Nursing Care, 3rd Edition, RobertaDurham, Linda
Chapman
Chapter 1: Trends and Issues
MULTIPLEthCHOICE
1. Thethnursethisthcaringthforthathpatientthwhothisthinthlaborthwiththherthfirstthchild.thThethpatient’sthmother
thisthpresentthforthsupportthandthnotesththatththingsthhavethchangedthinththethdeliverythroomthsincethshe
thlastthgavethbirththinththethearlyth1980s.thWhichthcurrentthtrendthorthinterventionthmayththethpatient’sth
motherthfindthmostthdifferent?
1. Fetalthmonitoringththroughoutthlabor
2. Postpartumthstaythofth10thdays
3. Expectantthpartnerthandthfamilythinthoperatingthroomthforthcesareanthbirth
4. Hospitalthsupportthforthbreastfeeding
ANS:t h 4
Chapter:thChapterth1thTrendsthandthIssues
ChapterthLearningthObjective:th1.thDiscussthcurrentthtrendsthinththethmanagementthofthlaborthandthbirt
hthPage:th4
Heading:thTableth1-
1:thPastthandthPresentthTrendsthIntegratedthProcesses:th
NursingthProcess
ClientthNeed:thHealththPromotionthandthMaintenancet
hCognitivethLevel:thApplicationth[Applying]thConce
pt:thEvidence-BasedthPractice
Difficulty:thModerate
Feedback
1 Thisthisthincorrect.thFetalthmonitoringthduringthlaborthbeganthinththethlateth1970s.thAsthsuc
h,ththisthlikelythwouldthhavethoccurredthduringththethmother’sthlaborthandthdeliverythduri
ngththeth1980s.
2 Thisthisthincorrect.thInththethpast,ththethaveragethhospitalthpostpartumthstaythwasth10thdays.thP
resently,ththethaveragethpostpartumthstaythisth48thhoursthorthless.
3 Thisthisthincorrect.thInththethpast,thexpectantthpartnersthandthfamiliesthwerethexcludedthfromt
hthethlaborthandthbirththexperience.thPresentthtrendsthinvolveththethexpectantthpartnerthandth
familythinththethlaborthandthbirththexperience,thincludingthpresencethinththethoperating
roomthforthcesareanthbirths.
4 Thisthisthcorrect.thHospitalthsupportthforthbreastfeeding,thincludingthathlactationthconsul
tantthandthemploymentthofththethBaby-FriendlythHospitalthInitiative,thwerethboth
enactedthduringththethearlyth1990s.
PTS: 1 CON:thEvidence-BasedPractice
2. Athpatientthwiththathhistorythofthhypertensionthisthgivingthbirth.thDuringthdelivery,ththethstaffthwasthn
otthablethtothstabilizeththethpatient’sthbloodthpressure.thAsthathresult,ththethpatientthdiedthshortlythaft
erthdelivery.thThisthisthanthexamplethofthwhatthtypethofthdeath?
1. Earlythmaternalthdeath
2. Latethmaternalthdeath
3. Directthobstetricthdeath
4. Indirectthobstetricthdeath
th ANS:t h 4
, Page:th7
Heading:thTrendsth>thMaternalthDeaththandthMortalitythRatesthI
ntegratedthProcesses:thNursingthProcess
ClientthNeed:thPhysiologicalthIntegrity:thReductionthofthRiskthPotentialthCog
nitivethLevel:thApplicationth[Applying]
Concept:thAnte/Intra/Post-
partumthDifficulty:thHard
Feedback
1 Thisthisthincorrect.thEarlythmaternalthdeaththisthnotthanthexamplethofthmaternalthdeath.thEx
amplesthofthmaternalthdeaththincludethlatethmaternalthdeath,thindirectthobstetricthdeath,thdi
rectthobstetricthdeath,thandthpregnancy-relatedthdeath.
2 Thisthisthincorrect.thLatethmaternalthdeaththoccursth42thdaysthafterthterminationthofthpregna
ncythfromthathdirectthorthindirectthobstetricthcause.
3 Thisthisthincorrect.thDirectthobstetricthdeaththresultsthfromthcomplicationsthduringthpregn
ancy,thlabor,thbirth,thand/orthpostpartumthperiod.
