Davis Advantage for Maternal-
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Newborn Nursing Critical Components of
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Nursing Care Fourth Edition
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TESTBANK h
,TablehofhContents
MaternityhNursinghOverview
1. TrendshandhIssues
2. EthicshandhStandardshofhPracticehIssues
ThehAntepartalhPeriod
3. Genetics,hConception,hFetalhDevelopment,handhReproductivehTechnology
4. PhysiologicalhAspectshofhAntepartumhCare
5. ThehPsycho-Social-CulturalhAspectshofhthehAntepartumhPeriod
6. AntepartalhTests
7. High-RiskhAntepartumhNursinghCare
IntrapartalhPeriod
8. IntrapartumhAssessmenthandhInterventions
9. FetalhHearthRatehAssessment
10. High-RiskhLaborhandhBirth
11. IntrapartumhandhPostpartumhCarehofhthehCesareanhBirthhFamilies
PostpartalhPeriod
12. PostpartumhPhysiologicalhAssessmentsh andhNursingh Care
13. TransitionhtohParenthood
14. High-RiskhPostpartumhNursinghCare
NeonatalhPeriod
15. PhysiologicalhandhBehavioralhResponseshofhthehNeonate
16. DischargehPlanninghandhTeaching
17. High-RiskhNeonatalhNursinghCare
Women’shHealth
18. WellhWomen’shHealth
19. AlterationshinhWomen’shHealth
,Chapter 1: Trends and Issues
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Durham & Chapman: Davis Advantage for Maternal-
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Newborn Nursing Critical Components of Nursing Care Fourth Edition
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MULTIPLEhCHOICE
1. hThehnursehishcaringhforhahpatienthwhohishinhlaborhwithhherhfirsthchild.hThehpatient’shmotherhishp
resenthforhsupporthandhnoteshthaththingshhavehchangedhinhthehdeliveryhroomhsincehshehlasthgav
ehbirthhinhthehearlyh1980s.hWhichhcurrenthtrendhorhinterventionhmayhthehpatient’shmotherhfindh
mosthdifferent?
1. Fetalhmonitoringhthroughouthlabor
2. Postpartumhstayhofh10hdays
3. Expectanthpartnerhandhfamilyhinhoperatinghroomhforhcesareanhbirth
4. Hospitalhsupporthforhbreastfeeding
ANS:h 4
Chapter:hChapterh1hTrendshandhIssues
ChapterhLearninghObjective:h1.hDiscusshcurrenthtrendshinhthehmanagementhofhlaborhandhbirthhP
age:h4
Heading:hTableh1-
1:hPasthandhPresenthTrendshIntegratedhProcesses:h
NursinghProcess
ClienthNeed:hHealthhPromotionhandhMaintenanceh
CognitivehLevel:hApplicationh[Applying]hConcep
t:hEvidence-BasedhPractice
Difficulty:hModerate
Feedback
1 Thishishincorrect.hFetalhmonitoringhduringhlaborhbeganhinhthehlateh1970s.hAshsuch,hthis
hlikelyhwouldhhavehoccurredhduringhthehmother’shlaborhandhdeliveryhduring
theh1980s.
2 Thishishincorrect.hInhthehpast,hthehaveragehhospitalhpostpartumhstayhwash10hdays.hPrese
ntly,hthehaveragehpostpartumhstayhish48hhourshorhless.
3 Thishishincorrect.hInhthehpast,hexpectanthpartnershandhfamilieshwerehexcludedhfromht
hehlaborhandhbirthhexperience.hPresenthtrendshinvolvehthehexpectanthpartnerhandhfa
milyhinhthehlaborhandhbirthhexperience,hincludinghpresencehinhthehoperatinghroomhf
orhcesareanhbirths.
4 Thishishcorrect.hHospitalhsupporthforhbreastfeeding,hincludinghahlactationhconsulta
nthandhemploymenthofhthehBaby-FriendlyhHospitalhInitiative,hwerehboth
enactedhduringhthehearlyh1990s.
PTS: 1 CON:h Evidence-BasedhPractice
2. Ahpatienthwithhahhistoryhofhhypertensionhishgivinghbirth.hDuringhdelivery,hthehstaffhwashnotha
blehtohstabilizehthehpatient’shbloodhpressure.hAshahresult,hthehpatienthdiedhshortlyhafterhdeliv
ery.hThishishanhexamplehofhwhathtypehofhdeath?
1. Earlyhmaternalhdeath
2. Latehmaternalhdeath
3. Directhobstetrichdeath
4. Indirecthobstetrichdeath
h ANS:h 4
, Chapter:hChapterh1hTrendshandhIssues
ChapterhLearninghObjective:h2.hDiscusshcurrenthtrendshinhmaternalhandhinfanthhealthhoutcomes
.
Page:h7
Heading:hTrendsh>hMaternalhDeathhandhMortalityhRateshInt
egratedhProcesses:hNursinghProcess
ClienthNeed:hPhysiologicalhIntegrity:hReductionhofhRiskhPotentialhCognitiv
ehLevel:hApplicationh[Applying]
Concept:hAnte/Intra/Post-
partumhDifficulty:hHard
Feedback
1 Thishishincorrect.hEarlyhmaternalhdeathhishnothanhexamplehofhmaternalhdeath.hExamp
leshofhmaternalhdeathhincludehlatehmaternalhdeath,hindirecthobstetrichdeath,hdirecthobs
tetrichdeath,handhpregnancy-relatedhdeath.
2 Thishishincorrect.hLatehmaternalhdeathhoccursh42hdayshafterhterminationhofhpregnanc
yhfromhahdirecthorhindirecthobstetrichcause.
3 Thishishincorrect.hDirecthobstetrichdeathhresultshfromhcomplicationshduringhpregnanc
y,hlabor,hbirth,hand/orhpostpartumhperiod.
4 Thishishcorrect.hIndirecthobstetrichdeathhishcausedhbyhahpreexistinghdisease,horhahdisea
sehthathdevelopshduringhpregnancy.
PTS: 1 CON:h Ante/Intra/Post-partum
3. Thehnursehishprovidingheducationhtohahpatienthwhohhashgivenhbirthhtohherhfirsthchildhandhishbein
ghdischargedhhome.hThehpatienthexpressedhconcernhregardinghinfanthmortalityhandhsuddenhinfa
nthdeathhsyndromeh(SIDS).hThehpatienthhadhanhuncomplicatedhpregnancy,hlabor,handhvaginalhd
elivery.hShehhashahbodyhmasshindexhofh25handhhashnohotherhhealthhconditions.hThehinfanthishhea
lthyhandhwashdeliveredhfull-term.hWhathwillhbehmosthhelpfulhthinghtohexplainhtohthehpatient?
1. Useshofhextracorporealhmembranehoxygenationhtherapyh(ECMO)
2. Useshofhexogenoushpulmonaryhsurfactant
3. ThehBaby-FriendlyhHospitalh Initiative
4. ThehSafehtohSleephcampaign
ANS:h 4
Chapter:hChapterh1hTrendshandhIssues
ChapterhLearninghObjective:h3.hIdentifyhleadinghcauseshofhinfanthdeath.hPag
e:h7
Heading:hTrendsh>hInfanthMortalityhRateshIntegrat
edhProcesses:hNursinghprocess
ClienthNeed:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControlhCo
gnitivehLevel:hApplicationh[Applying]
Concept:hHealthhPromotion
hDifficulty:hModerate
Feedback
1 Thishishincorrect.hEMCOhhashbeenhcitedhashonehofhthehfactorshthathhashreducedhinfa
nthmortalityhamonghpretermhinfants.