Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition
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Course
Maternal-Newborn Nursing
Institution
Maternal-Newborn Nursing
Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. 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 positiv...
,
,Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After
complainingof 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
BirthIntegrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk
PotentialCognitive Level: Application [Applying]
Concept: Ante/Intra/Post-
partumDifficulty:
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
2. The nurse is caring for a patient who is in labor with her first child. The patient’s
mother ispresent 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 motherfind 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 birthPage: 4
Heading: Table 1-1: Past and Present
TrendsIntegrated Processes: Nursing
Process
Client Need: Health Promotion and
MaintenanceCognitive 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
3. A patient with a history of hypertension is giving birth. During delivery, the staff
was notable 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
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