TEST BANK ll
MATERNAL-NEWBORN NURSING: THE CRITICAL
ll ll ll
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA
ll ll ll ll ll ll ll ll
CHAPMAN AND ROBERTA DURHAM
ll ll ll ll
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
ll ll ll ll ll ll ll ll ll ll ll ll ll
Durham And Linda Chapman
ll ll ll ll
Unit 1: Maternity Nursing Overview
l l l l
Chapter 1: Trends and Issues
ll ll ll ll ll
MULTIPLE CHOICE ll
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
present for support and notes that things have changed in the delivery room since she last
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
find most different?
ll ll ll
1. Fetal monitoring throughout labor ll ll ll
2. Postpartum stayof 10 days ll l ll ll
3. Expectant partner and familyin operating room for cesarean birth ll ll ll l ll ll ll ll ll
4. Hospital support for breastfeeding ll ll ll
ANS: 4 l l
Chapter: Chapter 1 Trends and Issues ll ll ll ll ll
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
ll ll ll ll ll ll ll ll ll ll ll ll ll
Page: 4
ll ll
Heading: Table 1-1: Past and Present Trends l l l l l ll
Integrated Processes: Nursing Process
ll ll ll ll
Client Need: Health Promotion and Maintenance
l l l l l
Cognitive Level: Application [Applying]
ll ll ll ll
Concept: Evidence-Based Practice
ll ll ll
Difficulty: Moderate ll
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
ll ll ll ll ll ll ll ll ll ll ll ll ll
this likely would have occurred during the mother’s labor and delivery during
ll ll ll ll ll ll ll ll ll ll ll ll
the 1980s.
ll ll
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
ll ll ll ll ll ll ll ll ll ll l ll ll
Presently, the average postpartum stay is 48 hours or less.
ll ll ll ll ll ll ll ll ll ll
3 This is incorrect. In the past, expectant partners and families were excluded from
l ll ll ll ll ll ll ll l ll ll ll
the labor and birth experience. Present trends involve the expectant partner and
ll ll ll ll ll ll ll ll ll ll ll ll
family in the labor and birth experience, including presence in the operating
ll ll ll ll ll ll ll ll ll ll ll ll
room for cesarean births. ll ll ll
4 This is correct. Hospital support for breastfeeding, including a lactation
ll ll ll ll ll ll ll ll ll
consultant and employment of the Baby-Friendly Hospital Initiative, were both
ll l ll ll ll ll l ll ll ll
enacted during the early 1990s.
ll ll ll ll ll
PTS: 1 CON: Evidence-Based Practice ll ll
2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not
ll ll ll ll l ll ll ll ll ll ll ll ll ll ll
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
delivery. This is an example of what type of death?
ll ll ll ll ll ll ll ll ll ll
1. Earlymaternal death l ll
2. Late maternal death l ll
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
ll ll ll ll ll ll ll ll ll ll ll ll ll
Durham And Linda Chapman
ll ll ll ll
3. Direct obstetric death ll ll
4. Indirect obstetric death ll l
ANS: 4
ll l l
Chapter: Chapter 1 Trends and Issues ll ll ll ll ll
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
ll ll ll ll ll ll ll ll ll ll ll ll
Page: 7 ll
Heading: Trends > Maternal Death and Mortality Rates Integrated
ll ll l ll ll ll l ll
Processes: Nursing Process
ll ll ll
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive
ll ll ll ll ll ll ll ll
Level: Application [Applying]
ll ll ll
Concept: Ante/Intra/Post-partum l
Difficulty: Hard
ll ll
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
ll ll ll ll ll ll ll ll ll ll ll ll
Examples of maternal death include late maternal death, indirect obstetric death,
ll ll l ll ll ll l ll ll ll ll
direct obstetric death, and pregnancy-related death.
ll ll ll ll ll ll
2 This is incorrect. Late maternal death occurs 42 days after termination of
ll ll ll ll ll ll ll ll ll ll ll
pregnancy from a direct or indirect obstetric cause.
