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,8/25/23, 3:49 PM Davis Advantage for Maternal-Newborn Nursing- Critical Components of Nu…
Davis Advantage for Maternal-Newborn Nursing-
n% n% n% n%
Critical Components of Nursing Care 4th Edition Durham T
n% n% n% n% n% n% n% n%
es t Bank
n% n%
Maternityn%Nursingn%Overviewn % Ch
an % ptern%1.n%Trendsn%andn%Issues
1. Sincen%1995n%theren%hasglbeenn%an%significantn%decreasen%inn%then%rateglofn%infa
ntgldeatn % hn % relatedn%ton%whichn%ofn%then%following:
a. Disordersn % associatedn % withn % shortn % gestationn % andn % lown % birthn % weight
b. Accidents
c. Suddenn % infantn % death
d. Newbornsn % affectedn%byn%complicationsglofn%placenta,n%cord,n%andn%membr
anesn % ANS:n%c
Feedback
a. Then % ratesn % ofn % prematurityn % andn % lown % birthn % weightn % areglincreasing.
b. Then % ratesgln%ofn % accidentsn % haven % increased.
c. Correct.n % Then % raten% ofn % infantn % deathn % relatedn % toglSIDSn % hasn % decreasedn % fromn % 87.1n % to
47.2.n%Then%decreasen%inn%raten%isn%partiallyn%attributedn%ton%placingn%infantsn%onn%thei
rn%backsn % whenn%sleeping.
d. Then%ratesn%ofn%newbornsn%affectedn%byn%complicationsn%ofn%placenta,n%co
rd,n%ann % dn % membranesglhaven%increased.
KEY:n % Integratedn % Process:n % Teachingn % andn % Learningn % |n % Cognitiven % Level:n % Knowledgen % |
Contentn%Area:n%Maternityn%|n%ClientglNeed:n%Healthn%Promotionn%andn%Maintenancen%
|n % Diffn % icultyn%Level:n%Easy
2. Tobaccon%usen%duringn%pregnancyn%isn%associatedn%withgladversen%effectsn%onn%t
hen % un % nbornn%infantn%suchn%asglintrauterinen%growthn%restriction,n%pretermn%birth
s,n%andn % respirn % atoryn%problems.n%Byn%race,n%whichn%hasn%then%highestn%percent
agesn%ofn%smokers?
a. Americann % Indiann % andn % Alaskann % Natives
b. Asiann % orn % Pacificn % Islanders
c. Non-Hispanicn % blacks
d. Non-
Hispanicn%whitesn % ANS:
an % Feedb
ack
a. 36%n % ofn % Americann % Indiann % andn % Nativen % Americann % womenn % aren % cigaretten % smokers.
b. 4.3%n % ofn % Asiann % orn % Pacificn % Islandern % womenn % aren % cigaretten % smokers.
c. 17.1%n % ofn % non-Hispanicn % blackn % womenn % aren % cigaretten%smokers.
d. 19.6%n % ofn % non-Hispanicn % whiten % womenn % aren % cigaretten % smokers.
KEY:n%Integratedn%Process:n%Clinicaln%Problemn%Solvingn%|n%Cognitiven%Level:n%Knowledge
|n % Contentn%Area:n%Maternityn%|n%Clientn%Need:n%Safen%andn%EffectiveglCaren%Enviro
nmentn%|n % Difficultyn%Level:n%Easy
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3. Whichn % ofn % then % followingn % womenn % isn % atglthen % highestn % riskglforn % healthn % disparity?
a. An % white,n % middle-class,n % 16-year-oldn % woman
b. Ann % Africann % American,n % middle-class,n % 25-year-oldn % woman
c. Ann % Africann % American,n % upper-middle-class,n % 19-year-oldn % woman
d. Ann%Asian,n%low-income,n%30-
year-n % oldn%womann % ANS:n%d
Feedback
a. Althoughn % agen % isn % an % riskn % factor,n % incomen % contributesn % ton % disparity.
b. Althoughn % Africann%Americann%womenn%aren%atglincreasedn%risk,n%incomen%accou
ntsglforn % thegllargestn%disparity.
c. Althoughn%agen%andn%raceglcontributeglton%increasedn%risk,n%incomen%accountsglf
orn%thn % en % largestgldisparity.
d. Althoughn % agen % andn % racen%contributen % toglincreasedn % risk,n % incomen % accountsn % forn % the
largestgln% disparity.
