Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is kid for a patient who is in labor with her first child. The patient’s mum 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 mum
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 Imparecial: 1. Discuss current trends in the running of labor and birth Page:
4
Heading: Table 1-1: Past and Present Trends Integrated Process> Nursing Process Shopper
Want: Well-being Promotion and Maintenance Cognitive Level> Application
[Applying] Concept: Evidence-Based Practice Difficulty: Moderate
Feedback
This is incorrect. Fetal monitoring in labor began in the
late 1970s. As such, this likely would have occurred in the
mum’s labor and delivery in the 1980s.
This is incorrect. In the past, the average Hospital
postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
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.
This is correct. Hospital support for breastfeeding,
including a lactation consultant and employment of the
Baby-Friendly Hospital Initiative, were both enacted in
the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. In 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 demise?
1. Early maternal demise
2. Late maternal demise
3. Direct obstetric demise
4. Indirect obstetric demise ANS: 4
Page 1 1 of 462 Page 1 of 462
,Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 2. Discuss current trends in maternal and infant well-being
outcomes.
Page: 7
Heading: Trends > Maternal Demise and Mortality Rates Integrated Process> Nursing Process
Shopper Want: physiology Integrity: Reduction of Risk Potential Cognitive Level> Application
[Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
Feedback
This is incorrect. Early maternal demise is not an example
of maternal demise.
Examples of maternal demise include late maternal
demise, indirect obstetric demise, direct obstetric demise,
and gestation-related demise.
This is incorrect. Late maternal demise occurs 42 days
after termination of gestation from a direct or indirect
obstetric cause.
This is incorrect. Direct obstetric demise results from
complications in gestation,
labor, birth, and/or postpartum period.
This is correct. Indirect obstetric demise is caused by a
preexisting disease, or a
disease that develops in gestation.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is
being discharged home. The patient expressed concern regarding infant mortality and
sudden infant demise syndrome (SIDS). The patient had an uncomplicated gestation, labor,
and vaginal delivery. She has a body mass index of 25 and has no other well-being
conditions. The infant is well-being and was delivered full-term. What will be most helpful
thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise. Page: 7
Heading: Trends > Infant Mortality Rates Integrated Process> Nursing process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control Cognitive Level>
Application [Applying]
Concept: Well-being Promotion Difficulty: Moderate
Feedback
This is incorrect. EMCO has been cited as one of the
factors that has reduced
infant mortality among preterm infants.
Page 2 2 of 462 Page 2 of 462
,Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
This is incorrect. Although advances in medical
treatments have decreased infant mortality, exogenous
pulmonary surfactant is primarily used to reduce mortality
of
preterm infants.
This is incorrect. The Baby-Friendly Hospital Initiative
was developed to support breastfeeding and is not directly
linked to reduced infant mortality or SIDS.
This is correct. The Back to Sleep campaign and the Safe
to Sleep campaigns were designed to promote well-
beingy infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep
campaign.
PTS: 1 CON: Well-being Promotion
4. The nurse is kid for a 14-year-old patient who is 32 weeks pregnant. After complaining of
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased
risk of which condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well- being Issues. Page:
10
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth Integrated
Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential Cognitive Level> Application
[Applying]
Concept: Ante/Intra/Post-partum Difficulty: Moderate
Feedback
This is incorrect. Maternal obesity increases a child’s risk
of rising childhood
obesity and diabetes.
This is correct. Neonatal blindness, maternal demise, and
neonatal demise are all
associated with a patient who contracts syphilis in
gestation.
This is incorrect. Chlamydial pneumonia is associated
with maternal chlamydia.
This is incorrect. Teen mas may have a higher risk of
contracting sexually transmitted illnesses and
hypertension in gestation; however, maternal syphilis is
not associated with fetal hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is kid for a 15-year-old female who isgavidwith her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV.
