,TABLE OF CONTENTS ssss ssss
Maternity Nursing Overview ssss ssss
1. Trends and Issues ssss ssss
2. Ethics and Standards of Practice Issues
ssss ssss ssss ssss ssss
The Antepartal Period
ssss ssss
3. Genetics, Conception, Fetal Development, and ssss ssss ssss ssss
Reproductive Technology
ssss ssss
4. Physiological Aspects of Antepartum Care ssss ssss ssss ssss
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
ssss ssss ssss ssss ssss ssss
6. Antepartal Tests ssss
7. High-Risk Antepartum Nursing Care ssss ssss ssss
Intrapartal Period ssss
8. Intrapartum Assessment and Interventions ssss ssss ssss
9. Fetal Heart Rate Assessment
ssss ssss ssss
10. High-Risk Labor and Birth ssss ssss ssss
11. Intrapartum and Postpartum Care of the Cesarean Birth Families ssss ssss ssss ssss ssss ssss ssss ssss
Postpartal Period ssss
12. Postpartum Physiological Assessments and Nursing Care ssss ssss ssss ssss ssss
13. Transition to Parenthood ssss ssss
14. High-Risk Postpartum Nursing Care ssss ssss ssss
Neonatal Period ssss
15. Physiological and Behavioral Responses of the Neonate ssss ssss ssss ssss ssss ssss
16. Discharge Planning and Teaching ssss ssss ssss
17. High-Risk Neonatal Nursing Care ssss ssss ssss
Women’s Health ssss
18. Well Women’s Health ssss ssss
19. Alterations in Women’s Health ssss ssss ssss
,CompoCnhaepn
terts orfenN
1: T dsu
anrdsIisn es Care, 3rd Edition, Roberta
sug ssss ssss ssss ssss
Durham, Linda Chapman latest update 2023 ssss ssss ssss ssss ssss
MULTIPLE CHOICE ssss
1. The nurse is caring for a patient who is in labor with her first child. The
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
patient’s mother is present for support and notes that things have changed in
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
the delivery room since she last gave birth in the early 1980s. Which current
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
trend or intervention may the patient’s mother find most different?
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
1. Fetal monitoring throughout labor
ssss ssss ssss
2. Postpartum stay of 10 days ssss ssss ssss ssss
3. Expectant partner and family in operating room for cesarean birthssss ssss ssss ssss ssss ssss ssss ssss ssss
4. Hospital support for breastfeeding ssss ssss ssss
ANS: 4 s s s s
Chapter: Chapter 1 Trends and Issues
ssss ssss ssss ssss ssss
Chapter Learning Objective: 1. Discuss current trends in the management of labor
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
and birth Page: 4
ssss ssss ssss ssss
Heading: Table 1-1: Past and Present Trends
ssss ssss ssss ssss ssss ssss
Integrated Processes: Nursing Process
ssss ssss ssss ssss
Client Need: Health Promotion and
ssss ssss ssss ssss
Maintenance Cognitive Level: Application
ssss ssss ssss ssss
[Applying] Concept: Evidence-Based
ssss ssss ssss
Practice
ssss
Difficulty: Moderate ssss
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s.
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
As such, this likely would have occurred during the mother’s labor
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
and delivery during the 1980s.
ssss ssss ssss ssss ssss
2 This is incorrect. In the past, the average hospital postpartum stay was 10
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
days. Presently, the average postpartum stay is 48 hours or less.
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
3 This is incorrect. In the past, expectant partners and families were excluded
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
from the labor and birth experience. Present trends involve the expectant
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
partner and
ssss ssss
family in the labor and birth experience, including presence in the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
operating room for cesarean births.
ssss ssss ssss ssss ssss
4 This is correct. Hospital support for breastfeeding, including a lactation
ssss ssss ssss ssss ssss ssss ssss ssss ssss
consultant and employment of the Baby-Friendly Hospital Initiative, were
ssss ssss ssss ssss ssss ssss ssss ssss
both enacted during the early 1990s.
ssss ssss ssss ssss ssss ssss
PTS: 1 CON: Evidence-Based Practice ssss ssss
2. A patient with a history of hypertension is giving birth. During delivery, the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
staff was not able to stabilize the patient’s blood pressure. As a result, the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
patient died shortly after delivery. This is an example of what type of death?
