MATERNAL-
NEWBORN NURSING:THE CRITIC
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AL COMPONENTS OFNURSING CA
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RE 3RD EDITION BY LINDA CHAPM
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AN AND ROBERTA DURHAM
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,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Ch
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apman
Unit 1: Maternity Nursing Overvie
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wChapter 1: Trends and Issues
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MULTIPLE CHOICE f5
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother
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ispresent for support and notes that things have changed in the delivery room since she la
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st gave birth in the early 1980s. Which current trend or intervention may the patient’s mo
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therfind most different?
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1. Fetal monitoring throughout labor f5 f5 f5
2. Postpartum stay of 10 days f5 f5 f5 f5
3. Expectant partner and family in operating room for cesarean birth f5 f5 f5 f5 f5 f5 f5 f5 f5
4. Hospital support for breastfeeding f5 f5 f5
ANS: 4 f 5
Chapter: Chapter 1 Trends and Issues f5 f5 f5 f5 f5
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4 f5
Heading: Table 1- f5 f5
1: Past and Present TrendsIntegrated Proces
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ses: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Concep f5 f5 f5 f5
t: Evidence-Based Practice
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Difficulty: Moderate f5
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 t
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he 1980s. f5
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. f5 f5 f5 f5 f5 f5 f5 f5 f5
3 This is incorrect. In the past, expectant partners and families were excluded fro
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mthe labor and birth experience. Present trends involve the expectant partner an
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d family in the labor and birth experience, including presence in the operating
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room for cesarean births. f5 f5 f5
4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- f5 f5 f5 f5 f5
Friendly Hospital Initiative, were bothenacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice f5 f5
2. A patient with a history of hypertension is giving birth. During delivery, the staff was no
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table to stabilize the patient’s blood pressure. As a result, the patient died shortly after d
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elivery. This is an example of what type of death?
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1. Early maternal death f5 f5
2. Late maternal death f5 f5
,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Ch
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apman
3. Direct obstetric death f5 f5
4. Indirect obstetric deat f5 f5
hANS: 4
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Chapter: Chapter 1 Trends and Issues f5 f5 f5 f5 f5
Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutcome
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s.
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Heading: Trends > Maternal Death and Mortality Rate
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sIntegrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potentia
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lCognitive Level: Application [Applying]
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Concept: Ante/Intra/Post- f5
partumDifficulty: Hard 5f f5
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Ex
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amples of maternal death include late maternal death, indirect obstetric death,di
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rect obstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause. f5 f5 f5 f5 f5 f5 f5
3 This is incorrect. Direct obstetric death results from complications durin
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gpregnancy, labor, birth, and/or postpartum period.
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4 This is correct. Indirect obstetric death is caused by a preexisting disease, or
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adisease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum f5
3. The nurse is providing education to a patient who has given birth to her first child and is be
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ing discharged home. The patient expressed concern regarding infant mortality and sudden
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infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vag
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inal delivery. She has a body mass index of 25 and has no other health conditions. The infa
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nt is healthy and was delivered full-
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term. What will be most helpful thing to explainto the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant f5 f5 f5 f5
3. The Baby-Friendly Hospital Initiative f5 f5 f5
4. The Safe to Sleep campaign f5 f5 f5 f5
ANS: 4 f 5
Chapter: Chapter 1 Trends and Issues f5 f5 f5 f5 f5
Chapter Learning Objective: 3. Identify leading causes of infant death.Page
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:7
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Heading: Trends > Infant Mortality Rate f5 f5 f5 f5 f5
sIntegrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Contro
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lCognitive Level: Application [Applying]
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, TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda Ch
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apman
Concept: Health Promotion
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Difficulty: Moderate f5