TEST BANK
qy qy
MATERNAL-
NEWBORN NURSING:THE CRITIC qy q
y qy
AL COMPONENTS OFNURSING CA
qy qy q
y qy
RE 3RD EDITION BY LINDA CHAPM
qy qy qy qy qy
AN AND ROBERTA DURHAM
qy qy qy
,TEST BANK: Maternal-
qy qy
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda C
qy qy qy qy qy qy qy qy qy qy qy y
q qy qy qy
hapman
Unit 1: Maternity Nursing Overvie
qy qy qy qy
wChapter 1: Trends and Issues
q
y qy qy qy qy
MULTIPLE CHOICE qy
1. The nurse is caring for a patient who is in labor with her first child. The patient’s moth
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
er ispresent for support and notes that things have changed in the delivery room since s
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
he last gave birth in the early 1980s. Which current trend or intervention may the patien
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
t’s motherfind most different?
qy qy qy qy
1. Fetal monitoring throughout labor qy qy qy
2. Postpartum stay of 10 days qy qy qy qy
3. Expectant partner and family in operating room for cesarean birth qy qy qy qy qy qy qy qy qy
4. Hospital support for breastfeeding qy qy qy
ANS: 4 q y
Chapter: Chapter 1 Trends and Issues qy qy qy qy qy
Chapter Learning Objective: 1. Discuss current trends in the management of labor and bir
qy qy qy qy qy qy qy qy qy qy qy qy qy
thPage: 4
y
q qy
Heading: Table 1- qy qy
1: Past and Present TrendsIntegrated Proces
qy qy qy qy qy qy
ses: Nursing Process
qy qy
Client Need: Health Promotion and Maintenance
qy qy qy qy qy y
q
Cognitive Level: Application [Applying] Conce qy qy qy qy
pt: Evidence-Based Practice
qy qy
Difficulty: Moderate qy
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As su
qy qy qy qy qy qy qy qy qy qy qy qy qy
ch,this likely would have occurred during the mother’s labor and delivery duri
qy qy qy qy qy qy qy qy qy qy qy qy
ng the 1980s. qy qy
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
qy qy qy qy qy qy qy qy qy qy qy qy qy
Presently, the average postpartum stay is 48 hours or less.
qy qy qy qy qy qy qy qy qy
3 This is incorrect. In the past, expectant partners and families were excluded fro
qy qy qy qy qy qy qy qy qy qy qy qy
mthe labor and birth experience. Present trends involve the expectant partner
qy qy qy qy qy qy qy qy qy qy qy qy
and family in the labor and birth experience, including presence in the operati
qy qy qy qy qy qy qy qy qy qy qy qy
ng
room for cesarean births. qy qy qy
4 This is correct. Hospital support for breastfeeding, including a lactation
qy qy qy qy qy qy qy qy qy
consultant and employment of the Baby- qy qy qy qy qy
Friendly Hospital Initiative, were bothenacted during the early 1990s.
qy qy qy qy y
q qy qy qy qy
PTS: 1 CON: Evidence-Based Practice qy qy
2. A patient with a history of hypertension is giving birth. During delivery, the staff was
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
notable to stabilize the patient’s blood pressure. As a result, the patient died shortly af
y
q qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ter delivery. This is an example of what type of death?
qy qy qy qy qy qy qy qy qy qy
1. Early maternal death qy qy
2. Late maternal death qy qy
,TEST BANK: Maternal-
qy qy
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda C
qy qy qy qy qy qy qy qy qy qy qy y
q qy qy qy
hapman
3. Direct obstetric death qy qy
4. Indirect obstetric deat qy qy
hANS: 4
y
q q y
Chapter: Chapter 1 Trends and Issues qy qy qy qy qy
Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutco
qy qy qy qy qy qy qy qy qy qy qy y
q
mes.
Page: 7 qy
Heading: Trends > Maternal Death and Mortality Rat
qy qy qy qy qy qy qy
esIntegrated Processes: Nursing Process
y
q qy qy qy
Client Need: Physiological Integrity: Reduction of Risk Potenti
qy qy qy qy qy qy qy
alCognitive Level: Application [Applying]
y
q qy qy qy
Concept: Ante/Intra/Post- qy
partumDifficulty: Hard qy qy
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. E
qy qy qy qy qy qy qy qy qy qy qy qy qy
xamples of maternal death include late maternal death, indirect obstetric death,
qy qy qy qy qy qy qy qy qy qy y
q
direct obstetric death, and pregnancy-related death.
