TEST BANK MATERNAL-NEWBORN NURSING: THE
CRITICAL COMPONENTS OF NURSING CARE
3RD EDITION DURHAM CHAPMAN
, Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
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Linda Chapman Wq
Chapter 1: Trends and Issues Wq Wq Wq Wq
MULTIPLE CHOICE Wq
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother
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is present for support and notes that things have changed in the delivery room since she last gave
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birth in the early 1980s. Which current trend or intervention may the patient’s mother find most
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different?
1. Fetal monitoring throughout labor Wq Wq Wq
2. Postpartum stay of 10 days Wq Wq Wq Wq
3. Expectant partner and family in operating room for cesarean birth
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4. Hospital support for breastfeeding Wq Wq Wq Wq
ANS: 4 Wq
Chapter: Chapter 1 Trends and Issues Wq Wq Wq Wq Wq
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page:
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Heading: Table 1-1: Past and Present Trends Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Conce
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pt: Evidence-Based Practice
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Difficulty: Moderate Wq
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 the 1980s.
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,Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
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Linda Chapman Wq
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.
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3 This is incorrect. In the past, expectant partners and families were excluded from the l
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abor and birth experience. Present trends involve the expectant partner and family in the labor a
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nd birth experience, including presence in the operating
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room for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation consultant and
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employment of the Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s.
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PTS: W q W q 1 CON: Evidence-Based Practice Wq Wq
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not a
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ble to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. T
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his is an example of what type of death?
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1. Early maternal death Wq Wq
2. Late maternal death Wq Wq
3. Direct obstetric death Wq Wq
4. Indirect obstetric death ANS: 4 Wq Wq Wq Wq
Chapter: Chapter 1 Trends and IssuesWq Wq Wq Wq Wq
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 Wq
Heading: Trends > Maternal Death and Mortality Rates Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [
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Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
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, Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
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Linda Chapman Wq
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric d
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eath, 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. Wq Wq Wq Wq Wq Wq Wq
3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period. Wq Wq Wq Wq Wq
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
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disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partumWq
3. The nurse is providing education to a patient who has given birth to her first child and is
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being 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 vaginal d
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elivery. She has a body mass index of 25 and has no other health conditions. The infant is healt
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hy and was delivered full-term. What will be most helpful thing to explain to 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 Wq Wq Wq Wq Wq
ANS: 4 Wq
Chapter: Chapter 1 Trends and Issues Wq Wq Wq Wq Wq
Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 7 Headin
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g: Trends > Infant Mortality Rates Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level
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: Application [Applying]
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Concept: Health Promotion Difficulty: Moderate
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CRITICAL COMPONENTS OF NURSING CARE
3RD EDITION DURHAM CHAPMAN
, Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
Linda Chapman Wq
Chapter 1: Trends and Issues Wq Wq Wq Wq
MULTIPLE CHOICE Wq
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
is present for support and notes that things have changed in the delivery room since she last gave
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
birth in the early 1980s. Which current trend or intervention may the patient’s mother find most
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
different?
1. Fetal monitoring throughout labor Wq Wq Wq
2. Postpartum stay of 10 days Wq Wq Wq Wq
3. Expectant partner and family in operating room for cesarean birth
Wq Wq Wq Wq Wq Wq Wq Wq Wq
4. Hospital support for breastfeeding Wq Wq Wq Wq
ANS: 4 Wq
Chapter: Chapter 1 Trends and Issues Wq Wq Wq Wq Wq
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page:
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Wq 4
Heading: Table 1-1: Past and Present Trends Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance Cognitive Level: Application [Applying] Conce
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pt: Evidence-Based Practice
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Difficulty: Moderate Wq
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
this likely would have occurred during the mother’s labor and delivery during the 1980s.
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
,Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
Linda Chapman Wq
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
Presently, the average postpartum stay is 48 hours or less.
Wq Wq Wq Wq Wq Wq Wq Wq Wq
3 This is incorrect. In the past, expectant partners and families were excluded from the l
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
abor and birth experience. Present trends involve the expectant partner and family in the labor a
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
nd birth experience, including presence in the operating
Wq Wq Wq Wq Wq Wq Wq
room for cesarean births.
Wq Wq Wq
4 This is correct. Hospital support for breastfeeding, including a lactation consultant and
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
employment of the Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s.
Wq Wq Wq Wq
PTS: W q W q 1 CON: Evidence-Based Practice Wq Wq
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not a
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
ble to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. T
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
his is an example of what type of death?
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1. Early maternal death Wq Wq
2. Late maternal death Wq Wq
3. Direct obstetric death Wq Wq
4. Indirect obstetric death ANS: 4 Wq Wq Wq Wq
Chapter: Chapter 1 Trends and IssuesWq Wq Wq Wq Wq
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 Wq
Heading: Trends > Maternal Death and Mortality Rates Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive Level: Application [
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Applying]
Concept: Ante/Intra/Post-partum Difficulty: Hard
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, Maternal-
Newborn Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham,
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Linda Chapman Wq
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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Examples of maternal death include late maternal death, indirect obstetric death, direct obstetric d
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eath, 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. Wq Wq Wq Wq Wq Wq Wq
3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period. Wq Wq Wq Wq Wq
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
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disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partumWq
3. The nurse is providing education to a patient who has given birth to her first child and is
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
being discharged home. The patient expressed concern regarding infant mortality and sudden i
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
nfant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal d
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elivery. She has a body mass index of 25 and has no other health conditions. The infant is healt
Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq Wq
hy and was delivered full-term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
Wq Wq Wq Wq Wq Wq
2. Uses of exogenous pulmonary surfactant
Wq Wq Wq Wq
3. The Baby-Friendly Hospital Initiative
Wq Wq Wq
4. The Safe to Sleep campaign Wq Wq Wq Wq Wq
ANS: 4 Wq
Chapter: Chapter 1 Trends and Issues Wq Wq Wq Wq Wq
Chapter Learning Objective: 3. Identify leading causes of infant death. Page: 7 Headin
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g: Trends > Infant Mortality Rates Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control Cognitive Level
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: Application [Applying]
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Concept: Health Promotion Difficulty: Moderate
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