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Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman latest A+

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Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman latest A+ ..

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  • 14 de octubre de 2024
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Created BY: A Solution


Test Bank: Maternal-Newborn Nursing: The Critical

Components of Nursing Care, 3rd Edition, Roberta

Durham, Linda Chapman latest A+
MULTIPLE CHOICES



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




1

,Created BY: A Solution


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-BasedPractice



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



Page: 7


2

,Created BY: A Solution


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?


3

, Created BY: A Solution


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.




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


4

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