KEY:n%Integratedn%Process:n%Clinicaln%Problemn%Solvingn%|n%CognitiveglLevel:n%Application
|n % Contentn%Area:n%Maternityn%|n%Clientn%Need:n%Healthn%Promotionglandn%Mainten
ancen%|n % Difficultyn%Level:n%Moderate
4. An % neonaten % bornn % atn % 36n % weeksn % gestationn % isglclassifiedglasglwhichn % ofn % then % following?
a. Veryn % premature
b. Moderatelyn % premature
c. Lateglpremature
d. Term
n % A
NS:
cn % Feedb
ack
a. Veryn % prematuren % isn % lessn % thangl32glweeksn % gestation.
b. Moderatelyn % prematuren % isgl32gln%togln%33n % completedn % weeksn % gestation.
c. Correct.n % Laten% prematureglisgln%34n % ton % 36n % completedn% weeksn % gestation.
d. Termn % isn % 37n % ton % 42n % weeksn % gestation.
KEY:n%Integratedn%Process:n%Clinicaln%Problemn%Solvingn%|n%Cognitiven%Level:n%Application
|n % Contentn%Area:glMaternityn%|n%Clientn%Need:n%Physiologicaln%Adaptationgl|n%Difficul
tyn%Levn % el:n % Easy
5. Then%perinatalglnursen%explainsn%togltheglstudentn%nursen%thatn%an%goaln%ofn%then%
Healthn % yn % Peoplegl2020n%reportglisn%to:
a. Increasen % proportionn % ofn % infantsn % whon % aren % breastfedn % ton % 93.1%.
b. Increasen % proportionn % ofn % infantsn % whogln%aren % breastfedn % togl90.7%.
c. Increasen % proportionn % ofn % infantsn % whon % aren % breastfedn % togl85.6%.
d. Increasen % proportionn%ofn%infantsn%whon%aren%breastfedn%togl8
3.9%.n % ANS:n%d
An%goaln%ofn%Healthyn%Peoplen%2020n%isn%toglincreasen%then%proportionn%ofn%infantsn%w
hoglaren % breastfedn%fromn%74%n%togl81.9%.
KEY:n%Integratedn%Process:n%Teachingn%andn%Learningn%|n%Clientn%Need:n%Healthn%Pr
omotion % nn % andn%Maintenancen%|n%Cognitiven%Level:n%Applicationn%|n%Contentn%A
rea:n%Maternityn%|n % Dn % ifficultyn%Level:n%Moderate
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6. Then%perinataln% nursen%explainsn%togltheglstudentn%nursen%that
n % n % isn%then % leadingn % causen % ofn % infantn% deathn% inn % then% Unitedn% States.
a. Suddenn % InfantglDeathn % Syndrome
b. Respiratoryn % distressn % ofn % newborns
c. Disordersn % relatedn % ton % shortglgestationn % andn%lown % birthn % weight
d. Congenitaln % malformationsn%andn%chromosomaln%abnormalit
iesn % ANS:n%d
KEY:n% Integratedn % Process:n % Clinicaln % Problemn % Solvingn % |n % Cognitivegln%Level:n% Knowledgen% |
Contentn%Area:n%Maternityn%|n%ClientglNeed:n%Safen%andn%Effectiven%Caren%Environme
ntgl|n % Difficultyn%Level:n%Difficult
Multiplegln% Response
7. Whichn%ofn%then%followingn% statementsn% aregltruen%relatedn%ton%teenn% pregnancies
?n % (Selectglalln % thatn % apply.)
a. Teenn % mothersn % aren % atglhighern % riskn % forn % HIV.
b. Teenn % mothersn % aren % atglhighern % riskn % forn % hypertensiven % problems.
c. Then % birthn % raten % forn % teenagedn % womenn % hasn % increasedn % inn % theglpastgl15n % years.
d. Infantsn% bornn% ton % teenn% mothersn % aren% atn% highern% riskn% forn % healthglproblems
.n % ANS:n % a,n % b,n % d
Healthglstatisticsn%reportglhighern%riskglforn%HIV,n%forn%hypertensiven%problems,n%andn%forn % hn % e
althglproblemsn%ton% infantsn%bornn%ton% teenn%mothers.glBirthn%ratesglforn%teenn%mothersglinn%all
ageglcategoriesn%havegldecreasedn%sincen%1991.
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