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