TEST BANK
MATERNAL-NEWBORN NURSING:
THE CRITICAL COMPONENTS OF
NURSING CARE 4TH EDITION BY
LINDA CHAPMAN AND ROBERTA
DURHAM
,Unit v1: vMaternity vNursing
OverviewvChapter v1: vTrends vand
v
Issues
v
MULTIPLE vCHOICE
1. The vnurse vis vcaring vfor va vpatient vwho vis vin vlabor vwith vher vfirst vchild. vThe vpatient’s
vmother visvpresent vfor vsupport vand vnotes vthat vthings vhave vchanged vin vthe vdelivery vroom
vsince vshe vlast vgave vbirth vin vthe vearly v1980s. vWhich vcurrent vtrend vor vintervention vmay vthe
vpatient’s vmotherv find vmost vdifferent?
1. Fetal vmonitoring vthroughout vlabor
2. Postpartum vstayvof v10 vdays
3. Expectant vpartner vand vfamilyvin voperating vroom vfor vcesarean vbirth
4. Hospital vsupport vfor vbreastfeeding
ANS: v 4
Chapter: vChapter v1 vTrends vand vIssues
Chapter vLearning vObjective: v1. vDiscuss vcurrent vtrends vin vthe vmanagement vof vlabor vand
vbirthv
Page: v4
Heading: vTable v1-1: vPast vand vPresent
vTrendsvIntegrated vProcesses: vNursing
vProcess
Client vNeed: vHealth vPromotion vand vMaintenance
vCognitive vLevel: vApplication v[Applying]
vConcept: vEvidence-Based vPractice
Difficulty: vModerate
Feedback
1 This vis vincorrect. vFetal vmonitoring vduring vlabor vbegan vin vthe vlate v1970s. vAs
vsuch,vthis vlikely vwould vhave voccurred vduring vthe vmother’s vlabor vand vdelivery
vduring vthe v1980s.
2 This vis vincorrect. v In vthe vpast, vthe vaverage vhospital vpostpartum vstay vwas v10 vdays.
Presently, vthe vaverage vpostpartum vstay vis v48 vhours vor vless.
3 This vis vincorrect. vIn vthe vpast, vexpectant vpartners vand vfamilies vwere vexcluded
vfromvthe vlabor vand vbirth vexperience. vPresent vtrends vinvolve vthe vexpectant
vpartner vand vfamily vin vthe vlabor vand vbirth vexperience, vincluding vpresence vin vthe
voperating
room vfor vcesarean vbirths.
4 This vis vcorrect. vHospital vsupport vfor vbreastfeeding, vincluding va vlactation
consultant vand vemployment vof vthe vBaby-Friendly vHospital vInitiative, vwere
vbothvenacted vduring vthe vearly v1990s.
PTS: 1 CON: v Evidence-Based vPractice
2. A vpatient vwith va vhistoryvof vhypertension vis vgiving vbirth. vDuring vdelivery, vthe vstaff vwas
vnotvable vto vstabilize vthe vpatient’s vblood vpressure. vAs va vresult, vthe vpatient vdied vshortly
vafter vdelivery. vThis vis van vexample vof vwhat vtype vof vdeath?
1. Earlyvmaternal vdeath
,2. Late vmaternal vdeath
, 3. Direct vobstetric vdeath
4. Indirect vobstetric
vdeathv
ANS: v 4
Chapter: vChapter v1 vTrends vand vIssues
Chapter vLearning vObjective: v2. vDiscuss vcurrent vtrends vin vmaternal vand vinfant vhealth
voutcomes.
Page: v7
Heading: vTrends v> vMaternal vDeath vand vMortality
vRatesvIntegrated vProcesses: vNursing vProcess
Client vNeed: vPhysiological vIntegrity: vReduction vof vRisk
vPotentialvCognitive vLevel: vApplication v[Applying]
Concept: vAnte/Intra/Post-partum
vDifficulty: vHard
Feedback
1 This vis vincorrect. vEarly vmaternal vdeath vis vnot van vexample vof vmaternal vdeath.
vExamples vof vmaternal vdeath vinclude vlate vmaternal vdeath, vindirect vobstetric
vdeath,vdirect vobstetric vdeath, vand vpregnancy-related vdeath.
