Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3Rd Edition By Linda Chapman And Roberta Durham Questions And Answers A+ Graded

TESTBANK 9




MATERNAL-NEWBORN NURSING:
THE CRITICAL COMPONENTS OF
NURSING CARE 3RD EDITION BY
LINDA CHAPMAN AND ROBERTA
DURHAM

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Chapm
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an
Unit 1: Maternity Nursing Overview
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Chapter 1: Trends and Issues
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MULTIPLE CHOICE 9




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother ispre
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sent for support and notes that things have changed in the delivery room since she last gave bi
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rth in the early 1980s. Which current trend or intervention may the patient’s motherfind most
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different?
1. Fetal monitoring throughout labor 9 9 9


2. Postpartum stay of 10 days 9 9 9 9



3. Expectant partner and family in operating room for cesarean birth 9 9 9 9 9 9 9 9 9



4. Hospital support for breastfeeding 9 9 9




ANS: 4 9



Chapter: Chapter 1 Trends and Issues 9 9 9 9 9



Chapter Learning Objective: 1. Discuss current trends in the management of labor and birthPa
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ge: 4 9


Heading: Table 1- 9 9



1: Past and Present TrendsIntegrated Process
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es: Nursing Process
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Client Need: Health Promotion and MaintenanceC
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ognitive Level: Application [Applying] Concept: 9 9 9 9 9



Evidence-Based Practice 9



Difficulty: Moderate 9




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,thi
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s likely would have occurred during the mother’s labor and delivery during the 198
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0s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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Presently, the average postpartum stay is 48 hours or less. 9 9 9 9 9 9 9 9 9



3 This is incorrect. In the past, expectant partners and families were excluded fromth
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e labor and birth experience. Present trends involve the expectant partner and famil
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y in the labor and birth experience, including presence in the operating
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room for cesarean births. 9 9 9



4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- 9 9 9 9 9


Friendly Hospital Initiative, were bothenacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice 9 9




2. A patient with a history of hypertension is giving birth. During delivery, the staff was notabl
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e to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery.
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This is an example of what type of death?
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1. Early maternal death 9 9



2. Late maternal death 9 9

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Chapm
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an

3. Direct obstetric death 9 9



4. Indirect obstetric death 9 9 9


ANS: 4 9




Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutcomes.
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Page: 7 9



Heading: Trends > Maternal Death and Mortality RatesI
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ntegrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk PotentialC
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ognitive Level: Application [Applying]
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Concept: Ante/Intra/Post- 9



partumDifficulty: Hard
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Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Exam
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ples of maternal death include late maternal death, indirect obstetric death,direct o
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bstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause. 9 9 9 9 9 9 9



3 This is incorrect. Direct obstetric death results from complications duringpr
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egnancy, labor, birth, and/or postpartum period.9 9 9 9 9



4 This is correct. Indirect obstetric death is caused by a preexisting disease, or adis
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ease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum 9




3. The nurse is providing education to a patient who has given birth to her first child and is being d
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ischarged home. The patient expressed concern regarding infant mortality and sudden infant d
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eath syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delive
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ry. She has a body mass index of 25 and has no other health conditions. The infant is healthy an
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d was delivered full-term. What will be most helpful thing to explainto the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant
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3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign
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ANS: 4 9



Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 3. Identify leading causes of infant death.Page: 7
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Heading: Trends > Infant Mortality RatesI
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ntegrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection ControlC
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ognitive Level: Application [Applying]
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, TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Chapm
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an
Concept: Health Promotion
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Difficulty: Moderate
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