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