Test Bank: Maternal Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman (TPSL1237)

TESTBANK b




MATERNAL-NEWBORNNURSING: THE b b




CRITICAL COMPONENTS OF NURSING
b b b b




CARE 3RD EDITION BY LINDA CHAPMAN
b b b b b b




AND ROBERTA DURHAM
b b b

,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
b b b b b b b b b b b b b




Durham And Linda Chapman
b b b b




Unit 1: Maternity Nursing Overview Chapter 1:
b b b b b b




b Trends and Issues
b b




MULTIPLE CHOICE b




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
b b b b b b b b b b b b b b b b b b




present for support and notes that things have changed in the delivery room since she last
b b b b b b b b b b b b b b b b




gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
b b b b b b b b b b b b b b b




find most different?
b b b




1. Fetal monitoring throughout labor b b b




2. Postpartum stayof 10 days b b b b




3. Expectant partner and familyin operating room for cesarean birth b b b b b b b b b




4. Hospital support for breastfeeding b b b




ANS: 4 b




Chapter: Chapter 1 Trends and Issues b b b b b




Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
b b b b b b b b b b b b b




Page: 4
b b




Heading: Table 1-1: Past and Present Trends b b b b b b




Integrated Processes: Nursing Process
b b b b




Client Need: Health Promotion and Maintenance
b b b b b




Cognitive Level: Application [Applying] Concept:
b b b b b




Evidence-Based Practice
b b




Difficulty: Moderate b




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
b b b b b b b b b b b b b




this likely would have occurred during the mother’s labor and delivery during the
b b b b b b b b b b b b b




1980s.
b




2 This is incorrect. In the past, the average hospital postpartum staywas 10 days.
b b b b b b b b b b b b b




Presently, the average postpartum stayis 48 hours or less. b b b b b b b b b




3 This is incorrect. In the past, expectant partners and families were excluded from the
b b b b b b b b b b b b b




labor and birth experience. Present trends involve the expectant partner and
b b b b b b b b b b b




family in the labor and birth experience, including presence in the operating
b b b b b b b b b b b b




room for cesarean births. b b b




4 This is correct. Hospital support for breastfeeding, including a lactation
b b b b b b b b b




consultant and employment of the Baby-FriendlyHospital Initiative, were both b b b b b b b b b




enacted during the early 1990s.
b b b b b




PTS: 1 CON: Evidence-Based Practice b b




2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not
b b b b b b b b b b b b b b b




able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
b b b b b b b b b b b b b b b




delivery. This is an example of what type of death?
b b b b b b b b b b




1. Earlymaternal death b b




2. Late maternal death b b

,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
b b b b b b b b b b b b b




Durham And Linda Chapman
b b b b




3. Direct obstetric death b b




4. Indirect obstetricdeath b b




ANS: 4
b b




Chapter: Chapter 1 Trends and Issues b b b b b




Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
b b b b b b b b b b b b




Page: 7 b




Heading: Trends > Maternal Death and Mortality Rates Integrated
b b b b b b b b




Processes: Nursing Process
b b b




Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive
b b b b b b b b




Level: Application [Applying]
b b b




Concept:Ante/Intra/Post-partum b




Difficulty: Hard
b b




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
b b b b b b b b b b b b




Examples of maternal death include late maternal death, indirect obstetric death,
b b b b b b b b b b b




direct obstetric death, and pregnancy-related death.
b b b b b b




2 This is incorrect. Late maternal death occurs 42 days after termination of
b b b b b b b b b b b




pregnancy from a direct or indirect obstetric cause. b b b b b b b




3 This is incorrect. Direct obstetric death results from complications during
b b b b b b b b b




pregnancy, labor, birth, and/or postpartum period.
b b b b b b




4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
b b b b b b b b b b b b b




disease that develops during pregnancy.
b b b b b




PTS: 1 CON: Ante/Intra/Post-partum b




3. The nurse is providing education to a patient who has given birth to her first child and is being
b b b b b b b b b b b b b b b b b b




discharged home. The patient expressed concern regarding infant mortality and sudden
b b b b b b b b b b b




infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and
b b b b b b b b b b b b




vaginal delivery. She has a body mass index of 25 and has no other health conditions. The
b b b b b b b b b b b b b b b b b




infant is healthy and was delivered full-term. What will be most helpful thing to explain to the
b b b b b b b b b b b b b b b b b




patient?
b




1. Uses of extracorporeal membrane oxygenation therapy(ECMO)
b b b b b b




2. Uses of exogenous pulmonary surfactant b b b b




3. The Baby-FriendlyHospital Initiative
b b b




4. The Safe to Sleep campaign b b b b




ANS: 4 b




Chapter: Chapter 1 Trends and Issues b b b b b




Chapter Learning Objective: 3. Identifyleading causes of infant death. Page:
b b b b b b b b b b




7
b




Heading:Trends > Infant MortalityRates b b b b b




Integrated Processes: Nursing process
b b b b




Client Need: Safe and Effective Care Environment: Safety and Infection Control
b b b b b b b b b b




Cognitive Level: Application [Applying]
b b b b

, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
b b b b b b b b b b b b b




Durham And Linda Chapman
b b b b




Concept:HealthPromotion
b b




Difficulty: Moderate
b b