TEST BANK: MATERNAL-NEWBORN NURSING: THE CRITICAL COMPONENTS OF NURSING
CARE, 3RD EDITION, ROBERTA DURHAM LINDA CHAPMAN LATEST UPDATE 2023
,Contents
Chapter 1: Trends and Issues .............................................................................................. 3
Chapter 2: Ethics and Standards of Practice Issues Answer Section ................................... 28
Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology Answer
Section............................................................................................................................. 51
Chapter 4: Physiological Aspects of Antepartum Care Answer Section .............................. 73
Chapter 5: The Psycho-Social-Cultural Aspects of the Antepartum Period Answer Section . 97
Chapter 6: Antenatal Tests ............................................................................................. 113
Chapter 7: High-Risk Antepartum Nursing Care Answer Section ...................................... 141
Chapter 8 Intrapartum Assessment and Interventions Answer Section ........................... 163
Chapter 9 Fetal Heart Rate Assessment Answer Section ................................................. 184
Chapter 10 High-Risk Labor and Birth Answer Section ..................................................... 207
Chapter 11 Intrapartum and Postpartum Care of Cesarean Birth Families Answer Section230
Chapter 12 Postpartum Physiological Assessments and Nursing Care .............................. 246
Chapter 13 Transition to Parenthood Answer Section ..................................................... 274
Chapter 14 High-Risk Postpartum Nursing Care Answer Section ...................................... 296
Chapter 15 Physiological and Behavioral Responses of the Neonate ............................... 312
Chapter 16 Discharge Planning and Teaching Answer Section ......................................... 341
Chapter 17 High-Risk Neonatal Nursing Care Answer Section ......................................... 364
Chapter 18: Well Women’s Health Answer Section ......................................................... 387
Chapter 19: Alterations in Women’s Health Answer Section ........................................... 410
,Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labour 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 labour
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS:4
Chapter Learning Objective: 1. Discuss current trends in the management of labour 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
ANS:4
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
Durham, outcomes. Linda Chapman latest update 2023
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.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that
develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is being
discharged home. The patient expressed concern regarding infant mortality and sudden infant death
syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a
body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-
term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS:4
Chapter Learning Objective: 3. Identify leading causes of infant death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality
among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant mortality,
exogenous pulmonary surfactant is primarily used to reduce mortality of
,preterm Linda Chapman infants. latest update 2023
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support breastfeeding
and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to
promote healthy infant sleeping habits. The decrease in SIDS from 1995 to 2015 was attributed to the
Safe to Sleep campaign.
Durham,
PTS: 1 CON: Health Promotion
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital
sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which
condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS:4
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 10
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
, 1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood obesity and
diabetes.
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all associated with a
patient who contracts syphilis during pregnancy.
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually transmitted
illnesses and hypertension during pregnancy; however, maternal syphilis is not associated with fetal
hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
information provided, which condition is the patient’s baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia
Durham,
ANS:1
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 11
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Difficult
Feedback
CARE, 3RD EDITION, ROBERTA DURHAM LINDA CHAPMAN LATEST UPDATE 2023
,Contents
Chapter 1: Trends and Issues .............................................................................................. 3
Chapter 2: Ethics and Standards of Practice Issues Answer Section ................................... 28
Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology Answer
Section............................................................................................................................. 51
Chapter 4: Physiological Aspects of Antepartum Care Answer Section .............................. 73
Chapter 5: The Psycho-Social-Cultural Aspects of the Antepartum Period Answer Section . 97
Chapter 6: Antenatal Tests ............................................................................................. 113
Chapter 7: High-Risk Antepartum Nursing Care Answer Section ...................................... 141
Chapter 8 Intrapartum Assessment and Interventions Answer Section ........................... 163
Chapter 9 Fetal Heart Rate Assessment Answer Section ................................................. 184
Chapter 10 High-Risk Labor and Birth Answer Section ..................................................... 207
Chapter 11 Intrapartum and Postpartum Care of Cesarean Birth Families Answer Section230
Chapter 12 Postpartum Physiological Assessments and Nursing Care .............................. 246
Chapter 13 Transition to Parenthood Answer Section ..................................................... 274
Chapter 14 High-Risk Postpartum Nursing Care Answer Section ...................................... 296
Chapter 15 Physiological and Behavioral Responses of the Neonate ............................... 312
Chapter 16 Discharge Planning and Teaching Answer Section ......................................... 341
Chapter 17 High-Risk Neonatal Nursing Care Answer Section ......................................... 364
Chapter 18: Well Women’s Health Answer Section ......................................................... 387
Chapter 19: Alterations in Women’s Health Answer Section ........................................... 410
,Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labour 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 labour
2. Postpartum stay of 10 days
3. Expectant partner and family in operating room for cesarean birth
4. Hospital support for breastfeeding
ANS:4
Chapter Learning Objective: 1. Discuss current trends in the management of labour 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
ANS:4
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
Durham, outcomes. Linda Chapman latest update 2023
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.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a disease that
develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
3. The nurse is providing education to a patient who has given birth to her first child and is being
discharged home. The patient expressed concern regarding infant mortality and sudden infant death
syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a
body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-
term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
ANS:4
Chapter Learning Objective: 3. Identify leading causes of infant death.
Page: 7
Heading: Trends > Infant Mortality Rates
Integrated Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced infant mortality
among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant mortality,
exogenous pulmonary surfactant is primarily used to reduce mortality of
,preterm Linda Chapman infants. latest update 2023
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support breastfeeding
and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were designed to
promote healthy infant sleeping habits. The decrease in SIDS from 1995 to 2015 was attributed to the
Safe to Sleep campaign.
Durham,
PTS: 1 CON: Health Promotion
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital
sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which
condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS:4
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 10
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
, 1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood obesity and
diabetes.
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all associated with a
patient who contracts syphilis during pregnancy.
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually transmitted
illnesses and hypertension during pregnancy; however, maternal syphilis is not associated with fetal
hypertension.
PTS: 1 CON: Ante/Intra/Post-partum
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
information provided, which condition is the patient’s baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia
Durham,
ANS:1
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
Page: 11
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Difficult
Feedback
