TEST BANK
MATERNAL-NEWBORN NURSING:
THE CRITICAL COMPONENTS OF
NURSING CARE 3RD EDITION BY
LINDA CHAPMAN AND ROBERTA
DURHAM
,TEST5BANK:5Maternal-
Newborn5Nursing:5The5Critical5Components5Of5Nursing5Care53rd5Edition5By5Roberta5Durham5And5Linda5Cha
pman
Unit51:5Maternity5Nursing5Overview5
Chapter51:5Trends5and5Issues
MULTIPLE5CHOICE
1. The5nurse5is5caring5for5a5patient5who5is5in5labor5with5her5first5child.5The5patient’s5mother5is5
present5for5support5and5notes5that5things5have5changed5in5the5delivery5room5since5she5last5
gave5birth5in5the5early51980s.5Which5current5trend5or5intervention5may5the5patient’s5mother5
find5most5different?
1. Fetal5monitoring5throughout5labor
2. Postpartum5stay5of5105days
3. Expectant5partner5and5family5in5operating5room5for5cesarean5birth
4. Hospital5support5for5breastfeeding
ANS:5 4
Chapter:5Chapter515Trends5and5Issues
Chapter5Learning5Objective:51.5Discuss5current5trends5in5the5management5of5labor5and5birth5
Page:54
Heading:5Table51-
1:5Past5and5Present5Trends5Integrated5Proces
ses:5Nursing5Process
Client5Need:5Health5Promotion5and5Maintenance5
Cognitive5Level:5Application5[Applying]5Concep
t:5Evidence-Based5Practice
Difficulty:5Moderate
Feedback
1 This5is5incorrect.5Fetal5monitoring5during5labor5began5in5the5late51970s.5As5such,5
this5likely5would5have5occurred5during5the5mother’s5labor5and5delivery5during5th
e51980s.
2 This5is5incorrect.5In5the5past,5the5average5hospital5postpartum5stay5was5105days.
Presently,5the5average5postpartum5stay5is5485hours5or5less.
3 This5is5incorrect.5In5the5past,5expectant5partners5and5families5were5excluded5from5
the5labor5and5birth5experience.5Present5trends5involve5the5expectant5partner5and5f
amily5in5the5labor5and5birth5experience,5including5presence5in5the5operating
room5for5cesarean5births.
4 This5is5correct.5Hospital5support5for5breastfeeding,5including5a5lactation
consultant5and5employment5of5the5Baby-
Friendly5Hospital5Initiative,5were5both5enacted5during5the5early51990s.
PTS: 1 CON:5 Evidence-Based5Practice
2. A5patient5with5a5history5of5hypertension5is5giving5birth.5During5delivery,5the5staff5was5not5
able5to5stabilize5the5patient’s5blood5pressure.5As5a5result,5the5patient5died5shortly5after5del
ivery.5This5is5an5example5of5what5type5of5death?
1. Early5maternal5death
2. Late5maternal5death
,TEST5BANK:5Maternal-
Newborn5Nursing:5The5Critical5Components5Of5Nursing5Care53rd5Edition5By5Roberta5Durham5And5Linda5Cha
pman
3. Direct5obstetric5death
4. Indirect5obstetric5death5
ANS:5 4
Chapter:5Chapter515Trends5and5Issues
Chapter5Learning5Objective:52.5Discuss5current5trends5in5maternal5and5infant5health5outcome
s.
Page:57
Heading:5Trends5>5Maternal5Death5and5Mortality5Rates5
Integrated5Processes:5Nursing5Process
Client5Need:5Physiological5Integrity:5Reduction5of5Risk5Potential5
Cognitive5Level:5Application5[Applying]
Concept:5Ante/Intra/Post-
partum5Difficulty:5Hard
Feedback
1 This5is5incorrect.5Early5maternal5death5is5not5an5example5of5maternal5death.5Exa
mples5of5maternal5death5include5late5maternal5death,5indirect5obstetric5death,5dire
ct5obstetric5death,5and5pregnancy-related5death.
