Test Bank Davis Advantage
for Maternal-Newborn
Nursing Critical Components
of Nursing Care 4th Edition
by Connie Durham, Roberta;
Chapman, Linda; Miller
Chapter Guide 1-17
i i
i
1i|iPiaigie
, Chapteri1:iTrendsiandiIssuesiMULTIPLE
iCHOICE
1. Theinurseiisicaringiforiaipatientiwhoiisiinilaboriwithiherifirstichild.iTheipatient’simotheriisipresentiforisupportiandin
otesithatithingsihaveichangediinitheideliveryiroomisinceisheilastigaveibirthiinitheiearlyi1980s.iWhichicurrentitrendiorii
nterventionimayitheipatient’simotherifindimostidifferent?
1. Fetalimonitoringithroughoutilabor
2. Postpartumistayiofi10idays
3. Expectantipartneriandifamilyiinioperatingiroomiforicesareanibirth
4. HospitalisupportiforibreastfeedingiANS:i4i
Chapter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i1.iDiscussicurrentitrendsiinitheimanagementiofilaboriandibirthiPage:i4iHeading:iT
ablei1-1:iPastiandiPresentiTrendsiIntegratediProcesses:iNursingiProcess
ClientiNeed:iHealthiPromotioniandiMaintenanceiCognitiveiLevel:iApplicationi[Applying]iConcept:iEvidence-
iBasediPractice
Difficulty:iModerate
Feedback
i
1Thisiisiincorrect.iFetalimonitoringiduringilaboribeganiinitheilatei1970s.iAsisuch,ithisilikelyiwouldihaveioccurredidurin
githeimother’silaboriandideliveryiduringithei1980s.
i
2Thisiisiincorrect.iInitheipast,itheiaverageihospitalipostpartumistayiwasi10idays.iPresently,itheiaverageipostpartumistayi
isi48ihoursioriless.
3Thisiisiincorrect.iInitheipast,iexpectantipartnersiandifamiliesiwereiexcludedifromitheilaboriandibirthiexperience.iPrese
ntitrendsiinvolveitheiexpectantipartneriandifamilyiinitheilaboriandibirthiexperience,iincludingipresenceiinitheioperating
roomiforicesareanibirths.
4Thisiisicorrect.iHospitalisupportiforibreastfeeding,iincludingiailactationiconsultantiandiemploymentiofitheiBaby-
FriendlyiHospitaliInitiative,iwereibothienacte
diduringitheiearlyi1990s.
PTS: 1 CON:iEvidence-BasediPractice
2i|iPiaigie
,2. Aipatientiwithiaihistoryiofihypertensioniisigivingibirth.iDuringidelivery,itheistaffiwasinotiableitoistabilizeitheipat
ient’sibloodipressure.iAsiairesult,itheipatientidiedishortlyiafteridelivery.iThisiisianiexampleiofiwhatitypeiofideath?
1. Earlyimaternalideath
2. Lateimaternalideath
3. Directiobstetricideath
4. IndirectiobstetricideathiANS:i4iCha
pter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i2.iDiscussicurrentitrendsiinimaternaliandiinfantihealthioutcomes.iPage:i7
Heading:iTrendsi>iMaternaliDeathiandiMortalityiRatesiIntegratediProcesses:iNursingiProcessiClientiNeed:iPh
ysiologicaliIntegrity:iReductioniofiRiskiPotentialiCognitiveiLevel:iApplicationi[Applying]
Concept:iAnte/Intra/Post-partumiDifficulty:iHard
1Thisiisiincorrect.iEarlyimaternalideathiisinotianiexampleiofimaternalideath.
Examplesiofimaternalideathiincludeilateimaternalideath,iindirectiobstetricideath,idirectiobstetricideath,iandipr
egnancy-relatedideath.
2Thisiisiincorrect.iLateimaternalideathioccursi42idaysiafteriterminationiofipregnancyifromiaidirectioriindirectiobstetrici
cause.
