TEST BANK m
MATERNAL-
NEWBORN NURSING:THE CRITIC
m m m
AL COMPONENTS OFNURSING CA
m m m m
RE 3RD EDITION BY LINDA CHAPM
m m m m m
AN AND ROBERTA DURHAM
m m m
,TESTmBANK:mMaternal-
NewbornmNursing:mThemCriticalmComponentsmOfmNursingmCarem3rdmEditionmBymRobertamDurhammAndmLindamC
hapman
Unitm1:mMaternitymNursingmOvervie
wmChapterm1:mTrendsmandmIssues
MULTIPLEmCHOICE
1. Themnursemismcaringmformampatientmwhomisminmlabormwithmhermfirstmchild.mThempatient’smmothe
rmismpresentmformsupportmandmnotesmthatmthingsmhavemchangedminmthemdeliverymroommsincemsh
emlastmgavembirthminmthemearlym1980s.mWhichmcurrentmtrendmorminterventionmmaymthempatient’
smmothermfindmmostmdifferent?
1. Fetalmmonitoringmthroughoutmlabor
2. Postpartummstaymofm10mdays
3. Expectantmpartnermandmfamilyminmoperatingmroommformcesareanmbirth
4. Hospitalmsupportmformbreastfeeding
ANS:m 4
Chapter:mChapterm1mTrendsmandmIssues
ChaptermLearningmObjective:m1.mDiscussmcurrentmtrendsminmthemmanagementmofmlabormandmbir
thmPage:m4
Heading:mTablem1-
1:mPastmandmPresentmTrendsmIntegratedmProce
sses:mNursingmProcess
ClientmNeed:mHealthmPromotionmandmMaintenancem
CognitivemLevel:mApplicationm[Applying]mConce
pt:mEvidence-BasedmPractice
Difficulty:mModerate
Feedback
1 Thismismincorrect.mFetalmmonitoringmduringmlabormbeganminmthemlatem1970s.mAsmsu
ch,mthismlikelymwouldmhavemoccurredmduringmthemmother’smlabormandmdeliverymduri
ngmthem1980s.
2 Thismismincorrect.m Inmthempast,mthemaveragemhospitalmpostpartummstaymwasm10mdays.
Presently,mthemaveragempostpartummstaymism48mhoursmormless.
3 Thismismincorrect.mInmthempast,mexpectantmpartnersmandmfamiliesmweremexcludedmfr
ommthemlabormandmbirthmexperience.mPresentmtrendsminvolvemthemexpectantmpartner
mandmfamilyminmthemlabormandmbirthmexperience,m includingmpresenceminmthemoperati
ng
roommformcesareanmbirths.
4 Thismismcorrect.mHospitalmsupportmformbreastfeeding,mincludingmamlactation
consultantmandmemploymentmofmthemBaby-
FriendlymHospitalmInitiative,mwerembothmenactedmduringmthemearlym1990s.
PTS: 1 CON:m Evidence-BasedmPractice
2. Ampatientmwithmamhistorymofmhypertensionmismgivingmbirth.mDuringmdelivery,mthemstaffmwasm
notmablemtomstabilizemthempatient’smbloodmpressure.mAsmamresult,mthempatientmdiedmshortlymaf
termdelivery.mThismismanmexamplemofmwhatmtypemofmdeath?
1. Earlymmaternalmdeath
2. Latemmaternalmdeath
,TESTmBANK:mMaternal-
NewbornmNursing:mThemCriticalmComponentsmOfmNursingmCarem3rdmEditionmBymRobertamDurhammAndmLindamC
hapman
3. Directmobstetricmdeath
4. Indirectmobstetricmdeat
hmANS:m 4
Chapter:mChapterm1mTrendsmandmIssues
ChaptermLearningmObjective:m2.mDiscussmcurrentmtrendsminmmaternalmandminfantmhealthmoutco
mes.
Page:m7
Heading:mTrendsm>mMaternalmDeathmandmMortalitymRat
esmIntegratedmProcesses:mNursingmProcess
ClientmNeed:mPhysiologicalmIntegrity:mReductionmofmRiskmPotenti
almCognitivemLevel:mApplicationm[Applying]
Concept:mAnte/Intra/Post-
partummDifficulty:mHard
Feedback
1 Thismismincorrect.mEarlymmaternalmdeathmismnotmanmexamplemofmmaternalmdeath.mE
xamplesmofmmaternalmdeathmincludemlatemmaternalmdeath,mindirectmobstetricmdeath
,mdirectmobstetricmdeath,mandmpregnancy-relatedmdeath.
