TEST BANK: i
MATERNAL-
i
NEWBORNNURSING:
i THE CRITICAL i
i COMPONENTS OF i
NURSING CARE, 3RD
i i i
EDITION, ROBERTA
i i
DURHAM, LINDA
i i
i CHAPMAN
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Chapter i1: iTrends iand iIssues
MULTIPLE iCHOICE
1. The inurse iis icaring ifor ia ipatient iwho iis iin ilabor iwith iher ifirst ichild. iThe ipatient’s
imother iisipresent ifor isupport iand inotes ithat ithings ihave ichanged iin ithe idelivery iroom
isince ishe ilast igave ibirth iin ithe iearly i1980s. iWhich icurrent itrend ior iintervention imay ithe
ipatient’s imotherifind imost idifferent?
1. Fetal imonitoring ithroughout ilabor
2. Postpartum istay iof i10 idays
3. Expectant ipartner iand ifamily iin ioperating iroom ifor icesarean ibirth
4. Hospital isupport ifor ibreastfeeding
ANS: i 4
Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i1. iDiscuss icurrent itrends iin ithe imanagement iof ilabor iand
ibirthiPage: i4
Heading: iTable i1-1: iPast iand iPresent
iTrendsiIntegrated iProcesses: iNursing
iProcess
Client iNeed: iHealth iPromotion iand
iMaintenanceiCognitive i Level: iApplication
i[Applying] iConcept: iEvidence-Based iPractice
Difficulty: iModerate
Feedback
1 This iis iincorrect. iFetal imonitoring iduring ilabor ibegan iin ithe ilate i1970s. iAs isuch,
this ilikely iwould ihave ioccurred iduring ithe imother’s ilabor iand idelivery
iduringithe i1980s.
2 This iis iincorrect. iIn ithe ipast, ithe iaverage ihospital ipostpartum istay iwas i10 idays.
Presently, ithe iaverage ipostpartum istay iis i48 ihours ior iless.
3 This iis iincorrect. iIn ithe ipast, iexpectant ipartners iand ifamilies iwere iexcluded
ifromithe ilabor iand ibirth iexperience. iPresent itrends iinvolve ithe iexpectant
ipartner iand ifamily iin ithe ilabor iand ibirth iexperience, iincluding ipresence iin ithe
ioperating
room ifor icesarean ibirths.
4 This iis icorrect. iHospital isupport ifor ibreastfeeding, iincluding ia ilactation
iconsultant iand iemployment iof ithe iBaby-Friendly iHospital iInitiative, iwere
iboth
enacted iduring ithe iearly i1990s.
PTS: 1 CON: i Evidence-Based iPractice
2. A ipatient iwith ia ihistory iof ihypertension iis igiving ibirth. iDuring idelivery, ithe istaff iwas
inotiable ito istabilize ithe ipatient’s iblood ipressure. i As ia iresult, ithe ipatient idied ishortly
iafter idelivery. iThis iis ian iexample iof iwhat itype iof ideath?
1. Early imaternal ideath
2. Late imaternal ideath
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3. Direct iobstetric ideath
4. Indirect iobstetric ideath
iANS: i 4
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Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i2. iDiscuss icurrent itrends iin imaternal iand iinfant
ihealthioutcomes.
Page: i7
Heading: iTrends i> iMaternal iDeath iand iMortality
iRatesiIntegrated iProcesses: iNursing iProcess
Client iNeed: iPhysiological iIntegrity: iReduction iof iRisk
iPotentialiCognitive iLevel: iApplication i[Applying]
Concept: iAnte/Intra/Post-partum
iDifficulty: iHard
Feedback
1 This iis iincorrect. iEarly imaternal ideath iis inot ian iexample iof imaternal ideath.
Examples iof imaternal ideath iinclude ilate imaternal ideath, iindirect iobstetric
ideath,idirect iobstetric ideath, iand ipregnancy-related ideath.
2 This iis iincorrect. iLate imaternal ideath ioccurs i42 idays iafter itermination iof
pregnancy ifrom ia idirect ior iindirect iobstetric icause.
3 This iis iincorrect. iDirect iobstetric ideath iresults ifrom icomplications iduring
pregnancy, ilabor, ibirth, iand/or ipostpartum iperiod.
4 This iis icorrect. iIndirect iobstetric ideath iis icaused iby ia ipreexisting idisease, ior ia
disease ithat idevelops iduring ipregnancy.
PTS: 1 CON: i Ante/Intra/Post-partum
3. The inurse iis iproviding ieducation ito ia ipatient iwho ihas igiven ibirth ito iher ifirst ichild iand iis
ibeing idischarged ihome. i The ipatient iexpressed iconcern iregarding iinfant imortality iand
isudden iinfant ideath i syndrome i(SIDS). iThe ipatient ihad ian iuncomplicated ipregnancy,
ilabor, iand ivaginal idelivery. iShe ihas ia ibody imass iindex iof i25 iand ihas ino iother ihealth
iconditions. iThe iinfant iis ihealthy iand iwas idelivered ifull-term. iWhat iwill ibe imost ihelpful
ithing ito iexplainito ithe ipatient?
1. Uses iof iextracorporeal imembrane ioxygenation itherapy i(ECMO)
2. Uses iof iexogenous ipulmonary isurfactant
3. The iBaby-Friendly iHospital iInitiative
4. The iSafe ito iSleep icampaign
ANS: i 4
Chapter: iChapter i1 iTrends iand iIssues
Chapter iLearning iObjective: i3. iIdentify ileading icauses iof iinfant
ideath.iPage: i7
Heading: iTrends i> iInfant iMortality
iRatesiIntegrated iProcesses: iNursing
iprocess
Client iNeed: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControliCognitive iLevel: iApplication i[Applying]
Concept: iHealth
iPromotioniDifficulty:
iModerate
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