ll ll ll ll ll ll ll ll
3 This is incorrect. Direct obstetric death results from complications during
l ll ll ll ll ll ll ll ll
pregnancy, labor, birth, and/or postpartum period. ll ll ll ll ll
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
ll ll ll ll ll ll ll ll l ll ll ll ll
disease that develops during pregnancy. ll ll ll ll
PTS: 1 CON: Ante/Intra/Post-partum ll
3. The nurse is providing education to a patient who has given birth to her first child and is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
being discharged home. The patient expressed concern regarding infant mortality and
ll ll ll ll ll ll ll ll ll ll ll
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
ll ll ll ll ll ll ll ll ll ll ll ll
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The infant is healthy and was delivered full-term. What will be most helpful thing to explain
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
to the patient?
ll ll ll
1. Uses of extracorporeal membrane oxygenation therapy(ECMO)
ll ll ll ll ll l
2. Uses of exogenous pulmonarysurfactant ll ll ll l
3. The Baby-FriendlyHospital Initiative ll l ll
4. The Safe to Sleep campaign ll ll ll ll
ANS: 4 l l
Chapter: Chapter 1 Trends and Issues ll ll ll ll ll
Chapter Learning Objective: 3. Identifyleading causes of infant death. Page:
ll l ll ll l l ll l ll ll
7
ll
Heading: Trends > Infant MortalityRates l ll l l l
Integrated Processes: Nursing process
ll ll ll ll
Client Need: Safe and Effective Care Environment: Safety and Infection Control
ll ll ll ll ll ll ll l ll ll
Cognitive Level: Application [Applying]
ll ll ll ll
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
ll ll ll ll ll ll ll ll ll ll ll ll ll
Durham And Linda Chapman
ll ll ll ll
Concept: Health Promotion l l
Difficulty: Moderate
ll ll
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
infant mortality among preterm infants.
ll ll ll ll ll
2 This is incorrect. Although advances in medical treatments have decreased infant
ll ll ll ll ll ll ll ll ll ll
mortality, exogenous pulmonarysurfactant is primarilyused to reduce mortalityof
ll ll ll l ll ll l ll ll ll l
preterm infants.
ll ll
3 This is incorrect. The Baby-FriendlyHospital Initiative was developed to support
l ll ll ll l ll ll ll ll ll
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
ll ll ll ll ll ll ll ll ll ll l ll
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
designed to promote healthy infant sleeping habits. The decrease in SIDS from
ll ll ll ll ll ll ll ll ll ll ll ll
1995 to 2015 was attributed to the Safe to Sleep campaign.
ll ll ll ll ll ll ll ll ll ll
PTS: 1 CON: Health Promotion ll ll
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
increased risk of which condition?
ll ll ll ll ll
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 l l
Chapter: Chapter 1 Trends and Issues
ll ll ll ll ll
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
ll ll ll ll ll ll ll ll ll ll
Page: 10
ll ll
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancyand Birth
ll ll ll ll l ll ll ll ll l ll
Integrated Processes: Nursing Process
ll ll ll ll
Client Need: Physiological Integrity: Reduction of Risk Potential
ll ll ll ll ll ll ll
Cognitive Level: Application [Applying]
ll ll ll ll
Concept: Ante/Intra/Post-partum
l
Difficulty: Moderate
ll ll
Feedback
1 This is incorrect. Maternal obesityincreases a child’s risk of developing childhood
ll ll ll ll l ll ll ll ll ll ll
obesity and diabetes.
ll ll ll
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
ll ll ll ll ll ll ll ll ll ll ll
associated with a patient who contracts syphilis during pregnancy.
ll ll ll ll ll ll ll ll ll
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
ll ll ll ll ll ll ll ll ll
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
ll ll ll ll ll l ll ll ll ll ll ll
transmitted illnesses and hypertension during pregnancy; however, maternal
ll ll ll ll ll ll ll ll
syphilis is not associated with fetal hypertension.
