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CriticalComponentsof Nu… c g c g
Davis AdvantageforMaternal-Newborn Nursing-
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c
CriticalComponentsofNursingCare4thEdition DurhamTestBan
g
c g
c g
c g
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c cg cg
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MaternitycgNursingcgOverviewcgChapt
ec g rcg1.cgTrendsand Issues f
1. Since 1995 therehasbeena significant decrease cgin therate cgofcginfant death c g rel
f f f f f f f f f
atec g dto which cgofcgthe following:
f f f
a. Disordersc g associatedwith short gestationc gandcglowbirthweight f f f
b. Accidents
c. Sudden infant death f f
d. Newborns affectedbycomplicationscgofcgplacenta,cgcord,cgand membranescgA
f f
Nc g S: c
f
Feedback
a. Theratescgof cgprematuritycgand cglowbirth weight areincreasing.
f f f f
b. Theratescgofcgaccidentscghaveincreased.
c. Correct. cgThe rateofc g infant cgdeath cgrelated to SIDShas decreased cgfromc g87.1cgto
f f f f f f f f f
47.2.cgThedecrease in rate is partiallycgattributed to placing infants cgontheircgbackscgwhens
f f f f f f f f
lc g eeping.
d. Theratescgofcgnewborns affectedby complicationscgofcgplacenta,cgcord,cgand c g m f f f
ec g mbraneshaveincreased.
KEY:cgIntegratedcgProcess:cgTeachingc g and cgLearning|CognitivecgLevel:cgKnowledge | f f f
Content Area: Maternity| ClientcgNeed:cgHealthPromotion cgand Maintenance |cgDifficulty
f f f f f f
Lc g evel: Easy f
2. Tobacco use cgduring pregnancyis cgassociated with adverse effects on thecgunbor
f f f f f f f f f
nic g nfant suchcgascgintrauterine growthrestriction,cgpreterm births,cgand c g respiratorypro
f f f f
blemc g s. Byrace,cgwhich has the highestpercentagescgofcgsmokers?
f f f f
a. American cgIndian c g and cgAlaskan c g Natives
f f f f
b. Asian orcgPacific cgIslanders
f f
c. Non-Hispanic c g blacks f
d. Non-
c g Hispanicwhites c g AN f
S:ac g Feedback
a. 36%cgofcgAmerican c gIndian c gandcgNative cgAmericanwomencgarecigarette smokers. f f f f
b. 4.3%cgofcgAsian c gorcgPacific cgIslandercgwomencgarecigarette cgsmokers.
f f f
c. 17.1%cgofcgnon-Hispanic black womencgarecigarette smokers.
f f f f
d. 19.6%cgofcgnon-Hispaniccgwhitewomencgarecigarette smokers.
f f
KEY:cgIntegratedProcess:cgClinicalProblem Solving|Cognitive Level:cgKnowledge |cgCo f f f
nc g tent Area:cgMaternity| Client Need:cgSafe and EffectiveCare cgEnvironment |cgDifficult
f f f f f f f
yLevc g el:cgEasy
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CriticalComponentsof Nu… c g c g
3. Which cgofc g the followingwomen c g is cgat cgthe highest risk forc g health disparity?
f f f f f f f f f
a. A white, middle-class,c g 16-year-old woman
f f f
b. An cgAfricancgAmerican,cgmiddle-class,cg25-year-old woman
f f
c. AncgAfrican cg American,c gupper-middle-class,cg19-year-old cgwoman f f
d. An Asian,cglow-income,cg30-year-
f
c g old woman c g ANS:d
f f
Feedback
a. Although cgage c g is c g a risk factor,cgincome contributescgtodisparity.
f f f f f f
b. Although AfricanAmericanwomenareat cgincreasedrisk,cgincome accounts forc g th
f f f f
e lc g argest disparity.
f f
c. Althoughage and race contribute to increased risk,cgincomeaccountsforthe c g larg f f f f f f f
ec g st disparity. f
d. Although c g agec gand cgrace contributeto increased risk,c g income c g accounts cgfor the
f f f f f f f f
largestcgdisparity.
