TEST BANK
MATERNAL-NEWBORN NURSING:
The Critical Components of Nursing Care
3RD EDITION OF
BY DURHAM | CHAPMAN
TEST BANK
Contents:
I. Maternity Nursing Overview
Chapter 1: Trends and Issues
Chapter 2: Ethics and Standards of Practice Issues
II. Antepartal Period
,Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology
Chapter 4: Physiological Aspects of Antepartum Care
Chapter 5: Psycho-Social-Cultural Aspects of the Antepartum Period
Chapter 6: Antepartal Tests
Chapter 7: High-Risk Antepartum Nursing Care
III. Intrapartal Period
Chapter 8: Intrapartum Assessment and Interventions
Chapter 9: Fetal Heart Rate Assessment
Chapter 10: High-Risk Labor and Birth
Chapter 11: Intrapartum and Postpartum Care of the Cesarean Birth Families
IV. Postpartal Period
Chapter 12: Postpartum Physiological Assessments and Nursing Care
Chapter 13: Transition to Parenthood
Chapter 14: High-Risk Postpartum Nursing Care
V. Neonatal Period
Chapter 15: Physiological and Behavioral Responses of the Neonate
Chapter 16: Discharge Planning and Teaching
Chapter 17: High-Risk Neonatal Nursing Care
Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues
Maternal-Newborn Nursing: The Critical Components of Nursing Care 3rd
Edition TestMULTIPLE CHOICE
• The nurse is caring for a patient who is in labor with her first child. The
patient’s mother ispresent 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 motherfind most different?
• Fetal monitoring throughout labor
• Postpartum stay of 10 days
• Expectant partner and family in operating room for cesarean birth
• 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 birthPage: 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 fromthe
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 bothenacted during
the early 1990s.
PTS: 1 CON: Evidence-Based Practice
• A patient with a history of hypertension is giving birth. During delivery, the
staff was notable 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?
• Early maternal death
• Late maternal death
• Direct obstetric death
• I
ndi
rec
t
ob
ste
tric
de
ath
A
NS
: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant
healthoutcomes.
Page: 7
Heading: Trends > Maternal Death and
Mortality RatesIntegrated Processes:
Nursing Process
Client Need: Physiological Integrity: Reduction
of Risk PotentialCognitive 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
• 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 explainto the patient?
• Uses of extracorporeal membrane oxygenation therapy (ECMO)
• Uses of exogenous pulmonary surfactant
• The Baby-Friendly Hospital Initiative
• 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 RatesIntegrated
Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and
Infection ControlCognitive Level: Application [Applying]
Con
cept
:
Hea
lth
Pro
mot
ion
Diff
icul
MATERNAL-NEWBORN NURSING:
The Critical Components of Nursing Care
3RD EDITION OF
BY DURHAM | CHAPMAN
TEST BANK
Contents:
I. Maternity Nursing Overview
Chapter 1: Trends and Issues
Chapter 2: Ethics and Standards of Practice Issues
II. Antepartal Period
,Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology
Chapter 4: Physiological Aspects of Antepartum Care
Chapter 5: Psycho-Social-Cultural Aspects of the Antepartum Period
Chapter 6: Antepartal Tests
Chapter 7: High-Risk Antepartum Nursing Care
III. Intrapartal Period
Chapter 8: Intrapartum Assessment and Interventions
Chapter 9: Fetal Heart Rate Assessment
Chapter 10: High-Risk Labor and Birth
Chapter 11: Intrapartum and Postpartum Care of the Cesarean Birth Families
IV. Postpartal Period
Chapter 12: Postpartum Physiological Assessments and Nursing Care
Chapter 13: Transition to Parenthood
Chapter 14: High-Risk Postpartum Nursing Care
V. Neonatal Period
Chapter 15: Physiological and Behavioral Responses of the Neonate
Chapter 16: Discharge Planning and Teaching
Chapter 17: High-Risk Neonatal Nursing Care
Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues
Maternal-Newborn Nursing: The Critical Components of Nursing Care 3rd
Edition TestMULTIPLE CHOICE
• The nurse is caring for a patient who is in labor with her first child. The
patient’s mother ispresent 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 motherfind most different?
• Fetal monitoring throughout labor
• Postpartum stay of 10 days
• Expectant partner and family in operating room for cesarean birth
• 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 birthPage: 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 fromthe
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 bothenacted during
the early 1990s.
PTS: 1 CON: Evidence-Based Practice
• A patient with a history of hypertension is giving birth. During delivery, the
staff was notable 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?
• Early maternal death
• Late maternal death
• Direct obstetric death
• I
ndi
rec
t
ob
ste
tric
de
ath
A
NS
: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant
healthoutcomes.
Page: 7
Heading: Trends > Maternal Death and
Mortality RatesIntegrated Processes:
Nursing Process
Client Need: Physiological Integrity: Reduction
of Risk PotentialCognitive 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
• 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 explainto the patient?
• Uses of extracorporeal membrane oxygenation therapy (ECMO)
• Uses of exogenous pulmonary surfactant
• The Baby-Friendly Hospital Initiative
• 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 RatesIntegrated
Processes: Nursing process
Client Need: Safe and Effective Care Environment: Safety and
Infection ControlCognitive Level: Application [Applying]
Con
cept
:
Hea
lth
Pro
mot
ion
Diff
icul