Based on theamidprovided, which condition is the patient’s Baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
Page 3 3 of 462 Page 3 of 462
, Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
4. Pneumonia
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well- being Issues. Page:
11
Heading: Issues > Teen Gestation Integrated Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential Cognitive Level> Application
[Applying]
Concept: Well-being Promotion Difficulty: Difficult
Feedback
This is correct. Infants born to teen mas are at increased
risk for various
conditions related to prematurity, including infant demise,
intestinal problems, and/or lung distress syndrome.
This is incorrect. Infants born to teen mas who have
gonorrhea are at increased risk of neonatal conjunctivitis
and blindness.
This is incorrect. Infants born to teen mas with syphilis
and gonorrhea are at
increased risk of blindness.
This is incorrect. Infants born to teen mas with chlamydia
may be at increased risk of rising chlamydial pneumonia.
PTS: 1 CON: Well-being Promotion
6. The nurse is kid for a 23-year-old patient who arrives at the clinic for a gestation test. The
test confirms the patient is pregnant. The patient states, “I do not want to stop smoking my
electronic cigarette because it will not harm my Baby.” Which is the best response by the
nurse?
1. “You are correct. Electronic cigarettes are not harmful in gestation.”
2. “Tobacco products, including electronic cigarettes, should not be used in gestation due to
risking nicotine toxicity.”
3. “According to the FDA, although electronic cigarettes are safe for you, they can cause harm
to the fetus in gestation.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well- being Issues. Page:
12
Heading: Issues > Tobacco and Electronic Cigarette Use In Gestation Integrated Process>
Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control Cognitive Level>
Application [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Moderate
Feedback
Page 4 4 of 462 Page 4 of 462
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is kid for a patient who is in labor with her first child. The patient’s mum 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 mum
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 Imparecial: 1. Discuss current trends in the running of labor and birth Page:
4
Heading: Table 1-1: Past and Present Trends Integrated Process> Nursing Process Shopper
Want: Well-being Promotion and Maintenance Cognitive Level> Application
[Applying] Concept: Evidence-Based Practice Difficulty: Moderate
Feedback
This is incorrect. Fetal monitoring in labor began in the
late 1970s. As such, this likely would have occurred in the
mum’s labor and delivery in the 1980s.
This is incorrect. In the past, the average Hospital
postpartum stay was 10 days.
Presently, the average postpartum stay is 48 hours or less.
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.
This is correct. Hospital support for breastfeeding,
including a lactation consultant and employment of the
Baby-Friendly Hospital Initiative, were both enacted in
the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. In 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 demise?
1. Early maternal demise
2. Late maternal demise
3. Direct obstetric demise
4. Indirect obstetric demise ANS: 4
Page 1 1 of 462 Page 1 of 462
,Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 2. Discuss current trends in maternal and infant well-being
outcomes.
Page: 7
Heading: Trends > Maternal Demise and Mortality Rates Integrated Process> Nursing Process
Shopper Want: physiology Integrity: Reduction of Risk Potential Cognitive Level> Application
[Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
Feedback
This is incorrect. Early maternal demise is not an example
of maternal demise.
Examples of maternal demise include late maternal
demise, indirect obstetric demise, direct obstetric demise,
and gestation-related demise.
This is incorrect. Late maternal demise occurs 42 days
after termination of gestation from a direct or indirect
obstetric cause.
This is incorrect. Direct obstetric demise results from
complications in gestation,
labor, birth, and/or postpartum period.
This is correct. Indirect obstetric demise is caused by a
preexisting disease, or a
disease that develops in gestation.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is
being discharged home. The patient expressed concern regarding infant mortality and
sudden infant demise syndrome (SIDS). The patient had an uncomplicated gestation, labor,
and vaginal delivery. She has a body mass index of 25 and has no other well-being
conditions. The infant is well-being and was delivered full-term. What will be most helpful
thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 3. Identify leading causes of infant demise. Page: 7
Heading: Trends > Infant Mortality Rates Integrated Process> Nursing process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control Cognitive Level>
Application [Applying]
Concept: Well-being Promotion Difficulty: Moderate
Feedback
This is incorrect. EMCO has been cited as one of the
factors that has reduced
infant mortality among preterm infants.
