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, DavisldAdvantagel d forldMaternal-NewbornldNursing-
CriticalldComponentsldofldNursingldCareld5thldEditionldDurhamld
TldesldtldBank
Maternityl d Nursingl d Overview
Cha
l d pterl d 1.l d Trendsl d andl d Issue
s
1. Sincel d 1995l d therel d hasldbeenl d al d significantpydecreasel d inl d thel d rateldofl d i
nfantgldl d eatl d h relatedl d tol d whichl d ofl d thel d following:
a. Disordersl d associatedl d withl d shortl d gestationl d andl d lowl d birthl d weight
b. Accidents
c. Suddenl d infantl d death
d. Newbornsl d affectedl d byl d complicationsldofl d placenta,l d cord,l d andl d mem
branl d esl d ANS:ldc
Feedback
a. Thel d ratesl d ofl d prematurityl d andl d lowl d birthl d weightl d areldincreasing.
b. Thel d ratesl d ofl d accidentsl d havel d increased.
c. Correct.l d Thel d ratel d ofl d infantl d deathl d relatedl d toldSIDSl d hasl d decreasedl d froml d 87
.1l d to
47.2.l d Thel d decreasel d inl d ratel d isl d partiallyl d attributedl d tol d placingl d infantsl d onl d
theirl d bal d cksl d whenl d sleeping.
d. Thel d ratesl d ofl d newbornsl d affectedl d byl d complicationsl d ofl d placenta,l
d cord,l d anl d d membranesldhavel d increased.
KEY:l d Integratedl d Process:l d Teachingl d andl d Learningl d |l d Cognitivel d Level:l d Knowledg
el d |
Contentl d Area:l d Maternityl d |l d ClientldNeed:l d Healthl d Promotionl d andl d Maintena
ncel d |l d Diffl d icultyl d Level:l d Easy
2. Tobaccol d usel d duringl d pregnancyl d isl d associatedl d withldadversel d effectsl d o
nl d thel d ul d nbornl d infantl d suchl d asldintrauterinel d growthl d restriction,l d pret
erml d births,l d an
dl d respirl d atoryl d problems.l d Byl d race,l d whichl d hasl d thel d highestl d percentag
esl d ofl d smokers?
a. Americanl d Indianl d andl d Alaskanl d Natives
b. Asianl d orl d Pacificl d Islanders
c. Non-Hispanicl d blacks
d. Non-
Hispanicldwhites ANS:
al d Feedb
l d ack
a. 36%l d ofl d Americanl d Indianl d andl d Nativel d Americanl d womenl d arel d cigarettel d smoke
rs.
b. 4.3%l d ofl d Asianl d orl d Pacificl d Islanderl d womenl d arel d cigarettel d smokers.
c. 17.1%l d ofl d non-Hispanicl d blackl d womenl d arel d cigarettel d smokers.
d. 19.6%l d ofl d non-Hispanicl d whitel d womenl d arel d cigarettel d smokers.
KEY:l d Integratedl d Process:l d Clinicall d Probleml d Solvingl d |l d Cognitivel d Level:l d Knowledge
|
Contentl d Area:l d Maternityl d |l d Clientl d Need:l d Safel d andl d EffectiveldCarel d En
vironml d entl d |l d Difficultyl d Level:l d Easy
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, 3. Whichl d ofl d thel d followingl d womenl d isl d atglthel d highestl d riskglforl d healthl d disparity?
a. Al d white,l d middle-class,l d 16-year-oldl d woman
b. Anl d Africanl d American,l d middle-class,l d 25-year-oldl d woman
c. Anl d Africanl d American,l d upper-middle-class,l d 19-year-oldl d woman
d. AnldAsian,ldlow-
income,ld30-year-
oldl d woman
ANS:l d dl d Feedback
a. Althoughl d agel d isl d al d riskl d factor,l d incomel d contributesl d tol d disparity.
b. Althoughl d Africanl d Americanl d womenl d arel d atldincreasedl d risk,l d incomel d acc
ountsl d forl d theldlargestl d disparity.
c. Althoughl d agel d andl d raceldcontributeldtol d increasedl d risk,l d incomel d accoun
tsglforl d thl d e largestlddisparity.
d. Althoughl d agel d andl d racel d contributel d told increasedl d risk,l d incomepyldaccountsl d forl d th
e
largestgll d disparity.