4 Thisthisthcorrect.thIndirectthobstetricthdeaththisthcausedthbythathpreexistingthdisease,thorthathd
iseaseththatthdevelopsthduringthpregnancy.
PTS: 1 CON:t h Ante/Intra/Post-partum
3. Thethnursethisthprovidingtheducationthtothathpatientthwhothhasthgiventhbirththtothherthfirstthchildthandthisth
beingthdischargedthhome.thThethpatientthexpressedthconcernthregardingthinfantthmortalitythandthsud
denthinfantthdeaththsyndrometh(SIDS).thThethpatientthhadthanthuncomplicatedthpregnancy,thlabor,tha
ndthvaginalthdelivery.thShethhasthathbodythmassthindexthofth25thandthhasthnothotherthhealththconditions.th
Thethinfantthisthhealthythandthwasthdeliveredthfull-
term.thWhatthwillthbethmostthhelpfulththingthtothexplainthtoththethpatient?
1. Usesthofthextracorporealthmembranethoxygenationththerapyth(ECMO)
2. Usesthofthexogenousthpulmonarythsurfactant
3. ThethBaby-FriendlythHospitalthInitiative
4. ThethSafethtothSleepthcampaign
ANS:t h 4
Chapter:thChapterth1thTrendsthandthIssues
ChapterthLearningthObjective:th3.thIdentifythleadingthcausesthofthinfantthdeath.
thPage:th7
Heading:thTrendsth>thInfantthMortalitythRatesthIntegra
tedthProcesses:thNursingthprocess
ClientthNeed:thSafethandthEffectivethCarethEnvironment:thSafetythandthInfectionthControlth
CognitivethLevel:thApplicationth[Applying]
Concept:thHealththPromotionthDiffi
culty:thModerate
Feedback
1 Thisthisthincorrect.thEMCOthhasthbeenthcitedthasthonethofththethfactorsththatthhasthreducedthi
nfantthmortalitythamongthpretermthinfants.
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3 Thisthisthincorrect.thThethBaby-
FriendlythHospitalthInitiativethwasthdevelopedthtothsupportthbreastfeedingthandthisthnotthdir
ectlythlinkedthtothreducedthinfantthmortalitythorthSIDS.
4 Thisthisthcorrect.thThethBackthtothSleepthcampaignthandththethSafethtothSleepthcampaignswe
rethdesignedthtothpromotethhealthythinfantthsleepingthhabits.thThethdecreasethinthSIDSthfro
m
PTS:19951 thtoth2015thwasthCON:
attributed thtoththethSafethtothSleepthcampaign.
thHealththPromotion
4. Thethnursethisthcaringthforthath14-year-
oldthpatientthwhothisth32thweeksthpregnant.thAfterthcomplainingthofthgenitalthsoresthandthdiscomfor
t,ththethpatientthteststhpositivethforthsyphilis.thThethfetusthisthatthincreasedthriskthofthwhichthcondition
?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS:t h 4
Chapter:thChapterth1thTrendsthandthIssues
ChapterthLearningthObjective:th4.thDiscussthcurrentthmaternalthandthinfantthhealththissues.th
Page:th10
Heading:thIssuesth>thTeenthPregnancyth>thImplicationsthofthTeenthPregnancythandthBirththIntegra
tedthProcesses:thNursingthProcess
ClientthNeed:thPhysiologicalthIntegrity:thReductionthofthRiskthPotentialthCog
nitivethLevel:thApplicationth[Applying]
Concept:thAnte/Intra/Post-
partumthDifficulty:thModerate
Feedback
1 Thisthisthincorrect.thMaternalthobesitythincreasesthathchild’sthriskthofthdevelopingthchildh
oodthobesitythandthdiabetes.
2 Thisthisthcorrect.thNeonatalthblindness,thmaternalthdeath,thandthneonatalthdeaththarethallthass
ociatedthwiththathpatientthwhothcontractsthsyphilisthduringthpregnancy.