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
1. Early maternal death ssss ssss
2. Late maternal death ssss ssss
3. Direct obstetric death ssss ssss
4. Indirect obstetric ssss
death ANS:
ssss ssss s s s s 4
, CompoCnhaeptn
er:tCs
hapo
tefr 1N
Tru
enr
dssainn
d Ig
ssuC
es are, 3rd Edition, Roberta ssss ssss ssss ssss ssss ssss
Chapter Learning Objective: 2. Discuss current trends in maternal and infant h e a l t h
Dur ham , Linda Ch a pma n latest update 202 3
ssss ssss ssss ssss ssss ssss ssss
outcomes.
Page: 7 ssss
Heading: Trends > Maternal Death and Mortality
ssss ssss ssss ssss ssss ssss
Rates Integrated Processes: Nursing Process
ssss ssss ssss ssss ssss
Client Need: Physiological Integrity: Reduction of Risk Potential
ssss ssss ssss ssss ssss ssss ssss
Cognitive Level: Application [Applying]
ssss ssss ssss ssss
Concept: Ante/Intra/Post-partumssss
Difficulty: Hard
ssss ssss
Feedback
1 This is incorrect. Early maternal death is not an example of maternal
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
death. Examples of maternal death include late maternal death, indirect
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
obstetric death,
ssss ssss
direct obstetric death, and pregnancy-related death.
ssss ssss ssss ssss ssss
2 This is incorrect. Late maternal death occurs 42 days after termination of
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
pregnancy from a direct or indirect obstetric cause.
ssss ssss ssss ssss ssss ssss ssss ssss
3 This is incorrect. Direct obstetric death results from complications during
ssss ssss ssss ssss ssss ssss ssss ssss ssss
pregnancy, labor, birth, and/or postpartum period. ssss ssss ssss ssss ssss
4 This is correct. Indirect obstetric death is caused by a preexisting disease,
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
or a disease that develops during pregnancy.
ssss ssss ssss ssss ssss ssss ssss
PTS: 1 CON: Ante/Intra/Post-partum ssss
3. The nurse is providing education to a patient who has given birth to her first
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
child and is being discharged home. The patient expressed concern regarding
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
infant mortality and sudden infant death syndrome (SIDS). The patient had an
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
index of 25 and has no other health conditions. The infant is healthy and was
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
delivered full-term. What will be most helpful thing to explain to the patient?
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
ssss ssss ssss ssss ssss ssss
2. Uses of exogenous pulmonary surfactant
ssss ssss ssss ssss
3. The Baby-Friendly Hospital Initiative
ssss ssss ssss
4. The Safe to Sleep campaign
ssss ssss ssss ssss
ANS: 4 s s s s
Chapter: Chapter 1 Trends and Issues
ssss ssss ssss ssss ssss
Chapter Learning Objective: 3. Identify leading causes of infant
ssss ssss ssss ssss ssss ssss ssss ssss
death. Page: 7
ssss ssss ssss
Heading: Trends > Infant Mortality Rates
ssss ssss ssss ssss ssss
Integrated Processes: Nursing process
ssss ssss ssss ssss
Client Need: Safe and Effective Care Environment: Safety and Infection
ssss ssss ssss ssss ssss ssss ssss ssss ssss
Control Cognitive Level: Application [Applying]
ssss ssss ssss ssss ssss
Concept: Health Promotion ssss ssss
Difficulty: Moderate
ssss ssss
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
reduced infant mortality among preterm infants.
