Maternal-Newborn Nursing: The Critical
Components Of Nursing Care 4th Edition By
Chapman And Durham Ch 1 To 24
Table of contents lm lm
Unit 1: Maternity Nursing Overview
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Chapter 1: Trends and Issues
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Chapter 2: Ethics and Standards of Practice Issues
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Unit 2: The Antepartal Period
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Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology
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Chapter 4: Physiological Aspects of Pregnancy
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Chapter 5: The Psycho-Social-Cultural Aspects of Pregnancy
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Chapter 6: Antepartal Tests
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Chapter 7: Complications of Pregnancy
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Unit 3: The Intrapartal Period
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Chapter 8: Labor and Birth
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Chapter 9: Fetal Heart Rate Assessment
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Chapter 10: Complications of Labor and Birth
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Chapter 11: Intrapartum and Postpartum Care of Cesarean Birth Families
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Unit 4: The Postpartal Period
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Chapter 12: Postpartum Physiological Assessments and Nursing Care
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Chapter 13: Transition to Parenthood
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Chapter 14: Postpartum Complications and Nursing Care
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Unit 5: The Neonatal Period
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Chapter 15: Nursing Care of the Neonate and Family
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Chapter 16: Newborn Nutrition
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Chapter 17: Complications of the Neonate and Nursing Care
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, Unit 6: Women’s Health
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Chapter 18: Well Women’s Health
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Chapter 19: Alterations in Women’s Health
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Unit 1: Maternity Nursing Overview
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Chapter 1: Trends and Issues
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MULTIPLE CHOICE lm
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mot
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her is present for support and notes that things have changed in the delivery room si
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nce she last gave birth in the early 1980s. Which current trend or intervention may t
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he patient’s mother find most different?
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1. Fetal monitoring throughout labor lm lm lm
2. Postpartum stay of 10 days lm lm lm lm
3. Expectant partner and family in operating room for cesarean birth lm lm lm lm lm lm lm lm lm
4. Hospital support for breastfeeding lm lm lm
ANSWER: 4 l m
Chapter: Chapter 1 Trends and Issues lm lm lm lm lm
Chapter Learning Objective: 1. Discuss current trends in the management of labor an
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d birth Page: 4
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Heading: Table 1- lm lm
1: Past and Present Trends Integrated Process
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es: Nursing Processlm lm
Client Need: Health Promotion and Maintena lm lm lm lm lm
nce Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice lm lm
Difficulty: Moderate lm
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As
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such, this likely would have occurred during the mother’s labor and delive
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ry during the 1980s.
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2 This is incorrect. In the past, the average hospital postpartum stay was 10 da
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ys.
Presently, the average postpartum stay is 48 hours or less. lm lm lm lm lm lm lm lm lm
3 This is incorrect. In the past, expectant partners and families were excluded fr
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om the labor and birth experience. Present trends involve the expectant part
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ner and family in the labor and birth experience, including presence in the o
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perating
room for cesarean births. lm lm lm
, 4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- lm lm lm lm lm
Friendly Hospital Initiative, were both enacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice
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2. A patient with a history of hypertension is giving birth. During delivery, the staff wa
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s not able to stabilize the patient’s blood pressure. As a result, the patient died sho
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rtly after delivery. This is an example of what type of death?
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1. Early maternal death lm lm
2. Late maternal death lm lm
, 3. Direct obstetric death lm lm
4. Indirect obstetric dea lm lm
th ANSWER: 4
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Chapter: Chapter 1 Trends and Issues lm lm lm lm lm
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health o
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utcomes.
Page: 7 lm
Heading: Trends > Maternal Death and Mortality Rates Int lm lm lm lm lm lm lm lm
egrated Processes: Nursing Process lm lm lm
Client Need: Physiological Integrity: Reduction of Risk Potential Cog
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nitive Level: Application [Applying]
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Concept: Ante/Intra/Post- lm
partum Difficulty: Hard lm lm
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
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death, direct obstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause. lm lm lm lm lm lm lm
3 This is incorrect. Direct obstetric death results from complications during p
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regnancy, labor, birth, and/or postpartum period. lm lm lm lm lm
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or
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a disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum l m
3. The nurse is providing education to a patient who has given birth to her first child an
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d is being discharged home. The patient expressed concern regarding infant mortalit
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y and sudden infant death syndrome (SIDS). The patient had an uncomplicated preg
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nancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other
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health conditions. The infant is healthy and was delivered full-
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term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant lm lm lm lm
3. The Baby-Friendly Hospital Initiative lm lm lm
4. The Safe to Sleep campaign lm lm lm lm
ANSWER: 4 l m
Chapter: Chapter 1 Trends and Issues lm lm lm lm lm
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 Int lm lm lm lm lm lm
egrated Processes: Nursing process lm lm lm
Client Need: Safe and Effective Care Environment: Safety and Infection Contr
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ol Cognitive Level: Application [Applying]
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