TEST BANK FOR MATERNAL- NEWBORN NURSING: THE CRITICALCOMPONENTS OF
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NURSING CARE, 3RD EDITION, LINDA DURHAM, ROBERTA; CHAPMAN
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, Test Bank for Maternal- Newborn Nursing: The Critical Components of Nursing Care, 3rd
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Edition, Linda Durham
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Chapter 1: Trends and Issues L L L L
MULTIPLE CHOICE L
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
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present 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 mother
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find most different?
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1. Fetal monitoring throughout labor L L L
2. Postpartum stay of 10 days L L L L
3. Expectant partner and family in operating room for cesarean birth L L L L L L L L L
4. Hospital support for breastfeeding L L L
ANS: 4 L
Chapter: Chapter 1 Trends and Issues L L L L L
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4
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Heading: Table 1-1: Past and Present Trends L L L L L L
Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice
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Difficulty: Moderate L
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
L L L L L L L L L L L L L
this likely would have occurred during the mother’s labor and delivery during
L L L L L L L L L L L L
the 1980s.
L L
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
L L L L L L L L L L L L L
Presently, the average postpartum stay is 48 hours or less.
L L L L L L L L L L
3 This is incorrect. In the past, expectant partners and families were excluded from
L L L L L L L L L L L L
the labor and birth experience. Present trends involve the expectant partner and
L L L L L L L L L L L L
family in the labor and birth experience, including presence in the operating
L L L L L L L L L L L L
room for cesarean births.
L L L L
4 This is correct. Hospital support for breastfeeding, including a lactation
L L L L L L L L L
consultant and employment of the Baby-Friendly Hospital Initiative, were both
L L L L L L L L L L
enacted during the early 1990s.
L L L L L
PTS: 1 CON: Evidence-Based Practice L L
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
L L L L L L L L L L L L L L L
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
L L L L L L L L L L L L L L L
delivery. This is an example of what type of death?
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1. Early maternal death L L
2. Late maternal death L L
3. Direct obstetric death L L
4. Indirect obstetric death L L
L ANS: 4 L
, Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
L L L L L L L L L L L L
Page: 7 L
Heading: Trends > Maternal Death and Mortality Rates
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Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying]
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Concept: Ante/Intra/Post-partum L
Difficulty: Hard
L L
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,
L L L L L L L L L L
direct obstetric death, and pregnancy-related death.
L L L L L L
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy
L L L L L L L L L L L L
from a direct or indirect obstetric cause.
L L L L L L L
3 This is incorrect. Direct obstetric death results from complications during
L L L L L L L L L
pregnancy, labor, birth, and/or postpartum period.
L L L L L L
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
L L L L L L L L L L L L L
disease that develops during pregnancy.
L L L L L
PTS: 1 CON: Ante/Intra/Post-partum L
3. The nurse is providing education to a patient who has given birth to her first child and is
L L L L L L L L L L L L L L L L L
being discharged home. The patient expressed concern regarding infant mortality and sudden
L L L L L L L L L L L L
infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and
L L L L L L L L L L L L
vaginal delivery. She has a body mass index of 25 and has no other health conditions. The
L L L L L L L L L L L L L L L L L
infant is healthy and was delivered full-term. What will be most helpful thing to explain to
L L L L L L L L L L L L L L L L
the patient?
L L
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
L L L L L L
2. Uses of exogenous pulmonary surfactant
L L L L
3. The Baby-Friendly Hospital Initiative
L L L
4. The Safe to Sleep campaign
L L L L
ANS: 4 L
Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 3. Identify leading causes of infant death.
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Page: 7
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Heading: Trends > Infant Mortality Rates
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Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Cognitive Level: Application [Applying]
L L L L
Concept: Health Promotion L L
Difficulty: Moderate
L L
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
L L L L L L L L L L L L L L
infant mortality among preterm infants.
L L L L L
, 2 This is incorrect. Although advances in medical treatments have decreased infant
L L L L L L L L L L
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
L L L L L L L L L L L
preterm infants.