Page 2 2 of 462 Page 2 of 462
,Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
This is incorrect. Although advances in medical
treatments have decreased infant mortality, exogenous
pulmonary surfactant is primarily used to reduce mortality
of
preterm infants.
This is incorrect. The Baby-Friendly Hospital Initiative
was developed to support breastfeeding and is not directly
linked to reduced infant mortality or SIDS.
This is correct. The Back to Sleep campaign and the Safe
to Sleep campaigns were designed to promote well-
beingy infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep
campaign.
PTS: 1 CON: Well-being Promotion
4. The nurse is kid for a 14-year-old patient who is 32 weeks pregnant. After complaining of
genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased
risk of which condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well- being Issues. Page:
10
Heading: Issues > Teen Gestation > Implications of Teen Gestation and Birth Integrated
Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential Cognitive Level> Application
[Applying]
Concept: Ante/Intra/Post-partum Difficulty: Moderate
Feedback
This is incorrect. Maternal obesity increases a child’s risk
of rising childhood
obesity and diabetes.
This is correct. Neonatal blindness, maternal demise, and
neonatal demise are all
associated with a patient who contracts syphilis in
gestation.
This is incorrect. Chlamydial pneumonia is associated
with maternal chlamydia.
This is incorrect. Teen mas may have a higher risk of
contracting sexually transmitted illnesses and
hypertension in gestation; however, maternal syphilis is
not associated with fetal hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is kid for a 15-year-old female who isgavidwith her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV.
Based on theamidprovided, which condition is the patient’s Baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
Page 3 3 of 462 Page 3 of 462
, Davis
Davis
Davis
Advantage
Advantage
Advantage
forforfor
Maternal-Newborn
Maternal-Newborn
Maternal-Newborn
Nursing
Nursing
Nursing
Critical
Critical
Critical
Components
Components
Components
ofofNursing
ofNursing
Nursing
Care
Care
Care
4th
4th
4th
Edition
Edition
Edition
Connie
Connie
Connie
Durham,
Durham,
Durham,
Roberta
Roberta
Roberta
Chapman,
Chapman,
Chapman,
Linda
Linda
Linda
Miller
Miller
Miller
Test
Test
Test
Bank.pdf
Bank.pdf
Bank.pdf
4. Pneumonia
ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well- being Issues. Page:
11
Heading: Issues > Teen Gestation Integrated Process> Nursing Process
Shopper Want:physialogyIntegrity: Reduction of Risk Potential Cognitive Level> Application
[Applying]
Concept: Well-being Promotion Difficulty: Difficult
Feedback
This is correct. Infants born to teen mas are at increased
risk for various
conditions related to prematurity, including infant demise,
intestinal problems, and/or lung distress syndrome.
This is incorrect. Infants born to teen mas who have
gonorrhea are at increased risk of neonatal conjunctivitis
and blindness.
This is incorrect. Infants born to teen mas with syphilis
and gonorrhea are at
increased risk of blindness.
This is incorrect. Infants born to teen mas with chlamydia
may be at increased risk of rising chlamydial pneumonia.
PTS: 1 CON: Well-being Promotion
6. The nurse is kid for a 23-year-old patient who arrives at the clinic for a gestation test. The
test confirms the patient is pregnant. The patient states, “I do not want to stop smoking my
electronic cigarette because it will not harm my Baby.” Which is the best response by the
nurse?
1. “You are correct. Electronic cigarettes are not harmful in gestation.”
2. “Tobacco products, including electronic cigarettes, should not be used in gestation due to
risking nicotine toxicity.”
3. “According to the FDA, although electronic cigarettes are safe for you, they can cause harm
to the fetus in gestation.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Imparecial: 4. Discuss current maternal and infant well- being Issues. Page:
12
Heading: Issues > Tobacco and Electronic Cigarette Use In Gestation Integrated Process>
Nursing Process
Shopper Want: Safe and Effective Care Setting: Safety and Infection Control Cognitive Level>
Application [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Moderate
Feedback
Page 4 4 of 462 Page 4 of 462
