TEST BANK MATERNAL-NEWBORN NURSING: THE CRITICAL COMPONENTS OF NURSING CARE 3RD EDITION DURHAM CHAPMAN

TEST BANK MATERNAL-NEWBORN NURSING: THE
CRITICAL COMPONENTS OF NURSING CARE
3RD EDITION DURHAM CHAPMAN

, Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
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Linda Chapman WS




Chapter 1: Trends and Issues WS WS WS WS




MULTIPLE CHOICE WS




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother
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is present for support and notes that things have changed in the delivery room since she last gave
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birth in the early 1980s. Which current trend or intervention may the patient’s mother find most
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different?
1. Fetal monitoring throughout labor
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2. Postpartum stay of 10 days WS WS WS WS




3. Expectant partner and family in operating room for cesarean birth
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4. Hospital support for breastfeeding WS WS WS WS




ANS: 4 WS




Chapter: Chapter 1 Trends and Issues WS WS WS WS WS




Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
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:4
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Heading: Table 1-1: Past and Present Trends Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Conce
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pt: Evidence-Based Practice
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Difficulty: Moderate WS




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
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this likely would have occurred during the mother’s labor and delivery during the 1980s.
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,Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
WS WS WS WS WS WS WS WS WS WS WS WS




Linda Chapman WS




2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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Presently, the average postpartum stay is 48 hours or less.
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3 This is incorrect. In the past, expectant partners and families were excluded from the l
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abor and birth experience. Present trends involve the expectant partner and family in the labor a
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nd birth experience, including presence in the operating
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room for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation consultant and
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employment of the Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s.
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PTS: W S W S 1 CON: Evidence-Based PracticeWS WS




2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
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able to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery.
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This is an example of what type of death?
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1. Early maternal death WS WS




2. Late maternal death WS WS




3. Direct obstetric death WS WS




4. Indirect obstetric death ANS: 4 WS WS WS WS




Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 WS




Heading: Trends > Maternal Death and Mortality Rates Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application
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[Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
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, Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
WS WS WS WS WS WS WS WS WS WS WS WS




Linda Chapman WS




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric d
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eath, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause.WS WS WS WS WS WS WS




3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period. WS WS WS WS WS




4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
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disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partumWS




3. The nurse is providing education to a patient who has given birth to her first child and is
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being discharged home. The patient expressed concern regarding infant mortality and sudden i
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nfant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal
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delivery. She has a body mass index of 25 and has no other health conditions. The infant is hea
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lthy and was delivered full-term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant
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3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign WS WS WS WS WS




ANS: 4 WS




Chapter: Chapter 1 Trends and Issues WS WS WS WS WS




Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 7 Headin
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g: Trends > Infant Mortality Rates Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level
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: Application [Applying]
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Concept: Health Promotion Difficulty: Moderate
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