2 This5is5incorrect.5Late5maternal5death5occurs5425days5 after5termination5of
pregnancy5from5a5direct5or5indirect5obstetric5cause.
3 This5is5incorrect.5Direct5obstetric5death5results5from5complications5during5
pregnancy,5labor,5birth,5and/or5postpartum5period.
4 This5is5correct.5 Indirect5obstetric5death5is5caused5by5a5preexisting5disease,5or5a5
disease5that5develops5during5pregnancy.
PTS: 1 CON:5 Ante/Intra/Post-partum
3. The5nurse5is5providing5education5to5a5patient5who5has5given5birth5to5her5first5child5and5is5bei
ng5discharged5home.5The5patient5expressed5concern5regarding5infant5mortality5and5sudden5i
nfant5death5syndrome5(SIDS).5The5patient5had5an5uncomplicated5pregnancy,5labor,5and5vagi
nal5delivery.5She5has5a5body5mass5index5of5255and5has5no5other5health5conditions.5The5infant
5is5healthy5and5was5delivered5full-
term.5What5will5be5most5helpful5thing5to5explain5to5the5patient?
1. Uses5of5extracorporeal5membrane5oxygenation5therapy5(ECMO)
2. Uses5of5exogenous5pulmonary5surfactant
3. The5Baby-Friendly5Hospital5 Initiative
4. The5Safe5to5Sleep5campaign
ANS:5 4
Chapter:5Chapter515Trends5and5Issues
Chapter5Learning5Objective:53.5Identify5leading5causes5of5infant5death.5Page
:57
Heading:5Trends5>5Infant5Mortality5Rates5
Integrated5Processes:5Nursing5process
Client5Need:5Safe5and5Effective5Care5Environment:5Safety5and5Infection5Control5
Cognitive5Level:5Application5[Applying]
, TEST5BANK:5Maternal-
Newborn5Nursing:5The5Critical5Components5Of5Nursing5Care53rd5Edition5By5Roberta5Durham5And5Linda5Cha
pman
Concept:5Health5Promotion5
Difficulty:5Moderate
MATERNAL-NEWBORN NURSING:
THE CRITICAL COMPONENTS OF
NURSING CARE 3RD EDITION BY
LINDA CHAPMAN AND ROBERTA
DURHAM
,TEST5BANK:5Maternal-
Newborn5Nursing:5The5Critical5Components5Of5Nursing5Care53rd5Edition5By5Roberta5Durham5And5Linda5Cha
pman
Unit51:5Maternity5Nursing5Overview5
Chapter51:5Trends5and5Issues
MULTIPLE5CHOICE
1. The5nurse5is5caring5for5a5patient5who5is5in5labor5with5her5first5child.5The5patient’s5mother5is5
present5for5support5and5notes5that5things5have5changed5in5the5delivery5room5since5she5last5
gave5birth5in5the5early51980s.5Which5current5trend5or5intervention5may5the5patient’s5mother5
find5most5different?
1. Fetal5monitoring5throughout5labor
2. Postpartum5stay5of5105days
3. Expectant5partner5and5family5in5operating5room5for5cesarean5birth
4. Hospital5support5for5breastfeeding
ANS:5 4
Chapter:5Chapter515Trends5and5Issues
Chapter5Learning5Objective:51.5Discuss5current5trends5in5the5management5of5labor5and5birth5
Page:54
Heading:5Table51-
1:5Past5and5Present5Trends5Integrated5Proces
ses:5Nursing5Process
Client5Need:5Health5Promotion5and5Maintenance5
Cognitive5Level:5Application5[Applying]5Concep
t:5Evidence-Based5Practice
Difficulty:5Moderate
Feedback
1 This5is5incorrect.5Fetal5monitoring5during5labor5began5in5the5late51970s.5As5such,5
this5likely5would5have5occurred5during5the5mother’s5labor5and5delivery5during5th
e51980s.
2 This5is5incorrect.5In5the5past,5the5average5hospital5postpartum5stay5was5105days.
Presently,5the5average5postpartum5stay5is5485hours5or5less.