qy qy qy qy qy
2 This is incorrect. Late maternal death occurs 42 days after termination of
qy qy qy qy qy qy qy qy qy qy qy
pregnancy from a direct or indirect obstetric cause. qy qy qy qy qy qy qy
3 This is incorrect. Direct obstetric death results from complications duri
qy qy qy qy qy qy qy qy qy
ngpregnancy, labor, birth, and/or postpartum period.
qy qy qy qy qy qy
4 This is correct. Indirect obstetric death is caused by a preexisting disease, o
qy qy qy qy qy qy qy qy qy qy qy qy
r adisease that develops during pregnancy.
qy qy qy qy qy qy
PTS: 1 CON: Ante/Intra/Post-partumqy
3. The nurse is providing education to a patient who has given birth to her first child and is
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
being discharged home. The patient expressed concern regarding infant mortality and sud
y qy qy qy qy qy qy qy qy qy qy qy
den infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, a
qy qy qy qy qy qy qy qy qy qy qy qy
nd vaginal delivery. She has a body mass index of 25 and has no other health conditions.
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
The infant is healthy and was delivered full-
y qy qy qy qy qy qy qy
term. What will be most helpful thing to explainto the patient?
qy qy qy qy qy qy qy qy y
q qy qy
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
qy qy qy qy qy qy
2. Uses of exogenous pulmonary surfactant qy qy qy qy
3. The Baby-Friendly Hospital Initiative qy qy qy
4. The Safe to Sleep campaign qy qy qy qy
ANS: 4 q y
Chapter: Chapter 1 Trends and Issues qy qy qy qy qy
Chapter Learning Objective: 3. Identify leading causes of infant death.Pag
qy qy qy qy qy qy qy qy qy y
q
e: 7 qy
Heading: Trends > Infant Mortality Rate qy qy qy qy qy
sIntegrated Processes: Nursing process
y
q qy qy qy
Client Need: Safe and Effective Care Environment: Safety and Infection Contr
qy qy qy qy qy qy qy qy qy qy
olCognitive Level: Application [Applying]
y
q qy qy qy
, TEST BANK: Maternal-
qy qy
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda C
qy qy qy qy qy qy qy qy qy qy qy y
q qy qy qy
hapman
Concept: Health Promotio
qy qy
nDifficulty: Moderate
y
q qy
qy qy
MATERNAL-
NEWBORN NURSING:THE CRITIC qy q
y qy
AL COMPONENTS OFNURSING CA
qy qy q
y qy
RE 3RD EDITION BY LINDA CHAPM
qy qy qy qy qy
AN AND ROBERTA DURHAM
qy qy qy
,TEST BANK: Maternal-
qy qy
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda C
qy qy qy qy qy qy qy qy qy qy qy y
q qy qy qy
hapman
Unit 1: Maternity Nursing Overvie
qy qy qy qy
wChapter 1: Trends and Issues
q
y qy qy qy qy
MULTIPLE CHOICE qy
1. The nurse is caring for a patient who is in labor with her first child. The patient’s moth
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
er ispresent for support and notes that things have changed in the delivery room since s
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
he last gave birth in the early 1980s. Which current trend or intervention may the patien
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
t’s motherfind most different?
qy qy qy qy
1. Fetal monitoring throughout labor qy qy qy
2. Postpartum stay of 10 days qy qy qy qy
3. Expectant partner and family in operating room for cesarean birth qy qy qy qy qy qy qy qy qy
4. Hospital support for breastfeeding qy qy qy
ANS: 4 q y
Chapter: Chapter 1 Trends and Issues qy qy qy qy qy
Chapter Learning Objective: 1. Discuss current trends in the management of labor and bir
qy qy qy qy qy qy qy qy qy qy qy qy qy
thPage: 4
y
q qy
Heading: Table 1- qy qy
1: Past and Present TrendsIntegrated Proces
qy qy qy qy qy qy
ses: Nursing Process
qy qy
Client Need: Health Promotion and Maintenance
qy qy qy qy qy y
q
Cognitive Level: Application [Applying] Conce qy qy qy qy
pt: Evidence-Based Practice
qy qy
Difficulty: Moderate qy
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As su
qy qy qy qy qy qy qy qy qy qy qy qy qy
ch,this likely would have occurred during the mother’s labor and delivery duri
qy qy qy qy qy qy qy qy qy qy qy qy
ng the 1980s. qy qy
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
qy qy qy qy qy qy qy qy qy qy qy qy qy
Presently, the average postpartum stay is 48 hours or less.
