Components of Nursing Care, 4th Edition,
Roberta Durham, Linda Chapman Chapters 1-19 | Complete
,TABLE OF CONTENTS l w l w
Maternity Nursing Overviewlw lw
1. Trends and Issues lw lw
2. Ethics and Standards of Practice Issues
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The Antepartal Period
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3. Genetics, Conception, Fetal Development, and Reproductive
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Technology
4. Physiological Aspects of Antepartum Care lw lw lw lw
5. The Psycho-Social-Cultural Aspects of the Antepartum Period
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6. Antepartal Tests lw
7. High-Risk Antepartum Nursing Care lw lw lw
Intrapartal Period lw
8. Intrapartum Assessment and Interventions lw lw lw
9. Fetal Heart Rate Assessment
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10. High-Risk Labor and Birth lw lw lw
11. Intrapartum and Postpartum Care of the Cesarean Birth Families
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Postpartal Period lw
12. Postpartum Physiological Assessments and Nursing Care lw lw lw lw lw
13. Transition to Parenthood lw lw
14. High-Risk Postpartum Nursing Care lw lw lw
Neonatal Period lw
15. Physiological and Behavioral Responses of the Neonate lw lw lw lw lw lw
16. Discharge Planning and Teaching lw lw lw
17. High-Risk Neonatal Nursing Care lw lw lw
Women’s Health lw
18. Well Women’s Health
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19. Alterations in Women’s Health lw lw lw
, Chapter 1: Trends and Issues lw lw lw lw
MULTIPLE CHOICE lw
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 lw lw lw
2. Postpartum stay of 10 days lw lw lw lw
3. Expectant partner and family in operating room for cesarean birth lw lw lw lw lw lw lw lw lw
4. Hospital support for breastfeeding lw lw lw
ANS: 4 l w
Chapter: Chapter 1 Trends and Issues lw lw lw lw lw
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4 lw
Heading: Table 1- lw lw
1: Past and Present TrendsIntegrated Process
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es: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Conce lw lw lw lw
pt: Evidence-Based Practice
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Difficulty: Moderate lw
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. lw
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. lw lw lw lw lw lw lw lw lw
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 f
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amily in the labor and birth experience, including presence in the operating roo
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m for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation consul
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tant and employment of the Baby-
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Friendly Hospital Initiative, were bothenacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice l w lw
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 del
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ivery. This is an example of what type of death?
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1. Early maternal death lw lw
2. Late maternal death lw lw
3. Direct obstetric death lw lw
4. Indirect obstetric death lw lw lw
ANS: 4 l w
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