,Maternal-Newborn Nursing 3rd eds Durham
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Chapter 1: Trends and Issues fg fg fg fg
MULTIPLE CHOICE fg
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is pres
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ent for support and notes that things have changed in the delivery room since she last gave birth
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in the early 1980s. Which current trend or intervention may the patient’s mother find most diff
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erent?
1. Fetal monitoring throughout labor fg fg fg
2. Postpartum stay of 10 days fg fg fg fg
3. Expectant partner and family in operating room for cesarean birth fg fg fg fg fg fg fg fg fg
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page:
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4
Heading: Table 1- fg fg
1: Past and Present Trends Integrated Processes: N
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ursing Process fg
Client Need: Health Promotion and Maintenancefg fg fg fg fg f g
Cognitive Level: Application [Applying] Concept: fg fg fg f g fg
Evidence-BasedPractice fg
Difficulty: Moderate fg
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this
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likely would have occurred during the mother’s labor and delivery during the 1980s
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.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days. Pre
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sently, the average postpartum stay is 48 hours or less. fg fg fg fg fg fg fg fg fg
3 This is incorrect. In the past, expectant partners and families were excluded from the
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labor and birth experience. Present trends involve the expectant partner and family i
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n the labor and birth experience, including presence in the operating room for cesare
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an births. fg
4 This is correct. Hospital support for breastfeeding, including a lactation consultan
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t and employment ofthe Baby-
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Friendly Hospital Initiative, were both enacted during the early 1990s. fg fg fg fg f g fg fg fg fg
PTS: 1 CON: Evidence-Based Practice f g fg
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able
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to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. T
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his is an example of what type of death?
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1. Earlymaternal death fg fg
2. Late maternaldeath fg fg
3. Directobstetric death fg fg
4. Indirect obstetric death fg fg f g
ANS: 4 f g
Test Bank
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, Maternal-Newborn Nursing 3rd eds Durham
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f g
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a dis
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ease that develops during pregnancy. fg fg fg fg
PTS: 1 CON: Ante/Intra/Post-partum fg
3. The nurse is providing education to a patient who has given birth to her first child and is being dis
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charged home. The patient expressed concern regarding infant mortality and sudden infant deat
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h syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery.
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She has a body mass index of 25 and has no other health conditions. The infant is healthy and wa
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s delivered full-term. What will be most helpful thing to explain to the patient?
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Chapter Learning Objective: 3. Identify leading causes of infant death. Pa
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ge: 7 fg
Heading: Trends > Infant Mortality Rates In fg fg fg fg fg f g
tegrated Processes: Nursing process fg fg fg
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogni
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tive Level: Application [Applying]
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Concept: Health Promotion Difficulty fg fg f g
: Moderate
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Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infa
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nt mortalityamong preterm infants.
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Test Bank
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