TEST BANK FOR MATERNAL-NEWBORN NURSING: THE CRITICAL COMPONENTS OF NURSING CARE 4TH EDITION BY DURHAM /ALL CHAPTERS 1-19

TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 4e Edition By RobertaDurham And Linda Ch
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Unit 1: Maternity Nursing Overvie
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wChapter 1: Trends and Issues
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MULTIPLE CHOICE zq

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 4e Edition By RobertaDurham And Linda Ch
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1. The nurse is caring for a patient who is in labor with her first child. The patient’s mothe
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r ispresent for support and notes that things have changed in the delivery room since she
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last gave birth in the early 1980s. Which current trend or intervention may the patient’s
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motherfind most different?
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1. Fetal monitoring throughout labor zq zq zq


2. Postpartum stay of 10 days zq zq zq zq


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



4. Hospital support for breastfeeding zq zq zq




ANS: 4 z q



Chapter: Chapter 1 Trends and Issues zq zq zq zq zq



Chapter Learning Objective: 1. Discuss current trends in the management of labor and birt
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hPage: 4
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Heading: Table 1- zq zq



1: Past and Present TrendsIntegrated Proces
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ses: Nursing Process zq zq


Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Conce zq zq zq zq


pt: Evidence-Based Practice
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Difficulty: Moderate zq




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As suc
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h,this likely would have occurred during the mother’s labor and delivery durin
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g the 1980s.
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2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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Presently, the average postpartum stay is 48 hours or less.
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3 This is incorrect. In the past, expectant partners and families were excluded fro
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mthe labor and birth experience. Present trends involve the expectant partner a
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nd family in the labor and birth experience, including presence in the operating
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room for cesarean births. zq zq zq



4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- zq zq zq zq zq


Friendly Hospital Initiative, were bothenacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice zq zq




2. A patient with a history of hypertension is giving birth. During delivery, the staff was n
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otable to stabilize the patient’s blood pressure. As a result, the patient died shortly afte
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r delivery. This is an example of what type of death?
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1. Early maternal death zq zq



2. Late maternal death zq zq

,TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 4e Edition By RobertaDurham And Linda Ch
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3. Direct obstetric death zq zq



4. Indirect obstetric deat zq zq


hANS: 4
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Chapter: Chapter 1 Trends and Issues zq zq zq zq zq



Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutcom
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es.
Page: 7 zq



Heading: Trends > Maternal Death and Mortality Rate
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sIntegrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potenti
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alCognitive Level: Application [Applying]
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Concept: Ante/Intra/Post- zq


partumDifficulty: Hard qz zq




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. E
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xamples of maternal death include late maternal death, indirect obstetric death,
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direct obstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause. zq zq zq zq zq zq zq



3 This is incorrect. Direct obstetric death results from complications durin
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gpregnancy, labor, birth, and/or postpartum period.
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4 This is correct. Indirect obstetric death is caused by a preexisting disease, or
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adisease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum zq




3. The nurse is providing education to a patient who has given birth to her first child and is
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being discharged home. The patient expressed concern regarding infant mortality and sud
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den infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, an
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d vaginal delivery. She has a body mass index of 25 and has no other health conditions. T
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he infant is healthy and was delivered full-
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term. What will be most helpful thing to explainto the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant zq zq zq zq



3. The Baby-Friendly Hospital Initiativezq zq zq



4. The Safe to Sleep campaign zq zq zq zq




ANS: 4 z q



Chapter: Chapter 1 Trends and Issues zq zq zq zq zq



Chapter Learning Objective: 3. Identify leading causes of infant death.Pag
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e: 7 zq



Heading: Trends > Infant Mortality Rate zq zq zq zq zq



sIntegrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Contr
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olCognitive Level: Application [Applying]
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, TEST BANK: Maternal-
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Newborn Nursing: The Critical Components Of Nursing Care 4e Edition By RobertaDurham And Linda Ch
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Concept: Health Promotio
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nDifficulty: Moderate
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