Test Bank For
Maternal-Newborn Nursing: The Critical
Components Of Nursing Care, 3rd Edition,
Roberta Durham, Linda Chapman
1 | Pa ge
,Table Of Contents
Chapter 1: Trends And Issues..................................................................................................................... 3
Chapter 2: Ethics And Standards Of Practice Issues ........................................................................... 15
Chapter 3: Genetics, Conception, Fetal Development, And Reproductive Technology ................ 30
Chapter 4: Physiological Aspects Of Antepartum Care ..................................................................... 45
Chapter 5: The Psycho-Social-Cultural Aspects Of The Antepartum Period................................... 60
Chapter 6: Antepartal Tests ..................................................................................................................... 75
Chapter 7: High-Risk Antepartum Nursing Care .................................................................................. 89
Chapter 8: Intrapartum Assessment And Interventions ........................................................................ 94
Chapter 9: Fetal Heart Rate Assessment ............................................................................................... 99
Chapter 10 High-Risk Labor And Birth ............................................................................................... 103
Chapter 11: Intrapartum And Postpartum Care Of Cesarean Birth Families.............................. 108
Chapter 12 Postpartum Physiological Assessments And Nursing Care ......................................... 122
Chapter 13 Transition To Parenthood ................................................................................................. 136
Chapter 14 High-Risk Postpartum Nursing Care .............................................................................. 149
Chapter 15 Physiological And Behavioral Responses Of The Neonate ....................................... 164
Chapter 16 Discharge Planning And Teaching ................................................................................. 168
Chapter 17 High-Risk Neonatal Nursing Care .................................................................................. 172
Chapter 18: Well Women's Health ..................................................................................................... 175
Chapter 19: Alterations In Women’s Health ...................................................................................... 178
2 | Pa ge
,Chapter 1: Trends And Issues
Multiple Choice
1. The Nurse Is Caring For A Patient Who Is In Labor With Her First Child. The Patient’s
Mother Is Present For Support And Notes That Things Have Changed In The Delivery Room Since
She Last Gave Birth In The Early 1980s. Which Current Trend Or Intervention May The Patient’s
Mother Find Most Different?
1. Fetal Monitoring Throughout Labor
2. Postpartum Stay Of 10 Days
3. Expectant Partner And Family In Operating Room For Cesarean Birth
4. Hospital Support For Breastfeeding
Ans: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 1. Discuss Current Trends In The Management Of Labor And Birth
Page: 4
Heading: Table 1-1: Past And Present Trends Integrated Processes: Nursing Process
Client Need: Health Promotion And Maintenance Cognitive Level: Application [Applying] Concept:
Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This Is Incorrect. Fetal Monitoring During Labor Began In The Late 1970s. As Such, This
Likely Would Have Occurred During The Mother’s Labor And Delivery During
The 1980s.
2 This Is Incorrect. In The Past, The Average Hospital Postpartum Stay Was 10 Days.
Presently, The Average Postpartum Stay Is 48 Hours Or Less.
3 This Is Incorrect. In The Past, Expectant Partners And Families Were Excluded From The
Labor And Birth Experience. Present Trends Involve The Expectant Partner And Family In The
Labor And Birth Experience, Including Presence In The Operating Room For Cesarean Births.
4 This Is Correct. Hospital Support For Breastfeeding, Including A Lactation Consultant And
Employment Of The Baby-Friendly Hospital Initiative, Were Both Enacted During The Early 1990s.
Pts: 1 Con: Evidence-Based Practice
2. A Patient With A History Of Hypertension Is Giving Birth. During Delivery, The Staff Was
Not Able To Stabilize The Patient’s Blood Pressure. As A Result, The Patient Died Shortly After
Delivery. This Is An Example Of What Type Of Death?
1. Early Maternal Death
2. Late Maternal Death
3. Direct Obstetric Death
4. Indirect Obstetric Death Ans: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 2. Discuss Current Trends In Maternal And Infant Health Outcomes.
3 | Pa ge
, Page: 7
Heading: Trends > Maternal Death And Mortality Rates Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction Of Risk Potential Cognitive Level: Application
[Applying]
Concept: Ante/Intra/Post-Partum Difficulty: Hard
Feedback
1 This Is Incorrect. Early Maternal Death Is Not An Example Of Maternal Death.
Examples Of Maternal Death Include Late Maternal Death, Indirect Obstetric Death, Direct
Obstetric Death, And Pregnancy-Related Death.