KEY:cgIntegratedProcess:cgClinicalProblem Solving|CognitiveLevel: cgApplication| c g C f f f
onc g tent Area:cgMaternity| Client Need:cgHealthPromotion cgandMaintenance |c g Difficulty
f f f f f
Level
:cgModerate
4. Aneonate born c gatcg36 cgweekscggestationcgiscgclassifiedcgas cgwhich cgofcgthefollowing?
f f f f f f
a. Verypremature
b. Moderately c g premature f
c. Late premature f
d. Term
c g AN
S:c
Feedback
a. Veryprematureis cglesscgthancg32 weeks gestation. f f f
b. Moderatelypremature cgisc g 32 cgto cg33 completed weeksc g gestation. f f f f f
c. Correct. cgLate premature c giscg34 cgto cg36 cgcompleted weekscggestation.
f f f f f f f
d. Termcgiscg37cgto cg42 cgweeks gestation.
f f f f
KEY:cgIntegratedProcess:cgClinicalProblem Solving|CognitiveLevel:cgApplication| c g Co f f
nc g tent Area:cgMaternity| Client Need:cgPhysiologicalAdaptation|Difficulty cgLevel:c g Eas
f f f
y
5. Theperinatal nurse cgexplains to the studentnursethat a cggoal cgofcgthe HealthycgPe
f f f f f f f f f
oplc g e cg2020reportcgis to:f f
a. Increase proportioncgofcginfantscgwho c g are breastfed to cg93.1%.
f f f f f
b. Increase proportioncgofcginfantscgwho c gare c gbreastfedto90.7%.
f f f
c. Increase proportion cgofcginfants who cgarebreastfedto cg85.6%.
f f f f f
d. Increase proportioncgofcginfants who are breastfed to83.9%.cgAN
f f f f f
c g S: d f
A goal cgof HealthyPeople cg2020 cgis to cgincrease theproportioncgofcginfantswho are c g breas
f f f f f f f f f f
tfed c g from74%to 81.9%.
f f f
KEY:cgIntegratedProcess:cgTeachingcgand Learning| ClientcgNeed:cgHealthPromotion c g an f f f
dc g Maintenance|Cognitive Level:cgApplication| ContentcgArea:cgMaternity|c g DifficultyL f f
evel:c g Moderate
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CriticalComponentsof Nu… c g c g
6. Theperinatal nurse c g explains to the studentnurse thatf f f f f f f
c g c g isthe c g leadingcause cgofcginfant death in the United States.
f f f f f f f
a. SuddencgInfant cgDeath c gSyndrome f f
b. Respiratory distress c g ofcgnewborns f f
c. Disorders related to short gestation c g andc g lowbirth c g weight
f f f f f f
d. Congenital malformationscgandchromosomalcgabnormalitiescg
f
Ac g NS: d f
KEY:cgIntegratedcgProcess:cgClinical cgProblemcgSolving|cgCognitive c gLevel:cgKnowledge| f f f
Content Area: Maternity| ClientcgNeed:cgSafecgand EffectiveCare cgEnvironment |cgDifficult
f f f f f f
yc g Level:cgDifficult
MultiplecgResponse
7. Which ofcgthe followingstatements are truerelatedto teen pregnancies? c g (Se
f f f f f f f
lc g ect all that apply.)
f f f
a. Teenmotherscgare c gat cghighercgrisk cgforcgHIV. f f f
b. Teenmotherscgare c gat cghighercgrisk forcghypertensive c gproblems. f f f f
c. The birthrate forc gteenaged women c ghas c g increased c g incgthe past cg15 c g years.
f f f f f f f f f
d. Infantsborn to teenmotherscgare cgatcghigherriskforhealthproblems.c g ANS
f f f
:cga,cgb, d
f
Healthstatistics report higherriskforcgHIV,cgforhypertensive problems,cgandforcghealth pr
f f f f
oc g blems to infants born to teen mothers.cgBirthratesfor teenmothersinallc g agecategor
f f f f f f f
ies hc g ave decreased since 1991.
