MATERNAL-NEWBORN NURSING: THE
CRITICAL COMPONENTS OF NURSING
CARE, 3RD EDITION, ROBERTA DURHAM, LINDA CHAPman
,
,TABLE . OF . CONTENTS
Maternity .Nursing .Overview
1. Trends .and .Issues
2. Ethics .and .Standards .of .Practice .Issues
The .Antepartal .Period
3. Genetics, .Conception, .Fetal .Development, .and .Reproductive
.Technology
4. Physiological .Aspects .of .Antepartum .Care
5. The .Psycho-Social-Cultural .Aspects .of .the .Antepartum .Period
6. Antepartal .Tests
7. High-Risk .Antepartum .Nursing .Care
Intrapartal .Period
8. Intrapartum .Assessment .and .Interventions
9. Fetal .Heart .Rate .Assessment
10. High-Risk .Labor .and .Birth
11. Intrapartum .and .Postpartum .Care .of .the .Cesarean .Birth .Families
Postpartal .Period
12. Postpartum .Physiological .Assessments .and .Nursing .Care
13. Transition .to .Parenthood
14. High-Risk .Postpartum .Nursing .Care
Neonatal .Period
15. Physiological .and .Behavioral .Responses .of .the .Neonate
16. Discharge .Planning .and .Teaching
17. High-Risk .Neonatal .Nursing .Care
Women’s .Health
18. Well .Women’s .Health
19. Alterations .in .Women’s .Health
, 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