KEY:l d Integratedl d Process:l d Clinicall d Probleml d Solvingl d |l d CognitiveglLevel:l d Application
|
Contentl d Area:l d Maternityl d |l d Clientl d Need:l d Healthl d Promotionglandl d Mainte
nancl d el d |l d Difficultyl d Level:l d Moderate
4. Al d neonatel d bornl d atl d 36l d weeksl d gestationl d isld classifiedglasldwhichl d ofl d thel d followi
ng?
a. Veryl d premature
b. Moderatelyl d premature
c. Lateldpremature
d. Term
AN
S:
c Feedb
l d ack
a. Veryl d prematurel d isl d lesspyldthangl32glweeksl d gestation.
b. Moderatelyl d prematurepyldisgl32l d tol d 33l d completedl d weeksl d gestation.
c. Correct.l d Latel d prematureglisl d 34l d tol d 36l d completedl d weeksl d gestation.
d. Terml d isl d 37l d topyld42pyldweeksl d gestation.
KEY:l d IntegratedpyProcess:l d Clinicall d Probleml d Solvingl d |l d Cognitivel d Level:l d Application
|
ContentpyArea:glMaternityl d |l d Clientl d Need:l d Physiologicall d Adaptationld|l d Diffi
cultyl d Levl d el:pl d yl d Easy
5. Thel d perinatalldnursel d explainsl d toldtheldstudentpynursel d thatl d al d goall d ofl d t
hel d Hel d althl d y Peopleld2020l d reportglisl d to:
a. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d tol d 93.1%.
b. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d told90.7%.
c. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d told85.6%.
d. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d told 83.9
%.l d l d ANS:ldd
Al d goall d ofl d Healthyl d Peoplel d 2020l d isl d toldincreasel d thel d proportionl d ofl d infants
l d whol d arl d el d breastfedl d froml d 74% l d told81.9%.
KEY:ldIntegratedldProcess:ldTeachingldandldLearningld|ldClientldNeed:ldHealthldProm
l d otiol d nl d andldMaintenanceld|ldCognitiveldLevel: ldApplicationld|ldContentldArea
:ldMl d aternityl d |l d l d Dl d ifficultyl d Level:l d Moderate
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, 6. Thel d perinatall d nursel d explainsl d toldtheldstudentl d nursel d that
ispythe leadingl d causel d ofl d infantpylddeathl d inl d thel d Unitedl d States.
a. Suddenl d InfantldDeathl d Syndrome
b. Respiratoryl d distressl d ofl d newborns
c. Disordersl d relatedl d tol d shortldgestationl d andl d lowl d birthl d weight
d. Congenitall d malformationsl d andl d chromosomall d abnorma
litil d esl d ANS:ldd
KEY:l d Integratedl d Process:l d Clinicall d Probleml d Solvingl d |l d Cognitivel d Level:l d Knowledg
el d |
Contentl d Area:l d Maternityl d |l d ClientldNeed:l d Safel d andl d Effectivel d Carel d Environ
mentld|l d Difficultyl d Level:l d Difficult
Multiplegll d Response
7. Whichl d ofl d thel d followingl d statementsl d areld truel d relatedl d tol d teenl d pregnancies
? (Selectldalll d thatl d apply.)
a. Teenl d mothersl d arel d atld higherl d riskl d forl d HIV.
b. Teenl d mothersl d arel d atldhigherl d riskl d forl d hypertensivel d problems.
c. Thel d birthl d ratel d forl d teenagedl d womenl d hasl d increasedpyldinpyldtheglpastld 15l d years.
d. Infantsl d bornl d tol d teenl d mothersl d arel d atl d higherl d riskl d forpyldhealthglproblems
. ANS:l d a,l d b,l d d
Healthldstatisticsl d reportldhigherl d riskldforl d HIV,l d forl d hypertensivel d problems,l d andl d for
hl d ealt
hl d problemsl d tol d infantsl d bornl d tol d teenl d mothers.ldBirthpyratesglforl d teenl d mothersldinl d
all
ageglcategoriesl d havelddecreasedl d sincel d 1991.
