TEST BANK Maternal-
3 3
Newborn Nursing: The Critical Components Of Nursing Ca
3 3 3 3 3 3 3
re 3rd Edition Durham Chapman
3 3 3 3
, Maternal-
Newborn3Nursing:3The3Critical3Components3Of3Nursing3Care,33rd3Edition,3Roberta3Durham
,3Linda3Chapman
Chapter31:3Trends3and3Issues
MULTIPLE3CHOICE
1. The3nurse3is3caring3for3a3patient3who3is3in3labor3with3her3first3child.3The3patient’s3moth
er3is3present3for3support3and3notes3that3things3have3changed3in3the3delivery3room3since3she3last3
gave3birth3in3the3early31980s.3Which3current3trend3or3intervention3may3the3patient’s3mother3fin
d3most3different?
1. Fetal3monitoring3throughout3labor
2. Postpartum3stay3of3103days
3. Expectant3partner3and3family3in3operating3room3for3cesarean3birth
4. Hospital3support3for3breastfeeding
3ANS:34
Chapter:3Chapter313Trends3and3Issues
Chapter3Learning3Objective:31.3Discuss3current3trends3in3the3management3of3labor3and3birth3Pa
ge:34
Heading:3Table31-1:3Past3and3Present3Trends3Integrated3Processes:3Nursing3Process
Client3Need:3Health3Promotion3and3Maintenance3Cognitive3Level:3Application3[Applying]3Con
cept:3Evidence-Based3Practice
Difficulty:3Moderate
Feedback
1 This3is3incorrect.3Fetal3monitoring3during3labor3began3in3the3late31970s.3As3suc
h,3this3likely3would3have3occurred3during3the3mother’s3labor3and3delivery3during3the319
80s.
,Maternal-
Newborn3Nursing:3The3Critical3Components3Of3Nursing3Care,33rd3Edition,3Roberta3Durham
,3Linda3Chapman
2 This3is3incorrect.3In3the3past,3the3average3hospital3postpartum3stay3was3103day
s.3Presently,3the3average3postpartum3stay3is3483hours3or3less.
3 This3is3incorrect.3In3the3past,3expectant3partners3and3families3were3excluded3from3the
3labor3and3birth3experience.3Present3trends3involve3the3expectant3partner3and3family3in3the3lab
or3and3birth3experience,3including3presence3in3the3operating
room3for3cesarean3births.
4 This3is3correct.3Hospital3support3for3breastfeeding,3including3a3lactation3consultant3an
d3employment3of3the3Baby-Friendly3Hospital3Initiative,3were3both
enacted3during3the3early31990s.
PTS:3 3 1 CON:3Evidence-Based3Practice
2. A3patient3with3a3history3of3hypertension3is3giving3birth.3During3delivery,3the3staff3was3n
ot3able3to3stabilize3the3patient’s3blood3pressure.3As3a3result,3the3patient3died3shortly3after3delive
ry.3This3is3an3example3of3what3type3of3death?
1. Early3maternal3death
2. Late3maternal3death
3. Direct3obstetric3death
4. Indirect3obstetric3death3ANS:34
Chapter:3Chapter313Trends3and3Issues
Chapter3Learning3Objective:32.3Discuss3current3trends3in3maternal3and3infant3health3outcome
s.3Page:37
Heading:3Trends3>3Maternal3Death3and3Mortality3Rates3Integrated3Processes:3Nursing3Proces
s3Client3Need:3Physiological3Integrity:3Reduction3of3Risk3Potential3Cognitive3Level:3Applicati
on3[Applying]
Concept:3Ante/Intra/Post-partum3Difficulty:3Hard
, Maternal-
Newborn3Nursing:3The3Critical3Components3Of3Nursing3Care,33rd3Edition,3Roberta3Durham
,3Linda3Chapman
Feedback
1 This3is3incorrect.3Early3maternal3death3is3not3an3example3of3maternal3death.
Examples3of3maternal3death3include3late3maternal3death,3indirect3obstetric3death,3direct3obstetri
c3death,3and3pregnancy-related3death.
