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TEST BANK FOR Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman (2025)

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TEST BANK FOR Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman (2025)

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  • February 1, 2025
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  • 2024/2025
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Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition,
Roberta Durham, Linda Chapman



Table .of .Contents
Chapter .1: .Trends .and .Issues
Chapter .2: .Ethics .and .Standards .of .Practice .Issues
Chapter .3: .Genetics, .Conception, .Fetal .Development, .and .Chapter .4:
.Chapter .5: .The .Psycho-Social-Cultural .Aspects .of .the .Antepartum .Period

.Chapter .6: .Antepartal .Tests

Chapter .7: .High-Risk .Antepartum .Nursing .Care
.Chapter .8: .Intrapartum .Assessment .and

.Interventions .Chapter .9: .Fetal .Heart .Rate

.Assessment

Chapter .10: .High-Risk .Labor .and .Birth
Chapter .11: .Intrapartum .and .Postpartum .Care .of .the .Cesarean .Birth
.Families .Chapter .12: .Postpartum .Physiological .Assessments .and .Nursing

.Care .Chapter .13: .Transition .to .Parenthood

Chapter .14: .High-Risk .Postpartum .Nursing .Care
Chapter .15: .Physiological .and .Behavioral .Responses .of .the .Neonate
.Chapter .16: .Discharge .Planning .and .Teaching

Chapter .17: .High-Risk .Neonatal .Nursing .Care
.Chapter .18: .Well .Women’s .Health

Chapter .19: .Alterations .in .Women’s .Health

,Chapter .1: .Trends .and .Issues



MULTIPLE .CHOICE

1. The .nurse .is .caring .for .a .patient .who .is .in .labor .with .her .first .child. .The .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
.patient’s .mother .find .most .different?
1. Fetal .monitoring .throughout .labor
2. Postpartum .stay .of .10 .days
3. Expectant .partner .and .family .in .operating .room .for .cesarean .birth
4. Hospital .support .for .breastfeeding
ANS: . 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

Client .Need: .Health .Promotion .and .Maintenance
.Cognitive .Level: .Application .[Applying]
.Concept: .Evidence-Based .Practice
Difficulty: .Moderate

Feedback
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 .hospital .postpartum .stay .was .10 .days.
Presently, .the .average .postpartum .stay .is .48 .hours .or .less.
3 This .is .incorrect. .In .the .past, .expectant .partners .and .families .were .excluded .from
.the .labor .and .birth .experience. .Present .trends .involve .the .expectant .partner .and
.family .in .the .labor .and .birth .experience, .including .presence .in .the .operating
room .for .cesarean .births.
4 This .is .correct. .Hospital .support .for .breastfeeding, .including .a .lactation
.consultant .and .employment .of .the .Baby-Friendly .Hospital .Initiative, .were
.both
enacted .during .the .early .1990s.

PTS: 1 CON: . Evidence-Based .Practice

2. A .patient .with .a .history .of .hypertension .is .giving .birth. .During .delivery, .the .staff .was .not

, able .to .stabilize .the .patient’s .blood .pressure. .As .a .result, .the .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
.ANS: . 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
Client .Need: .Physiological .Integrity: .Reduction .of .Risk .Potential
.Cognitive .Level: .Application .[Applying]
Concept: .Ante/Intra/Post-partum
.Difficulty: .Hard



Feedback
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 .pregnancy-related .death.

2 This .is .incorrect. .Late .maternal .death .occurs .42 .days .after .termination .of
pregnancy .from .a .direct .or .indirect .obstetric .cause.
3 This .is .incorrect. .Direct .obstetric .death .results .from .complications .during
pregnancy, .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 .pregnancy.

PTS: 1 CON: . Ante/Intra/Post-partum

3. The .nurse .is .providing .education .to .a .patient .who .has .given .birth .to .her .first .child .and .is
.being .discharged .home. .The .patient .expressed .concern .regarding .infant .mortality .and
.sudden .infant .death .syndrome .(SIDS). .The .patient .had .an .uncomplicated .pregnancy,
.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 .patient?
1. Uses .of .extracorporeal .membrane .oxygenation .therapy .(ECMO)
2. Uses .of .exogenous .pulmonary .surfactant
3. The .Baby-Friendly .Hospital .Initiative
4. The .Safe .to .Sleep .campaign

ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .3. .Identify .leading .causes .of .infant .death.
.Page: .7

Heading: .Trends .> .Infant .Mortality .Rates
.Integrated .Processes: .Nursing .process
Client .Need: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control

, Cognitive .Level: .Application .[Applying]
.Concept: .Health .Promotion
Difficulty: .Moderate

Feedback
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 .Hospital .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.

PTS: 1 CON: . Health .Promotion

4. The .nurse .is .caring .for .a .14-year-old .patient .who .is .32 .weeks .pregnant. .After
.complaining .of .genital .sores .and .discomfort, .the .patient .tests .positive .for .syphilis. .The
.fetus .is .at .increased .risk .of .which .condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .4. .Discuss .current .maternal .and .infant .health .issues.
.Page: .10
Heading: .Issues .> .Teen .Pregnancy .> .Implications .of .Teen .Pregnancy .and .Birth
.Integrated .Processes: .Nursing .Process
Client .Need: .Physiological .Integrity: .Reduction .of .Risk .Potential
.Cognitive .Level: .Application .[Applying]
Concept: .Ante/Intra/Post-partum
.Difficulty: .Moderate



Feedback
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 .patient .who .contracts .syphilis .during .pregnancy.
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 .pregnancy; .however, .maternal
.syphilis .is .not .associated .with .fetal .hypertension.



PTS: 1 CON: . Ante/Intra/Post-partum

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