about:blank 4/229
, DavisldAdvantagel d forldMaternal-NewbornldNursing-
CriticalldComponentsldofldNursingldCareld5thldEditionldDurhamld
TldesldtldBank
Maternityl d Nursingl d Overview
Cha
l d pterl d 1.l d Trendsl d andl d Issue
s
1. Sincel d 1995l d therel d hasldbeenl d al d significantpydecreasel d inl d thel d rateldofl d i
nfantgldl d eatl d h relatedl d tol d whichl d ofl d thel d following:
a. Disordersl d associatedl d withl d shortl d gestationl d andl d lowl d birthl d weight
b. Accidents
c. Suddenl d infantl d death
d. Newbornsl d affectedl d byl d complicationsldofl d placenta,l d cord,l d andl d mem
branl d esl d ANS:ldc
Feedback
a. Thel d ratesl d ofl d prematurityl d andl d lowl d birthl d weightl d areldincreasing.
b. Thel d ratesl d ofl d accidentsl d havel d increased.
c. Correct.l d Thel d ratel d ofl d infantl d deathl d relatedl d toldSIDSl d hasl d decreasedl d froml d 87
.1l d to
47.2.l d Thel d decreasel d inl d ratel d isl d partiallyl d attributedl d tol d placingl d infantsl d onl d
theirl d bal d cksl d whenl d sleeping.
d. Thel d ratesl d ofl d newbornsl d affectedl d byl d complicationsl d ofl d placenta,l
d cord,l d anl d d membranesldhavel d increased.
KEY:l d Integratedl d Process:l d Teachingl d andl d Learningl d |l d Cognitivel d Level:l d Knowledg
el d |
Contentl d Area:l d Maternityl d |l d ClientldNeed:l d Healthl d Promotionl d andl d Maintena
ncel d |l d Diffl d icultyl d Level:l d Easy
2. Tobaccol d usel d duringl d pregnancyl d isl d associatedl d withldadversel d effectsl d o
nl d thel d ul d nbornl d infantl d suchl d asldintrauterinel d growthl d restriction,l d pret
erml d births,l d an
dl d respirl d atoryl d problems.l d Byl d race,l d whichl d hasl d thel d highestl d percentag
esl d ofl d smokers?
a. Americanl d Indianl d andl d Alaskanl d Natives
b. Asianl d orl d Pacificl d Islanders
c. Non-Hispanicl d blacks
d. Non-
Hispanicldwhites ANS:
al d Feedb
l d ack
a. 36%l d ofl d Americanl d Indianl d andl d Nativel d Americanl d womenl d arel d cigarettel d smoke
rs.
b. 4.3%l d ofl d Asianl d orl d Pacificl d Islanderl d womenl d arel d cigarettel d smokers.
c. 17.1%l d ofl d non-Hispanicl d blackl d womenl d arel d cigarettel d smokers.
d. 19.6%l d ofl d non-Hispanicl d whitel d womenl d arel d cigarettel d smokers.
KEY:l d Integratedl d Process:l d Clinicall d Probleml d Solvingl d |l d Cognitivel d Level:l d Knowledge
|
Contentl d Area:l d Maternityl d |l d Clientl d Need:l d Safel d andl d EffectiveldCarel d En
vironml d entl d |l d Difficultyl d Level:l d Easy
about:blank 2/229
, 3. Whichl d ofl d thel d followingl d womenl d isl d atglthel d highestl d riskglforl d healthl d disparity?
a. Al d white,l d middle-class,l d 16-year-oldl d woman
b. Anl d Africanl d American,l d middle-class,l d 25-year-oldl d woman
c. Anl d Africanl d American,l d upper-middle-class,l d 19-year-oldl d woman
d. AnldAsian,ldlow-
income,ld30-year-
oldl d woman
ANS:l d dl d Feedback
a. Althoughl d agel d isl d al d riskl d factor,l d incomel d contributesl d tol d disparity.
b. Althoughl d Africanl d Americanl d womenl d arel d atldincreasedl d risk,l d incomel d acc
ountsl d forl d theldlargestl d disparity.
c. Althoughl d agel d andl d raceldcontributeldtol d increasedl d risk,l d incomel d accoun
tsglforl d thl d e largestlddisparity.
d. Althoughl d agel d andl d racel d contributel d told increasedl d risk,l d incomepyldaccountsl d forl d th
e
largestgll d disparity.
