Davis Advantage for Maternal-Newborn Nursing: Critical Components of Nursing Care. 4th Ed.
Complete Test Bank with NCLEX®-Style Questions and Case Studies
,Table of Contents
Chapter 1: Trends and Issues
Chapter 2: Ethics and Standards of Practice Issues
Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology
Chapter 4: Physiological Aspects of Pregnancy
Chapter 5: The Psycho-Social-Cultural Aspects of Pregnancy
Chapter 6: Antepartal Tests
Chapter 7: Complications of Pregnancy
Chapter 8: Labor and Birth
Chapter 9: Fetal Heart Rate Assessment
Chapter 10: Complications of Labor and Birth
Chapter 11: Intrapartum and Postpartum Care of Cesarean Birth Families
Chapter 12: Postpartum Physiological Assessments and Nursing Care
Chapter 13: Transition to Parenthood
Chapter 14: Postpartum Complications and Nursing Care
Chapter 15: Nursing Care of the Neonate and Family
Chapter 16: Newborn Nutrition
Chapter 17: Complications of the Neonate and Nursing Care
Chapter 18: Well Women’s Health
Chapter 19: Alterations in Women’s Health
,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
Answer: 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 Answer: 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.