2 This3is3incorrect.3Late3maternal3death3occurs3423days3after3termination3o
f3pregnancy3from3a3direct3or3indirect3obstetric3cause.
3 This3is3incorrect.3Direct3obstetric3death3results3from3complications3durin
g3pregnancy,3labor,3birth,3and/or3postpartum3period.
4 This3is3correct.3Indirect3obstetric3death3is3caused3by3a3preexisting3disease,3or3
a3disease3that3develops3during3pregnancy.
PTS: 1 CON:3Ante/Intra/Post-partum
3. The3nurse3is3providing3education3to3a3patient3who3has3given3birth3to3her3first3child3and3
is3being3discharged3home.3The3patient3expressed3concern3regarding3infant3mortality3and3sudd
en3infant3death3syndrome3(SIDS).3The3patient3had3an3uncomplicated3pregnancy,3labor,3and3va
ginal3delivery.3She3has3a3body3mass3index3of3253and3has3no3other3health3conditions.3The3infan
t3is3healthy3and3was3delivered3full-
term.3What3will3be3most3helpful3thing3to3explain3to3the3patient?
1. Uses3of3extracorporeal3membrane3oxygenation3therapy3(ECMO)
2. Uses3of3exogenous3pulmonary3surfactant
3. The3Baby-Friendly3Hospital3Initiative
4. The3Safe3to3Sleep3campaig
n3ANS:34
Chapter:3Chapter313Trends3and3Issues
Chapter3Learning3Objective:33.3Identify3leading3causes3of3infant3death.3Page:373Headi
ng:3Trends3>3Infant3Mortality3Rates3Integrated3Processes:3Nursing3process
Client3Need:3Safe3and3Effective3Care3Environment:3Safety3and3Infection3Control3Cognitive3Le
vel:3Application3[Applying]
Concept:3Health3Promotion3Difficulty:3Moderate
3 3
Newborn Nursing: The Critical Components Of Nursing Ca
3 3 3 3 3 3 3
re 3rd Edition Durham Chapman
3 3 3 3
, Maternal-
Newborn3Nursing:3The3Critical3Components3Of3Nursing3Care,33rd3Edition,3Roberta3Durham
,3Linda3Chapman
Chapter31:3Trends3and3Issues
MULTIPLE3CHOICE
1. The3nurse3is3caring3for3a3patient3who3is3in3labor3with3her3first3child.3The3patient’s3moth
er3is3present3for3support3and3notes3that3things3have3changed3in3the3delivery3room3since3she3last3
gave3birth3in3the3early31980s.3Which3current3trend3or3intervention3may3the3patient’s3mother3fin
d3most3different?
1. Fetal3monitoring3throughout3labor
2. Postpartum3stay3of3103days
3. Expectant3partner3and3family3in3operating3room3for3cesarean3birth
4. Hospital3support3for3breastfeeding
3ANS:34
Chapter:3Chapter313Trends3and3Issues
Chapter3Learning3Objective:31.3Discuss3current3trends3in3the3management3of3labor3and3birth3Pa
ge:34
Heading:3Table31-1:3Past3and3Present3Trends3Integrated3Processes:3Nursing3Process
Client3Need:3Health3Promotion3and3Maintenance3Cognitive3Level:3Application3[Applying]3Con
cept:3Evidence-Based3Practice
Difficulty:3Moderate
Feedback
1 This3is3incorrect.3Fetal3monitoring3during3labor3began3in3the3late31970s.3As3suc
h,3this3likely3would3have3occurred3during3the3mother’s3labor3and3delivery3during3the319
80s.
,Maternal-
Newborn3Nursing:3The3Critical3Components3Of3Nursing3Care,33rd3Edition,3Roberta3Durham
,3Linda3Chapman
2 This3is3incorrect.3In3the3past,3the3average3hospital3postpartum3stay3was3103day
s.3Presently,3the3average3postpartum3stay3is3483hours3or3less.
