Test Bank for Davis Advantage for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 4th Edition, by Roberta Durham, Linda Chapman, 2024. All Chapters | Chapters 1 - 19 | Latest Guide

Unit 1: Maternity Nursing Overview
xx xx xx xx x




Chapter 1: Trends and Issues
xx xx xx xx




MULTIPLE CHOICE xx

,1. The nurse is caring for a patient who is in labor with her first child. The patient’s
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx



mother ispresent for support and notes that things have changed in the delivery
xx xx x xx xx xx xx xx xx xx xx xx xx xx


room since she last gave birth in the early 1980s. Which current trend or
xx xx xx xx xx xx xx xx xx xx xx xx xx xx



intervention may the patient’s motherfind most different?
xx xx xx xx xx x xx xx



1. Fetal monitoring throughout labor
xx xx xx


2. Postpartum stay of 10 days xx xx xx xx


3. Expectant partner and family in operating room for cesarean birth
xx xx xx xx xx xx xx xx xx



4. Hospital support for breastfeeding xx xx xx




ANS: 4 x x



Chapter: Chapter 1 Trends and Issues
xx xx xx xx xx



Chapter Learning Objective: 1. Discuss current trends in the management of labor and
xx xx xx xx xx xx xx xx xx xx xx xx


birthPage: 4
xx x xx



Heading: Table 1-1: Past and Present
xx xx xx xx xx



TrendsIntegrated Processes: Nursing
xx x xx xx



Process
xx


Client Need: Health Promotion and
xx xx xx xx



MaintenanceCognitive Level: Application
xx x xx xx


[Applying] Concept: Evidence-Based Practice
xx xx xx xx


Difficulty: Moderate xx




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As
xx xx xx xx xx xx xx xx xx xx xx xx


such,this likely would have occurred during the mother’s labor and
xx x xx xx xx xx xx xx xx xx xx


delivery during the 1980s.
xx xx xx xx



2 This is incorrect. In the past, the average hospital postpartum stay was 10
xx xx xx xx xx xx xx xx xx xx xx xx


days.
xx


Presently, the average postpartum stay is 48 hours or less.
xx xx xx xx xx xx xx xx xx


3 This is incorrect. In the past, expectant partners and families were excluded
xx xx xx xx xx xx xx xx xx xx xx



fromthe labor and birth experience. Present trends involve the expectant
xx x xx xx xx xx xx xx xx xx xx



partner and family in the labor and birth experience, including presence in
xx xx xx xx xx xx xx xx xx xx xx xx



the operating
xx xx



room for cesarean births.
xx xx xx


4 This is correct. Hospital support for breastfeeding, including a lactation
xx xx xx xx xx xx xx xx xx


consultant and employment of the Baby-Friendly Hospital Initiative, were
xx xx xx xx xx xx xx xx


bothenacted during the early 1990s.
xx x xx xx xx xx




PTS: 1 CON: Evidence-Based Practice xx xx




2. A patient with a history of hypertension is giving birth. During delivery, the staff
xx xx xx xx xx xx xx xx xx xx xx xx xx



was notable to stabilize the patient’s blood pressure. As a result, the patient died
xx xx x xx xx xx xx xx xx xx xx xx xx xx xx



shortly after delivery. This is an example of what type of death?
xx xx xx xx xx xx xx xx xx xx xx xx



1. Early maternal death xx xx


2. Late maternal death xx xx

, 3. Direct obstetric death xx xx



4. Indirect obstetric xx


deathANS: 4
xx x x x




Chapter: Chapter 1 Trends and Issues
xx xx xx xx xx



Chapter Learning Objective: 2. Discuss current trends in maternal and infant
xx xx xx xx xx xx xx xx xx xx



healthoutcomes.
xx x


Page: 7 xx



Heading: Trends > Maternal Death and Mortality
xx xx xx xx xx xx


RatesIntegrated Processes: Nursing Process
xx x xx xx xx



Client Need: Physiological Integrity: Reduction of Risk
xx xx xx xx xx xx


PotentialCognitive Level: Application [Applying]
xx x xx xx xx



Concept: Ante/Intra/Post- xx


partumDifficulty: Hard
x xx




Feedback
1 This is incorrect. Early maternal death is not an example of maternal
xx xx xx xx xx xx xx xx xx xx xx


death. Examples of maternal death include late maternal death, indirect
xx xx xx xx xx xx xx xx xx xx


obstetric death,direct obstetric death, and pregnancy-related death.
xx xx x xx xx xx xx xx



2 This is incorrect. Late maternal death occurs 42 days after termination of
xx xx xx xx xx xx xx xx xx xx xx


pregnancy from a direct or indirect obstetric cause. xx xx xx xx xx xx xx



3 This is incorrect. Direct obstetric death results from complications
xx xx xx xx xx xx xx xx


duringpregnancy, labor, birth, and/or postpartum period.
xx x xx xx xx xx xx



4 This is correct. Indirect obstetric death is caused by a preexisting disease,
xx xx xx xx xx xx xx xx xx xx xx


or adisease that develops during pregnancy.
xx xx x xx xx xx xx




PTS: 1 CON: Ante/Intra/Post-partum xx




3. The nurse is providing education to a patient who has given birth to her first child
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx



and is being discharged home. The patient expressed concern regarding infant
xx xx xx xx xx xx xx xx xx xx xx


mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated
xx xx xx xx xx xx xx xx xx xx xx xx


pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx



other health conditions. The infant is healthy and was delivered full-term. What will
xx xx xx xx xx xx xx xx xx xx xx xx xx



be most helpful thing to explainto the patient?
xx xx xx xx xx xx x xx xx



1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
xx xx xx xx xx xx


2. Uses of exogenous pulmonary surfactant
xx xx xx xx



3. The Baby-Friendly Hospital Initiative
xx xx xx



4. The Safe to Sleep campaign
xx xx xx xx




ANS: 4 x x



Chapter: Chapter 1 Trends and Issues
xx xx xx xx xx



Chapter Learning Objective: 3. Identify leading causes of infant
xx xx xx xx xx xx xx xx



death.Page: 7
xx x xx



Heading: Trends > Infant Mortalityxx xx xx xx



RatesIntegrated Processes: Nursing
xx x xx xx



process
xx



Client Need: Safe and Effective Care Environment: Safety and Infection
xx xx xx xx xx xx xx xx xx



ControlCognitive Level: Application [Applying]
xx x xx xx xx

, Concept: Health
xx



PromotionDifficulty:
xx x



Moderate
xx