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TEST BANK FOR MATERNAL-NEWBORN NURSING THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION, ROBERTA

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TEST BANK FOR MATERNAL-NEWBORN NURSING THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION, ROBERTA All chapters included

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MATERNAL-NEWBORN NURSING THE CRITICAL COMPONENTS
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MATERNAL-NEWBORN NURSING THE CRITICAL COMPONENTS













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Institución
MATERNAL-NEWBORN NURSING THE CRITICAL COMPONENTS
Grado
MATERNAL-NEWBORN NURSING THE CRITICAL COMPONENTS

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Subido en
16 de enero de 2025
Número de páginas
236
Escrito en
2024/2025
Tipo
Examen
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NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023
TEST BANK FOR MATERNAL-NEWBORNNURSING THE CRITICAL COMPONENTS OF NURSING CARE, 3RD
EDITION, ROBERTA
Chapter 1: Trends and Issues

Multiple Choice
Identify the choice that best completes the statement or answers the question.

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 theearly 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
2. 4. Hospital support for breastfeeding
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 anexample of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
3.
4. Indirect obstetric death
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 wasdelivered 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
4. 3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and
discomfort, the patient tests positive for syphilis. The fetus is at increased risk ofwhich condition?
1. Diabetes
5.
2. Blindness
3. Pneumonia
4. Hypertension
The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the
patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on theinformation provided, which condition
is the patient’s baby at higher risk for?
1. Intestinal problems
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia




NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

,NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023


6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The testconfirms the patient
is pregnant. The patient states, “I do not need to stop smoking my electronic cigarette because it will not harm my
baby.” Which is the best response by the nurse?
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
2. “Tobacco products, including electronic cigarettes, should not be used duringpregnancy due
to risking nicotine toxicity.”
3. “According to the FDA, although electronic cigarettes are safe for you, they can
cause harm to the fetus during pregnancy.”
7. 4. “Electronic cigarettes are considered harmful only in the first trimester.”

The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who ismale. The patient’s
mother has accompanied her to today’s visit. During the nursing assessment, the patient mentions that she is no
longer in a relationship with the baby’s father but her mother plans to help her. However, the patient’s mother asks
whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of
during his adolescence?
1. Hypertension
8.
2. Diabetes
3. Alcohol abuse
4. Intraventricular bleeding
The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been
using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most
appropriate?
1. “Did you smoke marijuana when pregnant with your other child?”
2. “To avoid negative effects on your baby, you’ll need to stop using marijuanaduring your
9. last trimester.”
3. “Using marijuana while pregnant can have a negative effect on the neurological
development of your baby.”
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
The nurse is counseling a female patient about alcohol use during pregnancy. Which statement bythe patient
demonstrates successful patient teaching?
1. “I will limit my drinking to just one alcoholic beverage per day.”
2. “It’s best for my baby if I avoid drinking during pregnancy.”
3. “An occasional drink on special occasions is okay.”
4. “Drinking alcohol is only acceptable in the first trimester.”

10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has
been effective when the patient states which of the following?
1. “My child may be at increased risk for birth injury.”
2. “My child may have a decreased risk of developing childhood diabetes.”
3. “I will probably give birth vaginally.”
4. “I have a lower risk of developing gestational hypertension.”




NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

,NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that thepatient may be at
risk for during pregnancy. Which response by the patient indicates that she understands?
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
2. “I am not overweight, but I am still at risk for gestational diabetes.”
3. “My mother had preeclampsia during one of her pregnancies.”
4. “I will need to do a glucose tolerance test in my second trimester.”
12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should thenurse take first?
1. Refer the patient to a drug abuse program.
2. Screen the infant for side effects associated with cocaine use.
3. Educate the patient of the risks associated with cocaine use during pregnancy.
4. Advise the patient that her baby will be okay even with the history of cocaine use.
13. A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may faceduring pregnancy.
During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is
in a committed, long-term relationship with the child’s father. Which of the following is accurate?
1. The patient’s infant is at increased risk of neonatal blindness.
2. The patient’s infant has a decreased risk of birth injury.
3. The patient will have increased risk of wound infection.
4. The patient will have a decreased risk of preeclampsia.
14. The nurse has made it a goal to increase the rate at which women begin prenatal care in the first trimester. The nurse
relates this decision to national goals for better maternal and infant outcomes.What guidelines will the nurse use to
guide her maternal health goals?
1. WHO Maternal care guidelines
2. State Practice Acts
3. AWHONN white papers
4. Healthy People 2020
15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
What guidelines will the nursing student use to assist in setting her goals?
1. WHO Maternal care guidelines
2. Healthy People 2020
3. AWHONN white papers
4. State Practice Act

Multiple Response
Identify one or more choices that best complete the statement or answer the question.

16. A woman has recently given birth to an infant born at 35 weeks and 5 days gestation. What long-term effects should
the nurse be concerned about with the infant being born at this gestation?
Select all that apply.
1. Cerebral palsy




NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

,NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023


2. Respiratory disorders
3. Developmental delays
4. Visual impairments
5. Hearing impairments

17. An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight ofthis infant is an
important indicator of what? Select all that apply.
1. Morbidity rate
2. Prenatal care
3. Mortality rate
4. Infant health outcome
5. Postpartum care
18. The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient’s historywarrant further
action? Select all that apply.
1. Anemia
2. Severe hemorrhage
3. Infections
4. Malnutrition
5. Eclampsia
19. A nurse is caring for a single teen mother who has just given birth to her first child. The patient notes that the child’s
father “wants no relationship with his son.” The patient goes on to express concerns about the short- and long-term
impact of her teen pregnancy on herself and on her child.Which statements made by the nurse are accurate? Select
all that apply.
1. “You are more likely than others to have additional children before you turn 20.”
2. “You may have difficulty completing high school or college.”
3. “Your child is less likely to experience behavioral problems.”
4. “Your child is at increased risk of abusing alcohol when he is a teenager.”
5. “You may not earn enough money to independently support yourself and yourchild.”
20. The nurse is caring for a woman who is pregnant. The patient reports that she has also smoked less than five cigarettes
per day and that she has continued to smoke during her pregnancy. Routine prenatal examination and diagnostics
have indicated she tested negative for sexually transmitted infections and has a BMI of 25. Based on statistics, which
is likely true about the patient and the developing fetus? Select all that apply.
1. She will breastfeed her infant.
2. She is probably aged 20–24.
3. She likely has earned a college degree.
4. Her child may have impaired brain development.
5. Her child is more likely to be born prematurely.




NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

,NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

Chapter 1: Trends and IssuesAnswer
Section

MULTIPLE CHOICE

1. 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 MaintenanceCognitive
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 duringthe 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 both
enacted during the early 1990s.


PTS: 1 CON: Evidence-Based Practice
2. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.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-partumDifficulty: Hard

Feedback




NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023

, NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023


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. 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 ControlCognitive 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 ofpreterm 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 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns weredesigned to
promote healthy infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign.


PTS: 1 CON: Health Promotion
4. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 4. Discuss current maternal and infant health issues.Page: 10
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and BirthIntegrated
Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk PotentialCognitive
Level: Application [Applying]




NURSING 460 TEST BANK FOR MATERNAL-NEWBORN NURSING
THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION,
ROBERT Update 2023
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