3 This3is3incorrect.3In3the3past,3expectant3partners3and3families3were3excluded3from3the
3labor3and3birth3experience.3Present3trends3involve3the3expectant3partner3and3family3in3the3lab
or3and3birth3experience,3including3presence3in3the3operating
room3for3cesarean3births.
4 This3is3correct.3Hospital3support3for3breastfeeding,3including3a3lactation3consultant3an
d3employment3of3the3Baby-Friendly3Hospital3Initiative,3were3both
enacted3during3the3early31990s.
PTS:3 3 1 CON:3Evidence-Based3Practice
2. A3patient3with3a3history3of3hypertension3is3giving3birth.3During3delivery,3the3staff3was3n
ot3able3to3stabilize3the3patient’s3blood3pressure.3As3a3result,3the3patient3died3shortly3after3delive
ry.3This3is3an3example3of3what3type3of3death?
1. Early3maternal3death
2. Late3maternal3death
3. Direct3obstetric3death
4. Indirect3obstetric3death3ANS:34
Chapter:3Chapter313Trends3and3Issues
Chapter3Learning3Objective:32.3Discuss3current3trends3in3maternal3and3infant3health3outcome
s.3Page:37
Heading:3Trends3>3Maternal3Death3and3Mortality3Rates3Integrated3Processes:3Nursing3Proces
s3Client3Need:3Physiological3Integrity:3Reduction3of3Risk3Potential3Cognitive3Level:3Applicati
on3[Applying]
Concept:3Ante/Intra/Post-partum3Difficulty:3Hard
, Maternal-
Newborn3Nursing:3The3Critical3Components3Of3Nursing3Care,33rd3Edition,3Roberta3Durham
,3Linda3Chapman
Feedback
1 This3is3incorrect.3Early3maternal3death3is3not3an3example3of3maternal3death.
Examples3of3maternal3death3include3late3maternal3death,3indirect3obstetric3death,3direct3obstetri
c3death,3and3pregnancy-related3death.
2 This3is3incorrect.3Late3maternal3death3occurs3423days3after3termination3o
f3pregnancy3from3a3direct3or3indirect3obstetric3cause.
3 This3is3incorrect.3Direct3obstetric3death3results3from3complications3durin
g3pregnancy,3labor,3birth,3and/or3postpartum3period.
4 This3is3correct.3Indirect3obstetric3death3is3caused3by3a3preexisting3disease,3or3
a3disease3that3develops3during3pregnancy.
PTS: 1 CON:3Ante/Intra/Post-partum
3. The3nurse3is3providing3education3to3a3patient3who3has3given3birth3to3her3first3child3and3
is3being3discharged3home.3The3patient3expressed3concern3regarding3infant3mortality3and3sudd
en3infant3death3syndrome3(SIDS).3The3patient3had3an3uncomplicated3pregnancy,3labor,3and3va
ginal3delivery.3She3has3a3body3mass3index3of3253and3has3no3other3health3conditions.3The3infan
t3is3healthy3and3was3delivered3full-
term.3What3will3be3most3helpful3thing3to3explain3to3the3patient?
1. Uses3of3extracorporeal3membrane3oxygenation3therapy3(ECMO)
2. Uses3of3exogenous3pulmonary3surfactant
3. The3Baby-Friendly3Hospital3Initiative
4. The3Safe3to3Sleep3campaig
n3ANS:34
Chapter:3Chapter313Trends3and3Issues
Chapter3Learning3Objective:33.3Identify3leading3causes3of3infant3death.3Page:373Headi
ng:3Trends3>3Infant3Mortality3Rates3Integrated3Processes:3Nursing3process
Client3Need:3Safe3and3Effective3Care3Environment:3Safety3and3Infection3Control3Cognitive3Le
vel:3Application3[Applying]
Concept:3Health3Promotion3Difficulty:3Moderate
