m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
Chapterm1:mTrendsmandmIssues
MULTIPLEmCHOICE
1. Themnursemismcaringmformampatient mwhomisminm labormwithmhermfirst mchild.mThempatient’sm mothe
rmismpresent mformsupport mand mnotesmthat mthingsmhavemchanged minmthemdeliverymroommsincemsh
emlast mgavembirthminmthemearlym1980s.mWhichmcurrent mtrend morminterventionm maymthempatient’
smmothermfind mmost mdifferent?
1. Fetalmmonitoringmthroughout mlabor
2. Postpartummstaymof m10mdays
3. Expectant mpartnermand mfamilyminmoperatingmroommformcesareanmbirth
4. Hospitalmsupport mformbreastfeeding
ANS:m 4
Chapter:mChapterm1mTrendsmand mIssues
ChaptermLearningmObjective:m1.mDiscussmcurrent mtrendsminmthemmanagement mof mlabormand mbi
rthmPage:m4
Heading:mTablem1-
1:mPast mand mPresent mTrendsmIntegrated mProce
sses:mNursingmProcess
Client mNeed:mHealthmPromotionmand mMaintenanc
emCognitivemLevel:mApplicationm[Applying]mCon
cept:mEvidence-Based mPractice
Difficulty:mModerate
Feedback
1 Thismismincorrect.mFetalmmonitoringmduringmlabormbeganmin mthemlatem1970s.mAsmsuch
,
thismlikelymwould mhavemoccurred mduringmthemmother’smlabormand mdeliverymduri
ngmthem1980s.
2 Thismismincorrect.mInmthempast,mthemaveragemhospitalmpostpartummstaymwasm10mdays.
Presently,mthemaveragempostpartummstaymism48mhoursmormless.
3 Thismismincorrect.mInmthempast,mexpectant mpartnersmand mfamiliesmweremexcluded mfr
ommthemlabormand mbirthmexperience.mPresent mtrendsminvolvemthemexpectant mpartner
mand mfamilyminmthemlabormand mbirthmexperience,mincludingmpresencemin mthemoperati
ng
roommformcesareanmbirths.
4 Thismismcorrect.mHospitalmsupport mformbreastfeeding,mincludingmamlactationmcons
ultant mand memployment mof mthemBaby-FriendlymHospitalmInitiative,mweremboth
enacted mduringmthemearlym1990s.
NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
,NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
PTS: 1 CON:m Evidence-Based mPractice
2. Ampatient mwithmamhistorymof mhypertensionmismgivingmbirth.mDuringmdelivery,mthemstaff mwasm
not mablemtomstabilizemthempatient’smblood mpressure.mAsmamresult,mthempatient mdied mshortlymaf
termdelivery.mThismismanmexamplemof mwhat mtypemof mdeath?
1. Earlymmaternalmdeath
2. Latemmaternalmdeath
NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
,NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
3. Direct mobstetricmdeath
4. Indirect mobstetricmdeat
hmANS:m 4
NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
, NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m
Chapter:mChapterm1mTrendsmand mIssues
ChaptermLearningmObjective:m2.mDiscussmcurrent mtrendsminmmaternalmand minfant mheal
thmoutcomes.
Page:m7
Heading:mTrendsm>mMaternalmDeathmand mMortalitymRat
esmIntegrated mProcesses:mNursingmProcess
Client mNeed:mPhysiologicalmIntegrity:mReductionmof mRiskmPotenti
almCognitivemLevel:mApplicationm[Applying]
Concept:mAnte/Intra/Post-
partummDifficulty:mHard
Feedback
1 Thismismincorrect.mEarlymmaternalmdeathmismnot manmexamplemof mmaternalmdeath.
Examplesmof mmaternalmdeathmincludemlatemmaternalmdeath,mindirect mobstetricmdeat
h,mdirect mobstetricmdeath,mand mpregnancy-related mdeath.
2 Thismismincorrect.mLatemmaternalmdeathmoccursm42mdaysmaftermterminationmof
pregnancymfrommamdirect mormindirect mobstetricmcause.
3 Thismismincorrect.mDirect mobstetricmdeathmresultsmfrommcomplicationsmduring
pregnancy,mlabor,mbirth,mand/ormpostpartummperiod.
4 Thismismcorrect.mIndirect mobstetricmdeathmismcaused mbymampreexistingmdisease,morma
diseasemthat mdevelopsmduringmpregnancy.
PTS: 1 CON:m Ante/Intra/Post-partum
3. Themnursemismprovidingmeducationmtomampatient mwhomhasmgivenmbirthmtomhermfirst mchild mand mism
beingmdischarged mhome.mThempatient mexpressed mconcernmregardingminfant mmortalitymand msud
denminfant mdeathmsyndromem(SIDS).mThempatient mhad manmuncomplicated mpregnancy,mlabor,ma
nd mvaginalmdelivery.mShemhasmambodymmassmindexmof m25mand mhasmnomothermhealthmconditions.m
Theminfant mismhealthymand mwasmdelivered mfull-
term.mWhat mwillmbemmost mhelpfulmthingmtomexplainmtomthempatient?
1. Usesmof mextracorporealmmembranemoxygenationmtherapym(ECMO)
2. Usesmof mexogenousmpulmonarymsurfactant
3. ThemBaby-FriendlymHospitalmInitiative
4. ThemSafemtomSleepmcampaign
ANS:m 4
Chapter:mChapterm1mTrendsmand mIssues
ChaptermLearningmObjective:m3.mIdentifymleadingmcausesmof minfant mdeat
h.mPage:m7
Heading:mTrendsm>mInfant mMortalitymRate
smIntegrated mProcesses:mNursingmprocess
NSG 2420 Test Bank: Maternal-
m m m m
Newborn Nursing: The Critical Components of Nursing Care, 3r
m m m m m m m m
d Edition, Roberta Durham, Linda Chapman
m m m m m m