,Unit 1: Maternity Nursing Overview Chap
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ter 1: Trends and Issues
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MULTIPLE CHOICE ju
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is prese
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nt for support and notes that things have changed in the delivery room since she last gave birth i
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n the early 1980s. Which current trend or intervention may the patient’s mother find most differ
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ent?
1. Fetal monitoring throughout labor ju ju ju
2. Postpartum stayof 10 days ju ju ju ju
3. Expectant partner and familyin operating room for cesarean birth ju ju ju ju ju ju ju ju ju
4. Hospital support for breastfeeding ju ju ju
ANS: 4 j u
Chapter: Chapter 1 Trends and Issues ju ju ju ju ju
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
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:4
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Heading: Table 1- ju ju
1: Past and Present Trends Integrated Processes: Nu
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rsing Process ju
ClientNeed: Health Promotion and Maintenance C
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ognitive Level: Application [Applying] Concept: ju ju ju ju ju
Evidence-Based Practice ju
Difficulty: Moderate ju
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 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 stayis 48 hours or less. ju ju ju ju ju ju ju ju ju
3 This is incorrect. In the past, expectant partners and families were excluded from the lab
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or and birth experience. Present trends involve the expectant partner and family in the l
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abor and birth experience, including presence in the operating
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room for cesarean births. ju ju ju
4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- ju ju ju ju ju
FriendlyHospital Initiative, were both enacted during the early 1990s. ju ju ju ju ju ju ju ju ju
PTS: 1 CON: Evidence-Based Practice j u ju
2. A patient with a historyof hypertension is giving birth. Duringdelivery, the staff was not able t
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o stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. Thi
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s is an example of what type of death?
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1. Earlymaternal death ju ju
,2. Latematernal death
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, 3. Direct obstetric death ju ju
4. Indirect obstetricdeath ju ju ju
ANS: 4 j u
Chapter: Chapter 1 Trends and Issues ju ju ju ju ju
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 ju
Heading: Trends > Maternal Death and MortalityRates Integrated
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Processes: Nursing Process ju ju
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
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evel: Application [Applying]
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Concept:Ante/Intra/Post- ju
partum Difficulty: Hard ju ju
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Example
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s of maternal death include late maternal death, indirect obstetric death, direct obstetri
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c death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancyfrom a direct or indirect obstetric cause. ju ju ju ju ju ju ju
3 This is incorrect. Direct obstetric death results from complications during pregnancy,
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labor, birth, and/or postpartum period. ju ju ju ju
4 This is correct. Indirect obstetric death is caused bya preexisting disease, or a disease t
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hat develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum j u
3. The nurse is providing education to a patient who has given birth to her first child and is being dis
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charged home. The patient expressed concern regarding infant mortality and sudden infant deat
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h syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. S
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he has a body mass index of 25 and has no other health conditions. The infant is healthy and was d
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elivered 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 ju ju ju ju
3. The Baby-FriendlyHospital Initiative ju ju ju
4. The Safe to Sleep campaign ju ju ju ju
ANS: 4 j u
Chapter: Chapter 1 Trends and Issues ju ju ju ju ju
Chapter Learning Objective: 3. Identifyleading causes of infant death. Page: 7
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Heading:Trends > Infant MortalityRates Integrate ju ju ju ju ju ju
d Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogniti
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ve Level: Application [Applying]
ju ju ju
ju ju ju ju ju
ter 1: Trends and Issues
ju ju ju ju
MULTIPLE CHOICE ju
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is prese
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
nt for support and notes that things have changed in the delivery room since she last gave birth i
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
n the early 1980s. Which current trend or intervention may the patient’s mother find most differ
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ent?
