TESTBANK r
MATERNAL-
NEWBORNNURSING: THE CRITIC
r r r
AL COMPONENTS OF NURSING CA
r r r r
RE 3RD EDITION BY LINDA CHAPMA
r r r r r
N AND ROBERTA DURHAM
r r r
,Test Bank: Maternal-
r r
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta Durham And Linda Chap
r r r r r r r r r r r r r r r
man
Unit 1: Maternity Nursing Overview Chapter
r r r r r r
1: Trends and Issues
r r r
MULTIPLE CHOICE r
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is presen
r r r r r r r r r r r r r r r r r r r
t for support and notes that things have changed in the delivery room since she last gave birth in t
r r r r r r r r r r r r r r r r r r r
he early 1980s. Which current trend or intervention may the patient’s mother find most differen
r r r r r r r r r r r r r r
t?
1. Fetal monitoring throughout labor r r r
2. Postpartum stayof 10 days r r r r
3. Expectant partner and familyin operating room for cesarean birth r r r r r r r r r
4. Hospital support for breastfeeding r r r
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
r r r r r r r r r r r r r r
:4 r
Heading: Table 1- r r
1: Past and Present Trends Integrated Processes: Nu
r r r r r r r
rsing Process r
Client Need: Health Promotion and Maintenance Co
r r r r r r
gnitive Level: Application [Applying] Concept: Ev
r r r r r
idence-Based Practice r
Difficulty: Moderate r
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this l
r r r r r r r r r r r r r r r
ikely would have occurred during the mother’s labor and delivery during the 1980s.
r r r r r r r r r r r r
2 This is incorrect. In the past, the average hospital postpartum staywas 10 days. Presentl
r r r r r r r r r r r r r r
y, the average postpartum stay is 48 hours or less.
r r r r r r r r r
3 This is incorrect. In the past, expectant partners and families were excluded from the lab
r r r r r r r r r r r r r r
or and birth experience. Present trends involve the expectant partner and family in the l
r r r r r r r r r r r r r r
abor and birth experience, including presence in the operating
r r r r r r r r
room for cesarean births. r r r
4 This is correct. Hospital support for breastfeeding, including a lactation consultant a
r r r r r r r r r r r
nd employment of the Baby-
r r r r
Friendly Hospital Initiative, were both enacted during the early 1990s.
r r r r r r r r r
PTS: 1 CON: Evidence-Based Practice r r
2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not able t
r r r r r r r r r r r r r r r r r
o stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. Thi
r r r r r r r r r r r r r r r
s is an example of what type of death?
r r r r r r r r
1. Earlymaternal death r r
2. Late maternal death r r
,TEST BANK: Maternal-
r r
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta Durham And Linda Chapman
r r r r r r r r r r r r r r r
3. Direct obstetric death r r
4. Indirect obstetric death r r r
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
r r r r r r r r r r r r
Page: 7 r
Heading: Trends > Maternal Death and Mortality Rates Integrated r r r r r r r r r
Processes: Nursing Process r r
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
r r r r r r r r r
evel: Application [Applying]
r r
Concept: Ante/Intra/Post- r
partum Difficulty: Hard r r
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Examples
r r r r r r r r r r r r r r
of maternal death include late maternal death, indirect obstetric death, direct obstetric
r r r r r r r r r r r r
death, and pregnancy-related death. r r r
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy fr
r r r r r r r r r r r r r
om a direct or indirect obstetric cause.
r r r r r r
3 This is incorrect. Direct obstetric death results from complications during pregnancy,
r r r r r r r r r r r
labor, birth, and/or postpartum period. r r r r
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease t
r r r r r r r r r r r r r r r
hat develops during pregnancy.
r r r
PTS: 1 CON: Ante/Intra/Post-partum r
3. The nurse is providing education to a patient who has given birth to her first child and is being disc
r r r r r r r r r r r r r r r r r r r
harged home. The patient expressed concern regarding infant mortality and sudden infant death s
r r r r r r r r r r r r r
yndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She
r r r r r r r r r r r r r
has a body mass index of 25 and has no other health conditions. The infant is healthy and was deliv
r r r r r r r r r r r r r r r r r r r
ered full-term. What will be most helpful thing to explain to the patient?
