Test Bank for Maternal Newborn Nursing: The Critical Components of Nursing Care 4th Edition – Complete Chapter Guide

Test Bank for Maternal-Newborn Nursing: The Critical Components of
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Nursing Care 4th Edition by Roberta Durham & Linda Chapman –
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Complete Questions & Answers Guide (2025–2026)
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,TABLE OF CONTENT g g




Maternity Nursing Overview g g




1. Trends and Issues g g




2. Ethics and Standards of Practice Issues
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The Antepartal Period
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3. Genetics, Conception, Fetal Development, and ReproductiveTechnology
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4. Physiological Aspects of AntepartumCare g g g g




5. ThePsycho-Social-Cultural Aspects of the Antepartum Period
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6. Antepartal Tests g




7. High-Risk AntepartumNursing Care g g g




Intrapartal Period g




8. Intrapartum Assessment and Interventions g g g




9. Fetal Heart Rate Assessment
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10. High-Risk Laborand Birth g g g




11. Intrapartum and PostpartumCare of the Cesarean Birth Families g g g g g g g g




Postpartal Period g




12. PostpartumPhysiological Assessments and Nursing Care g g g g g




13. Transition to Parenthood g g




14. High-Risk Postpartum Nursing Care g g g




Neonatal Period g




15. Physiological and Behavioral Responses ofthe Neonate g g g g g g




16. Discharge Planning and Teaching g g g




17. High-Risk Neonatal Nursing Care g g g




Women’s Health g




18. Well Women’s Health g g




19. Alterationsin Women’sHealth g g g

,Chapter 1: Trends and Issuesg g g g




MULTIPLE CHOICE g




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
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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?
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1. Fetal monitoring throughout labor g g g




2. Postpartum stayof 10 days g g g g




3. Expectant partner and familyin operating room for cesarean birth g g g g g g g g g




4. Hospital support for breastfeeding g g g




ANS: 4 g




Chapter: Chapter 1 Trends and Issues g g g g g




Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4
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Heading: Table 1-1: Past and Present Trends g g g g g g




Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice
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Difficulty: Moderate g




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this
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likely would have occurred during the mother’s labor and delivery during the
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1980s.
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2 This is incorrect. In the past, the average hospital postpartum staywas 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 thepast, expectant partners and families were excluded from the
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labor and birth experience. Present trends involve the expectant partner and family in
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the labor and birth experience, including presence in the operating
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room for cesarean births. g g g




4 This is correct. Hospital support for breastfeeding, including a lactation consultant
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and employment ofthe Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s. g g g g




PTS: 1 CON: Evidence-Based Practice g g




2. Apatient with a historyof hypertension is giving birth. During delivery, the staff was not able
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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. Earlymaternal death g g




2. Latematernal death g g




3. Direct obstetric death g g




4. Indirectobstetricdeath g g




ANS: 4
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, Chapter: Chapter 1 Trends and Issues g g g g g




Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 g




Heading: Trends > Maternal Death and Mortality Ratesg g g g g g g




Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive
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Level: Application [Applying]
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Concept:Ante/Intra/Post-partum g




Difficulty: Hard
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Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Examples
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of maternal death includelate maternal death, indirect obstetric death, direct obstetric
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death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy
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from a direct or indirect obstetric cause.
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3 This is incorrect. Direct obstetric death results from complications during pregnancy,
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labor, birth, and/or postpartum period.
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4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease
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that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum g




3. The nurse is providing education to a patient who has given birth to her first child and is being
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discharged home. The patient expressed concern regarding infant mortality and sudden infant
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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
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healthy 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 pulmonarysurfactant g g g g




3. The Baby-Friendly Hospital Initiativeg g g




4. TheSafe to Sleep campaign g g g g




ANS: 4 g




Chapter: Chapter 1 Trends and Issues g g g g g




Chapter Learning Objective: 3. Identify leading causes of infant death. Page:
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7
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Heading: Trends > Infant Mortality Rates g g g g g




Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Cognitive Level: Application [Applying]
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Concept:HealthPromotion g g




Difficulty: Moderate
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Feedback
1 This is incorrect. EMCO has been cited as oneof the factors that has reduced infant
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mortality among preterm infants.
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2 This is incorrect. Although advances in medical treatments have decreased infant
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mortality, exogenous pulmonarysurfactant is primarilyused to reduce mortalityof
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preterm infants.
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