2 This vis vincorrect. vLate vmaternal vdeath voccurs v42 vdays vafter vtermination vof
pregnancy vfrom va vdirect vor vindirect vobstetric vcause.
3 This vis vincorrect. vDirect vobstetric vdeath vresults vfrom vcomplications
vduringv pregnancy, vlabor, vbirth, vand/or vpostpartum vperiod.
4 This vis vcorrect. vIndirect vobstetric vdeath vis vcaused vby va vpreexisting vdisease, vor
vav
disease vthat vdevelops vduring vpregnancy.
PTS: 1 CON: v Ante/Intra/Post-partum
3. The vnurse vis vproviding veducation vto va vpatient vwho vhas vgiven vbirth vto vher vfirst vchild vand vis
vbeing vdischarged vhome. v The vpatient vexpressed vconcern vregarding vinfant vmortality vand
vsudden vinfant vdeath vsyndrome v(SIDS). vThe vpatient vhad van vuncomplicated vpregnancy,
vlabor, vand vvaginal vdelivery. vShe vhas va vbody vmass vindex vof v25 vand vhas vno vother vhealth
vconditions. vThe vinfant vis vhealthy vand vwas vdelivered vfull-term. vWhat vwill vbe vmost vhelpful
vthing vto vexplainv
to vthe vpatient?
1. Uses vof vextracorporeal vmembrane voxygenation vtherapy v(ECMO)
2. Uses vof vexogenous vpulmonaryvsurfactant
3. The vBaby-Friendly vHospital vInitiative
4. The vSafe vto vSleep vcampaign
ANS: v 4
Chapter: vChapter v1 vTrends vand vIssues
Chapter vLearning vObjective: v3. vIdentifyvleading vcauses vof vinfant vdeath.
vPage: v7
Heading: vTrends v> vInfant vMortality
vRatesvIntegrated vProcesses: vNursing
vprocess
Client vNeed: vSafe vand vEffective vCare vEnvironment: vSafety vand vInfection
vControlvCognitive vLevel: vApplication v[Applying]
MATERNAL-NEWBORN NURSING:
THE CRITICAL COMPONENTS OF
NURSING CARE 4TH EDITION BY
LINDA CHAPMAN AND ROBERTA
DURHAM
,Unit v1: vMaternity vNursing
OverviewvChapter v1: vTrends vand
v
Issues
v
MULTIPLE vCHOICE
1. The vnurse vis vcaring vfor va vpatient vwho vis vin vlabor vwith vher vfirst vchild. vThe vpatient’s
vmother visvpresent vfor vsupport vand vnotes vthat vthings vhave vchanged vin vthe vdelivery vroom
vsince vshe vlast vgave vbirth vin vthe vearly v1980s. vWhich vcurrent vtrend vor vintervention vmay vthe
vpatient’s vmotherv find vmost vdifferent?
1. Fetal vmonitoring vthroughout vlabor
2. Postpartum vstayvof v10 vdays
3. Expectant vpartner vand vfamilyvin voperating vroom vfor vcesarean vbirth
4. Hospital vsupport vfor vbreastfeeding
ANS: v 4
Chapter: vChapter v1 vTrends vand vIssues
Chapter vLearning vObjective: v1. vDiscuss vcurrent vtrends vin vthe vmanagement vof vlabor vand
vbirthv
Page: v4
Heading: vTable v1-1: vPast vand vPresent
vTrendsvIntegrated vProcesses: vNursing
vProcess
Client vNeed: vHealth vPromotion vand vMaintenance
vCognitive vLevel: vApplication v[Applying]
vConcept: vEvidence-Based vPractice
Difficulty: vModerate
Feedback
1 This vis vincorrect. vFetal vmonitoring vduring vlabor vbegan vin vthe vlate v1970s. vAs
vsuch,vthis vlikely vwould vhave voccurred vduring vthe vmother’s vlabor vand vdelivery
vduring vthe v1980s.
2 This vis vincorrect. v In vthe vpast, vthe vaverage vhospital vpostpartum vstay vwas v10 vdays.
Presently, vthe vaverage vpostpartum vstay vis v48 vhours vor vless.
