,
,Chapter 1: Trends and Issues
kr kr kr kr
MULTIPLE CHOICE kr
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
present for support and notes that things have changed in the delivery room since she last
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
find most different?
kr kr kr
1. Fetal monitoring throughout labor kr kr kr
2. Postpartum stay of 10 days kr kr kr kr
3. Expectant partner and family in operating room for cesarean birth kr kr kr kr kr kr kr kr kr
4. Hospital support for breastfeeding kr kr kr
ANS: 4 k r
Chapter: Chapter 1 Trends and Issues kr kr kr kr kr
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
kr kr kr kr kr kr kr kr kr kr kr kr kr
Page: 4
kr kr
Heading: Table 1-1: Past and Present Trends kr kr kr kr kr kr
Integrated Processes: Nursing Process
kr kr kr kr
Client Need: Health Promotion and Maintenance
kr kr kr kr kr
Cognitive Level: Application [Applying]
kr kr kr kr
Concept: Evidence-Based Practice
kr kr kr
Difficulty: Moderate kr
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
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this likely would have occurred during the mother’s labor and delivery during
kr kr kr kr kr kr kr kr kr kr kr
the 1980s.
kr kr
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
kr kr kr kr kr kr kr kr kr kr kr kr kr
Presently, the average postpartum stay is 48 hours or less. kr kr kr kr kr kr kr kr kr
3 This is incorrect. In the past, expectant partners and families were excluded from
kr kr kr kr kr kr kr kr kr kr kr kr
the labor and birth experience. Present trends involve the expectant partner and
kr kr kr kr kr kr kr kr kr kr kr kr
family in the labor and birth experience, including presence in the operating
kr kr kr kr kr kr kr kr kr kr kr kr
room for cesarean births. kr kr kr
4 This is correct. Hospital support for breastfeeding, including a lactation
kr kr kr kr kr kr kr kr kr
consultant and employment of the Baby-Friendly Hospital Initiative, were both
kr kr kr kr kr kr kr kr kr kr
enacted during the early 1990s. kr kr kr kr
PTS: 1 CON: Evidence-Based Practice kr kr
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
delivery. This is an example of what type of death?
kr kr kr kr kr kr kr kr kr kr
1. Early maternal death kr kr
2. Late maternal death kr kr
, 3. Direct obstetric death
kr kr
4. Indirect obstetric death
kr kr
ANS: 4
kr k r
,Chapter 1: Trends and Issues
kr kr kr kr
MULTIPLE CHOICE kr
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
present for support and notes that things have changed in the delivery room since she last
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
find most different?
kr kr kr
1. Fetal monitoring throughout labor kr kr kr
2. Postpartum stay of 10 days kr kr kr kr
3. Expectant partner and family in operating room for cesarean birth kr kr kr kr kr kr kr kr kr
4. Hospital support for breastfeeding kr kr kr
ANS: 4 k r
Chapter: Chapter 1 Trends and Issues kr kr kr kr kr
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
kr kr kr kr kr kr kr kr kr kr kr kr kr
Page: 4
kr kr
Heading: Table 1-1: Past and Present Trends kr kr kr kr kr kr
Integrated Processes: Nursing Process
kr kr kr kr
Client Need: Health Promotion and Maintenance
kr kr kr kr kr
Cognitive Level: Application [Applying]
kr kr kr kr
Concept: Evidence-Based Practice
kr kr kr
Difficulty: Moderate kr
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
kr kr kr kr kr kr kr kr kr kr kr kr kr
this likely would have occurred during the mother’s labor and delivery during
kr kr kr kr kr kr kr kr kr kr kr
the 1980s.
kr kr
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
kr kr kr kr kr kr kr kr kr kr kr kr kr
Presently, the average postpartum stay is 48 hours or less. kr kr kr kr kr kr kr kr kr
3 This is incorrect. In the past, expectant partners and families were excluded from
kr kr kr kr kr kr kr kr kr kr kr kr
the labor and birth experience. Present trends involve the expectant partner and
kr kr kr kr kr kr kr kr kr kr kr kr
family in the labor and birth experience, including presence in the operating
kr kr kr kr kr kr kr kr kr kr kr kr
room for cesarean births. kr kr kr
4 This is correct. Hospital support for breastfeeding, including a lactation
kr kr kr kr kr kr kr kr kr
consultant and employment of the Baby-Friendly Hospital Initiative, were both
kr kr kr kr kr kr kr kr kr kr
enacted during the early 1990s. kr kr kr kr
PTS: 1 CON: Evidence-Based Practice kr kr
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
kr kr kr kr kr kr kr kr kr kr kr kr kr kr kr
delivery. This is an example of what type of death?
kr kr kr kr kr kr kr kr kr kr
1. Early maternal death kr kr
2. Late maternal death kr kr
, 3. Direct obstetric death
kr kr
4. Indirect obstetric death
kr kr
ANS: 4
kr k r
