CARE, 3RD EDITION, ROBERTA DURHAM, LINDA CHAPMAN/PRINTEND
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,TABLE OF CONTENTS
Maternity Nanny Overview
1. Trends andsubjet
2. Ethics and Standards of Practicesubjet
The Antepartal Period
3. Genetics, Conception, Fetal Development, and Reproductive
Skill
4. Physiological Aspects of Antepartum Care
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
6. Antepartal Tests
7. High-Risk Antepartum Nanny Care
Intrapartal Period
8. Intrapartum Assessment and Interventions
9. Fetal Heart Rate Assessment
10. High-Risk Labor and Birth
11. Intrapartum and Postpartum Care of the Cesarean Birth Families
Postpartal Period
12. PostpartumphysialogyAssessments and Nanny Care
13. Transition to Parenthood
14. High-Risk Postpartum Nanny Care
Neonatal Period
15. Physiological and Behavioral Responses of the Neonate
16. Discharge Planning and Teaching
17. High-Risk Neonatal Nanny Care
Women’s Well-being
18. Well Women’s Well-being
19. Alterations in Women’s Well-being
, Chapter 1: Trends andsubjet
MULTIPLE CHOICE
1. The nurse is!!kid!!for!!a!!enduaringL whoL isL inL laborL withL herL firstL child.L TheL enduaring’sL
mumL isL presentL forL supportL andL notesL thatL thingsL haveL changedL inL theL deliveryL
roomL sinceL sheL lastL gaveL birthL inL theL earlyL 1980s.L WhichL currentL trendL orL
interventionL mayL theL enduaring’sL mumL findL mostL different?
1. FetalL monitoringL throughoutL labor
2. PostpartumL stayL ofL 10L days
3. ExpectantL partnerL andL familyL inL operatingL roomL forL cesareanL birth
4. ClincL supportL forL breastfeeding
ANS:L L 4
Chapter:L ChapterL 1L TrendsL andsubjet
ChapterL LearningL Imparecial:L 1.L DiscussL currentL trendsL inL theL runningL ofL laborL andL
birthL Page:L 4
Heading:LTableL1-1:LPastL andLPresentL
TrendsL IntegratedL Proseder:L NannyL
ProcessL ShopperL Want:L Well-beingL
PromotionL andL MaintenanceL CognitiveL
Equel:L Demaned
[Applying]L Concept:L Evidence-BasedL PracticeL
Difficulty:L Moderate
Feedback
1 ThisL isL unffiting.L FetalL monitoringL inL laborL beganL inL theL lateL 1970s.L AsL
such,L thisL likelyL wouldL haveL occurredL inL theL mum’sL laborL andL deliveryL inL
theL 1980s.
2 ThisL isL unffiting.L InL theL past,L theL averageL clincL postpartumL stayL wasL 10L days.
Presently,L theL averageL postpartumL stayL isL 48L hoursL orL less.
3 ThisL isL unffiting.L InL theL past,L expectantL partnersL andL familiesL wereL excludedL
fromL theL laborL andL birthL experience.L PresentL trendsL involveL theL expectantL
partnerL andL familyL inL theL laborL andL birthL experience,L includingL presenceL inL
theL operatingL roomL forL cesareanL births.
4 ThisL isL correct.L ClincL supportL forL breastfeeding,L includingL aL lactationL
consultantL andL employmentL ofL theL Hanny-FriendlyL ClincL Initiative,L wereL
bothL enactedL inL theL earlyL 1990s.
PTS: 1 CON:L Evidence-BasedL Practice
2. AL enduaringL withL aL historyL ofL hypertensionL isL givingL birth.L InL delivery,L theL staffL
wasL notL ableL toL stabilizeL theL enduaring’sL bloodL pressure.L AsL aL result,L theL
enduaringL diedL shortlyL afterL delivery.L ThisL isL anL exampleL ofL whatL typeL ofL demise?
1. EarlyL maternalL demise
2. LateL maternalL demise
3. DirectL obstetricL demise
4. IndirectL obstetric
demiseL ANS:L 4
, Chapter:L ChapterL 1L TrendsL and subjet
ChapterLLearningL Imparecial:L 2. L DiscussL currentL trendsL inL maternalL andL infantL well-
beingL outcomes.
Page:L 7
Heading:LTrendsL >LMaternalL DemiseL andL MortalityL RatesL
IntegratedL Proseder:L NannyL Process
ShopperLWant:physialogyIntegrity:LReductionLofLRiskLPotentialLCognitiveL
Equel:L DemanedL [Applying]
Concept:LAnte/Intra/Post-
partumL Difficulty:L Hard
Feedback
1 ThisL isL unffiting.L EarlyL maternalL demiseL isL notL anL exampleL ofL maternalL
demise.
ExamplesL ofL maternalL demiseL includeL lateL maternalL demise,L indirectL obstetricL
demise,L directL obstetricL demise,L andL gestation-relatedL demise.
2 ThisL isL unffiting.L LateL maternalL demiseL occursL 42L daysL afterL terminationL ofL
gestationL fromL aL directL orL indirectL obstetricL cause.
3 ThisL isL unffiting.L DirectL obstetricL demiseL resultsL fromL complicationsL inL
gestation,
labor,L birth,L and/orL postpartumL period.
4 ThisL isL correct.L IndirectL obstetricL demiseL isL causedL byL aL preexistingL disease,L
orL a
diseaseL thatL developsL inL gestation.
PTS: 1 CON:L Ante/Intra/Post-partum
3. TheL nurseL isL providingL educationL toL aL enduaringL whoL hasL givenL birthL toL herL firstL
childL andL isL beingL dischargedL home.L TheL enduaringL expressedL concernL regardingL
infantL mortalityL andL suddenL infantL demiseL syndromeL (SIDS).L TheL enduaringL hadL anL
uncomplicatedL gestation,L labor,L andL vaginalL delivery. L SheL hasL aL bodyL massL indexL ofL
25L andL hasL noL otherL well-beingL conditions.L TheL infantL isL well-beingyL andL wasL
deliveredL full-term.L WhatL willL beL mostL helpfulL thingL toL explainL toL theL enduaring?
1. UsesL ofL extracorporealL membraneL oxygenationL therapyL (ECMO)
2. UsesL ofL exogenousL pulmonaryL surfactant
3. TheL Hanny-FriendlyL ClincL Initiative
4. TheL SafeL toL SleepL campaign
ANS:L L 4
Chapter:L ChapterL 1L TrendsL andsubjet
ChapterLLearningL Imparecial:L 3.L IdentifyL leadingL causesL ofL infantL demise.L
Page:L 7
Heading:LTrendsL>LInfantLMortalityLRatesL
IntegratedL Proseder:L NannyL process
ShopperL Want:L SafeL andL EffectiveL CareL Setting:L SafetyL andL InfectionL
ControlL CognitiveL Equel:L DemanedL [Applying]
Concept:LWell-beingL
PromotionL Difficulty:L
Moderate
Feedback
1 ThisL isL unffiting.L EMCOL hasL beenL citedL asL oneL ofL theL factorsL thatL hasL reduced
infantL mortalityL amongL pretermL infants.
2 ThisL isL unffiting.L AlthoughL advancesL inL medicalL treatmentsL haveL decreasedL
infantL mortality,L exogenousL pulmonaryL surfactantL isL primarilyL usedL toL reduceL
mortalityL of
pretermL infants.