Test Bank: Maternal-Newborn Nursing: The Critical Components Of
Nursing Care, 4th Edition, Roberta Durham, Linda Chapman
TABLE OF CONTENTS
Maternity Nursing Overview
1. Trends And Issues
2. Ethics And Standards Of Practice Issues
The Antepartal Period
3. Genetics, Conception, Fetal Development, And Reproductive Technology
4. Physiological Aspects Of Antepartum Care
5. The Psycho-Social-Cultural Aspects Of The Antepartum Period
6. Antepartal Tests
7. High-Risk Antepartum Nursing Care
Intrapartal Period
8. Intrapartum Assessment And Interventions
9. Fetal Heart Rate Assessment
10. High-Risk Labor And Birth
11. Intrapartum And Postpartum Care Of The Cesarean Birth Families
Postpartal Period
12. Postpartum Physiological Assessments And Nursing Care
13. Transition To Parenthood
14. High-Risk Postpartum Nursing Care
Neonatal Period
15. Physiological And Behavioral Responses Of The Neonate
16. Discharge Planning And Teaching
17. High-Risk Neonatal Nursing Care
Women’s Health
18. Well Women’s Health
19. Alterations In Women’s Health
, Chapter 1: Trends And Issues
MULTIPLE CHOICE
1. The Nurse Is Caring For A Patient Who Is In Labor With Her First Child. The Patient’s
Mother Is Present For Support And Notes That Things Have Changed In The Delivery
Room Since She Last Gave Birth In The Early 1980s. Which Current Trend Or
Intervention May The Patient’s Mother Find Most Different?
1. Fetal Monitoring Throughout Labor
2. Postpartum Stay Of 10 Days
3. Expectant Partner And Family In Operating Room For Cesarean Birth
4. Hospital Support For Breastfeeding
ANS: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 1. Discuss Current Trends In The Management Of Labor And
Birth Page: 4
Heading: Table 1-1: Past And Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion And Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This Is Incorrect. Fetal Monitoring During Labor Began In The Late 1970s. As
Such, This Likely Would Have Occurred During The Mother’s Labor And
Delivery During
The 1980s.
2 This Is Incorrect. In The Past, The Average Hospital Postpartum Stay Was 10
Days.
Presently, The Average Postpartum Stay Is 48 Hours Or Less.
3 This Is Incorrect. In The Past, Expectant Partners And Families Were Excluded
From The Labor And Birth Experience. Present Trends Involve The Expectant
Partner And Family In The Labor And Birth Experience, Including Presence In
The Operating Room For Cesarean Births.
4 This Is Correct. Hospital Support For Breastfeeding, Including A Lactation
Consultant And Employment Of The Baby-Friendly Hospital Initiative, Were
Both Enacted During The Early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A Patient With A History Of Hypertension Is Giving Birth. During Delivery, The Staff
Was Not Able To Stabilize The Patient’s Blood Pressure. As A Result, The Patient Died
Shortly After Delivery. This Is An Example Of What Type Of Death?
1. Early Maternal Death
2. Late Maternal Death
3. Direct Obstetric Death
4. Indirect Obstetric
Death ANS: 4
, Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 2. Discuss Current Trends In Maternal And Infant Health
Outcomes.
Page: 7
Heading: Trends > Maternal Death And Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction Of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-Partum
Difficulty: Hard
Feedback
1 This Is Incorrect. Early Maternal Death Is Not An Example Of Maternal Death.
Examples Of Maternal Death Include Late Maternal Death, Indirect Obstetric
Death,
Direct Obstetric Death, And Pregnancy-Related Death.
2 This Is Incorrect. Late Maternal Death Occurs 42 Days After Termination Of
Pregnancy From A Direct Or Indirect Obstetric Cause.
3 This Is Incorrect. Direct Obstetric Death Results From Complications During
Pregnancy, Labor, Birth, And/Or Postpartum Period.
4 This Is Correct. Indirect Obstetric Death Is Caused By A Preexisting Disease, Or
A
Disease That Develops During Pregnancy.
PTS: 1 CON: Ante/Intra/Post-Partum
3. The Nurse Is Providing Education To A Patient Who Has Given Birth To Her First Child
And Is Being Discharged Home. The Patient Expressed Concern Regarding Infant Mortality
And Sudden Infant Death Syndrome (SIDS). The Patient Had An Uncomplicated
Pregnancy, Labor, And Vaginal Delivery. She Has A Body Mass Index Of 25 And Has No
Other Health Conditions. The Infant Is Healthy And Was Delivered Full-Term. What Will
Be Most Helpful Thing To Explain To The Patient?
1. Uses Of Extracorporeal Membrane Oxygenation Therapy (ECMO)
2. Uses Of Exogenous Pulmonary Surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe To Sleep Campaign
ANS: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 3. Identify Leading Causes Of Infant Death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe And Effective Care Environment: Safety And Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This Is Incorrect. EMCO Has Been Cited As One Of The Factors That Has
Reduced
Infant Mortality Among Preterm Infants.