2 This Is Incorrect. Late Maternal Death Occurs 42 Days After Termination Of Pregnancy
From A Direct Or Indirect Obstetric Cause.
3 This Is Incorrect. Direct Obstetric Death Results From Complications During
Pregnancy, Labor, Birth, And/Or Postpartum Period.
4 This Is Correct. Indirect Obstetric Death Is Caused By A Preexisting Disease, Or A
Disease That Develops During Pregnancy.
Pts: 1 Con: Ante/Intra/Post-Partum
3. The Nurse Is Providing Education To A Patient Who Has Given Birth To Her First Child And
Is Being Discharged Home. The Patient Expressed Concern Regarding Infant Mortality And
Sudden Infant Death Syndrome (Sids). The Patient Had An Uncomplicated Pregnancy, Labor, And
Vaginal Delivery. She Has A Body Mass Index Of 25 And Has No Other Health Conditions. The
Infant Is Healthy And Was Delivered Full-Term. What Will Be Most Helpful Thing To Explain To
The Patient?
1. Uses Of Extracorporeal Membrane Oxygenation Therapy (Ecmo)
2. Uses Of Exogenous Pulmonary Surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe To Sleep Campaign
Ans: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 3. Identify Leading Causes Of Infant Death. Page: 7
Heading: Trends > Infant Mortality Rates Integrated Processes: Nursing Process
Client Need: Safe And Effective Care Environment: Safety And Infection Control Cognitive Level:
Application [Applying]
Concept: Health Promotion Difficulty: Moderate
Feedback
1 This Is Incorrect. Emco Has Been Cited As One Of The Factors That Has Reduced
Infant Mortality Among Preterm Infants.
2 This Is Incorrect. Although Advances In Medical Treatments Have Decreased Infant
Mortality, Exogenous Pulmonary Surfactant Is Primarily Used To Reduce Mortality Of
Preterm Infants.
3 This Is Incorrect. The Baby-Friendly Hospital Initiative Was Developed To Support
Breastfeeding And Is Not Directly Linked To Reduced Infant Mortality Or Sids.
4 | Pa ge
Maternal-Newborn Nursing: The Critical
Components Of Nursing Care, 3rd Edition,
Roberta Durham, Linda Chapman
1 | Pa ge
,Table Of Contents
Chapter 1: Trends And Issues..................................................................................................................... 3
Chapter 2: Ethics And Standards Of Practice Issues ........................................................................... 15
Chapter 3: Genetics, Conception, Fetal Development, And Reproductive Technology ................ 30
Chapter 4: Physiological Aspects Of Antepartum Care ..................................................................... 45
Chapter 5: The Psycho-Social-Cultural Aspects Of The Antepartum Period................................... 60
Chapter 6: Antepartal Tests ..................................................................................................................... 75
Chapter 7: High-Risk Antepartum Nursing Care .................................................................................. 89
Chapter 8: Intrapartum Assessment And Interventions ........................................................................ 94
Chapter 9: Fetal Heart Rate Assessment ............................................................................................... 99
Chapter 10 High-Risk Labor And Birth ............................................................................................... 103
Chapter 11: Intrapartum And Postpartum Care Of Cesarean Birth Families.............................. 108
Chapter 12 Postpartum Physiological Assessments And Nursing Care ......................................... 122
Chapter 13 Transition To Parenthood ................................................................................................. 136
Chapter 14 High-Risk Postpartum Nursing Care .............................................................................. 149
Chapter 15 Physiological And Behavioral Responses Of The Neonate ....................................... 164
Chapter 16 Discharge Planning And Teaching ................................................................................. 168
Chapter 17 High-Risk Neonatal Nursing Care .................................................................................. 172
Chapter 18: Well Women's Health ..................................................................................................... 175
Chapter 19: Alterations In Women’s Health ...................................................................................... 178
2 | Pa ge
,Chapter 1: Trends And Issues
Multiple Choice
1. The Nurse Is Caring For A Patient Who Is In Labor With Her First Child. The Patient’s
Mother Is Present For Support And Notes That Things Have Changed In The Delivery Room Since
She Last Gave Birth In The Early 1980s. Which Current Trend Or Intervention May The Patient’s
Mother Find Most Different?
