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TEST BANK FOR
MATERNAL-NEWBORN NURSING: THE
CRITICAL COMPONENTS OF NURSING
CARE, 3RD EDITION, ROBERTA
DURHAM, LINDA CHAPMAN
Test Bank
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,Maternal-Newborn Nursing 3rd eds Durham
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TABLEOFCONTENTS gd gd
MaternityNursingOverview d
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1. Trends and Issues gd gd
2. Ethics and Standards of Practice Issues
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TheAntepartal Period
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3. Genetics,Conception,Fetal Development,and Reproductive T gd gd gd gd gd g d
echnology
4. PhysiologicalAspectsofAntepartum Care gd gd gd gd
5. ThePsycho-Social-Cultural Aspects oftheAntepartum Period
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6. AntepartalTests d
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7. High-RiskAntepartumNursingCare d
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IntrapartalPeriod d
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8. IntrapartumAssessmentandInterventions d
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9. Fetal Heart Rate Assessment
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10. High-Risk Laborand Birth gd gd gd
11. Intrapartum and Postpartum Care of the Cesarean Birth Families gd gd gd gd gd gd gd gd
PostpartalPeriod d
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12. PostpartumPhysiological Assessments and Nursing Care d
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13. Transition to Parenthood gd gd
14. High-RiskPostpartumNursingCare gd gd gd
NeonatalPeriod d
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15. Physiological and Behavioral Responses of the Neonate gd gd gd gd gd gd
16. DischargePlanning and Teaching gd gd gd
17. High-RiskNeonatalNursingCare gd gd gd
Women’sHealth d
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18. WellWomen’s Health d
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19. AlterationsinWomen’sHealth d
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Test Bank
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,Maternal-Newborn Nursing 3rd eds Durham
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Chapter 1: Trends and Issues gd gd gd gd
MULTIPLE CHOICE gd
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is pr
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esent for support and notes that things have changed in the delivery room since she last gave b
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irth in the early 1980s. Which current trend or intervention may the patient’s mother find mo
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st different? gd
1. Fetal monitoring throughout labor gd gd gd
2. Postpartum stay of 10 days gd gd gd gd
3. Expectant partner and family in operating room for cesarean birth gd gd gd gd gd gd gd gd gd
4. Hospital support for breastfeeding gd gd gd
ANS: 4 g d
Chapter: Chapter 1 Trends and Issues gd gd gd gd gd
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
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:4
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Heading: Table 1- gd gd
1: Past and Present Trends Integrated Processes: N
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ursing Process gd
Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying] Concept gd gd gd g d
: Evidence-Based Practice
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Difficulty: Moderate gd
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such, thi
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s likely would have occurred during the mother’s labor and delivery during the 198
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0s.
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days. Pr
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esently, the average postpartum stay is 48 hours or less. gd gd gd gd gd gd gd gd gd
3 This is incorrect. In the past, expectant partners and families were excluded from th
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e labor and birth experience. Present trends involve the expectant partner and famil
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y in the labor and birth experience, including presence in the operating room for ces
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arean births. gd
4 This is correct. Hospital support for breastfeeding, including a lactation consulta
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nt and employment of the Baby-
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Friendly Hospital Initiative, were both enacted during the early 1990s. gd gd gd gd g d gd gd gd gd
PTS: 1 CON: Evidence-Based Practice gd gd
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not abl
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e to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery
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. This is an example of what type of death?
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1. Early maternal death gd gd
2. Late maternal death gd gd
3. Direct obstetric death gd gd
4. Indirect obstetric death gd gd g d
ANS: 4 g d
Test Bank
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, Maternal-Newborn Nursing 3rd eds Durham
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Chapter: Chapter 1 Trends and Issues gd gd gd gd gd
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 gd
Heading: Trends > Maternal Death and Mortality Rates Integrated gd gd gd gd gd gd gd g d g
Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential Cognit
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ive Level: Application [Applying]
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Concept:Ante/Intra/Post- d
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partum Difficulty: Hard g d gd
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Exampl
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es of maternal death include late maternal death, indirect obstetric death, direct obs
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tetric death, and pregnancy-related death. gd gd gd gd
2 This is incorrect. Late maternal death occurs 42 days after termination of pr
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egnancy from a direct or indirect obstetric cause. gd gd gd gd gd gd gd
3 This is incorrect. Direct obstetric death results from complications during p
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regnancy, labor, birth, and/or postpartum period. gd gd gd gd gd
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a di
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sease that develops during pregnancy. gd gd gd gd
PTS: 1 CON: Ante/Intra/Post-partum gd
3. The nurse is providing education to a patient who has given birth to her first child and is being di
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scharged home. The patient expressed concern regarding infant mortality and sudden infant de
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ath syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal deliver
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y. She has a body mass index of 25 and has no other health conditions. The infant is healthy and
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was delivered full-term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO) gd gd gd gd gd gd
2. Uses of exogenous pulmonary surfactant gd gd gd gd
3. The Baby-Friendly Hospital Initiative gd gd gd
4. The Safe to Sleep campaign gd gd gd gd
ANS: 4 g d
Chapter: Chapter 1 Trends and Issues gd gd gd gd gd
Chapter Learning Objective: 3. Identify leading causes of infant death. P
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age: 7 gd
Heading: Trends > Infant Mortality Rates I gd gd gd gd gd g d
ntegrated Processes: Nursing process gd gd gd
Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogn
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itive Level: Application [Applying]
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Concept: Health Promotion Difficulty gd gd g d
: Moderate
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Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced inf
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ant mortality among preterm infants.
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Test Bank
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