f f f f
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CriticalComponentsof
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c g
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CriticalComponentsof Nu… c g c g
Davis AdvantageforMaternal-Newborn Nursing-
f g
c g
c
CriticalComponentsofNursingCare4thEdition DurhamTestBan
g
c g
c g
c g
c g
c g
c cg cg
k
MaternitycgNursingcgOverviewcgChapt
ec g rcg1.cgTrendsand Issues f
1. Since 1995 therehasbeena significant decrease cgin therate cgofcginfant death c g rel
f f f f f f f f f
atec g dto which cgofcgthe following:
f f f
a. Disordersc g associatedwith short gestationc gandcglowbirthweight f f f
b. Accidents
c. Sudden infant death f f
d. Newborns affectedbycomplicationscgofcgplacenta,cgcord,cgand membranescgA
f f
Nc g S: c
f
Feedback
a. Theratescgof cgprematuritycgand cglowbirth weight areincreasing.
f f f f
b. Theratescgofcgaccidentscghaveincreased.
c. Correct. cgThe rateofc g infant cgdeath cgrelated to SIDShas decreased cgfromc g87.1cgto
f f f f f f f f f
47.2.cgThedecrease in rate is partiallycgattributed to placing infants cgontheircgbackscgwhens
f f f f f f f f
lc g eeping.
d. Theratescgofcgnewborns affectedby complicationscgofcgplacenta,cgcord,cgand c g m f f f
ec g mbraneshaveincreased.
KEY:cgIntegratedcgProcess:cgTeachingc g and cgLearning|CognitivecgLevel:cgKnowledge | f f f
Content Area: Maternity| ClientcgNeed:cgHealthPromotion cgand Maintenance |cgDifficulty
f f f f f f
Lc g evel: Easy f
2. Tobacco use cgduring pregnancyis cgassociated with adverse effects on thecgunbor
f f f f f f f f f
nic g nfant suchcgascgintrauterine growthrestriction,cgpreterm births,cgand c g respiratorypro
f f f f
blemc g s. Byrace,cgwhich has the highestpercentagescgofcgsmokers?
f f f f
a. American cgIndian c g and cgAlaskan c g Natives
f f f f
b. Asian orcgPacific cgIslanders
f f
c. Non-Hispanic c g blacks f
d. Non-
c g Hispanicwhites c g AN f
S:ac g Feedback
a. 36%cgofcgAmerican c gIndian c gandcgNative cgAmericanwomencgarecigarette smokers. f f f f
b. 4.3%cgofcgAsian c gorcgPacific cgIslandercgwomencgarecigarette cgsmokers.
f f f
c. 17.1%cgofcgnon-Hispanic black womencgarecigarette smokers.
f f f f
d. 19.6%cgofcgnon-Hispaniccgwhitewomencgarecigarette smokers.
f f
KEY:cgIntegratedProcess:cgClinicalProblem Solving|Cognitive Level:cgKnowledge |cgCo f f f
nc g tent Area:cgMaternity| Client Need:cgSafe and EffectiveCare cgEnvironment |cgDifficult
f f f f f f f
yLevc g el:cgEasy
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CriticalComponentsof Nu… c g c g
3. Which cgofc g the followingwomen c g is cgat cgthe highest risk forc g health disparity?
f f f f f f f f f
a. A white, middle-class,c g 16-year-old woman
f f f
b. An cgAfricancgAmerican,cgmiddle-class,cg25-year-old woman
f f
c. AncgAfrican cg American,c gupper-middle-class,cg19-year-old cgwoman f f
d. An Asian,cglow-income,cg30-year-
f
c g old woman c g ANS:d
f f
Feedback
a. Although cgage c g is c g a risk factor,cgincome contributescgtodisparity.
f f f f f f
b. Although AfricanAmericanwomenareat cgincreasedrisk,cgincome accounts forc g th
f f f f
e lc g argest disparity.
f f
c. Althoughage and race contribute to increased risk,cgincomeaccountsforthe c g larg f f f f f f f
ec g st disparity. f
d. Although c g agec gand cgrace contributeto increased risk,c g income c g accounts cgfor the
f f f f f f f f
largestcgdisparity.