3Thisiisiincorrect.iDirectiobstetricideathiresultsifromicomplicationsiduringipregnancy,ilabor,ibirth,iand/
oripostpartumiperiod.
i
4Thisiisicorrect.iIndirectiobstetricideathiisicausedibyiaipreexistingidisease,ioriaidiseaseithatidevelopsiduringipre
gnancy.
PTS: 1 CON:i Ante/Intra/Post-partum
3. Theinurseiisiprovidingieducationitoiaipatientiwhoihasigivenibirthitoiherifirstichildiandiisibeingidischargedihome.iThei
patientiexpressediconcerniregardingiinfantimortalityiandisuddeniinfantideathisyndromei(SIDS).iTheipatientihadianiunc
omplicatedipregnancy,ilabor,iandivaginalidelivery.iSheihasiaibodyimassiindexiofi25iandihasinoiotherihealthiconditions.i
Theiinfantiisihealthyiandiwasideliveredifull-term.iWhatiwillibeimostihelpfulithingitoiexplainitoitheipatient?
1. Usesiofiextracorporealimembraneioxygenationitherapyi(ECMO)
2. Usesiofiexogenousipulmonaryisurfactant
3. TheiBaby-FriendlyiHospitaliInitiative
3i|iPiaigie
, 4. TheiSafeitoiSleepicampaigniANS:i4i
Chapter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i3.iIdentifyileadingicausesiofiinfantideath.iPage:i7iHeading:iTrendsi>iInfantiMortalityiRate
siIntegratediProcesses:iNursingiprocess
ClientiNeed:iSafeiandiEffectiveiCareiEnvironment:iSafetyiandiInfectioniControliCognitiveiLevel:iApplicationi[Applyi
ng]
Concept:iHealthiPromotioniDifficulty:iModerate
1Thisiisiincorrect.iEMCOihasibeenicitediasioneiofitheifactorsithatihasireducediinfantimortalityiamongipretermiinfants.
2Thisiisiincorrect.iAlthoughiadvancesiinimedicalitreatmentsihaveidecreasediinfantimortality,iexogenousipulmonaryisur
factantiisiprimarilyiuseditoireduceimortalityiofipretermiinfants.
3Thisiisiincorrect.iTheiBaby-
FriendlyiHospitaliInitiativeiwasidevelopeditoisupportibreastfeedingiandiisinotidirectlyilinkeditoireducediinfantimortalit
yioriSIDS.
4Thisiisicorrect.iTheiBackitoiSleepicampaignianditheiSafeitoiSleepicampaignsiwereidesigneditoipromoteihealthyiinfanti
sleepingihabits.iTheidecreaseiiniSIDSifrom
1995itoi2015iwasiattributeditoitheiSafeitoiSleepicampaign.iPTS: 1 CON:iHealthiPromotion
4.iTheinurseiisicaringiforiai14-year-
oldipatientiwhoiisi32iweeksipregnant.iAftericomplainingiofigenitalisoresiandidiscomfort,itheipatientitestsipositiveiforisy
philis.iTheifetusiisiatiincreasediriskiofiwhichicondition?
1. Diabetes i
2. Blindness
3. Pneumonia
4. Hypertension
ANS:i4
Chapter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i4.iDiscussicurrentimaternaliandiinfantihealthiissues.iPage:i10iHeading:iIssuesi>iTeeniPreg
nancyi>iImplicationsiofiTeeniPregnancyiandiBirthiIntegratediProcesses:iNursingiProcess
ClientiNeed:iPhysiologicaliIntegrity:iReductioniofiRiskiPotentialiCognitiveiLevel:iApplicationi[Applying]iCo
ncept:iAnte/Intra/Post-partumiDifficulty:iModerate
Feedback
1Thisiisiincorrect.iMaternaliobesityiincreasesiaichild’siriskiofidevelopingichildhoodiobesityiandidiabetes.
