Test Bank: Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, Roberta Durham, Linda Chapman ||Ultimate Study Guide

,Chapter 1: Trends and Issues
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MULTIPLE CHOICE f




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



2. Postpartum stay of 10 days f f f f



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


4. Hospital support for breastfeeding f f f




ANS: 4 f



Chapter: Chapter 1 Trends and Issues f f f f f



Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4
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Heading: Table 1-1: Past and Present Trends f f f f f f


Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice
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Difficulty: Moderate f




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
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the 1980s.
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2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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Presently, the average postpartum stay is 48 hours or less. f f f f f f f f f



3 This is incorrect. In the past, expectant partners and families were excluded from
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the labor and birth experience. Present trends involve the expectant partner and
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family in the labor and birth experience, including presence in the operating
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room for cesarean births. f f f



4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s. f f f f




PTS: 1 CON: Evidence-Based Practice f f




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


2. Late maternal death f f

,3. Direct obstetric death
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4. Indirect obstetric death
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ANS: 4
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, Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
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outcomes.
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Page: 7 f



Heading: Trends > Maternal Death and Mortality Rates
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Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying]
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Concept: Ante/Intra/Post-partum f



Difficulty: Hard
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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 death,
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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. f f f f f f f



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



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




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




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
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delivery. She has a body mass index of 25 and has no other health conditions. The infant is
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healthy and was delivered full-term. What will be most helpful thing to explainto the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant
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3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign
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ANS: 4 f



Chapter: Chapter 1 Trends and Issues
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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
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Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Cognitive Level: Application [Applying]
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Concept: Health Promotion f f


Difficulty: Moderate
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