KEY:l d Integratedl d Process:l d Clinicall d Probleml d Solvingl d |l d CognitiveglLevel:l d Application
|
Contentl d Area:l d Maternityl d |l d Clientl d Need:l d Healthl d Promotionglandl d Mainte
nancl d el d |l d Difficultyl d Level:l d Moderate
4. Al d neonatel d bornl d atl d 36l d weeksl d gestationl d isld classifiedglasldwhichl d ofl d thel d followi
ng?
a. Veryl d premature
b. Moderatelyl d premature
c. Lateldpremature
d. Term
AN
S:
c Feedb
l d ack
a. Veryl d prematurel d isl d lesspyldthangl32glweeksl d gestation.
b. Moderatelyl d prematurepyldisgl32l d tol d 33l d completedl d weeksl d gestation.
c. Correct.l d Latel d prematureglisl d 34l d tol d 36l d completedl d weeksl d gestation.
d. Terml d isl d 37l d topyld42pyldweeksl d gestation.
KEY:l d IntegratedpyProcess:l d Clinicall d Probleml d Solvingl d |l d Cognitivel d Level:l d Application
|
ContentpyArea:glMaternityl d |l d Clientl d Need:l d Physiologicall d Adaptationld|l d Diffi
cultyl d Levl d el:pl d yl d Easy
5. Thel d perinatalldnursel d explainsl d toldtheldstudentpynursel d thatl d al d goall d ofl d t
hel d Hel d althl d y Peopleld2020l d reportglisl d to:
a. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d tol d 93.1%.
b. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d told90.7%.
c. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d told85.6%.
d. Increasel d proportionl d ofl d infantsl d whol d arel d breastfedl d told 83.9
%.l d l d ANS:ldd
Al d goall d ofl d Healthyl d Peoplel d 2020l d isl d toldincreasel d thel d proportionl d ofl d infants
l d whol d arl d el d breastfedl d froml d 74% l d told81.9%.
KEY:ldIntegratedldProcess:ldTeachingldandldLearningld|ldClientldNeed:ldHealthldProm
l d otiol d nl d andldMaintenanceld|ldCognitiveldLevel: ldApplicationld|ldContentldArea
:ldMl d aternityl d |l d l d Dl d ifficultyl d Level:l d Moderate
about:blank 3/229
, 6. Thel d perinatall d nursel d explainsl d toldtheldstudentl d nursel d that
ispythe leadingl d causel d ofl d infantpylddeathl d inl d thel d Unitedl d States.
a. Suddenl d InfantldDeathl d Syndrome
b. Respiratoryl d distressl d ofl d newborns
c. Disordersl d relatedl d tol d shortldgestationl d andl d lowl d birthl d weight
d. Congenitall d malformationsl d andl d chromosomall d abnorma
litil d esl d ANS:ldd
KEY:l d Integratedl d Process:l d Clinicall d Probleml d Solvingl d |l d Cognitivel d Level:l d Knowledg
el d |
Contentl d Area:l d Maternityl d |l d ClientldNeed:l d Safel d andl d Effectivel d Carel d Environ
mentld|l d Difficultyl d Level:l d Difficult
Multiplegll d Response
7. Whichl d ofl d thel d followingl d statementsl d areld truel d relatedl d tol d teenl d pregnancies
? (Selectldalll d thatl d apply.)
a. Teenl d mothersl d arel d atld higherl d riskl d forl d HIV.
b. Teenl d mothersl d arel d atldhigherl d riskl d forl d hypertensivel d problems.
c. Thel d birthl d ratel d forl d teenagedl d womenl d hasl d increasedpyldinpyldtheglpastld 15l d years.
d. Infantsl d bornl d tol d teenl d mothersl d arel d atl d higherl d riskl d forpyldhealthglproblems
. ANS:l d a,l d b,l d d
Healthldstatisticsl d reportldhigherl d riskldforl d HIV,l d forl d hypertensivel d problems,l d andl d for
hl d ealt
hl d problemsl d tol d infantsl d bornl d tol d teenl d mothers.ldBirthpyratesglforl d teenl d mothersldinl d
all
ageglcategoriesl d havelddecreasedl d sincel d 1991.
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