4i|iPiaigie
for Maternal-Newborn
Nursing Critical Components
of Nursing Care 4th Edition
by Connie Durham, Roberta;
Chapman, Linda; Miller
Chapter Guide 1-17
i i
i
1i|iPiaigie
, Chapteri1:iTrendsiandiIssuesiMULTIPLE
iCHOICE
1. Theinurseiisicaringiforiaipatientiwhoiisiinilaboriwithiherifirstichild.iTheipatient’simotheriisipresentiforisupportiandin
otesithatithingsihaveichangediinitheideliveryiroomisinceisheilastigaveibirthiinitheiearlyi1980s.iWhichicurrentitrendiorii
nterventionimayitheipatient’simotherifindimostidifferent?
1. Fetalimonitoringithroughoutilabor
2. Postpartumistayiofi10idays
3. Expectantipartneriandifamilyiinioperatingiroomiforicesareanibirth
4. HospitalisupportiforibreastfeedingiANS:i4i
Chapter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i1.iDiscussicurrentitrendsiinitheimanagementiofilaboriandibirthiPage:i4iHeading:iT
ablei1-1:iPastiandiPresentiTrendsiIntegratediProcesses:iNursingiProcess
ClientiNeed:iHealthiPromotioniandiMaintenanceiCognitiveiLevel:iApplicationi[Applying]iConcept:iEvidence-
iBasediPractice
Difficulty:iModerate
Feedback
i
1Thisiisiincorrect.iFetalimonitoringiduringilaboribeganiinitheilatei1970s.iAsisuch,ithisilikelyiwouldihaveioccurredidurin
githeimother’silaboriandideliveryiduringithei1980s.
i
2Thisiisiincorrect.iInitheipast,itheiaverageihospitalipostpartumistayiwasi10idays.iPresently,itheiaverageipostpartumistayi
isi48ihoursioriless.
3Thisiisiincorrect.iInitheipast,iexpectantipartnersiandifamiliesiwereiexcludedifromitheilaboriandibirthiexperience.iPrese
ntitrendsiinvolveitheiexpectantipartneriandifamilyiinitheilaboriandibirthiexperience,iincludingipresenceiinitheioperating
roomiforicesareanibirths.
4Thisiisicorrect.iHospitalisupportiforibreastfeeding,iincludingiailactationiconsultantiandiemploymentiofitheiBaby-
FriendlyiHospitaliInitiative,iwereibothienacte
diduringitheiearlyi1990s.
PTS: 1 CON:iEvidence-BasediPractice
2i|iPiaigie
,2. Aipatientiwithiaihistoryiofihypertensioniisigivingibirth.iDuringidelivery,itheistaffiwasinotiableitoistabilizeitheipat
ient’sibloodipressure.iAsiairesult,itheipatientidiedishortlyiafteridelivery.iThisiisianiexampleiofiwhatitypeiofideath?
1. Earlyimaternalideath
2. Lateimaternalideath
3. Directiobstetricideath
4. IndirectiobstetricideathiANS:i4iCha
pter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i2.iDiscussicurrentitrendsiinimaternaliandiinfantihealthioutcomes.iPage:i7
Heading:iTrendsi>iMaternaliDeathiandiMortalityiRatesiIntegratediProcesses:iNursingiProcessiClientiNeed:iPh
ysiologicaliIntegrity:iReductioniofiRiskiPotentialiCognitiveiLevel:iApplicationi[Applying]
Concept:iAnte/Intra/Post-partumiDifficulty:iHard
1Thisiisiincorrect.iEarlyimaternalideathiisinotianiexampleiofimaternalideath.
Examplesiofimaternalideathiincludeilateimaternalideath,iindirectiobstetricideath,idirectiobstetricideath,iandipr
egnancy-relatedideath.
2Thisiisiincorrect.iLateimaternalideathioccursi42idaysiafteriterminationiofipregnancyifromiaidirectioriindirectiobstetrici
cause.
