,TABLE OF CONTENTS
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Maternity Nursing Overview r r
1. Trends and Issues r r
2. Ethics and Standards of Practice Issues
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The Antepartal Period
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3. Genetics, Conception, Fetal Development, and Reproductive T
r r r r r r
echnology
4. Physiological Aspects of Antepartum Care r r r r
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
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6. Antepartal Tests r
7. High-Risk Antepartum Nursing Care r r r
Intrapartal Period r
8. Intrapartum Assessment and Interventions r r r
9. Fetal Heart Rate Assessment
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10. High-Risk Labor and Birth r r r
11. Intrapartum and Postpartum Care of the Cesarean Birth Families r r r r r r r r
Postpartal Period r
12. Postpartum Physiological Assessments and Nursing Care r r r r r
13. Transition to Parenthood r r
14. High-Risk Postpartum Nursing Care r r r
Neonatal Period r
15. Physiological and Behavioral Responses of the Neonate r r r r r r
16. Discharge Planning and Teaching r r r
17. High-Risk Neonatal Nursing Care r r r
Women’s Health r
18. Well Women’s Health
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19. Alterations in Women’s Health r r r
, Chapter 1: Trends and Issues
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MULTIPLErCHOICE
1. Thernurserisrcaringrforrarpatientrwhorisrinrlaborrwithrherrfirstrchild.rTherpatient’srmotherrisrpres
entrforrsupportrandrnotesrthatrthingsrhaverchangedrinrtherdeliveryrroomrsincersherlastrgaverbirth
rinrtherearlyr1980s.rWhichrcurrentrtrendrorrinterventionrmayrtherpatient’srmotherrfindrmostrdiff
erent?
1. Fetalrmonitoringrthroughoutrlabor
2. Postpartumrstayrofr10rdays
3. Expectantrpartnerrandrfamilyrinroperatingrroomrforrcesareanrbirth
4. Hospitalrsupportrforrbreastfeeding
ANS:r 4
Chapter:rChapterr1rTrendsrandrIssues
ChapterrLearningrObjective:r1.rDiscussrcurrentrtrendsrinrthermanagementrofrlaborrandrbirthrPag
e:r4
Heading:rTabler1-
1:rPastrandrPresentrTrendsrIntegratedrProcesses:rN
ursingrProcess
ClientrNeed:rHealthrPromotionrandrMaintenancer
CognitiverLevel:rApplicationr[Applying]rConcept
:rEvidence-BasedrPractice
Difficulty:rModerate
Feedback
1 Thisrisrincorrect.rFetalrmonitoringrduringrlaborrbeganrinrtherlater1970s.rAsrsuch,rthisrli
kelyrwouldrhaveroccurredrduringrthermother’srlaborrandrdeliveryrduring
ther1980s.
2 Thisrisrincorrect.rInrtherpast,rtheraveragerhospitalrpostpartumrstayrwasr10rdays.rPresent
ly,rtheraveragerpostpartumrstayrisr48rhoursrorrless.
3 Thisrisrincorrect.rInrtherpast,rexpectantrpartnersrandrfamiliesrwererexcludedrfromrther
laborrandrbirthrexperience.rPresentrtrendsrinvolvertherexpectantrpartnerrandrfamilyri
nrtherlaborrandrbirthrexperience,rincludingrpresencerinrtheroperatingrroomrforrcesare
anrbirths.
4 Thisrisrcorrect.rHospitalrsupportrforrbreastfeeding,rincludingrarlactation
consultantrandremploymentrofrtherBaby-
FriendlyrHospitalrInitiative,rwererbothrenactedrduringrtherearlyr1990s.
PTS: 1 CON:r Evidence-BasedrPractice
2. Arpatientrwithrarhistoryrofrhypertensionrisrgivingrbirth.rDuringrdelivery,rtherstaffrwasrnotrable
rtorstabilizertherpatient’srbloodrpressure.rAsrarresult,rtherpatientrdiedrshortlyrafterrdelivery.rT
hisrisranrexamplerofrwhatrtyperofrdeath?
1. Earlyrmaternalrdeath
2. Latermaternalrdeath
3. Directrobstetricrdeath
4. Indirectrobstetricrdeathr
ANS:r 4