TEST BANK MATERNAL
NEWBORN NURSING
THE CRITICAL
COMPONENTS OF
NURSING CARE 3RD
EDITION ROBERTA
DURHAM LINDA
CHAPMAN.PDF
,Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present for support and notes
that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention
may the patient’s mother find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth 4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this likely would have occurred during
the mother’s labor and delivery during the 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days. Presently, the average postpartum
stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from the labor and birth experience.
Present trends involve the expectant partner and family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation consultant and employment of the Baby-
Friendly Hospital Initiative, were both enacted during the early 1990s.
, PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient’s
blood pressure. As a result, the patient died shortly after delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
Page: 7
Heading: Trends > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Examples of maternal death include late
maternal death, indirect obstetric death, direct obstetric death, and pregnancy-related death.
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect obstetric
cause.
3 This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or postpartum
period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
,3. The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The
patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an
uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of infant death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant mortality, exogenous pulmonary
surfactant is primarily used to reduce mortality of preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support breastfeeding and is not directly
linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to promote healthy infant
sleeping habits. The decrease in SIDS from 1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
NEWBORN NURSING
THE CRITICAL
COMPONENTS OF
NURSING CARE 3RD
EDITION ROBERTA
DURHAM LINDA
CHAPMAN.PDF
,Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is present for support and notes
that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention
may the patient’s mother find most different?
1. Fetal monitoring throughout labor
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth 4. Hospital support for breastfeeding
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
Page: 4
Heading: Table 1-1: Past and Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion and Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, this likely would have occurred during
the mother’s labor and delivery during the 1980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days. Presently, the average postpartum
stay is 48 hours or less.
3 This is incorrect. In the past, expectant partners and families were excluded from the labor and birth experience.
Present trends involve the expectant partner and family in the labor and birth experience, including presence in the operating
room for cesarean births.
4 This is correct. Hospital support for breastfeeding, including a lactation consultant and employment of the Baby-
Friendly Hospital Initiative, were both enacted during the early 1990s.
, PTS: 1 CON: Evidence-Based Practice
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient’s
blood pressure. As a result, the patient died shortly after delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
Page: 7
Heading: Trends > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Examples of maternal death include late
maternal death, indirect obstetric death, direct obstetric death, and pregnancy-related death.
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy from a direct or indirect obstetric
cause.
3 This is incorrect. Direct obstetric death results from complications during pregnancy, labor, birth, and/or postpartum
period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
,3. The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The
patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an
uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of infant death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant mortality, exogenous pulmonary
surfactant is primarily used to reduce mortality of preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support breastfeeding and is not directly
linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to promote healthy infant
sleeping habits. The decrease in SIDS from 1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
