Test Bank
Davis Advantage For Maternal-Newborn
Nursing Critical Components Of Nursing
Care 4th Edition By Connie Durham,
Roberta; Chapman, Linda; Miller
All Chapters
1|Page
, Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother 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 mother 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 Objective: 1. Discuss current trends in the management of labor and birth Page: 4
Heading: Table 1-1: Past and Present Trends Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Evidence-
Based Practice
Difficulty: Moderate
Feedback
1This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this likely would have occurred
during the mother’s labor and delivery during the 1980s.
2This is incorrect. In the past, the average hospital postpartum stay was 10 days. Presently, the average postpartum
stay is 48 hours or less.
3This 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.
4This is correct. Hospital support for breastfeeding, including a lactation consultant and employment of the Baby-
Friendly Hospital Initiative, were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2|Page
,2. A patient with a history of hypertension is giving birth. During 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
death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes. Page: 7
Heading: Trends > Maternal Death and Mortality Rates Integrated Processes: Nursing Process Client Need:
Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
1This is incorrect. Early maternal death is not an example of maternal death.
Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric death, and
pregnancy-related death.
2This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect
obstetric cause.
3This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or
postpartum period.
4This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during
pregnancy.
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 death syndrome (SIDS). The patient had
an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health
conditions. The infant is healthy 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
3|Page
, 4. The Safe to Sleep campaign ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 7 Heading: Trends > Infant Mortality
Rates Integrated Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application
[Applying]
Concept: Health Promotion Difficulty: Moderate
1This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality among preterm
infants.
2This is incorrect. Although advances in medical treatments have decreased infant mortality, exogenous pulmonary
surfactant is primarily used to reduce mortality of preterm infants.
3This is incorrect. The Baby-Friendly Hospital Initiative was developed to support breastfeeding and is not directly
linked to reduced infant mortality or SIDS.
4This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to promote healthy
infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign. PTS: 1 CON: Health Promotion
4. The nurse is caring 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 Objective: 4. Discuss current maternal and infant health issues. Page: 10 Heading: Issues > Teen
Pregnancy > Implications of Teen Pregnancy and Birth Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Moderate
Feedback
1This is incorrect. Maternal obesity increases a child’s risk of developing childhood obesity and Diabetes.
4|Page
Davis Advantage For Maternal-Newborn
Nursing Critical Components Of Nursing
Care 4th Edition By Connie Durham,
Roberta; Chapman, Linda; Miller
All Chapters
1|Page
, Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother 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 mother 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 Objective: 1. Discuss current trends in the management of labor and birth Page: 4
Heading: Table 1-1: Past and Present Trends Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Concept: Evidence-
Based Practice
Difficulty: Moderate
Feedback
1This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this likely would have occurred
during the mother’s labor and delivery during the 1980s.
2This is incorrect. In the past, the average hospital postpartum stay was 10 days. Presently, the average postpartum
stay is 48 hours or less.
3This 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.
4This is correct. Hospital support for breastfeeding, including a lactation consultant and employment of the Baby-
Friendly Hospital Initiative, were both
enacted during the early 1990s.
PTS: 1 CON: Evidence-Based Practice
2|Page
,2. A patient with a history of hypertension is giving birth. During 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
death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes. Page: 7
Heading: Trends > Maternal Death and Mortality Rates Integrated Processes: Nursing Process Client Need:
Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
1This is incorrect. Early maternal death is not an example of maternal death.
Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric death, and
pregnancy-related death.
2This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect
obstetric cause.
3This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or
postpartum period.
4This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during
pregnancy.
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 death syndrome (SIDS). The patient had
an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health
conditions. The infant is healthy 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
3|Page
, 4. The Safe to Sleep campaign ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 7 Heading: Trends > Infant Mortality
Rates Integrated Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level: Application
[Applying]
Concept: Health Promotion Difficulty: Moderate
1This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality among preterm
infants.
2This is incorrect. Although advances in medical treatments have decreased infant mortality, exogenous pulmonary
surfactant is primarily used to reduce mortality of preterm infants.
3This is incorrect. The Baby-Friendly Hospital Initiative was developed to support breastfeeding and is not directly
linked to reduced infant mortality or SIDS.
4This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to promote healthy
infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign. PTS: 1 CON: Health Promotion
4. The nurse is caring 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 Objective: 4. Discuss current maternal and infant health issues. Page: 10 Heading: Issues > Teen
Pregnancy > Implications of Teen Pregnancy and Birth Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum Difficulty: Moderate
Feedback
1This is incorrect. Maternal obesity increases a child’s risk of developing childhood obesity and Diabetes.
4|Page