ll ll ll ll ll ll ll
PTS: 1 CON: Ante/Intra/Post-partum ll
MATERNAL-NEWBORN NURSING: THE CRITICAL
ll ll ll
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA
ll ll ll ll ll ll ll ll
CHAPMAN AND ROBERTA DURHAM
ll ll ll ll
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
ll ll ll ll ll ll ll ll ll ll ll ll ll
Durham And Linda Chapman
ll ll ll ll
Unit 1: Maternity Nursing Overview
l l l l
Chapter 1: Trends and Issues
ll ll ll ll ll
MULTIPLE CHOICE ll
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
present for support and notes that things have changed in the delivery room since she last
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
find most different?
ll ll ll
1. Fetal monitoring throughout labor ll ll ll
2. Postpartum stayof 10 days ll l ll ll
3. Expectant partner and familyin operating room for cesarean birth ll ll ll l ll ll ll ll ll
4. Hospital support for breastfeeding ll ll ll
ANS: 4 l l
Chapter: Chapter 1 Trends and Issues ll ll ll ll ll
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
ll ll ll ll ll ll ll ll ll ll ll ll ll
Page: 4
ll ll
Heading: Table 1-1: Past and Present Trends l l l l l ll
Integrated Processes: Nursing Process
ll ll ll ll
Client Need: Health Promotion and Maintenance
l l l l l
Cognitive Level: Application [Applying]
ll ll ll ll
Concept: Evidence-Based Practice
ll ll ll
Difficulty: Moderate ll
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
ll ll ll ll ll ll ll ll ll ll ll ll ll
this likely would have occurred during the mother’s labor and delivery during
ll ll ll ll ll ll ll ll ll ll ll ll
the 1980s.
ll ll
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
ll ll ll ll ll ll ll ll ll ll l ll ll
Presently, the average postpartum stay is 48 hours or less.
ll ll ll ll ll ll ll ll ll ll
3 This is incorrect. In the past, expectant partners and families were excluded from
l ll ll ll ll ll ll ll l ll ll ll
the labor and birth experience. Present trends involve the expectant partner and
ll ll ll ll ll ll ll ll ll ll ll ll
family in the labor and birth experience, including presence in the operating
ll ll ll ll ll ll ll ll ll ll ll ll
room for cesarean births. ll ll ll
4 This is correct. Hospital support for breastfeeding, including a lactation
ll ll ll ll ll ll ll ll ll
consultant and employment of the Baby-Friendly Hospital Initiative, were both
ll l ll ll ll ll l ll ll ll
enacted during the early 1990s.
ll ll ll ll ll
PTS: 1 CON: Evidence-Based Practice ll ll
2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not
ll ll ll ll l ll ll ll ll ll ll ll ll ll ll
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
delivery. This is an example of what type of death?
ll ll ll ll ll ll ll ll ll ll
1. Earlymaternal death l ll
2. Late maternal death l ll
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
ll ll ll ll ll ll ll ll ll ll ll ll ll
Durham And Linda Chapman
ll ll ll ll
3. Direct obstetric death ll ll
4. Indirect obstetric death ll l
ANS: 4
ll l l
Chapter: Chapter 1 Trends and Issues ll ll ll ll ll
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
ll ll ll ll ll ll ll ll ll ll ll ll
Page: 7 ll
Heading: Trends > Maternal Death and Mortality Rates Integrated
ll ll l ll ll ll l ll
Processes: Nursing Process
ll ll ll
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive
ll ll ll ll ll ll ll ll
Level: Application [Applying]
ll ll ll
Concept: Ante/Intra/Post-partum l
Difficulty: Hard
ll ll
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
ll ll ll ll ll ll ll ll ll ll ll ll
Examples of maternal death include late maternal death, indirect obstetric death,
ll ll l ll ll ll l ll ll ll ll
direct obstetric death, and pregnancy-related death.
ll ll ll ll ll ll
2 This is incorrect. Late maternal death occurs 42 days after termination of
ll ll ll ll ll ll ll ll ll ll ll
pregnancy from a direct or indirect obstetric cause.
