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f MATERNAL-
NEWBORNNURSING:
THE CRITICAL
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f COMPONENTS OF f
f NURSING CARE, 3RD f f
f EDITION, ROBERTA f
f DURHAM,LINDA f
f CHAPMAN
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Chapter 1: Trends and Issues
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MULTIPLE CHOICE f
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 f f f
2. Postpartum stay of 10 days f f f f
3. Expectant partner and family in operating room for cesarean birth f f f f f f f f f
4. Hospital support for breastfeeding f f f
ANS: 4 f
Chapter: Chapter 1 Trends and Issues f f f f f
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4
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Heading: Table 1-1: Past and Present Trends f f f f f f
Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice
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Difficulty: Moderate f
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 the
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1980s.
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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. f f f f f f f f f
3 This is incorrect. In the past, expectant partners and families were excluded from the
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labor and birth experience. Present trends involve the expectant partner and family
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in the labor and birth experience, including presence in the operating
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room for cesarean births. f f f
4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s. f f f f
PTS: 1 CON: Evidence-Based Practice f f
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
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delivery. This is an example of what type of death?
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1. Early maternal death f f
2. Late maternal death f f
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