2 Thismismincorrect.mLatemmaternalmdeathmoccursm42mdaysm aftermterminationmof
pregnancymfrommamdirectmormindirectmobstetricmcause.
3 Thismismincorrect.mDirectmobstetricmdeathmresultsmfrommcomplicationsmduri
ngmpregnancy,mlabor,mbirth,mand/ormpostpartummperiod.
4 Thismismcorrect.m Indirectmobstetricmdeathmismcausedmbymampreexistingmdisease,mo
rmamdiseasemthatmdevelopsmduringmpregnancy.
PTS: 1 CON:m Ante/Intra/Post-partum
3. Themnursemismprovidingmeducationmtomampatientmwhomhasmgivenmbirthmtomhermfirstmchildmandmism
beingmdischargedmhome.mThempatientmexpressedmconcernmregardingminfantmmortalitymandmsud
denminfantmdeathmsyndromem(SIDS).mThempatientmhadmanmuncomplicatedmpregnancy,mlabor,ma
ndmvaginalmdelivery.mShemhasmambodymmassmindexmofm25mandmhasmnomothermhealthmconditions.m
Theminfantmismhealthymandmwasmdeliveredmfull-
term.mWhatmwillmbemmostmhelpfulmthingmtomexplainmtomthempatient?
1. Usesmofmextracorporealmmembranemoxygenationmtherapym(ECMO)
2. Usesmofmexogenousmpulmonarymsurfactant
3. ThemBaby-FriendlymHospitalm Initiative
4. ThemSafemtomSleepmcampaign
ANS:m 4
Chapter:mChapterm1mTrendsmandmIssues
ChaptermLearningmObjective:m3.mIdentifymleadingmcausesmofminfantmdeath.mPa
ge:m7
Heading:mTrendsm>mInfantmMortalitymRate
smIntegratedmProcesses:mNursingmprocess
ClientmNeed:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmContr
olmCognitivemLevel:mApplicationm[Applying]
, TESTmBANK:mMaternal-
NewbornmNursing:mThemCriticalmComponentsmOfmNursingmCarem3rdmEditionmBymRobertamDurhammAndmLindamC
hapman
Concept:mHealthmPromotio
nmDifficulty:mModerate
MATERNAL-
NEWBORN NURSING:THE CRITIC
m m m
AL COMPONENTS OFNURSING CA
m m m m
RE 3RD EDITION BY LINDA CHAPM
m m m m m
AN AND ROBERTA DURHAM
m m m
,TESTmBANK:mMaternal-
NewbornmNursing:mThemCriticalmComponentsmOfmNursingmCarem3rdmEditionmBymRobertamDurhammAndmLindamC
hapman
Unitm1:mMaternitymNursingmOvervie
wmChapterm1:mTrendsmandmIssues
MULTIPLEmCHOICE
1. Themnursemismcaringmformampatientmwhomisminmlabormwithmhermfirstmchild.mThempatient’smmothe
rmismpresentmformsupportmandmnotesmthatmthingsmhavemchangedminmthemdeliverymroommsincemsh
emlastmgavembirthminmthemearlym1980s.mWhichmcurrentmtrendmorminterventionmmaymthempatient’
smmothermfindmmostmdifferent?
1. Fetalmmonitoringmthroughoutmlabor
2. Postpartummstaymofm10mdays
3. Expectantmpartnermandmfamilyminmoperatingmroommformcesareanmbirth
4. Hospitalmsupportmformbreastfeeding
ANS:m 4
Chapter:mChapterm1mTrendsmandmIssues
ChaptermLearningmObjective:m1.mDiscussmcurrentmtrendsminmthemmanagementmofmlabormandmbir
thmPage:m4
Heading:mTablem1-
1:mPastmandmPresentmTrendsmIntegratedmProce
sses:mNursingmProcess
ClientmNeed:mHealthmPromotionmandmMaintenancem
CognitivemLevel:mApplicationm[Applying]mConce
pt:mEvidence-BasedmPractice
Difficulty:mModerate
Feedback
1 Thismismincorrect.mFetalmmonitoringmduringmlabormbeganminmthemlatem1970s.mAsmsu
ch,mthismlikelymwouldmhavemoccurredmduringmthemmother’smlabormandmdeliverymduri
ngmthem1980s.
2 Thismismincorrect.m Inmthempast,mthemaveragemhospitalmpostpartummstaymwasm10mdays.
Presently,mthemaveragempostpartummstaymism48mhoursmormless.