ssss ssss ssss ssss ssss ssss
Maternity Nursing Overview ssss ssss
1. Trends and Issues ssss ssss
2. Ethics and Standards of Practice Issues
ssss ssss ssss ssss ssss
The Antepartal Period
ssss ssss
3. Genetics, Conception, Fetal Development, and ssss ssss ssss ssss
Reproductive Technology
ssss ssss
4. Physiological Aspects of Antepartum Care ssss ssss ssss ssss
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
ssss ssss ssss ssss ssss ssss
6. Antepartal Tests ssss
7. High-Risk Antepartum Nursing Care ssss ssss ssss
Intrapartal Period ssss
8. Intrapartum Assessment and Interventions ssss ssss ssss
9. Fetal Heart Rate Assessment
ssss ssss ssss
10. High-Risk Labor and Birth ssss ssss ssss
11. Intrapartum and Postpartum Care of the Cesarean Birth Families ssss ssss ssss ssss ssss ssss ssss ssss
Postpartal Period ssss
12. Postpartum Physiological Assessments and Nursing Care ssss ssss ssss ssss ssss
13. Transition to Parenthood ssss ssss
14. High-Risk Postpartum Nursing Care ssss ssss ssss
Neonatal Period ssss
15. Physiological and Behavioral Responses of the Neonate ssss ssss ssss ssss ssss ssss
16. Discharge Planning and Teaching ssss ssss ssss
17. High-Risk Neonatal Nursing Care ssss ssss ssss
Women’s Health ssss
18. Well Women’s Health ssss ssss
19. Alterations in Women’s Health ssss ssss ssss
,CompoCnhaepn
terts orfenN
1: T dsu
anrdsIisn es Care, 3rd Edition, Roberta
sug ssss ssss ssss ssss
Durham, Linda Chapman latest update 2023 ssss ssss ssss ssss ssss
MULTIPLE CHOICE ssss
1. The nurse is caring for a patient who is in labor with her first child. The
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
patient’s mother is present for support and notes that things have changed in
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
the delivery room since she last gave birth in the early 1980s. Which current
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
trend or intervention may the patient’s mother find most different?
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
1. Fetal monitoring throughout labor
ssss ssss ssss
2. Postpartum stay of 10 days ssss ssss ssss ssss
3. Expectant partner and family in operating room for cesarean birthssss ssss ssss ssss ssss ssss ssss ssss ssss
4. Hospital support for breastfeeding ssss ssss ssss
ANS: 4 s s s s
Chapter: Chapter 1 Trends and Issues
ssss ssss ssss ssss ssss
Chapter Learning Objective: 1. Discuss current trends in the management of labor
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
and birth Page: 4
ssss ssss ssss ssss
Heading: Table 1-1: Past and Present Trends
ssss ssss ssss ssss ssss ssss
Integrated Processes: Nursing Process
ssss ssss ssss ssss
Client Need: Health Promotion and
ssss ssss ssss ssss
Maintenance Cognitive Level: Application
ssss ssss ssss ssss
[Applying] Concept: Evidence-Based
ssss ssss ssss
Practice
ssss
Difficulty: Moderate ssss
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s.
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
As such, this likely would have occurred during the mother’s labor
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
and delivery during the 1980s.
ssss ssss ssss ssss ssss
2 This is incorrect. In the past, the average hospital postpartum stay was 10
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
days. Presently, the average postpartum stay is 48 hours or less.
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
3 This is incorrect. In the past, expectant partners and families were excluded
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
from the labor and birth experience. Present trends involve the expectant
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
partner and
ssss ssss
family in the labor and birth experience, including presence in the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
operating room for cesarean births.
ssss ssss ssss ssss ssss
4 This is correct. Hospital support for breastfeeding, including a lactation
ssss ssss ssss ssss ssss ssss ssss ssss ssss
consultant and employment of the Baby-Friendly Hospital Initiative, were
ssss ssss ssss ssss ssss ssss ssss ssss
both enacted during the early 1990s.
ssss ssss ssss ssss ssss ssss
PTS: 1 CON: Evidence-Based Practice ssss ssss
2. A patient with a history of hypertension is giving birth. During delivery, the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
staff was not able to stabilize the patient’s blood pressure. As a result, the
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
patient died shortly after delivery. This is an example of what type of death?