3 This vis vincorrect. vIn vthe vpast, vexpectant vpartners vand vfamilies vwere vexcluded
vfromvthe vlabor vand vbirth vexperience. vPresent vtrends vinvolve vthe vexpectant
vpartner vand vfamily vin vthe vlabor vand vbirth vexperience, vincluding vpresence vin vthe
voperating
room vfor vcesarean vbirths.
4 This vis vcorrect. vHospital vsupport vfor vbreastfeeding, vincluding va vlactation
consultant vand vemployment vof vthe vBaby-Friendly vHospital vInitiative, vwere
vbothvenacted vduring vthe vearly v1990s.
PTS: 1 CON: v Evidence-Based vPractice
2. A vpatient vwith va vhistoryvof vhypertension vis vgiving vbirth. vDuring vdelivery, vthe vstaff vwas
vnotvable vto vstabilize vthe vpatient’s vblood vpressure. vAs va vresult, vthe vpatient vdied vshortly
vafter vdelivery. vThis vis van vexample vof vwhat vtype vof vdeath?
1. Earlyvmaternal vdeath
,2. Late vmaternal vdeath
, 3. Direct vobstetric vdeath
4. Indirect vobstetric
vdeathv
ANS: v 4
Chapter: vChapter v1 vTrends vand vIssues
Chapter vLearning vObjective: v2. vDiscuss vcurrent vtrends vin vmaternal vand vinfant vhealth
voutcomes.
Page: v7
Heading: vTrends v> vMaternal vDeath vand vMortality
vRatesvIntegrated vProcesses: vNursing vProcess
Client vNeed: vPhysiological vIntegrity: vReduction vof vRisk
vPotentialvCognitive vLevel: vApplication v[Applying]
Concept: vAnte/Intra/Post-partum
vDifficulty: vHard
Feedback
1 This vis vincorrect. vEarly vmaternal vdeath vis vnot van vexample vof vmaternal vdeath.
vExamples vof vmaternal vdeath vinclude vlate vmaternal vdeath, vindirect vobstetric
vdeath,vdirect vobstetric vdeath, vand vpregnancy-related vdeath.
2 This vis vincorrect. vLate vmaternal vdeath voccurs v42 vdays vafter vtermination vof
pregnancy vfrom va vdirect vor vindirect vobstetric vcause.
3 This vis vincorrect. vDirect vobstetric vdeath vresults vfrom vcomplications
vduringv pregnancy, vlabor, vbirth, vand/or vpostpartum vperiod.
4 This vis vcorrect. vIndirect vobstetric vdeath vis vcaused vby va vpreexisting vdisease, vor
vav
disease vthat vdevelops vduring vpregnancy.
PTS: 1 CON: v Ante/Intra/Post-partum
3. The vnurse vis vproviding veducation vto va vpatient vwho vhas vgiven vbirth vto vher vfirst vchild vand vis
vbeing vdischarged vhome. v The vpatient vexpressed vconcern vregarding vinfant vmortality vand
vsudden vinfant vdeath vsyndrome v(SIDS). vThe vpatient vhad van vuncomplicated vpregnancy,
vlabor, vand vvaginal vdelivery. vShe vhas va vbody vmass vindex vof v25 vand vhas vno vother vhealth
vconditions. vThe vinfant vis vhealthy vand vwas vdelivered vfull-term. vWhat vwill vbe vmost vhelpful
vthing vto vexplainv
to vthe vpatient?
1. Uses vof vextracorporeal vmembrane voxygenation vtherapy v(ECMO)
2. Uses vof vexogenous vpulmonaryvsurfactant
3. The vBaby-Friendly vHospital vInitiative
4. The vSafe vto vSleep vcampaign
ANS: v 4
Chapter: vChapter v1 vTrends vand vIssues
Chapter vLearning vObjective: v3. vIdentifyvleading vcauses vof vinfant vdeath.
vPage: v7
Heading: vTrends v> vInfant vMortality
vRatesvIntegrated vProcesses: vNursing
vprocess
Client vNeed: vSafe vand vEffective vCare vEnvironment: vSafety vand vInfection
vControlvCognitive vLevel: vApplication v[Applying]