qy qy qy qy qy qy qy qy qy
3 This is incorrect. In the past, expectant partners and families were excluded fro
qy qy qy qy qy qy qy qy qy qy qy qy
mthe labor and birth experience. Present trends involve the expectant partner
qy qy qy qy qy qy qy qy qy qy qy qy
and family in the labor and birth experience, including presence in the operati
qy qy qy qy qy qy qy qy qy qy qy qy
ng
room for cesarean births. qy qy qy
4 This is correct. Hospital support for breastfeeding, including a lactation
qy qy qy qy qy qy qy qy qy
consultant and employment of the Baby- qy qy qy qy qy
Friendly Hospital Initiative, were bothenacted during the early 1990s.
qy qy qy qy y
q qy qy qy qy
PTS: 1 CON: Evidence-Based Practice qy qy
2. A patient with a history of hypertension is giving birth. During delivery, the staff was
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
notable to stabilize the patient’s blood pressure. As a result, the patient died shortly af
y
q qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ter delivery. This is an example of what type of death?
qy qy qy qy qy qy qy qy qy qy
1. Early maternal death qy qy
2. Late maternal death qy qy
,TEST BANK: Maternal-
qy qy
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda C
qy qy qy qy qy qy qy qy qy qy qy y
q qy qy qy
hapman
3. Direct obstetric death qy qy
4. Indirect obstetric deat qy qy
hANS: 4
y
q q y
Chapter: Chapter 1 Trends and Issues qy qy qy qy qy
Chapter Learning Objective: 2. Discuss current trends in maternal and infant healthoutco
qy qy qy qy qy qy qy qy qy qy qy y
q
mes.
Page: 7 qy
Heading: Trends > Maternal Death and Mortality Rat
qy qy qy qy qy qy qy
esIntegrated Processes: Nursing Process
y
q qy qy qy
Client Need: Physiological Integrity: Reduction of Risk Potenti
qy qy qy qy qy qy qy
alCognitive Level: Application [Applying]
y
q qy qy qy
Concept: Ante/Intra/Post- qy
partumDifficulty: Hard qy qy
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. E
qy qy qy qy qy qy qy qy qy qy qy qy qy
xamples of maternal death include late maternal death, indirect obstetric death,
qy qy qy qy qy qy qy qy qy qy y
q
direct obstetric death, and pregnancy-related death.
qy qy qy qy qy
2 This is incorrect. Late maternal death occurs 42 days after termination of
qy qy qy qy qy qy qy qy qy qy qy
pregnancy from a direct or indirect obstetric cause. qy qy qy qy qy qy qy
3 This is incorrect. Direct obstetric death results from complications duri
qy qy qy qy qy qy qy qy qy
ngpregnancy, labor, birth, and/or postpartum period.
qy qy qy qy qy qy
4 This is correct. Indirect obstetric death is caused by a preexisting disease, o
qy qy qy qy qy qy qy qy qy qy qy qy
r adisease that develops during pregnancy.
qy qy qy qy qy qy
PTS: 1 CON: Ante/Intra/Post-partumqy
3. The nurse is providing education to a patient who has given birth to her first child and is
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
being discharged home. The patient expressed concern regarding infant mortality and sud
y qy qy qy qy qy qy qy qy qy qy qy
den infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, a
qy qy qy qy qy qy qy qy qy qy qy qy
nd vaginal delivery. She has a body mass index of 25 and has no other health conditions.
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
The infant is healthy and was delivered full-
y qy qy qy qy qy qy qy
term. What will be most helpful thing to explainto the patient?
qy qy qy qy qy qy qy qy y
q qy qy
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
qy qy qy qy qy qy
2. Uses of exogenous pulmonary surfactant qy qy qy qy
3. The Baby-Friendly Hospital Initiative qy qy qy
4. The Safe to Sleep campaign qy qy qy qy
ANS: 4 q y
Chapter: Chapter 1 Trends and Issues qy qy qy qy qy
Chapter Learning Objective: 3. Identify leading causes of infant death.Pag
qy qy qy qy qy qy qy qy qy y
q
e: 7 qy
Heading: Trends > Infant Mortality Rate qy qy qy qy qy
sIntegrated Processes: Nursing process
y
q qy qy qy
Client Need: Safe and Effective Care Environment: Safety and Infection Contr
qy qy qy qy qy qy qy qy qy qy
olCognitive Level: Application [Applying]
y
q qy qy qy
, TEST BANK: Maternal-
qy qy
Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By RobertaDurham And Linda C
qy qy qy qy qy qy qy qy qy qy qy y
q qy qy qy
hapman
Concept: Health Promotio
qy qy
nDifficulty: Moderate
y
q qy