TEST BANK FOR Maternal-Newborn Nursing: The Critical Components of Nursing Care, 5th Edition, Roberta Durham, Linda Chapman||ISBN:9781719651783 Practice Questions with Answers

TEST BANK FOR MATERNAL-NEWBORN NURSING: THE CRITICAL COMPONENTS OF
NURSING

CARE, 5th EDITION, ROBERTA DURHAM, LINDA CHAPMAN

,TABLE OF CONTENTS
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Maternity Nursing Overview fa fa




1. Trends and Issues fa fa




2. Ethics and Standards of Practice Issues
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The Antepartal Period
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3. Genetics, Conception, Fetal Development, and Reproductive Technology
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4. Physiological Aspects of Antepartum Care fa fa fa fa




5. The Psycho-Social-Cultural Aspects of the Antepartum Period
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6. Antepartal Tests fa




7. High-Risk Antepartum Nursing Care fa fa fa




Intrapartal Period fa




8. Intrapartum Assessment and Interventions fa fa fa




9. Fetal Heart Rate Assessment
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10. High-Risk Labor and Birth fa fa fa




11. Intrapartum and Postpartum Care of the Cesarean Birth Families
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Postpartal Period fa




12. Postpartum Physiological Assessments and Nursing Care fa fa fa fa fa




13. Transition to Parenthood fa fa




14. High-Risk Postpartum Nursing Care fa fa fa




Neonatal Period fa




15. Physiological and Behavioral Responses of the Neonate fa fa fa fa fa fa




16. Discharge Planning and Teaching fa fa fa




17. High-Risk Neonatal Nursing Care fa fa fa




Women’s Health fa




18. Well Women’s Health fa fa




19. Alterations in Women’s Health fa fa fa

, Chapter 1: Trends and Issues fa fa fa fa




MULTIPLE CHOICE fa




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is p
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resent for support and notes that things have changed in the delivery room since she last gave
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birth in the early 1980s. Which current trend or intervention may the patient’s mother find
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most different? fa



1. Fetal monitoring throughout labor fa fa fa



2. Postpartum stay of 10 days fa fa fa fa



3. Expectant partner and family in operating room for cesarean birth fa fa fa fa fa fa fa fa fa



4. Hospital support for breastfeeding fa fa fa




ANS: 4 f a



Chapter: Chapter 1 Trends and Issues fa fa fa fa fa



Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Pag
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e: 4 fa



Heading: Table 1- fa fa



1: Past and Present Trends Integrated Processes:
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Nursing Process fa



Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Concept fa fa fa f a



: Evidence-Based Practice
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Difficulty: Moderate fa




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, t
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his likely would have occurred during the mother’s labor and delivery during the 1
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980s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days. P
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resently, the average postpartum stay is 48 hours or less. fa fa fa fa fa fa fa fa fa


3 This is incorrect. In the past, expectant partners and families were excluded from t
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he labor and birth experience. Present trends involve the expectant partner and fa
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mily in the labor and birth experience, including presence in the operating room fo
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r cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation consulta
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nt and employment of the Baby-
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Friendly Hospital Initiative, were both enacted during the early 1990s.fa fa fa fa f a fa fa fa fa




PTS: 1 CON: Evidence-Based Practice fa fa




2. A patient with a history of hypertension is giving birth. During delivery, the staff was not a
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ble to stabilize the patient’s blood pressure. As a result, the patient died shortly after deliv
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ery. This is an example of what type of death?
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1. Early maternal death fa fa



2. Late maternal death fa fa



3. Direct obstetric death fa fa



4. Indirect obstetric death fa fa f




a ANS: 4 f a

, Chapter: Chapter 1 Trends and Issues fa fa fa fa fa



Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes
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.
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Heading: Trends > Maternal Death and Mortality Rates Integrate
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d Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential Cogni
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tive Level: Application [Applying]
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Concept:Ante/Intra/Post- fa



partum Difficulty: Hard f a fa




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Exam
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ples of maternal death include late maternal death, indirect obstetric death, direct o
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bstetric death, and pregnancy-related death. fa fa fa fa


2 This is incorrect. Late maternal death occurs 42 days after termination of p
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regnancy from a direct or indirect obstetric cause. fa fa fa fa fa fa fa


3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period. fa fa fa fa fa


4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a d
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isease that develops during pregnancy. fa fa fa fa




PTS: 1 CON: Ante/Intra/Post-partum fa




3. The nurse is providing education to a patient who has given birth to her first child and is being
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discharged home. The patient expressed concern regarding infant mortality and sudden infant
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death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal deli
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very. She has a body mass index of 25 and has no other health conditions. The infant is health
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y and was delivered full-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 fa fa fa fa



3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign fa fa fa fa




ANS: 4 f a



Chapter: Chapter 1 Trends and Issues fa fa fa fa fa



Chapter Learning Objective: 3. Identify leading causes of infant death.
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Page: 7 fa



Heading: Trends > Infant Mortality Rates I fa fa fa fa fa f a



ntegrated Processes: Nursing process fa fa fa



Client Need: Safe and Effective Care Environment: Safety and Infection Control Cog
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nitive Level: Application [Applying]
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Concept: Health Promotion Difficult fa fa f a



y: Moderate fa




Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced in
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fant mortality among preterm infants.
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