,MATERNAL-NEWBORN NURSING TEST BANK (3rd
EDITION)
Durham & Chapman
Chapter 1: Trends and Issues in Maternal-Newborn
Nursing
(Questions 1-40)
1. The nurse is caring for a postpartum patient who delivered 2 hours ago. The patient's
mother delivered in the 1980s and states, "Things have changed so much since I had my
children." Which current trend would the patient's mother find most different from her
own childbirth experience?
A) Use of continuous electronic fetal monitoring during labor
B) Postpartum hospital stay of 5-7 days for vaginal birth
C) Presence of the newborn's father in the operating room for cesarean birth
D) Encouragement of formula feeding over breastfeeding
Answer: C
Rationale: In the 1980s, fathers were rarely permitted in the operating room for
cesarean births. Today, family-centered care encourages partner and family presence
during both vaginal and cesarean births. Postpartum stays have shortened (not
,lengthened) to 24-48 hours for vaginal births. Breastfeeding is now encouraged over
formula feeding.
Client Need: Psychosocial Integrity
Cognitive Level: Apply (Application)
Integrated Process: Teaching/Learning
2. A patient with a history of type 1 diabetes dies 3 days after delivery from
complications related to her diabetes. This death would be classified as which type of
maternal death?
A) Direct obstetric death
B) Indirect obstetric death
C) Late maternal death
D) Accidental or incidental death
Answer: B
Rationale: An indirect obstetric death results from a preexisting disease (type 1
diabetes) or a disease that developed during pregnancy that was not directly caused by
obstetric complications but was aggravated by the physiologic effects of pregnancy.
Direct obstetric deaths result from obstetric complications. Late maternal deaths occur
>42 days but <1 year after delivery. Accidental/incidental deaths are unrelated to
pregnancy.
Client Need: Physiological Integrity
Cognitive Level: Analyze (Analysis)
Integrated Process: Nursing Process: Assessment
, 3. The nurse is preparing discharge teaching for a new mother who is concerned about
sudden infant death syndrome (SIDS). Which information should the nurse prioritize?
A) Instructions for using ECMO at home
B) Information about exogenous pulmonary surfactant administration
C) Education about the Safe to Sleep campaign (formerly Back to Sleep)
D) Explanation of the Baby-Friendly Hospital Initiative requirements
Answer: C
Rationale: The Safe to Sleep campaign promotes placing infants on their backs to
sleep, using firm sleep surfaces, and keeping soft objects out of the crib, which has been
directly linked to decreased SIDS rates. ECMO and surfactant are for respiratory distress
in premature infants, not SIDS prevention. The Baby-Friendly Hospital Initiative focuses
on breastfeeding support.
Client Need: Health Promotion and Maintenance
Cognitive Level: Apply (Application)
Integrated Process: Teaching/Learning
4. A 16-year-old patient at 30 weeks gestation tests positive for syphilis. The fetus is at
increased risk for which condition?
A) Neonatal diabetes mellitus
B) Congenital blindness
C) Respiratory distress syndrome
D) Intraventricular hemorrhage
Answer: B
EDITION)
Durham & Chapman
Chapter 1: Trends and Issues in Maternal-Newborn
Nursing
(Questions 1-40)
1. The nurse is caring for a postpartum patient who delivered 2 hours ago. The patient's
mother delivered in the 1980s and states, "Things have changed so much since I had my
children." Which current trend would the patient's mother find most different from her
own childbirth experience?
A) Use of continuous electronic fetal monitoring during labor
B) Postpartum hospital stay of 5-7 days for vaginal birth
C) Presence of the newborn's father in the operating room for cesarean birth
D) Encouragement of formula feeding over breastfeeding
Answer: C
Rationale: In the 1980s, fathers were rarely permitted in the operating room for
cesarean births. Today, family-centered care encourages partner and family presence
during both vaginal and cesarean births. Postpartum stays have shortened (not
,lengthened) to 24-48 hours for vaginal births. Breastfeeding is now encouraged over
formula feeding.
Client Need: Psychosocial Integrity
Cognitive Level: Apply (Application)
Integrated Process: Teaching/Learning
2. A patient with a history of type 1 diabetes dies 3 days after delivery from
complications related to her diabetes. This death would be classified as which type of
maternal death?
A) Direct obstetric death
B) Indirect obstetric death
C) Late maternal death
D) Accidental or incidental death
Answer: B
Rationale: An indirect obstetric death results from a preexisting disease (type 1
diabetes) or a disease that developed during pregnancy that was not directly caused by
obstetric complications but was aggravated by the physiologic effects of pregnancy.
Direct obstetric deaths result from obstetric complications. Late maternal deaths occur
>42 days but <1 year after delivery. Accidental/incidental deaths are unrelated to
pregnancy.
Client Need: Physiological Integrity
Cognitive Level: Analyze (Analysis)
Integrated Process: Nursing Process: Assessment
, 3. The nurse is preparing discharge teaching for a new mother who is concerned about
sudden infant death syndrome (SIDS). Which information should the nurse prioritize?
A) Instructions for using ECMO at home
B) Information about exogenous pulmonary surfactant administration
C) Education about the Safe to Sleep campaign (formerly Back to Sleep)
D) Explanation of the Baby-Friendly Hospital Initiative requirements
Answer: C
Rationale: The Safe to Sleep campaign promotes placing infants on their backs to
sleep, using firm sleep surfaces, and keeping soft objects out of the crib, which has been
directly linked to decreased SIDS rates. ECMO and surfactant are for respiratory distress
in premature infants, not SIDS prevention. The Baby-Friendly Hospital Initiative focuses
on breastfeeding support.
Client Need: Health Promotion and Maintenance
Cognitive Level: Apply (Application)
Integrated Process: Teaching/Learning
4. A 16-year-old patient at 30 weeks gestation tests positive for syphilis. The fetus is at
increased risk for which condition?
A) Neonatal diabetes mellitus
B) Congenital blindness
C) Respiratory distress syndrome
D) Intraventricular hemorrhage
Answer: B
