TESTBANKMaternal-NewbornNursing:TheCriticalComponentsOf
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Nursing Care 3rd Edition Durham Chapman
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,Maternal-Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, t t t t t t t t t
Roberta Durham, Linda Chapman
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Chapter 1: Trends and Issues
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MULTIPLE CHOICE t
1. The nurse is caring for a patient who is in labor with her first child. The
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t patient’s mother is present for support and notes that things have changed in the
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t delivery room since she last gave birth in the early 1980s. Which current trend or
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t intervention may the patient’s mother find most different? t t t t t t t
1. Fetal monitoring throughout labor t t t
2. Postpartum stay of 10 days t t t t
3. Expectant partner and family in operating room for cesarean birth t t t t t t t t t
4. Hospital support for t t
breastfeeding ANS: 4
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Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 1. Discuss current trends in the management of labor and
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t birth Page: 4
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Heading: Table 1-1: Past and Present Trends Integrated Processes: Nursing Process
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tClient Need: Health Promotion and Maintenance Cognitive Level: Application [Applying]
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tConcept: Evidence-Based Practice t t
Difficulty: Moderate t
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s.
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t As such, this likely would have occurred during the mother’s labor and delivery
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t during the 1980s.
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,Maternal-Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, t t t t t t t t t
Roberta Durham, Linda Chapman
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2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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t Presently, the average postpartum stay is 48 hours or less.
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3 This is incorrect. In the past, expectant partners and families were excluded
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t from the labor and birth experience. Present trends involve the expectant partner and
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t family in the labor and birth experience, including presence in the operating
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room for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation consultant and
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t employment of the Baby-Friendly Hospital Initiative, were both t t t t t t t
enacted during the early 1990s. t t t t
PTS: t t 1 CON: Evidence-Based Practice t t
2. A patient with a history of hypertension is giving birth. During delivery, the
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t staff was not able to stabilize the patient’s blood pressure. As a result, the patient
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t died shortly after delivery. This is an example of what type of death?
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1. Early maternal death t t
2. Late maternal death t t
3. Direct obstetric death t t
4. Indirect obstetric death ANS: 4 t t t t
Chapter: Chapter 1 Trends and Issues t t t t t
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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t Page: 7 t
Heading: Trends > Maternal Death and Mortality Rates Integrated Processes: Nursing Process
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t Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application
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t [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
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, Maternal-Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, t t t t t t t t t
Roberta Durham, Linda Chapman
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Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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Examples of maternal death include late maternal death, indirect obstetric death, direct
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obstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days
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t after termination of pregnancy from a direct or indirect
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t obstetric cause. t
3 This is incorrect. Direct obstetric death results from complications
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t during pregnancy, labor, birth, and/or postpartum period.
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4 This is correct. Indirect obstetric death is caused by a preexisting
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t disease, or a disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum t
3. The nurse is providing education to a patient who has given birth to her first
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t child and is being discharged home. The patient expressed concern regarding infant
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t mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated
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t pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no
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t other health conditions. The infant is healthy and was delivered full-term. What will
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t be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant t t t t
3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep t t t
campaign ANS: 4
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Chapter: Chapter 1 Trends and Issues t t t t t
Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 7
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t Heading: Trends > Infant Mortality Rates Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive
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t Level: Application [Applying]
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Concept: Health Promotion Difficulty: Moderate
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