TEST BANK
https://www.stuvia.com/user/angelinas
, TABLE OF CONTENT
Maternity Nursing Overview
1. Trends and Issues
2. Ethics and Standards of Practice Issues
The Antepartal Period
3. Genetics, Conception, Fetal Development, and ReproductiveTechnology
4. Physiological Aspects of Antepartum Care
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
6. Antepartal Tests
7. High-Risk Antepartum Nursing Care
Intrapartal Period
8. Intrapartum Assessment and Interventions
9. Fetal Heart Rate Assessment
10. High-Risk Labor and Birth
11. Intrapartum and Postpartum Care of the Cesarean Birth Families
Postpartal Period
12. Postpartum Physiological Assessments and Nursing Care
13. Transition to Parenthood
14. High-Risk Postpartum Nursing Care
Neonatal Period
15. Physiological and Behavioral Responses of the Neonate
16. Discharge Planning and Teaching
17. High-Risk Neonatal Nursing Care
Women’s Health
18. Well Women’s Health
19. Alterations in Women’s Health
https://www.stuvia.com/user/angelinas
, Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
present for support and notes that things have changed in the delivery room since she last
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
this likely would have occurred during the mother’s labor and delivery during
the 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from
the labor and birth experience. Present trends involve the expectant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative, were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
https://www.stuvia.com/user/angelinas
, Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i2. iDiscuss icurrent itrends iin imaternal iand iinfant ihealth
ioutcomes.
Page: i7
Heading: iTrends i> iMaternal iDeath iand iMortality iRates
iIntegrated iProcesses: iNursing iProcess
Client iNeed: iPhysiological iIntegrity: iReduction iof iRisk iPotential
iCognitive iLevel: iApplication i[Applying]
Concept: iAnte/Intra/Post-partum
iDifficulty: iHard
Feedback
1 This iis iincorrect. iEarly imaternal ideath iis inot ian iexample iof imaternal ideath.
iExamples iof imaternal ideath iinclude ilate imaternal ideath, iindirect iobstetric
ideath, idirect iobstetric ideath, iand ipregnancy-related ideath.
2 This iis iincorrect. iLate imaternal ideath ioccurs i42 idays iafter itermination iof
ipregnancy ifrom ia idirect ior iindirect iobstetric icause.
3 This iis iincorrect. iDirect iobstetric ideath iresults ifrom icomplications iduring
ipregnancy, ilabor, ibirth, iand/or ipostpartum iperiod.
4 This iis icorrect. iIndirect iobstetric ideath iis icaused iby ia ipreexisting idisease, ior ia
idisease ithat idevelops iduring ipregnancy.
PTS: 1 CON: i Ante/Intra/Post-partum
3. The inurse iis iproviding ieducation ito ia ipatient iwho ihas igiven ibirth ito iher ifirst ichild iand iis
ibeing idischarged ihome. iThe ipatient iexpressed iconcern iregarding iinfant imortality iand
isudden iinfant ideath isyndrome i(SIDS). iThe ipatient ihad ian iuncomplicated ipregnancy,
ilabor, iand ivaginal idelivery. iShe ihas ia ibody imass iindex iof i25 iand ihas ino iother ihealth
iconditions. iThe iinfant iis ihealthy iand iwas idelivered ifull-term. iWhat iwill ibe imost ihelpful
ithing ito iexplain ito ithe ipatient?
1. Uses iof iextracorporeal imembrane ioxygenation itherapy i(ECMO)
2. Uses iof iexogenous ipulmonary isurfactant
3. The iBaby-Friendly iHospital i Initiative
4. The iSafe ito iSleep icampaign
ANS: i 4
Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i3. iIdentify ileading icauses iof iinfant ideath.
iPage: i7
Heading: iTrends i> iInfant iMortality iRates
iIntegrated iProcesses: iNursing iprocess
Client iNeed: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection iControl
iCognitive iLevel: iApplication i[Applying]
Concept: iHealth iPromotion
iDifficulty: iModerate
Feedback
1 This iis iincorrect. iEMCO ihas ibeen icited ias ione iof ithe ifactors ithat ihas ireduced
iinfant imortality iamong ipreterm iinfants.