3 Thisthisthincorrect.thChlamydialthpneumoniathisthassociatedthwiththmaternalthchlamydia.
4 Thisthisthincorrect.thTeenthmothersthmaythhavethathhigherthriskthofthcontractingthsexuallythtr
ansmittedthillnessesthandthhypertensionthduringthpregnancy;thhowever,thmaternalthsyphi
listhisthnotthassociatedthwiththfetalthhypertension.
PTS: 1 CON:t h Ante/Intra/Post-partum
5. Thethnursethisthcaringthforthath15-year-
oldthfemalethwhothisthpregnantthwiththherthfirstthchild.thInthherthpreviousthprenatalthvisit,ththethpatienttht
estedthnegativethforthchlamydia,thsyphilis,thgonorrhea,thandthHIV.thBasedthonththethinformationthpro
vided,thwhichthconditionthisththethpatient’sthbabythatthhigherthriskthfor?
1. Intestinalthproblems
2. Neonatalthconjunctivitis
3. Blindness
, Compo4 n. ePnneutmsono
t h ia f Nursing Care, 3rd Edition, Roberta
th th th th th th th
DurAhNaS:m
1 , Linda Chapman latest update 2023
t h
th th th th th
Chapter:thChapterth1thTrendsthandthIssues
ChapterthLearningthObjective:th4.thDiscussthcurrentthmaternalthandthinfantthhealththissues.th
Page:th11
Heading:thIssuesth>thTeenthPregnancythInt
egratedthProcesses:thNursingthProcess
ClientthNeed:thPhysiologicalthIntegrity:thReductionthofthRiskthPotentialthCog
nitivethLevel:thApplicationth[Applying]
Concept:thHealththPromotionthDiffi
culty:thDifficult
Feedback
1 Thisthisthcorrect.thInfantsthbornthtothteenthmotherstharethatthincreasedthriskthforthvariousthco
nditionsthrelatedthtothprematurity,thincludingthinfantthdeath,thintestinalthproblems,thand/o
rthrespiratorythdistressthsyndrome.
2 Thisthisthincorrect.thInfantsthbornthtothteenthmothersthwhothhavethgonorrheatharethatthincr
easedthriskthofthneonatalthconjunctivitisthandthblindness.
3 Thisthisthincorrect.thInfantsthbornthtothteenthmothersthwiththsyphilisthandthgonorrheatharethat
thincreasedthriskthofthblindness.
4 Thisthisthincorrect.thInfantsthbornthtothteenthmothersthwiththchlamydiathmaythbethatthincre
asedthriskthofthdevelopingthchlamydialthpneumonia.
PTS: 1 CON:thHealththPromotion
6. Thethnursethisthcaringthforthath23-year-
oldthpatientthwhotharrivesthatththethclinicthforthathpregnancytest.thThethtestthconfirmsththethpatientthisthp
regnant.thThethpatientthstates,th“Ithdothnotthneedthtothstopthsmokingthmythelectronicthcigarettethbecause
thitthwillthnotthharmthmythbaby.”thWhichthisththethbestthresponsethbyththethnurse?
1. “Youtharethcorrect.thElectronicthcigarettestharethnotthharmfulthduringthpregnancy.”
2. “Tobaccothproducts,thincludingthelectronicthcigarettes,thshouldthnotthbethusedthdurin
gthpregnancythduethtothriskingthnicotinethtoxicity.”
3. “AccordingthtoththethFDA,thalthoughthelectronicthcigarettestharethsafethforthyou,ththeythc
anthcausethharmthtoththethfetusthduringthpregnancy.”
4. “Electronicthcigarettestharethconsideredthharmfulthonlythinththethfirstthtrimester.”
ANS:t h 2
Chapter:thChapterth1thTrendsthandthIssues
ChapterthLearningthObjective:th4.thDiscussthcurrentthmaternalthandthinfantthhealththissues.th
Page:th12
Heading:thIssuesth>thTobaccothandthElectronicthCigarettethUsethDuringthPregnancythI
ntegratedthProcesses:thNursingthProcess
ClientthNeed:thSafethandthEffectivethCarethEnvironment:thSafetythandthInfectionthControlth
CognitivethLevel:thApplicationth[Applying]
Concept:thAnte/Intra/Post-
partumthDifficulty:thModerate
Feedback