1. Fetal Monitoring Throughout Labor
2. Postpartum Stay Of 10 Days
3. Expectant Partner And Family In Operating Room For Cesarean Birth
4. Hospital Support For Breastfeeding
Ans: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 1. Discuss Current Trends In The Management Of Labor And Birth
Page: 4
Heading: Table 1-1: Past And Present Trends Integrated Processes: Nursing Process
Client Need: Health Promotion And Maintenance Cognitive Level: Application [Applying] Concept:
Evidence-Based Practice
Difficulty: Moderate
Feedback
1 This Is Incorrect. Fetal Monitoring During Labor Began In The Late 1970s. As Such, This
Likely Would Have Occurred During The Mother’s Labor And Delivery During
The 1980s.
2 This Is Incorrect. In The Past, The Average Hospital Postpartum Stay Was 10 Days.
Presently, The Average Postpartum Stay Is 48 Hours Or Less.
3 This Is Incorrect. In The Past, Expectant Partners And Families Were Excluded From The
Labor And Birth Experience. Present Trends Involve The Expectant Partner And Family In The
Labor And Birth Experience, Including Presence In The Operating Room For Cesarean Births.
4 This Is Correct. Hospital Support For Breastfeeding, Including A Lactation Consultant And
Employment Of The Baby-Friendly Hospital Initiative, Were Both Enacted During The Early 1990s.
Pts: 1 Con: Evidence-Based Practice
2. A Patient With A History Of Hypertension Is Giving Birth. During Delivery, The Staff Was
Not Able To Stabilize The Patient’s Blood Pressure. As A Result, The Patient Died Shortly After
Delivery. This Is An Example Of What Type Of Death?
1. Early Maternal Death
2. Late Maternal Death
3. Direct Obstetric Death
4. Indirect Obstetric Death Ans: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 2. Discuss Current Trends In Maternal And Infant Health Outcomes.
3 | Pa ge
, Page: 7
Heading: Trends > Maternal Death And Mortality Rates Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction Of Risk Potential Cognitive Level: Application
[Applying]
Concept: Ante/Intra/Post-Partum Difficulty: Hard
Feedback
1 This Is Incorrect. Early Maternal Death Is Not An Example Of Maternal Death.
Examples Of Maternal Death Include Late Maternal Death, Indirect Obstetric Death, Direct
Obstetric Death, And Pregnancy-Related Death.
2 This Is Incorrect. Late Maternal Death Occurs 42 Days After Termination Of Pregnancy
From A Direct Or Indirect Obstetric Cause.
3 This Is Incorrect. Direct Obstetric Death Results From Complications During
Pregnancy, Labor, Birth, And/Or Postpartum Period.
4 This Is Correct. Indirect Obstetric Death Is Caused By A Preexisting Disease, Or A
Disease That Develops During Pregnancy.
Pts: 1 Con: Ante/Intra/Post-Partum
3. The Nurse Is Providing Education To A Patient Who Has Given Birth To Her First Child And
Is Being Discharged Home. The Patient Expressed Concern Regarding Infant Mortality And
Sudden Infant Death Syndrome (Sids). The Patient Had An Uncomplicated Pregnancy, Labor, And
Vaginal Delivery. She Has A Body Mass Index Of 25 And Has No Other Health Conditions. The
Infant Is Healthy And Was Delivered Full-Term. What Will Be Most Helpful Thing To Explain To
The Patient?
1. Uses Of Extracorporeal Membrane Oxygenation Therapy (Ecmo)
2. Uses Of Exogenous Pulmonary Surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe To Sleep Campaign
Ans: 4
Chapter: Chapter 1 Trends And Issues
Chapter Learning Objective: 3. Identify Leading Causes Of Infant Death. Page: 7
Heading: Trends > Infant Mortality Rates Integrated Processes: Nursing Process
Client Need: Safe And Effective Care Environment: Safety And Infection Control Cognitive Level:
Application [Applying]
Concept: Health Promotion Difficulty: Moderate
Feedback
1 This Is Incorrect. Emco Has Been Cited As One Of The Factors That Has Reduced
Infant Mortality Among Preterm Infants.
2 This Is Incorrect. Although Advances In Medical Treatments Have Decreased Infant
Mortality, Exogenous Pulmonary Surfactant Is Primarily Used To Reduce Mortality Of
Preterm Infants.
3 This Is Incorrect. The Baby-Friendly Hospital Initiative Was Developed To Support
Breastfeeding And Is Not Directly Linked To Reduced Infant Mortality Or Sids.
4 | Pa ge
