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NURSING CARE, 3RD EDITION, LINDA DURHAM, ROBERTA; CHAPMAN
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, Test Bank for Maternal- Newborn Nursing: The Critical Components of Nursing Care, 3rd
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Edition, Linda Durham
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Chapter 1: Trends and Issues L
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MULTIPLE CHOICE L
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1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
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present for support and notes that things have changed in the delivery room since she last
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gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
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find most different?
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1. Fetal monitoring throughout labor FT L L
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2. Postpartum stay of 10 days L
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3. Expectant partner and family in operating room for cesarean birth L
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4. Hospital support for breastfeeding FT L L
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Chapter: Chapter 1 Trends and Issues L
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Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4
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Heading: Table 1-1: Past and Present Trends L
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Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice
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Difficulty: Moderate L
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Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
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this likely would have occurred during the mother’s labor and delivery during
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the 1980s.
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2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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Presently, the average postpartum stay is 48 hours or less.
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3 This is incorrect. In the past, expectant partners and families were excluded from
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the labor and birth experience. Present trends involve the expectant partner and
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family in the labor and birth experience, including presence in the operating
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room for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby-Friendly Hospital Initiative, were both
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enacted during the early 1990s.
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PTS: 1 CON: Evidence-Based Practice F T L L
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2. A patient with a history of hypertension is giving birth. During delivery, the staff was not
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able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
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delivery. This is an example of what type of death?
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1. Early maternal death L
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2. Late maternal death L
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3. Direct obstetric death L
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4. Indirect obstetric death L
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, Chapter: Chapter 1 Trends and Issues L
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
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outcomes.
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Heading: Trends > Maternal Death and Mortality Rates L
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Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying]
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Concept: Ante/Intra/Post-partum L
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Difficulty: Hard
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Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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Examples of maternal death include late maternal death, indirect obstetric death, L
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direct obstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause.
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3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period.
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4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
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disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum F T L
3. The nurse is providing education to a patient who has given birth to her first child and is
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being discharged home. The patient expressed concern regarding infant mortality and
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sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
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and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
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The infant is healthy and was delivered full-term. What will be most helpful thing to
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explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)L
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2. Uses of exogenous pulmonary surfactant T
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3. The Baby-Friendly Hospital Initiative L
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4. The Safe to Sleep campaign L
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ANS: 4 F T L
Chapter: Chapter 1 Trends and Issues L
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Chapter Learning Objective: 3. Identify leading causes of infant death.
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Page: 7
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Heading: Trends > Infant Mortality Rates FT L L
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Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Cognitive Level: Application [Applying]
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Concept: Health Promotion L
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Difficulty: Moderate
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Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
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infant mortality among preterm infants.
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, 2 This is incorrect. Although advances in medical treatments have decreased infant
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mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
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preterm infants.
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3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
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breastfeeding and is not directly linked to reduced infant mortality or SIDS.
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4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
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designed to promote healthy infant sleeping habits. The decrease in SIDS from 1995 FT L FT L L
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to 2015 was attributed to the Safe to Sleep campaign.
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PTS: 1 CON: Health Promotion F T L FT L
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
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of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
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increased risk of which condition?
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1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
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Chapter: Chapter 1 Trends and Issues L
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Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
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Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
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Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying]
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Concept: Ante/Intra/Post-partum L
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Difficulty: Moderate
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Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood
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obesity and diabetes.
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2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
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associated with a patient who contracts syphilis during pregnancy. L
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3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
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4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
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transmitted illnesses and hypertension during pregnancy; however, maternal
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syphilis is not associated with fetal hypertension.
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PTS: 1 CON: Ante/Intra/Post-partum F T L
5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her
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previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and
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HIV. Based on the information provided, which condition is the patient’s baby at higher risk
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for?
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1. Intestinal problems L
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2. Neonatal conjunctivitis L
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3. Blindness