, 2 This Is Incorrect. Although Advances In Medical Treatments Have Decreased
Infant Mortality, Exogenous Pulmonary Surfactant Is Primarily Used To Reduce
Mortality Of
Preterm Infants.
3 This Is Incorrect. The Baby-Friendly Hospital Initiative Was Developed To
Support Breastfeeding And Is Not Directly Linked To Reduced Infant Mortality
Or SIDS.
4 This Is Correct. The Back To Sleep Campaign And The Safe To Sleep Campaigns
Were Designed To Promote Healthy Infant Sleeping Habits. The Decrease In
SIDS From 1995 To 2015 Was Attributed To The Safe To Sleep Campaign.
PTS: 1 CON: Health Promotion
4. The Nurse Is Caring For A 14-Year-Old Patient Who Is 32 Weeks Pregnant. After
Complaining Of Genital Sores And Discomfort, The Patient Tests Positive For Syphilis.
The Fetus Is At Increased Risk Of Which Condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 4. Discuss Current Maternal And Infant Health Issues.
Page: 10
Heading: Issues > Teen Pregnancy > Implications Of Teen Pregnancy And Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction Of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-Partum
Difficulty: Moderate
Feedback
1 This Is Incorrect. Maternal Obesity Increases A Child’s Risk Of Developing
Childhood Obesity And Diabetes.
2 This Is Correct. Neonatal Blindness, Maternal Death, And Neonatal Death Are All
Associated With A Patient Who Contracts Syphilis During Pregnancy.
3 This Is Incorrect. Chlamydial Pneumonia Is Associated With Maternal Chlamydia.
4 This Is Incorrect. Teen Mothers May Have A Higher Risk Of Contracting Sexually
Transmitted Illnesses And Hypertension During Pregnancy; However, Maternal
Syphilis Is Not Associated With Fetal Hypertension.
PTS: 1 CON: Ante/Intra/Post-Partum
5. The Nurse Is Caring For A 15-Year-Old Female Who Is Pregnant With Her First Child. In
Her Previous Prenatal Visit, The Patient Tested Negative For Chlamydia, Syphilis,
Gonorrhea, And HIV. Based On The Information Provided, Which Condition Is The
Patient’s Baby At Higher Risk For?
1. Intestinal Problems
2. Neonatal Conjunctivitis
3. Blindness
Nursing Care, 4th Edition, Roberta Durham, Linda Chapman
TABLE OF CONTENTS
Maternity Nursing Overview
1. Trends And Issues
2. Ethics And Standards Of Practice Issues
The Antepartal Period
3. Genetics, Conception, Fetal Development, And Reproductive Technology
4. Physiological Aspects Of Antepartum Care
5. The Psycho-Social-Cultural Aspects Of The Antepartum Period
6. Antepartal Tests
7. High-Risk Antepartum Nursing Care
Intrapartal Period
8. Intrapartum Assessment And Interventions
9. Fetal Heart Rate Assessment
10. High-Risk Labor And Birth
11. Intrapartum And Postpartum Care Of The Cesarean Birth Families
Postpartal Period
12. Postpartum Physiological Assessments And Nursing Care
13. Transition To Parenthood
14. High-Risk Postpartum Nursing Care
Neonatal Period
15. Physiological And Behavioral Responses Of The Neonate
16. Discharge Planning And Teaching
17. High-Risk Neonatal Nursing Care
Women’s Health
18. Well Women’s Health
19. Alterations In Women’s Health
, Chapter 1: Trends And Issues
MULTIPLE CHOICE
1. The Nurse Is Caring For A Patient Who Is In Labor With Her First Child. The Patient’s
Mother Is Present For Support And Notes That Things Have Changed In The Delivery
Room Since She Last Gave Birth In The Early 1980s. Which Current Trend Or
Intervention May The Patient’s Mother Find Most Different?
1. Fetal Monitoring Throughout Labor
2. Postpartum Stay Of 10 Days
3. Expectant Partner And Family In Operating Room For Cesarean Birth
4. Hospital Support For Breastfeeding
ANS: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 1. Discuss Current Trends In The Management Of Labor And
Birth Page: 4
Heading: Table 1-1: Past And Present Trends
Integrated Processes: Nursing Process
Client Need: Health Promotion And Maintenance
Cognitive Level: Application [Applying]
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This Is Incorrect. Fetal Monitoring During Labor Began In The Late 1970s. As
Such, This Likely Would Have Occurred During The Mother’s Labor And
Delivery During
The 1980s.
2 This Is Incorrect. In The Past, The Average Hospital Postpartum Stay Was 10
Days.
Presently, The Average Postpartum Stay Is 48 Hours Or Less.
3 This Is Incorrect. In The Past, Expectant Partners And Families Were Excluded
From The Labor And Birth Experience. Present Trends Involve The Expectant
Partner And Family In The Labor And Birth Experience, Including Presence In
The Operating Room For Cesarean Births.