3Thisiisiincorrect.iDirectiobstetricideathiresultsifromicomplicationsiduringipregnancy,ilabor,ibirth,iand/
oripostpartumiperiod.
i
4Thisiisicorrect.iIndirectiobstetricideathiisicausedibyiaipreexistingidisease,ioriaidiseaseithatidevelopsiduringipre
gnancy.
PTS: 1 CON:i Ante/Intra/Post-partum
3. Theinurseiisiprovidingieducationitoiaipatientiwhoihasigivenibirthitoiherifirstichildiandiisibeingidischargedihome.iThei
patientiexpressediconcerniregardingiinfantimortalityiandisuddeniinfantideathisyndromei(SIDS).iTheipatientihadianiunc
omplicatedipregnancy,ilabor,iandivaginalidelivery.iSheihasiaibodyimassiindexiofi25iandihasinoiotherihealthiconditions.i
Theiinfantiisihealthyiandiwasideliveredifull-term.iWhatiwillibeimostihelpfulithingitoiexplainitoitheipatient?
1. Usesiofiextracorporealimembraneioxygenationitherapyi(ECMO)
2. Usesiofiexogenousipulmonaryisurfactant
3. TheiBaby-FriendlyiHospitaliInitiative
3i|iPiaigie
, 4. TheiSafeitoiSleepicampaigniANS:i4i
Chapter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i3.iIdentifyileadingicausesiofiinfantideath.iPage:i7iHeading:iTrendsi>iInfantiMortalityiRate
siIntegratediProcesses:iNursingiprocess
ClientiNeed:iSafeiandiEffectiveiCareiEnvironment:iSafetyiandiInfectioniControliCognitiveiLevel:iApplicationi[Applyi
ng]
Concept:iHealthiPromotioniDifficulty:iModerate
1Thisiisiincorrect.iEMCOihasibeenicitediasioneiofitheifactorsithatihasireducediinfantimortalityiamongipretermiinfants.
2Thisiisiincorrect.iAlthoughiadvancesiinimedicalitreatmentsihaveidecreasediinfantimortality,iexogenousipulmonaryisur
factantiisiprimarilyiuseditoireduceimortalityiofipretermiinfants.
3Thisiisiincorrect.iTheiBaby-
FriendlyiHospitaliInitiativeiwasidevelopeditoisupportibreastfeedingiandiisinotidirectlyilinkeditoireducediinfantimortalit
yioriSIDS.
4Thisiisicorrect.iTheiBackitoiSleepicampaignianditheiSafeitoiSleepicampaignsiwereidesigneditoipromoteihealthyiinfanti
sleepingihabits.iTheidecreaseiiniSIDSifrom
1995itoi2015iwasiattributeditoitheiSafeitoiSleepicampaign.iPTS: 1 CON:iHealthiPromotion
4.iTheinurseiisicaringiforiai14-year-
oldipatientiwhoiisi32iweeksipregnant.iAftericomplainingiofigenitalisoresiandidiscomfort,itheipatientitestsipositiveiforisy
philis.iTheifetusiisiatiincreasediriskiofiwhichicondition?
1. Diabetes i
2. Blindness
3. Pneumonia
4. Hypertension
ANS:i4
Chapter:iChapteri1iTrendsiandiIssues
ChapteriLearningiObjective:i4.iDiscussicurrentimaternaliandiinfantihealthiissues.iPage:i10iHeading:iIssuesi>iTeeniPreg
nancyi>iImplicationsiofiTeeniPregnancyiandiBirthiIntegratediProcesses:iNursingiProcess
ClientiNeed:iPhysiologicaliIntegrity:iReductioniofiRiskiPotentialiCognitiveiLevel:iApplicationi[Applying]iCo
ncept:iAnte/Intra/Post-partumiDifficulty:iModerate
Feedback
1Thisiisiincorrect.iMaternaliobesityiincreasesiaichild’siriskiofidevelopingichildhoodiobesityiandidiabetes.
4i|iPiaigie