v
MATERNAL-NEWBORN NURSING: vfvf
The Critical Components of Nursing Care
vf vf vf vf vf
3RD EDITION
v f
BY DURHAM | CHAPMAN
vf vf vf
vf TEST BANK v f vf
,Maternal-
NewbornvfNursing:vfThevfCriticalvfComponentsvfofvfNursingvfCarevf3rdvfEditionvfTestvfBankvfDurhamvf&vfChapman
Contents:
I. MaternityvfNursingvfOverview
Chaptervf1:vfTrendsvfandvfIssues
Chaptervf2:vfEthicsvfandvfStandardsvfofvfPracticevfIssues
II. AntepartalvfPeriod
Chaptervf3:vfGenetics,vfConception,vfFetalvfDevelopment,vfandvfReproductivevfTechnology
Chaptervf4:vfPhysiologicalvfAspectsvfofvfAntepartumvfCare
Chaptervf5:vfPsycho-Social-CulturalvfAspectsvfofvfthevfAntepartumvfPeriod
Chaptervf6:vfAntepartalvfTests
Chaptervf7:vfHigh-RiskvfAntepartumvfNursingvfCare
III. IntrapartalvfPeriod
Chaptervf8:vfIntrapartumvfAssessmentvfandvfInterventions
Chaptervf9:vfFetalvfHeartvfRatevfAssessment
Chaptervf10:vfHigh-RiskvfLaborvfandvfBirth
Chaptervf11:vfIntrapartumvfandvfPostpartumvfCarevfofvfthevfCesareanvfBirthvfFamilies
IV. PostpartalvfPeriod
Chaptervf12:vfPostpartumvfPhysiologicalvfAssessmentsvfandvfNursingvfCare
Chaptervf13:vfTransitionvftovfParenthood
Chaptervf14:vfHigh-RiskvfPostpartumvfNursingvfCare
V. NeonatalvfPeriod
Chaptervf15:vfPhysiologicalvfandvfBehavioralvfResponsesvfofvfthevfNeonate
Chaptervf16:vfDischargevfPlanningvfandvfTeaching
Chaptervf17:vfHigh-RiskvfNeonatalvfNursingvfCare
, TESTvfBANK:vfMaternal-
NewbornvfNursing:vfThevfCriticalvfComponentsvfOfvfNursingvfCarevf3rdvfEditionvfByvfRobertavfDurhamvfAndvfLindavf
Chapman
Unitvf1:vfMaternityvfNursingvfOverview
Chaptervf1:vfTrendsvfandvfIssues
Maternal-
NewbornvfNursing:vfThevfCriticalvfComponentsvfofvfNursingvfCarevf3rdvfEditionvfTestvfMUL
TIPLEvfCHOICE
1. Thevfnursevfisvfcaringvfforvfavfpatientvfwhovfisvfinvflaborvfwithvfhervffirstvfchild.vfThevfpatient’svfmoth
ervfisvfpresentvfforvfsupportvfandvfnotesvfthatvfthingsvfhavevfchangedvfinvfthevfdeliveryvfroomvfsincevf
shevflastvfgavevfbirthvfinvfthevfearlyvf1980s.vfWhichvfcurrentvftrendvforvfinterventionvfmayvfthevfpatie
nt’svfmothervffindvfmostvfdifferent?
1. Fetalvfmonitoringvfthroughoutvflabor
2. Postpartumvfstayvfofvf10vfdays
3. Expectantvfpartnervfandvffamilyvfinvfoperatingvfroomvfforvfcesareanvfbirth
4. Hospitalvfsupportvfforvfbreastfeeding
ANS:v f 4
Chapter:vfChaptervf1vfTrendsvfandvfIssues
ChaptervfLearningvfObjective:vf1.vfDiscussvfcurrentvftrendsvfinvfthevfmanagementvfofvflaborvfandvfbir
thvfPage:vf4
Heading:vfTablevf1-
1:vfPastvfandvfPresentvfTrendsvfIntegratedvfProcesses:vf
NursingvfProcess
ClientvfNeed:vfHealthvfPromotionvfandvfMaintenancevf
CognitivevfLevel:vfApplicationvf[Applying]vfConce
pt:vfEvidence-BasedvfPractice
Difficulty:vfModerate
Feedback
1 Thisvfisvfincorrect.vfFetalvfmonitoringvfduringvflaborvfbeganvfinvfthevflatevf1970s.vfAsvfsu
ch,vfthisvflikelyvfwouldvfhavevfoccurredvfduringvfthevfmother’svflaborvfandvfdeliveryvfdu
ringvfthevf1980s.
2 Thisvfisvfincorrect.vfInvfthevfpast,vfthevfaveragevfhospitalvfpostpartumvfstayvfwasvf10vfdays.vf
Presently,vfthevfaveragevfpostpartumvfstayvfisvf48vfhoursvforvfless.
3 Thisvfisvfincorrect.vfInvfthevfpast,vfexpectantvfpartnersvfandvffamiliesvfwerevfexcludedvffromv
fthevflaborvfandvfbirthvfexperience.vfPresentvftrendsvfinvolvevfthevfexpectantvfpartnervfandv
ffamilyvfinvfthevflaborvfandvfbirthvfexperience,vfincludingvfpresencevfinvfthevfoperating
roomvfforvfcesareanvfbirths.