r r r r r r r r r r r r
1. Uses of extracorporeal membrane oxygenation therapy(ECMO) r r r r r r
2. Uses of exogenous pulmonarysurfactant r r r r
3. The Baby-FriendlyHospital Initiative r r r
4. The Safe to Sleep campaign r r r r
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 3. Identifyleading causes of infant death. Page: 7
r r r r r r r r r r r
Heading: Trends > Infant Mortality Rates Integrated r r r r r r
Processes: Nursing process
r r r
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogniti
r r r r r r r r r r r
ve Level: Application [Applying]
r r r
, TEST BANK: Maternal-
r r
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta Durham And Linda Chapman
r r r r r r r r r r r r r r r
Concept: Health Promotion Dif r r r
ficulty: Moderate r
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant m
r r r r r r r r r r r r r r r r
ortality among preterm infants. r r r
2 This is incorrect. Although advances in medical treatments have decreased infant mort
r r r r r r r r r r r
ality, exogenous pulmonary surfactant is primarilyused to reduce mortalityof preterm i
r r r r r r r r r r r r
nfants.
3 This is incorrect. The Baby-r r r r
FriendlyHospital Initiative was developed to support breastfeeding and is not directly l
r r r r r r r r r r r r
inked to reduced infant mortality or SIDS.
r r r r r r
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
r r r r r r r r r r r r r r
designed to promote healthyinfant sleeping habits. The decrease in SIDS from 1995 to
r r r r r r r r r r r r r r
2015 was attributed to the Safe to Sleep campaign.
r r r r r r r r
PTS: 1 CON: Health Promotion r r
4. The nurse is caring for a 14-year-
r r r r r r
old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the pa
r r r r r r r r r r r r r r r
tient tests positive for syphilis. The fetus is at increased risk of which condition?
r r r r r r r r r r r r r
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. Page: 1
r r r r r r r r r r r r
0
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth Integrate
r r r r r r r r r r r r
d Processes: Nursing Process
r r r
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
r r r r r r r r r
evel: Application [Applying]
r r
Concept: Ante/Intra/Post- r
partum Difficulty: Moderate r r
Feedback
1 This is incorrect. Maternal obesityincreases a child’s risk of developing
r r r r r r r r r r
childhood obesityand diabetes. r r r
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all associate
r r r r r r r r r r r r
d with a patient who contracts syphilis during pregnancy.
r r r r r r r r
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
r r r r r r r r r
MATERNAL-
NEWBORNNURSING: THE CRITIC
r r r
AL COMPONENTS OF NURSING CA
r r r r
RE 3RD EDITION BY LINDA CHAPMA
r r r r r
N AND ROBERTA DURHAM
r r r
,Test Bank: Maternal-
r r
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta Durham And Linda Chap
r r r r r r r r r r r r r r r
man
Unit 1: Maternity Nursing Overview Chapter
r r r r r r
1: Trends and Issues
r r r
MULTIPLE CHOICE r
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is presen
r r r r r r r r r r r r r r r r r r r
t for support and notes that things have changed in the delivery room since she last gave birth in t
r r r r r r r r r r r r r r r r r r r
he early 1980s. Which current trend or intervention may the patient’s mother find most differen
r r r r r r r r r r r r r r
t?
1. Fetal monitoring throughout labor r r r
2. Postpartum stayof 10 days r r r r
3. Expectant partner and familyin operating room for cesarean birth r r r r r r r r r
4. Hospital support for breastfeeding r r r
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
r r r r r r r r r r r r r r
:4 r
Heading: Table 1- r r
1: Past and Present Trends Integrated Processes: Nu
r r r r r r r
rsing Process r
Client Need: Health Promotion and Maintenance Co
r r r r r r
gnitive Level: Application [Applying] Concept: Ev
r r r r r
idence-Based Practice r
Difficulty: Moderate r
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this l
r r r r r r r r r r r r r r r
ikely would have occurred during the mother’s labor and delivery during the 1980s.
r r r r r r r r r r r r
2 This is incorrect. In the past, the average hospital postpartum staywas 10 days. Presentl
r r r r r r r r r r r r r r
y, the average postpartum stay is 48 hours or less.
r r r r r r r r r
3 This is incorrect. In the past, expectant partners and families were excluded from the lab
r r r r r r r r r r r r r r
or and birth experience. Present trends involve the expectant partner and family in the l
r r r r r r r r r r r r r r
abor and birth experience, including presence in the operating
r r r r r r r r
room for cesarean births. r r r
4 This is correct. Hospital support for breastfeeding, including a lactation consultant a
r r r r r r r r r r r
nd employment of the Baby-
r r r r
Friendly Hospital Initiative, were both enacted during the early 1990s.