ll ll ll ll ll ll ll ll
3 This is incorrect. Direct obstetric death results from complications during
l ll ll ll ll ll ll ll ll
pregnancy, labor, birth, and/or postpartum period. ll ll ll ll ll
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
ll ll ll ll ll ll ll ll l ll ll ll ll
disease that develops during pregnancy. ll ll ll ll
PTS: 1 CON: Ante/Intra/Post-partum ll
3. The nurse is providing education to a patient who has given birth to her first child and is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
being discharged home. The patient expressed concern regarding infant mortality and
ll ll ll ll ll ll ll ll ll ll ll
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
ll ll ll ll ll ll ll ll ll ll ll ll
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The infant is healthy and was delivered full-term. What will be most helpful thing to explain
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
to the patient?
ll ll ll
1. Uses of extracorporeal membrane oxygenation therapy(ECMO)
ll ll ll ll ll l
2. Uses of exogenous pulmonarysurfactant ll ll ll l
3. The Baby-FriendlyHospital Initiative ll l ll
4. The Safe to Sleep campaign ll ll ll ll
ANS: 4 l l
Chapter: Chapter 1 Trends and Issues ll ll ll ll ll
Chapter Learning Objective: 3. Identifyleading causes of infant death. Page:
ll l ll ll l l ll l ll ll
7
ll
Heading: Trends > Infant MortalityRates l ll l l l
Integrated Processes: Nursing process
ll ll ll ll
Client Need: Safe and Effective Care Environment: Safety and Infection Control
ll ll ll ll ll ll ll l ll ll
Cognitive Level: Application [Applying]
ll ll ll ll
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
ll ll ll ll ll ll ll ll ll ll ll ll ll
Durham And Linda Chapman
ll ll ll ll
Concept: Health Promotion l l
Difficulty: Moderate
ll ll
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
infant mortality among preterm infants.
ll ll ll ll ll
2 This is incorrect. Although advances in medical treatments have decreased infant
ll ll ll ll ll ll ll ll ll ll
mortality, exogenous pulmonarysurfactant is primarilyused to reduce mortalityof
ll ll ll l ll ll l ll ll ll l
preterm infants.
ll ll
3 This is incorrect. The Baby-FriendlyHospital Initiative was developed to support
l ll ll ll l ll ll ll ll ll
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
ll ll ll ll ll ll ll ll ll ll l ll
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
designed to promote healthy infant sleeping habits. The decrease in SIDS from
ll ll ll ll ll ll ll ll ll ll ll ll
1995 to 2015 was attributed to the Safe to Sleep campaign.
ll ll ll ll ll ll ll ll ll ll
PTS: 1 CON: Health Promotion ll ll
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
increased risk of which condition?
ll ll ll ll ll
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 l l
Chapter: Chapter 1 Trends and Issues
ll ll ll ll ll
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
ll ll ll ll ll ll ll ll ll ll
Page: 10
ll ll
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancyand Birth
ll ll ll ll l ll ll ll ll l ll
Integrated Processes: Nursing Process
ll ll ll ll
Client Need: Physiological Integrity: Reduction of Risk Potential
ll ll ll ll ll ll ll
Cognitive Level: Application [Applying]
ll ll ll ll
Concept: Ante/Intra/Post-partum
l
Difficulty: Moderate
ll ll
Feedback
1 This is incorrect. Maternal obesityincreases a child’s risk of developing childhood
ll ll ll ll l ll ll ll ll ll ll
obesity and diabetes.
ll ll ll
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
ll ll ll ll ll ll ll ll ll ll ll
associated with a patient who contracts syphilis during pregnancy.
ll ll ll ll ll ll ll ll ll
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
ll ll ll ll ll ll ll ll ll
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
ll ll ll ll ll l ll ll ll ll ll ll
transmitted illnesses and hypertension during pregnancy; however, maternal
ll ll ll ll ll ll ll ll
syphilis is not associated with fetal hypertension.
ll ll ll ll ll ll ll
PTS: 1 CON: Ante/Intra/Post-partum ll