KEY:cgIntegratedProcess:cgClinicalProblem Solving|CognitiveLevel: cgApplication| c g C f f f
onc g tent Area:cgMaternity| Client Need:cgHealthPromotion cgandMaintenance |c g Difficulty
f f f f f
Level
:cgModerate
4. Aneonate born c gatcg36 cgweekscggestationcgiscgclassifiedcgas cgwhich cgofcgthefollowing?
f f f f f f
a. Verypremature
b. Moderately c g premature f
c. Late premature f
d. Term
c g AN
S:c
Feedback
a. Veryprematureis cglesscgthancg32 weeks gestation. f f f
b. Moderatelypremature cgisc g 32 cgto cg33 completed weeksc g gestation. f f f f f
c. Correct. cgLate premature c giscg34 cgto cg36 cgcompleted weekscggestation.
f f f f f f f
d. Termcgiscg37cgto cg42 cgweeks gestation.
f f f f
KEY:cgIntegratedProcess:cgClinicalProblem Solving|CognitiveLevel:cgApplication| c g Co f f
nc g tent Area:cgMaternity| Client Need:cgPhysiologicalAdaptation|Difficulty cgLevel:c g Eas
f f f
y
5. Theperinatal nurse cgexplains to the studentnursethat a cggoal cgofcgthe HealthycgPe
f f f f f f f f f
oplc g e cg2020reportcgis to:f f
a. Increase proportioncgofcginfantscgwho c g are breastfed to cg93.1%.
f f f f f
b. Increase proportioncgofcginfantscgwho c gare c gbreastfedto90.7%.
f f f
c. Increase proportion cgofcginfants who cgarebreastfedto cg85.6%.
f f f f f
d. Increase proportioncgofcginfants who are breastfed to83.9%.cgAN
f f f f f
c g S: d f
A goal cgof HealthyPeople cg2020 cgis to cgincrease theproportioncgofcginfantswho are c g breas
f f f f f f f f f f
tfed c g from74%to 81.9%.
f f f
KEY:cgIntegratedProcess:cgTeachingcgand Learning| ClientcgNeed:cgHealthPromotion c g an f f f
dc g Maintenance|Cognitive Level:cgApplication| ContentcgArea:cgMaternity|c g DifficultyL f f
evel:c g Moderate
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CriticalComponentsof Nu… c g c g
6. Theperinatal nurse c g explains to the studentnurse thatf f f f f f f
c g c g isthe c g leadingcause cgofcginfant death in the United States.
f f f f f f f
a. SuddencgInfant cgDeath c gSyndrome f f
b. Respiratory distress c g ofcgnewborns f f
c. Disorders related to short gestation c g andc g lowbirth c g weight
f f f f f f
d. Congenital malformationscgandchromosomalcgabnormalitiescg
f
Ac g NS: d f
KEY:cgIntegratedcgProcess:cgClinical cgProblemcgSolving|cgCognitive c gLevel:cgKnowledge| f f f
Content Area: Maternity| ClientcgNeed:cgSafecgand EffectiveCare cgEnvironment |cgDifficult
f f f f f f
yc g Level:cgDifficult
MultiplecgResponse
7. Which ofcgthe followingstatements are truerelatedto teen pregnancies? c g (Se
f f f f f f f
lc g ect all that apply.)
f f f
a. Teenmotherscgare c gat cghighercgrisk cgforcgHIV. f f f
b. Teenmotherscgare c gat cghighercgrisk forcghypertensive c gproblems. f f f f
c. The birthrate forc gteenaged women c ghas c g increased c g incgthe past cg15 c g years.
f f f f f f f f f
d. Infantsborn to teenmotherscgare cgatcghigherriskforhealthproblems.c g ANS
f f f
:cga,cgb, d
f
Healthstatistics report higherriskforcgHIV,cgforhypertensive problems,cgandforcghealth pr
f f f f
oc g blems to infants born to teen mothers.cgBirthratesfor teenmothersinallc g agecategor
f f f f f f f
ies hc g ave decreased since 1991.
f f f f
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