3 This5is5incorrect.5In5the5past,5expectant5partners5and5families5were5excluded5from5
the5labor5and5birth5experience.5Present5trends5involve5the5expectant5partner5and5f
amily5in5the5labor5and5birth5experience,5including5presence5in5the5operating
room5for5cesarean5births.
4 This5is5correct.5Hospital5support5for5breastfeeding,5including5a5lactation
consultant5and5employment5of5the5Baby-
Friendly5Hospital5Initiative,5were5both5enacted5during5the5early51990s.
PTS: 1 CON:5 Evidence-Based5Practice
2. A5patient5with5a5history5of5hypertension5is5giving5birth.5During5delivery,5the5staff5was5not5
able5to5stabilize5the5patient’s5blood5pressure.5As5a5result,5the5patient5died5shortly5after5del
ivery.5This5is5an5example5of5what5type5of5death?
1. Early5maternal5death
2. Late5maternal5death
,TEST5BANK:5Maternal-
Newborn5Nursing:5The5Critical5Components5Of5Nursing5Care53rd5Edition5By5Roberta5Durham5And5Linda5Cha
pman
3. Direct5obstetric5death
4. Indirect5obstetric5death5
ANS:5 4
Chapter:5Chapter515Trends5and5Issues
Chapter5Learning5Objective:52.5Discuss5current5trends5in5maternal5and5infant5health5outcome
s.
Page:57
Heading:5Trends5>5Maternal5Death5and5Mortality5Rates5
Integrated5Processes:5Nursing5Process
Client5Need:5Physiological5Integrity:5Reduction5of5Risk5Potential5
Cognitive5Level:5Application5[Applying]
Concept:5Ante/Intra/Post-
partum5Difficulty:5Hard
Feedback
1 This5is5incorrect.5Early5maternal5death5is5not5an5example5of5maternal5death.5Exa
mples5of5maternal5death5include5late5maternal5death,5indirect5obstetric5death,5dire
ct5obstetric5death,5and5pregnancy-related5death.
2 This5is5incorrect.5Late5maternal5death5occurs5425days5 after5termination5of
pregnancy5from5a5direct5or5indirect5obstetric5cause.
3 This5is5incorrect.5Direct5obstetric5death5results5from5complications5during5
pregnancy,5labor,5birth,5and/or5postpartum5period.
4 This5is5correct.5 Indirect5obstetric5death5is5caused5by5a5preexisting5disease,5or5a5
disease5that5develops5during5pregnancy.
PTS: 1 CON:5 Ante/Intra/Post-partum
3. The5nurse5is5providing5education5to5a5patient5who5has5given5birth5to5her5first5child5and5is5bei
ng5discharged5home.5The5patient5expressed5concern5regarding5infant5mortality5and5sudden5i
nfant5death5syndrome5(SIDS).5The5patient5had5an5uncomplicated5pregnancy,5labor,5and5vagi
nal5delivery.5She5has5a5body5mass5index5of5255and5has5no5other5health5conditions.5The5infant
5is5healthy5and5was5delivered5full-
term.5What5will5be5most5helpful5thing5to5explain5to5the5patient?
1. Uses5of5extracorporeal5membrane5oxygenation5therapy5(ECMO)
2. Uses5of5exogenous5pulmonary5surfactant
3. The5Baby-Friendly5Hospital5 Initiative
4. The5Safe5to5Sleep5campaign
ANS:5 4
Chapter:5Chapter515Trends5and5Issues
Chapter5Learning5Objective:53.5Identify5leading5causes5of5infant5death.5Page
:57
Heading:5Trends5>5Infant5Mortality5Rates5
Integrated5Processes:5Nursing5process
Client5Need:5Safe5and5Effective5Care5Environment:5Safety5and5Infection5Control5
Cognitive5Level:5Application5[Applying]
, TEST5BANK:5Maternal-
Newborn5Nursing:5The5Critical5Components5Of5Nursing5Care53rd5Edition5By5Roberta5Durham5And5Linda5Cha
pman
Concept:5Health5Promotion5
Difficulty:5Moderate