Test Bank For-Newborn Nursing: The Critical Components Of Nursing Care 3Rd Edition By Linda Chapman And Roberta Durham

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

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Chap
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Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues

MULTIPLE CHOICE (i




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother ispr
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esent 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 motherfind m
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ost different? (i



1. Fetal monitoring throughout labor (i (i (i


2. Postpartum stay of 10 days (i (i (i (i



3. Expectant partner and familyin operating room for cesarean birth (i (i (i (i (i (i (i (i (i



4. Hospital support for breastfeeding (i (i (i




ANS: 4 ( i



Chapter: Chapter 1 Trends and Issues (i (i (i (i (i



Chapter Learning Objective: 1. Discuss current trends in the management of labor and birthPa
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ge: 4 (i


Heading: Table 1- (i (i



1: Past and Present TrendsIntegrated Process
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es: Nursing Process
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Client Need: Health Promotion and MaintenanceC
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ognitive Level: Application [Applying] Concept:
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Evidence-Based Practice (i



Difficulty: Moderate (i




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,t
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his likely would have occurred during the mother’s labor and delivery during the
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1980s.
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. (i (i (i (i (i (i (i (i (i



3 This is incorrect. In the past, expectant partners and families were excluded fromth
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e labor and birth experience. Present trends involve the expectant partner and fam
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ily in the labor and birth experience, including presence in the operating
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room for cesarean births. (i (i (i



4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- (i (i (i (i (i


Friendly Hospital Initiative, were bothenacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice (i (i




2. A patient with a history of hypertension is giving birth. During delivery, the staff was notab
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le to stabilize the patient’s blood pressure. As a result, the patient died shortly after deliver
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y. This is an example of what type of death?
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1. Early maternal death (i (i



2. Late maternal death (i (i

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Chap
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man

3. Direct obstetric death (i (i



4. Indirect obstetric death (i (i i(


ANS: 4 ( i




Chapter: Chapter 1 Trends and Issues(i (i (i (i (i



Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutcomes.
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Page: 7 (i



Heading: Trends > Maternal Death and Mortality RatesI
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ntegrated Processes: Nursing Process (i (i (i


Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying] (i (i (i


Concept: Ante/Intra/Post- (i



partumDifficulty: Hard i( (i




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Exam
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ples of maternal death include late maternal death, indirect obstetric death,direct o
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bstetric death, and pregnancy-related death. (i (i (i (i



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. (i (i (i (i (i (i (i



3 This is incorrect. Direct obstetric death results from complications duringp
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regnancy, labor, birth, and/or postpartum period. (i (i (i (i (i



4 This is correct. Indirect obstetric death is caused by a preexisting disease, or adi
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sease that develops during pregnancy.(i (i (i (i




PTS: 1 CON: Ante/Intra/Post-partum (i




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 deli
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very. She has a body mass index of 25 and has no other health conditions. The infant is health
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y and was delivered full-term. What will be most helpful thing to explainto 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 (i (i (i (i




ANS: 4 ( i



Chapter: Chapter 1 Trends and Issues(i (i (i (i (i



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


Integrated Processes: Nursing process (i (i (i



Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Cognitive Level: Application [Applying] (i (i (i

, TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Chap
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man
Concept: Health Promotion
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Difficulty: Moderate (i