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
1. Early maternal death ssss ssss
2. Late maternal death ssss ssss
3. Direct obstetric death ssss ssss
4. Indirect obstetric ssss
death ANS:
ssss ssss s s s s 4
, CompoCnhaeptn
er:tCs
hapo
tefr 1N
Tru
enr
dssainn
d Ig
ssuC
es are, 3rd Edition, Roberta ssss ssss ssss ssss ssss ssss
Chapter Learning Objective: 2. Discuss current trends in maternal and infant h e a l t h
Dur ham , Linda Ch a pma n latest update 202 3
ssss ssss ssss ssss ssss ssss ssss
outcomes.
Page: 7 ssss
Heading: Trends > Maternal Death and Mortality
ssss ssss ssss ssss ssss ssss
Rates Integrated Processes: Nursing Process
ssss ssss ssss ssss ssss
Client Need: Physiological Integrity: Reduction of Risk Potential
ssss ssss ssss ssss ssss ssss ssss
Cognitive Level: Application [Applying]
ssss ssss ssss ssss
Concept: Ante/Intra/Post-partumssss
Difficulty: Hard
ssss ssss
Feedback
1 This is incorrect. Early maternal death is not an example of maternal
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
death. Examples of maternal death include late maternal death, indirect
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
obstetric death,
ssss ssss
direct obstetric death, and pregnancy-related death.
ssss ssss ssss ssss ssss
2 This is incorrect. Late maternal death occurs 42 days after termination of
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
pregnancy from a direct or indirect obstetric cause.
ssss ssss ssss ssss ssss ssss ssss ssss
3 This is incorrect. Direct obstetric death results from complications during
ssss ssss ssss ssss ssss ssss ssss ssss ssss
pregnancy, labor, birth, and/or postpartum period. ssss ssss ssss ssss ssss
4 This is correct. Indirect obstetric death is caused by a preexisting disease,
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
or a disease that develops during pregnancy.
ssss ssss ssss ssss ssss ssss ssss
PTS: 1 CON: Ante/Intra/Post-partum ssss
3. The nurse is providing education to a patient who has given birth to her first
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
child and is being discharged home. The patient expressed concern regarding
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
infant mortality and sudden infant death syndrome (SIDS). The patient had an
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
index of 25 and has no other health conditions. The infant is healthy and was
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
delivered full-term. What will be most helpful thing to explain to the patient?
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
ssss ssss ssss ssss ssss ssss
2. Uses of exogenous pulmonary surfactant
ssss ssss ssss ssss
3. The Baby-Friendly Hospital Initiative
ssss ssss ssss
4. The Safe to Sleep campaign
ssss ssss ssss ssss
ANS: 4 s s s s
Chapter: Chapter 1 Trends and Issues
ssss ssss ssss ssss ssss
Chapter Learning Objective: 3. Identify leading causes of infant
ssss ssss ssss ssss ssss ssss ssss ssss
death. Page: 7
ssss ssss ssss
Heading: Trends > Infant Mortality Rates
ssss ssss ssss ssss ssss
Integrated Processes: Nursing process
ssss ssss ssss ssss
Client Need: Safe and Effective Care Environment: Safety and Infection
ssss ssss ssss ssss ssss ssss ssss ssss ssss
Control Cognitive Level: Application [Applying]
ssss ssss ssss ssss ssss
Concept: Health Promotion ssss ssss
Difficulty: Moderate
ssss ssss
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has
ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss ssss
reduced infant mortality among preterm infants.
ssss ssss ssss ssss ssss ssss
