyz(ECMO)
2. Useszofzexogenouszpulmonaryzsurfactant
3. ThezBaby-FriendlyzHospitalzInitiative
4. ThezSafeztozSleepzcampaignz
ANS:z4
Chapter:zChapterz1zTrendszandzIssues
ChapterzLearningzObjective:z3.zIdentifyzleadingzcauseszofzinfantzdeath.zPage:z7zHeadin
g:zTrendsz>zInfantzMortalityzRateszIntegratedzProcesses:zNursingzprocess
ClientzNeed:zSafezandzEffectivezCarezEnvironment:zSafetyzandzInfectionzControlzCognitivezLevel:
Applicationz[Applying]
z
Concept:zHealthzPromotionzDifficulty:zModerate