L L
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
L L L L L L L L L L
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
L L L L L L L L L L L L
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
L L L L L L L L L L L L L L
designed to promote healthy infant sleeping habits. The decrease in SIDS from 1995
L L L L L L L L L L L L
to 2015 was attributed to the Safe to Sleep campaign.
L L L L L L L L L L
PTS: 1 CON: Health Promotion L L
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
L L L L L L L L L L L L L L
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
L L L L L L L L L L L L L L L
increased risk of which condition?
L L L L L
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 L
Chapter: Chapter 1 Trends and Issues
L L L L L
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
L L L L L L L L L L
Page: 10
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Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
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Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential
L L L L L L L
Cognitive Level: Application [Applying]
L L L L
Concept: Ante/Intra/Post-partum
L
Difficulty: Moderate
L L
Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood
L L L L L L L L L L L
obesity and diabetes.
L L L
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
L L L L L L L L L L L
associated with a patient who contracts syphilis during pregnancy.
L L L L L L L L
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
L L L L L L L L L
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
L L L L L L L L L L L L
transmitted illnesses and hypertension during pregnancy; however, maternal
L L L L L L L L
syphilis is not associated with fetal hypertension.
L L L L L L L
PTS: 1 CON: Ante/Intra/Post-partum L
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
L L L L L L L L L L L L L L L L
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
L L L L L L L L L L L L
HIV. Based on the information provided, which condition is the patient’s baby at higher risk
L L L L L L L L L L L L L L L
for?
L
1. Intestinal problems L
2. Neonatal conjunctivitis L
3. Blindness
L L L L L L L L
NURSING CARE, 3RD EDITION, LINDA DURHAM, ROBERTA; CHAPMAN
L L L L L L L L
, Test Bank for Maternal- Newborn Nursing: The Critical Components of Nursing Care, 3rd
L L L L L L L L L L L L
Edition, Linda Durham
L L L
Chapter 1: Trends and Issues L L L L
MULTIPLE CHOICE L
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
L L L L L L L L L L L L L L L L L L
present for support and notes that things have changed in the delivery room since she last
L L L L L L L L L L L L L L L L
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
L L L L L L L L L L L L L L L
find most different?
L L L
1. Fetal monitoring throughout labor L L L
2. Postpartum stay of 10 days L L L L
3. Expectant partner and family in operating room for cesarean birth L L L L L L L L L
4. Hospital support for breastfeeding L L L
ANS: 4 L
Chapter: Chapter 1 Trends and Issues L L L L L
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
L L L L L L L L L L L L L
Page: 4
L L
Heading: Table 1-1: Past and Present Trends L L L L L L
Integrated Processes: Nursing Process
L L L L
Client Need: Health Promotion and Maintenance
L L L L L
Cognitive Level: Application [Applying]
L L L L
Concept: Evidence-Based Practice
L L L
Difficulty: Moderate L
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
L L L L L L L L L L L L L
this likely would have occurred during the mother’s labor and delivery during
L L L L L L L L L L L L
the 1980s.
L L
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
L L L L L L L L L L L L L
Presently, the average postpartum stay is 48 hours or less.
L L L L L L L L L L
3 This is incorrect. In the past, expectant partners and families were excluded from
L L L L L L L L L L L L
the labor and birth experience. Present trends involve the expectant partner and
L L L L L L L L L L L L
family in the labor and birth experience, including presence in the operating
L L L L L L L L L L L L
room for cesarean births.
L L L L
4 This is correct. Hospital support for breastfeeding, including a lactation
L L L L L L L L L
consultant and employment of the Baby-Friendly Hospital Initiative, were both
L L L L L L L L L L
enacted during the early 1990s.
L L L L L
PTS: 1 CON: Evidence-Based Practice L L
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
L L L L L L L L L L L L L L L
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
L L L L L L L L L L L L L L L
delivery. This is an example of what type of death?
