Test Bank: Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman

TABLE OF CONTENTS
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Maternity Nursing Overview
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1. Trends and Issuesw w


2. Ethics and Standards of Practice Issues
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The Antepartal Period
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3. Genetics, Conception, Fetal Development, and Reproductive
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Technology
4. Physiological Aspects of Antepartum Care w w w w


5. The Psycho-Social-Cultural Aspects of the Antepartum Period
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6. Antepartal Tests w


7. High-Risk Antepartum Nursing Care
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Intrapartal Period w


8. Intrapartum Assessment and Interventions
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9. Fetal Heart Rate Assessment
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10. High-Risk Labor and Birth w w w


11. Intrapartum and Postpartum Care of the Cesarean Birth Families
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Postpartal Period w


12. Postpartum Physiological Assessments and Nursing Care
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13. Transition to Parenthood w w


14. High-Risk Postpartum Nursing Care w w w




Neonatal Period w


15. Physiological and Behavioral Responses of the Neonate
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16. Discharge Planning and Teaching w w w


17. High-Risk Neonatal Nursing Care w w w




Women’s Health w


18. Well Women’s Health
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19. Alterations in Women’s Health w w w

, Chapter 1: Trends and Issues
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MULTIPLEwCHOICE

1. Thewnursewiswcaringwforwawpatientwwhowiswinwlaborwwithwherwfirstwchild.wThewpatient’swmotherwisw
presentwforwsupportwandwnoteswthatwthingswhavewchangedwinwthewdeliverywroomwsincewshewlastwg
avewbirthwinwthewearlyw1980s.wWhichwcurrentwtrendworwinterventionwmaywthewpatient’swmotherwfi
ndwmostwdifferent?
1. Fetalwmonitoringwthroughoutwlabor
2. Postpartumwstaywofw10wdays
3. Expectantwpartnerwandwfamilywinwoperatingwroomwforwcesareanwbirth
4. Hospitalwsupportwforwbreastfeeding
ANS:w 4
Chapter:wChapterw1wTrendswandwIssues
ChapterwLearningwObjective:w1.wDiscusswcurrentwtrendswinwthewmanagementwofwlaborwandwbirthw
Page:w4
Heading:wTablew1-
1:wPastwandwPresentwTrendswIntegratedwProcess
es:wNursingwProcess
ClientwNeed:wHealthwPromotionwandwMaintenancew
CognitivewLevel:wApplicationw[Applying]wConce
pt:wEvidence-BasedwPractice
Difficulty:wModerate

Feedback
1 Thiswiswincorrect.wFetalwmonitoringwduringwlaborwbeganwinwthewlatew1970s.wAswsuch,
thiswlikelywwouldwhavewoccurredwduringwthewmother’swlaborwandwdeliverywduringw
thew1980s.
2 Thiswiswincorrect.wInwthewpast,wthewaveragewhospitalwpostpartumwstaywwasw10wdays.
Presently,wthewaveragewpostpartumwstaywisw48whoursworwless.
3 Thiswiswincorrect.wInwthewpast,wexpectantwpartnerswandwfamilieswwerewexcludedwfromw
thewlaborwandwbirthwexperience.wPresentwtrendswinvolvewthewexpectantwpartnerwandwf
amilywinwthewlaborwandwbirthwexperience,wincludingwpresencewinwthewoperatingwroom
wforwcesareanwbirths.

4 Thiswiswcorrect.wHospitalwsupportwforwbreastfeeding,wincludingwawlactationwconsult
antwandwemploymentwofwthewBaby-
FriendlywHospitalwInitiative,wwerewbothwenactedwduringwthewearlyw1990s.

PTS: 1 CON:w Evidence-BasedwPractice

2. Awpatientwwithwawhistorywofwhypertensionwiswgivingwbirth.wDuringwdelivery,wthewstaffwwaswnotw
ablewtowstabilizewthewpatient’swbloodwpressure.wAswawresult,wthewpatientwdiedwshortlywafterwdeli
very.wThiswiswanwexamplewofwwhatwtypewofwdeath?
1. Earlywmaternalwdeath
2. Latewmaternalwdeath
3. Directwobstetricwdeath
4. Indirectwobstetricwdeathw
ANS:w 4

,
, Chapter:wChapterw1wTrendswandwIssues
ChapterwLearningwObjective:w2.wDiscusswcurrentwtrendswinwmaternalwandwinfantwhealthw
outcomes.
Page:w7
Heading:wTrendsw>wMaternalwDeathwandwMortalitywRatesw
IntegratedwProcesses:wNursingwProcess
ClientwNeed:wPhysiologicalwIntegrity:wReductionwofwRiskwPotentialw
CognitivewLevel:wApplicationw[Applying]
Concept:wAnte/Intra/Post-
partumwDifficulty:wHard

Feedback
1 Thiswiswincorrect.wEarlywmaternalwdeathwiswnotwanwexamplewofwmaternalwdeath.wExa
mpleswofwmaternalwdeathwincludewlatewmaternalwdeath,windirectwobstetricwdeath,
directwobstetricwdeath,wandwpregnancy-relatedwdeath.
2 Thiswiswincorrect.wLatewmaternalwdeathwoccursw42wdayswafterwterminationwofw
pregnancywfromwawdirectworwindirectwobstetricwcause.
3 Thiswiswincorrect.wDirectwobstetricwdeathwresultswfromwcomplicationswduring
pregnancy,wlabor,wbirth,wand/orwpostpartumwperiod.
4 Thiswiswcorrect.wIndirectwobstetricwdeathwiswcausedwbywawpreexistingwdisease,worwa
diseasewthatwdevelopswduringwpregnancy.

PTS: 1 CON:w Ante/Intra/Post-partum

3. Thewnursewiswprovidingweducationwtowawpatientwwhowhaswgivenwbirthwtowherwfirstwchildwandwiswbei
ngwdischargedwhome.wThewpatientwexpressedwconcernwregardingwinfantwmortalitywandwsuddenwin
fantwdeathwsyndromew(SIDS).wThewpatientwhadwanwuncomplicatedwpregnancy,wlabor,wandwvagina
lwdelivery.wShewhaswawbodywmasswindexwofw25wandwhaswnowotherwhealthwconditions.wThewinfantwisw
healthywandwwaswdeliveredwfull-
term.wWhatwwillwbewmostwhelpfulwthingwtowexplainwtowthewpatient?
1. Useswofwextracorporealwmembranewoxygenationwtherapyw(ECMO)
2. Useswofwexogenouswpulmonarywsurfactant
3. ThewBaby-FriendlywHospitalwInitiative
4. ThewSafewtowSleepwcampaign
ANS:w 4
Chapter:wChapterw1wTrendswandwIssues
ChapterwLearningwObjective:w3.wIdentifywleadingwcauseswofwinfantwdeath.w
Page:w7
Heading:wTrendsw>wInfantwMortalitywRatesw
IntegratedwProcesses:wNursingwprocess
ClientwNeed:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControlw
CognitivewLevel:wApplicationw[Applying]
Concept:wHealthwPromotionw
Difficulty:wModerate

Feedback
1 Thiswiswincorrect.wEMCOwhaswbeenwcitedwaswonewofwthewfactorswthatwhaswreduced
infantwmortalitywamongwpretermwinfants.