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bComponentsofNursingCare,4thEdition,
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RobertaDurham,LindaChapmanChapters1-19|Complete
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,TABLE OF CONTENTS b b
MaternityNursingOverview b b
1. Trendsand Issues b b
2. Ethicsand Standards ofPractice Issues
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TheAntepartal Period
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3. Genetics, Conception, Fetal Development, and Reproductiv
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eTechnology
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4. PhysiologicalAspectsofAntepartumCare b b b b
5. ThePsycho-Social-CulturalAspectsoftheAntepartumPeriod
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6. AntepartalTests b
7. High-RiskAntepartumNursingCare b b b
IntrapartalPeriod b
8. IntrapartumAssessmentandInterventions b b b
9. FetalHeart Rate Assessment
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10. High-RiskLaborand Birth b b b
11. IntrapartumandPostpartumCareof theCesareanBirth Families b b b b b b b b
PostpartalPeriod b
12. PostpartumPhysiologicalAssessmentsandNursingCare b b b b b
13. Transition to Parenthood b b
14. High-RiskPostpartumNursingCare b b b
NeonatalPeriod b
15. PhysiologicalandBehavioralResponses oftheNeonate b b b b b b
16. DischargePlanning and Teaching b b b
17. High-RiskNeonatalNursingCare b b b
Women’sHealth b
18. WellWomen’sHealth
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19. AlterationsinWomen’sHealth b b b
, Chapter 1: Trends and Issues b b b b
MULTIPLE CHOICE b
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 ispresent for support and notes that things have changed in the delivery room since she
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last gave birth in the early 1980s. Which current trend or intervention may the pat ient’s
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motherfind most different?
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1. Fetal monitoring throughout labor b b b
2. Postpartum stay of 10 days b b b b
3. Expectant partner and family in operating room for cesarean birth b b b b b b b b b
4. Hospital support for breastfeeding b b b
ANS: 4 b
Chapter: Chapter 1 Trends and Issues b b b b b
Chapter Learning Objective: 1. Discuss current trends in the management of labor and b
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irthPage: 4
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Heading: Table 1- b b
1: Past and Present TrendsIntegrated Proce
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sses: Nursing Process
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Client Need: Health Promotion and Maintenan b b b b b
ce Cognitive Level: Application [Applying] Co
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ncept: Evidence-Based Practice
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Difficulty: Moderate b
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As suc h,
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this likely would have occurred during the mother’s labor and delivery dur ingthe
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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.
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3 This is incorrect. In the past, expectant partners and families were excluded fr omthe
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labor and birth experience. Present trends involve the expectant partne
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r and family in the labor and birth experience, including presence in the oper ating
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room for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation con sultant
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and employment of the Baby-
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Friendly Hospital Initiative, were bothenacted during the early 1990s. b b b b b b b b
PTS: 1 CON: Evidence-Based Practice b b
2. A patient with a history of hypertension is giving birth. During delivery, the staff was
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notable to stabilize the patient’s blood pressure. As a result, the patient died shortly
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after delivery. This is an example of what type of death?
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1. Early maternal death b b
2. Late maternal death b b
3. Direct obstetric death b b
4. Indirect obstetric deat b b
bhANS: 4
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