4 This Is Correct. Hospital Support For Breastfeeding, Including A Lactation
Consultant And Employment Of The Baby-Friendly Hospital Initiative, Were
Both Enacted During The Early 1990s.
PTS: 1 CON: Evidence-Based Practice
2. A Patient With A History Of Hypertension Is Giving Birth. During Delivery, The Staff
Was Not Able To Stabilize The Patient’s Blood Pressure. As A Result, The Patient Died
Shortly After Delivery. This Is An Example Of What Type Of Death?
1. Early Maternal Death
2. Late Maternal Death
3. Direct Obstetric Death
4. Indirect Obstetric
Death ANS: 4
, Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 2. Discuss Current Trends In Maternal And Infant Health
Outcomes.
Page: 7
Heading: Trends > Maternal Death And Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction Of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-Partum
Difficulty: Hard
Feedback
1 This Is Incorrect. Early Maternal Death Is Not An Example Of Maternal Death.
Examples Of Maternal Death Include Late Maternal Death, Indirect Obstetric
Death,
Direct Obstetric Death, And Pregnancy-Related Death.
2 This Is Incorrect. Late Maternal Death Occurs 42 Days After Termination Of
Pregnancy From A Direct Or Indirect Obstetric Cause.
3 This Is Incorrect. Direct Obstetric Death Results From Complications During
Pregnancy, Labor, Birth, And/Or Postpartum Period.
4 This Is Correct. Indirect Obstetric Death Is Caused By A Preexisting Disease, Or
A
Disease That Develops During Pregnancy.
PTS: 1 CON: Ante/Intra/Post-Partum
3. The Nurse Is Providing Education To A Patient Who Has Given Birth To Her First Child
And Is Being Discharged Home. The Patient Expressed Concern Regarding Infant Mortality
And Sudden Infant Death Syndrome (SIDS). The Patient Had An Uncomplicated
Pregnancy, Labor, And Vaginal Delivery. She Has A Body Mass Index Of 25 And Has No
Other Health Conditions. The Infant Is Healthy And Was Delivered Full-Term. What Will
Be Most Helpful Thing To Explain To The Patient?
1. Uses Of Extracorporeal Membrane Oxygenation Therapy (ECMO)
2. Uses Of Exogenous Pulmonary Surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe To Sleep Campaign
ANS: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 3. Identify Leading Causes Of Infant Death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe And Effective Care Environment: Safety And Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This Is Incorrect. EMCO Has Been Cited As One Of The Factors That Has
Reduced
Infant Mortality Among Preterm Infants.
, 2 This Is Incorrect. Although Advances In Medical Treatments Have Decreased
Infant Mortality, Exogenous Pulmonary Surfactant Is Primarily Used To Reduce
Mortality Of
Preterm Infants.
3 This Is Incorrect. The Baby-Friendly Hospital Initiative Was Developed To
Support Breastfeeding And Is Not Directly Linked To Reduced Infant Mortality
Or SIDS.
4 This Is Correct. The Back To Sleep Campaign And The Safe To Sleep Campaigns
Were Designed To Promote Healthy Infant Sleeping Habits. The Decrease In
SIDS From 1995 To 2015 Was Attributed To The Safe To Sleep Campaign.
PTS: 1 CON: Health Promotion
4. The Nurse Is Caring For A 14-Year-Old Patient Who Is 32 Weeks Pregnant. After
Complaining Of Genital Sores And Discomfort, The Patient Tests Positive For Syphilis.
The Fetus Is At Increased Risk Of Which Condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 4. Discuss Current Maternal And Infant Health Issues.
Page: 10
Heading: Issues > Teen Pregnancy > Implications Of Teen Pregnancy And Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction Of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-Partum
Difficulty: Moderate
Feedback
1 This Is Incorrect. Maternal Obesity Increases A Child’s Risk Of Developing
Childhood Obesity And Diabetes.
2 This Is Correct. Neonatal Blindness, Maternal Death, And Neonatal Death Are All
Associated With A Patient Who Contracts Syphilis During Pregnancy.
3 This Is Incorrect. Chlamydial Pneumonia Is Associated With Maternal Chlamydia.
4 This Is Incorrect. Teen Mothers May Have A Higher Risk Of Contracting Sexually
Transmitted Illnesses And Hypertension During Pregnancy; However, Maternal
Syphilis Is Not Associated With Fetal Hypertension.
PTS: 1 CON: Ante/Intra/Post-Partum
5. The Nurse Is Caring For A 15-Year-Old Female Who Is Pregnant With Her First Child. In
Her Previous Prenatal Visit, The Patient Tested Negative For Chlamydia, Syphilis,
Gonorrhea, And HIV. Based On The Information Provided, Which Condition Is The
Patient’s Baby At Higher Risk For?
1. Intestinal Problems
2. Neonatal Conjunctivitis
3. Blindness
