Maternal-Newborn Nursing: The Critical Components of Nursing Care
Third Edition by Linda Durham, Roberta; Chapman ||VERIFIED||TEST
BANK
3RD EDITION
TEST BANK
,Table of Contents
UNIT 1: MATERNITY NURSING OVERVIEW .......................................................3
Chapter 1: Trends And Issues .................................................................................................................... 3
Chapter 2: Ethics And Standards Of Practice Issues ................................................................................ 20
UNIT 2: THE ANTEPARTAL PERIOD ................................................................. 42
Chapter 3: Genetics, Conception, Fetal Development, And Reproductive Technology ........................... 42
Chapter 4: Physiological Aspects Of Antepartum Care ........................................................................... 62
Chapter 5: The Psycho-Social-Cultural Aspects Of The Antepartum Period ............................................ 82
Chapter 6: Antepartal Tests .................................................................................................................. 102
Chapter 7: High-Risk Antepartum Nursing Care ................................................................................... 121
UNIT 3: THE INTRAPARTAL PERIOD ............................................................. 139
Chapter 8 Intrapartum Assessment And Interventions ......................................................................... 140
Chapter 9: Fetal Heart Rate Assessment .............................................................................................. 158
Chapter 10 High-Risk Labor And Birth .................................................................................................. 177
Chapter 11: Intrapartum And Postpartum Care Of Cesarean Birth Families ....................................... 197
UNIT 4: THE POSTPARTAL PERIOD ............................................................... 216
Chapter 12: Postpartum Physiological Assessments And Nursing Care............................................... 216
Chapter 13: Transition To Parenthood ................................................................................................. 235
Chapter 14: High-Risk Postpartum Nursing Care ................................................................................. 253
UNIT 5: THE NEONATAL PERIOD ................................................................... 271
Chapter 15: Physiological And Behavioral Responses Of The Neonate ................................................ 271
Chapter 16: Discharge Planning And Teaching .................................................................................... 291
Chapter 17: High-Risk Neonatal Nursing Care ..................................................................................... 310
UNIT 6: WOMEN’S HEALTH ............................................................................ 329
Chapter 18: Well Women’s Health........................................................................................................ 329
Chapter 19: Alterations In Women’s Health ......................................................................................... 348
,UNIT 1: MATERNITY NURSING OVERVIEW
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
ACCURATE 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
ACCURATE ANS>>4
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.
Third Edition by Linda Durham, Roberta; Chapman ||VERIFIED||TEST
BANK
3RD EDITION
TEST BANK
,Table of Contents
UNIT 1: MATERNITY NURSING OVERVIEW .......................................................3
Chapter 1: Trends And Issues .................................................................................................................... 3
Chapter 2: Ethics And Standards Of Practice Issues ................................................................................ 20
UNIT 2: THE ANTEPARTAL PERIOD ................................................................. 42
Chapter 3: Genetics, Conception, Fetal Development, And Reproductive Technology ........................... 42
Chapter 4: Physiological Aspects Of Antepartum Care ........................................................................... 62
Chapter 5: The Psycho-Social-Cultural Aspects Of The Antepartum Period ............................................ 82
Chapter 6: Antepartal Tests .................................................................................................................. 102
Chapter 7: High-Risk Antepartum Nursing Care ................................................................................... 121
UNIT 3: THE INTRAPARTAL PERIOD ............................................................. 139
Chapter 8 Intrapartum Assessment And Interventions ......................................................................... 140
Chapter 9: Fetal Heart Rate Assessment .............................................................................................. 158
Chapter 10 High-Risk Labor And Birth .................................................................................................. 177
Chapter 11: Intrapartum And Postpartum Care Of Cesarean Birth Families ....................................... 197
UNIT 4: THE POSTPARTAL PERIOD ............................................................... 216
Chapter 12: Postpartum Physiological Assessments And Nursing Care............................................... 216
Chapter 13: Transition To Parenthood ................................................................................................. 235
Chapter 14: High-Risk Postpartum Nursing Care ................................................................................. 253
UNIT 5: THE NEONATAL PERIOD ................................................................... 271
Chapter 15: Physiological And Behavioral Responses Of The Neonate ................................................ 271
Chapter 16: Discharge Planning And Teaching .................................................................................... 291
Chapter 17: High-Risk Neonatal Nursing Care ..................................................................................... 310
UNIT 6: WOMEN’S HEALTH ............................................................................ 329
Chapter 18: Well Women’s Health........................................................................................................ 329
Chapter 19: Alterations In Women’s Health ......................................................................................... 348
,UNIT 1: MATERNITY NURSING OVERVIEW
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
ACCURATE 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
ACCURATE ANS>>4
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.