4 Thisvfisvfcorrect.vfHospitalvfsupportvfforvfbreastfeeding,vfincludingvfavflactationvfconsu
ltantvfandvfemploymentvfofvfthevfBaby-
FriendlyvfHospitalvfInitiative,vfwerevfbothvfenactedvfduringvfthevfearlyvf1990s.
PTS: 1 CON:v f Evidence-BasedvfPractice
2. Avfpatientvfwithvfavfhistoryvfofvfhypertensionvfisvfgivingvfbirth.vfDuringvfdelivery,vfthevfstaffvfwasvf
notvfablevftovfstabilizevfthevfpatient’svfbloodvfpressure.vfAsvfavfresult,vfthevfpatientvfdiedvfshortlyvf
aftervfdelivery.vfThisvfisvfanvfexamplevfofvfwhatvftypevfofvfdeath?
1. Earlyvfmaternalvfdeath
2. Latevfmaternalvfdeath
, Maternal-
NewbornvfNursing:vfThevfCriticalvfComponentsvfofvfNursingvfCarevf3rdvfEditionvfTestvfBankvfDurhamvf&vfChapman
3. Directvfobstetricvfdeath
4. Indirectvfobstetricvfdeat
hvfANS:v f 4
Chapter:vfChaptervf1vfTrendsvfandvfIssues
ChaptervfLearningvfObjective:vf2.vfDiscussvfcurrentvftrendsvfinvfmaternalvfandvfinfantvfhealth
vfoutcomes.
Page:vf7
Heading:vfTrendsvf>vfMaternalvfDeathvfandvfMortalityvfRatesvfIntegra
tedvfProcesses:vfNursingvfProcess
ClientvfNeed:vfPhysiologicalvfIntegrity:vfReductionvfofvfRiskvfPotentialvfCognit
ivevfLevel:vfApplicationvf[Applying]
Concept:vfAnte/Intra/Post-
partumvfDifficulty:vfHard
Feedback
1 Thisvfisvfincorrect.vfEarlyvfmaternalvfdeathvfisvfnotvfanvfexamplevfofvfmaternalvfdeath.vfE
xamplesvfofvfmaternalvfdeathvfincludevflatevfmaternalvfdeath,vfindirectvfobstetricvfdeath,vf
directvfobstetricvfdeath,vfandvfpregnancy-relatedvfdeath.
2 Thisvfisvfincorrect.vfLatevfmaternalvfdeathvfoccursvf42vfdaysvfaftervfterminationvfofvfpregna
ncyvffromvfavfdirectvforvfindirectvfobstetricvfcause.
3 Thisvfisvfincorrect.vfDirectvfobstetricvfdeathvfresultsvffromvfcomplicationsvfduringvfpregn
ancy,vflabor,vfbirth,vfand/orvfpostpartumvfperiod.
4 Thisvfisvfcorrect.vfIndirectvfobstetricvfdeathvfisvfcausedvfbyvfavfpreexistingvfdisease,vforvfavfd
iseasevfthatvfdevelopsvfduringvfpregnancy.
PTS: 1 CON:v f Ante/Intra/Post-partum
3. Thevfnursevfisvfprovidingvfeducationvftovfavfpatientvfwhovfhasvfgivenvfbirthvftovfhervffirstvfchildvfandvfis
vfbeingvfdischargedvfhome.vfThevfpatientvfexpressedvfconcernvfregardingvfinfantvfmortalityvfandvfsu
ddenvfinfantvfdeathvfsyndromevf(SIDS).vfThevfpatientvfhadvfanvfuncomplicatedvfpregnancy,vflabor,vf
andvfvaginalvfdelivery.vfShevfhasvfavfbodyvfmassvfindexvfofvf25vfandvfhasvfnovfothervfhealthvfcondition
s.vfThevfinfantvfisvfhealthyvfandvfwasvfdeliveredvffull-
term.vfWhatvfwillvfbevfmostvfhelpfulvfthingvftovfexplainvftovfthevfpatient?
1. Usesvfofvfextracorporealvfmembranevfoxygenationvftherapyvf(ECMO)
2. Usesvfofvfexogenousvfpulmonaryvfsurfactant
3. ThevfBaby-FriendlyvfHospitalvfInitiative
4. ThevfSafevftovfSleepvfcampaign
ANS:v f 4
Chapter:vfChaptervf1vfTrendsvfandvfIssues
ChaptervfLearningvfObjective:vf3.vfIdentifyvfleadingvfcausesvfofvfinfantvfdeath.vfP
age:vf7
Heading:vfTrendsvf>vfInfantvfMortalityvfRatesvfIntegra
tedvfProcesses:vfNursingvfprocess
ClientvfNeed:vfSafevfandvfEffectivevfCarevfEnvironment:vfSafetyvfandvfInfectionvfControlvf
CognitivevfLevel:vfApplicationvf[Applying]