L L L L L L L L L L
1. Early maternal death L L
2. Late maternal death L L
3. Direct obstetric death L L
4. Indirect obstetric death L L
L ANS: 4 L
, Chapter: Chapter 1 Trends and Issues
L L L L L
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
L L L L L L L L L L L L
Page: 7 L
Heading: Trends > Maternal Death and Mortality Rates
L L L L L L L
Integrated Processes: Nursing Process
L L L L
Client Need: Physiological Integrity: Reduction of Risk Potential
L L L L L L L
Cognitive Level: Application [Applying]
L L L L
Concept: Ante/Intra/Post-partum L
Difficulty: Hard
L L
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
L L L L L L L L L L L L
Examples of maternal death include late maternal death, indirect obstetric death,
L L L L L L L L L L
direct obstetric death, and pregnancy-related death.
L L L L L L
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy
L L L L L L L L L L L L
from a direct or indirect obstetric cause.
L L L L L L L
3 This is incorrect. Direct obstetric death results from complications during
L L L L L L L L L
pregnancy, labor, birth, and/or postpartum period.
L L L L L L
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
L L L L L L L L L L L L L
disease that develops during pregnancy.
L L L L L
PTS: 1 CON: Ante/Intra/Post-partum L
3. The nurse is providing education to a patient who has given birth to her first child and is
L L L L L L L L L L L L L L L L L
being discharged home. The patient expressed concern regarding infant mortality and sudden
L L L L L L L L L L L L
infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and
L L L L L L L L L L L L
vaginal delivery. She has a body mass index of 25 and has no other health conditions. The
L L L L L L L L L L L L L L L L L
infant is healthy and was delivered full-term. What will be most helpful thing to explain to
L L L L L L L L L L L L L L L L
the patient?
L L
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
L L L L L L
2. Uses of exogenous pulmonary surfactant
L L L L
3. The Baby-Friendly Hospital Initiative
L L L
4. The Safe to Sleep campaign
L L L L
ANS: 4 L
Chapter: Chapter 1 Trends and Issues
L L L L L
Chapter Learning Objective: 3. Identify leading causes of infant death.
L L L L L L L L L
Page: 7
L L
Heading: Trends > Infant Mortality Rates
L L L L L
Integrated Processes: Nursing process
L L L L
Client Need: Safe and Effective Care Environment: Safety and Infection Control
L L L L L L L L L L
Cognitive Level: Application [Applying]
L L L L
Concept: Health Promotion L L
Difficulty: Moderate
L L
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
L L L L L L L L L L L L L L
infant mortality among preterm infants.
L L L L L
, 2 This is incorrect. Although advances in medical treatments have decreased infant
L L L L L L L L L L
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
L L L L L L L L L L L
preterm infants.
L L
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
L L L L L L L L L L
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
L L L L L L L L L L L L
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
L L L L L L L L L L L L L L
designed to promote healthy infant sleeping habits. The decrease in SIDS from 1995
L L L L L L L L L L L L
to 2015 was attributed to the Safe to Sleep campaign.
L L L L L L L L L L
PTS: 1 CON: Health Promotion L L
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
L L L L L L L L L L L L L L
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
L L L L L L L L L L L L L L L
increased risk of which condition?
L L L L L
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 L
Chapter: Chapter 1 Trends and Issues
L L L L L
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
L L L L L L L L L L
Page: 10
L L
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
L L L L L L L L L L L
Integrated Processes: Nursing Process
L L L L
Client Need: Physiological Integrity: Reduction of Risk Potential
L L L L L L L
Cognitive Level: Application [Applying]
L L L L
Concept: Ante/Intra/Post-partum
L
Difficulty: Moderate
L L
Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood
L L L L L L L L L L L
obesity and diabetes.
L L L
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
L L L L L L L L L L L
associated with a patient who contracts syphilis during pregnancy.
L L L L L L L L
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
L L L L L L L L L
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
L L L L L L L L L L L L
transmitted illnesses and hypertension during pregnancy; however, maternal
L L L L L L L L
syphilis is not associated with fetal hypertension.
L L L L L L L
PTS: 1 CON: Ante/Intra/Post-partum L
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
L L L L L L L L L L L L L L L L
previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
L L L L L L L L L L L L
HIV. Based on the information provided, which condition is the patient’s baby at higher risk
L L L L L L L L L L L L L L L
for?
L
1. Intestinal problems L
2. Neonatal conjunctivitis L
3. Blindness