https://www.stuvia.com/user/angelinas
https://www.stuvia.com/user/angelinas
, TABLE OF CONTENT
Maternity Nursing Overview
1. Trends and Issues
2. Ethics and Standards of Practice Issues
The Antepartal Period
3. Genetics, Conception, Fetal Development, and ReproductiveTechnology
4. Physiological Aspects of Antepartum Care
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
6. Antepartal Tests
7. High-Risk Antepartum Nursing Care
Intrapartal Period
8. Intrapartum Assessment and Interventions
9. Fetal Heart Rate Assessment
10. High-Risk Labor and Birth
11. Intrapartum and Postpartum Care of the Cesarean Birth Families
Postpartal Period
12. Postpartum Physiological Assessments and Nursing Care
13. Transition to Parenthood
14. High-Risk Postpartum Nursing Care
Neonatal Period
15. Physiological and Behavioral Responses of the Neonate
16. Discharge Planning and Teaching
17. High-Risk Neonatal Nursing Care
Women’s Health
18. Well Women’s Health
19. Alterations in Women’s Health
https://www.stuvia.com/user/angelinas
, Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
present for support and notes that things have changed in the delivery room since she last
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
this likely would have occurred during the mother’s labor and delivery during
the 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from
the labor and birth experience. Present trends involve the expectant partner and
family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation
consultant and employment of the Baby-Friendly Hospital Initiative, were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
https://www.stuvia.com/user/angelinas
, Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i2. iDiscuss icurrent itrends iin imaternal iand iinfant ihealth
ioutcomes.
Page: i7
Heading: iTrends i> iMaternal iDeath iand iMortality iRates
iIntegrated iProcesses: iNursing iProcess
Client iNeed: iPhysiological iIntegrity: iReduction iof iRisk iPotential
iCognitive iLevel: iApplication i[Applying]
Concept: iAnte/Intra/Post-partum
iDifficulty: iHard
Feedback
1 This iis iincorrect. iEarly imaternal ideath iis inot ian iexample iof imaternal ideath.
iExamples iof imaternal ideath iinclude ilate imaternal ideath, iindirect iobstetric
ideath, idirect iobstetric ideath, iand ipregnancy-related ideath.
2 This iis iincorrect. iLate imaternal ideath ioccurs i42 idays iafter itermination iof
ipregnancy ifrom ia idirect ior iindirect iobstetric icause.
3 This iis iincorrect. iDirect iobstetric ideath iresults ifrom icomplications iduring
ipregnancy, ilabor, ibirth, iand/or ipostpartum iperiod.
4 This iis icorrect. iIndirect iobstetric ideath iis icaused iby ia ipreexisting idisease, ior ia
idisease ithat idevelops iduring ipregnancy.
PTS: 1 CON: i Ante/Intra/Post-partum
3. The inurse iis iproviding ieducation ito ia ipatient iwho ihas igiven ibirth ito iher ifirst ichild iand iis
ibeing idischarged ihome. iThe ipatient iexpressed iconcern iregarding iinfant imortality iand
isudden iinfant ideath isyndrome i(SIDS). iThe ipatient ihad ian iuncomplicated ipregnancy,
ilabor, iand ivaginal idelivery. iShe ihas ia ibody imass iindex iof i25 iand ihas ino iother ihealth
iconditions. iThe iinfant iis ihealthy iand iwas idelivered ifull-term. iWhat iwill ibe imost ihelpful
ithing ito iexplain ito ithe ipatient?
1. Uses iof iextracorporeal imembrane ioxygenation itherapy i(ECMO)
2. Uses iof iexogenous ipulmonary isurfactant
3. The iBaby-Friendly iHospital i Initiative
4. The iSafe ito iSleep icampaign
ANS: i 4
Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i3. iIdentify ileading icauses iof iinfant ideath.
iPage: i7
Heading: iTrends i> iInfant iMortality iRates
iIntegrated iProcesses: iNursing iprocess
Client iNeed: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection iControl
iCognitive iLevel: iApplication i[Applying]
Concept: iHealth iPromotion
iDifficulty: iModerate
Feedback
1 This iis iincorrect. iEMCO ihas ibeen icited ias ione iof ithe ifactors ithat ihas ireduced
iinfant imortality iamong ipreterm iinfants.
https://www.stuvia.com/user/angelinas
