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

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MATERNAL-
NEWBORN NURSING:THE CRITIC vl l
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AL COMPONENTS OFNURSING CA
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RE 3RD EDITION BY LINDA CHAPM
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AN AND ROBERTA DURHAM
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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 Cha
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Unit 1: Maternity Nursing Overview
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Chapter 1: Trends and Issues
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MULTIPLE CHOICE vl




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother i
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spresent for support and notes that things have changed in the delivery room since she last
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gave birth in the early 1980s. Which current trend or intervention may the patient’s mothe
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rfind most different?
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1. Fetal monitoring throughout labor vl vl vl


2. Postpartum stay of 10 days vl vl vl vl



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



4. Hospital support for breastfeeding vl vl vl




ANS: 4 v l



Chapter: Chapter 1 Trends and Issues vl vl vl vl vl



Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4 vl


Heading: Table 1- vl vl



1: Past and Present TrendsIntegrated Process
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es: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Concep vl vl vl vl



t: Evidence-Based Practice
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Difficulty: Moderate vl




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
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this likely would have occurred during the mother’s labor and delivery during th
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e 1980s.
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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. vl vl vl vl vl vl vl vl vl



3 This is incorrect. In the past, expectant partners and families were excluded from
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the labor and birth experience. Present trends involve the expectant partner and
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family in the labor and birth experience, including presence in the operating
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room for cesarean births. vl vl vl



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


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




2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
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able to stabilize the patient’s blood pressure. As a result, the patient died shortly after de
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livery. This is an example of what type of death?
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1. Early maternal death vl vl



2. Late maternal death vl vl

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Cha
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3. Direct obstetric death vl vl



4. Indirect obstetric death vl vl vl


ANS: 4 v l




Chapter: Chapter 1 Trends and Issues vl vl vl vl vl



Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutcome
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s.
Page: 7 vl



Heading: Trends > Maternal Death and Mortality Rates
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Integrated Processes: Nursing Process vl vl vl



Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying] vl vl vl



Concept: Ante/Intra/Post- vl


partumDifficulty: Hard vl vl




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Exa
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mples of maternal death include late maternal death, indirect obstetric death,dire
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ct obstetric 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. vl vl vl vl vl vl vl



3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period. vl vl vl vl vl



4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
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disease that develops during pregnancy. vl vl vl vl




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




3. The nurse is providing education to a patient who has given birth to her first child and is bei
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ng discharged home. The patient expressed concern regarding infant mortality and sudden i
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nfant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vagi
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nal delivery. She has a body mass index of 25 and has no other health conditions. The infan
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t is healthy and was delivered full-
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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 vl vl vl vl



3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign vl vl vl vl




ANS: 4 v l



Chapter: Chapter 1 Trends and Issues vl vl vl vl vl



Chapter Learning Objective: 3. Identify leading causes of infant death.Page
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:7
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Heading: Trends > Infant Mortality Rates vl vl vl vl vl l
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Integrated Processes: Nursing process vl vl vl



Client Need: Safe and Effective Care Environment: Safety and Infection Contro
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lCognitive 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 Cha
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Concept: Health Promotion
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Difficulty: Moderate vl