r r r r r r r r r
PTS: 1 CON: Evidence-Based Practice r r
2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not able t
r r r r r r r r r r r r r r r r r
o stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. Thi
r r r r r r r r r r r r r r r
s is an example of what type of death?
r r r r r r r r
1. Earlymaternal death r r
2. Late maternal death r r
,TEST BANK: Maternal-
r r
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta Durham And Linda Chapman
r r r r r r r r r r r r r r r
3. Direct obstetric death r r
4. Indirect obstetric death r r r
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
r r r r r r r r r r r r
Page: 7 r
Heading: Trends > Maternal Death and Mortality Rates Integrated r r r r r r r r r
Processes: Nursing Process r r
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
r r r r r r r r r
evel: Application [Applying]
r r
Concept: Ante/Intra/Post- r
partum Difficulty: Hard r r
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Examples
r r r r r r r r r r r r r r
of maternal death include late maternal death, indirect obstetric death, direct obstetric
r r r r r r r r r r r r
death, and pregnancy-related death. r r r
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy fr
r r r r r r r r r r r r r
om a direct or indirect obstetric cause.
r r r r r r
3 This is incorrect. Direct obstetric death results from complications during pregnancy,
r r r r r r r r r r r
labor, birth, and/or postpartum period. r r r r
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease t
r r r r r r r r r r r r r r r
hat develops during pregnancy.
r r r
PTS: 1 CON: Ante/Intra/Post-partum r
3. The nurse is providing education to a patient who has given birth to her first child and is being disc
r r r r r r r r r r r r r r r r r r r
harged home. The patient expressed concern regarding infant mortality and sudden infant death s
r r r r r r r r r r r r r
yndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She
r r r r r r r r r r r r r
has a body mass index of 25 and has no other health conditions. The infant is healthy and was deliv
r r r r r r r r r r r r r r r r r r r
ered full-term. What will be most helpful thing to explain to the patient?
r r r r r r r r r r r r
1. Uses of extracorporeal membrane oxygenation therapy(ECMO) r r r r r r
2. Uses of exogenous pulmonarysurfactant r r r r
3. The Baby-FriendlyHospital Initiative r r r
4. The Safe to Sleep campaign r r r r
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 3. Identifyleading causes of infant death. Page: 7
r r r r r r r r r r r
Heading: Trends > Infant Mortality Rates Integrated r r r r r r
Processes: Nursing process
r r r
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogniti
r r r r r r r r r r r
ve Level: Application [Applying]
r r r
, TEST BANK: Maternal-
r r
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta Durham And Linda Chapman
r r r r r r r r r r r r r r r
Concept: Health Promotion Dif r r r
ficulty: Moderate r
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant m
r r r r r r r r r r r r r r r r
ortality among preterm infants. r r r
2 This is incorrect. Although advances in medical treatments have decreased infant mort
r r r r r r r r r r r
ality, exogenous pulmonary surfactant is primarilyused to reduce mortalityof preterm i
r r r r r r r r r r r r
nfants.
3 This is incorrect. The Baby-r r r r
FriendlyHospital Initiative was developed to support breastfeeding and is not directly l
r r r r r r r r r r r r
inked to reduced infant mortality or SIDS.
r r r r r r
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
r r r r r r r r r r r r r r
designed to promote healthyinfant sleeping habits. The decrease in SIDS from 1995 to
r r r r r r r r r r r r r r
2015 was attributed to the Safe to Sleep campaign.
r r r r r r r r
PTS: 1 CON: Health Promotion r r
4. The nurse is caring for a 14-year-
r r r r r r
old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the pa
r r r r r r r r r r r r r r r
tient tests positive for syphilis. The fetus is at increased risk of which condition?
r r r r r r r r r r r r r
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 r
Chapter: Chapter 1 Trends and Issues r r r r r
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. Page: 1
r r r r r r r r r r r r
0
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth Integrate
r r r r r r r r r r r r
d Processes: Nursing Process
r r r
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
r r r r r r r r r
evel: Application [Applying]
r r
Concept: Ante/Intra/Post- r
partum Difficulty: Moderate r r
Feedback
1 This is incorrect. Maternal obesityincreases a child’s risk of developing
r r r r r r r r r r
childhood obesityand diabetes. r r r
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all associate
r r r r r r r r r r r r
d with a patient who contracts syphilis during pregnancy.
r r r r r r r r
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
r r r r r r r r r