1. Fetal monitoring throughout labor ju ju ju
2. Postpartum stayof 10 days ju ju ju ju
3. Expectant partner and familyin operating room for cesarean birth ju ju ju ju ju ju ju ju ju
4. Hospital support for breastfeeding ju ju ju
ANS: 4 j u
Chapter: Chapter 1 Trends and Issues ju ju ju ju ju
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
:4
ju
Heading: Table 1- ju ju
1: Past and Present Trends Integrated Processes: Nu
ju ju ju ju ju ju ju
rsing Process ju
ClientNeed: Health Promotion and Maintenance C
ju ju ju ju ju ju
ognitive Level: Application [Applying] Concept: ju ju ju ju ju
Evidence-Based Practice ju
Difficulty: Moderate ju
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
likely would have occurred during the mother’s labor and delivery during the 1980s
ju ju ju ju ju ju ju ju ju ju ju ju
.
2 This is incorrect. In the past, the average hospital postpartum staywas 10 days.
ju ju ju ju ju ju ju ju ju ju ju ju ju
Presently, the average postpartum stayis 48 hours or less. ju ju ju ju ju ju ju ju ju
3 This is incorrect. In the past, expectant partners and families were excluded from the lab
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
or and birth experience. Present trends involve the expectant partner and family in the l
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
abor and birth experience, including presence in the operating
ju ju ju ju ju ju ju ju
room for cesarean births. ju ju ju
4 This is correct. Hospital support for breastfeeding, including a lactation
ju ju ju ju ju ju ju ju ju
consultant and employment of the Baby- ju ju ju ju ju
FriendlyHospital Initiative, were both enacted during the early 1990s. ju ju ju ju ju ju ju ju ju
PTS: 1 CON: Evidence-Based Practice j u ju
2. A patient with a historyof hypertension is giving birth. Duringdelivery, the staff was not able t
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
o stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. Thi
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
s is an example of what type of death?
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1. Earlymaternal death ju ju
,2. Latematernal death
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, 3. Direct obstetric death ju ju
4. Indirect obstetricdeath ju ju ju
ANS: 4 j u
Chapter: Chapter 1 Trends and Issues ju ju ju ju ju
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 ju
Heading: Trends > Maternal Death and MortalityRates Integrated
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Processes: Nursing Process ju ju
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
ju ju ju ju ju ju ju ju ju
evel: Application [Applying]
ju ju
Concept:Ante/Intra/Post- ju
partum Difficulty: Hard ju ju
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Example
ju ju ju ju ju ju ju ju ju ju ju ju ju
s of maternal death include late maternal death, indirect obstetric death, direct obstetri
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c death, and pregnancy-related death.
ju ju ju ju
2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancyfrom a direct or indirect obstetric cause. ju ju ju ju ju ju ju
3 This is incorrect. Direct obstetric death results from complications during pregnancy,
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labor, birth, and/or postpartum period. ju ju ju ju
4 This is correct. Indirect obstetric death is caused bya preexisting disease, or a disease t
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
hat develops during pregnancy.
ju ju ju
PTS: 1 CON: Ante/Intra/Post-partum j u
3. The nurse is providing education to a patient who has given birth to her first child and is being dis
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
charged home. The patient expressed concern regarding infant mortality and sudden infant deat
ju ju ju ju ju ju ju ju ju ju ju ju
h syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. S
ju ju ju ju ju ju ju ju ju ju ju ju ju
he has a body mass index of 25 and has no other health conditions. The infant is healthy and was d
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
elivered full-term. What will be most helpful thing to explain to the patient?
ju ju ju ju ju ju ju ju ju ju ju ju
1. Uses of extracorporeal membrane oxygenation therapy(ECMO)
ju ju ju ju ju ju
2. Uses of exogenous pulmonarysurfactant ju ju ju ju
3. The Baby-FriendlyHospital Initiative ju ju ju
4. The Safe to Sleep campaign ju ju ju ju
ANS: 4 j u
Chapter: Chapter 1 Trends and Issues ju ju ju ju ju
Chapter Learning Objective: 3. Identifyleading causes of infant death. Page: 7
ju ju ju ju ju ju ju ju ju ju ju
Heading:Trends > Infant MortalityRates Integrate ju ju ju ju ju ju
d Processes: Nursing process
ju ju ju
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogniti
ju ju ju ju ju ju ju ju ju ju ju
ve Level: Application [Applying]
ju ju ju