3 Thismismincorrect.mInmthempast,mexpectantmpartnersmandmfamiliesmweremexcludedmfr
ommthemlabormandmbirthmexperience.mPresentmtrendsminvolvemthemexpectantmpartner
mandmfamilyminmthemlabormandmbirthmexperience,m includingmpresenceminmthemoperati
ng
roommformcesareanmbirths.
4 Thismismcorrect.mHospitalmsupportmformbreastfeeding,mincludingmamlactation
consultantmandmemploymentmofmthemBaby-
FriendlymHospitalmInitiative,mwerembothmenactedmduringmthemearlym1990s.
PTS: 1 CON:m Evidence-BasedmPractice
2. Ampatientmwithmamhistorymofmhypertensionmismgivingmbirth.mDuringmdelivery,mthemstaffmwasm
notmablemtomstabilizemthempatient’smbloodmpressure.mAsmamresult,mthempatientmdiedmshortlymaf
termdelivery.mThismismanmexamplemofmwhatmtypemofmdeath?
1. Earlymmaternalmdeath
2. Latemmaternalmdeath
,TESTmBANK:mMaternal-
NewbornmNursing:mThemCriticalmComponentsmOfmNursingmCarem3rdmEditionmBymRobertamDurhammAndmLindamC
hapman
3. Directmobstetricmdeath
4. Indirectmobstetricmdeat
hmANS:m 4
Chapter:mChapterm1mTrendsmandmIssues
ChaptermLearningmObjective:m2.mDiscussmcurrentmtrendsminmmaternalmandminfantmhealthmoutco
mes.
Page:m7
Heading:mTrendsm>mMaternalmDeathmandmMortalitymRat
esmIntegratedmProcesses:mNursingmProcess
ClientmNeed:mPhysiologicalmIntegrity:mReductionmofmRiskmPotenti
almCognitivemLevel:mApplicationm[Applying]
Concept:mAnte/Intra/Post-
partummDifficulty:mHard
Feedback
1 Thismismincorrect.mEarlymmaternalmdeathmismnotmanmexamplemofmmaternalmdeath.mE
xamplesmofmmaternalmdeathmincludemlatemmaternalmdeath,mindirectmobstetricmdeath
,mdirectmobstetricmdeath,mandmpregnancy-relatedmdeath.
2 Thismismincorrect.mLatemmaternalmdeathmoccursm42mdaysm aftermterminationmof
pregnancymfrommamdirectmormindirectmobstetricmcause.
3 Thismismincorrect.mDirectmobstetricmdeathmresultsmfrommcomplicationsmduri
ngmpregnancy,mlabor,mbirth,mand/ormpostpartummperiod.
4 Thismismcorrect.m Indirectmobstetricmdeathmismcausedmbymampreexistingmdisease,mo
rmamdiseasemthatmdevelopsmduringmpregnancy.
PTS: 1 CON:m Ante/Intra/Post-partum
3. Themnursemismprovidingmeducationmtomampatientmwhomhasmgivenmbirthmtomhermfirstmchildmandmism
beingmdischargedmhome.mThempatientmexpressedmconcernmregardingminfantmmortalitymandmsud
denminfantmdeathmsyndromem(SIDS).mThempatientmhadmanmuncomplicatedmpregnancy,mlabor,ma
ndmvaginalmdelivery.mShemhasmambodymmassmindexmofm25mandmhasmnomothermhealthmconditions.m
Theminfantmismhealthymandmwasmdeliveredmfull-
term.mWhatmwillmbemmostmhelpfulmthingmtomexplainmtomthempatient?
1. Usesmofmextracorporealmmembranemoxygenationmtherapym(ECMO)
2. Usesmofmexogenousmpulmonarymsurfactant
3. ThemBaby-FriendlymHospitalm Initiative
4. ThemSafemtomSleepmcampaign
ANS:m 4
Chapter:mChapterm1mTrendsmandmIssues
ChaptermLearningmObjective:m3.mIdentifymleadingmcausesmofminfantmdeath.mPa
ge:m7
Heading:mTrendsm>mInfantmMortalitymRate
smIntegratedmProcesses:mNursingmprocess
ClientmNeed:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmContr
olmCognitivemLevel:mApplicationm[Applying]
, TESTmBANK:mMaternal-
NewbornmNursing:mThemCriticalmComponentsmOfmNursingmCarem3rdmEditionmBymRobertamDurhammAndmLindamC
hapman
Concept:mHealthmPromotio
nmDifficulty:mModerate