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Test Bank for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman Chapter 1-19|Complete Guide A+

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Test Bank for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman Chapter 1-19|Complete Guide A+

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Voorbeeld van de inhoud

TEST BANK h1




MATERNAL-NEWBORN NURSING: THE CRITICAL
h1 h1 h1



h1 COMPONENTS OF NURSING CARE 3RD EDITION BY
h1 h1 h1 h1 h1 h1




LINDA CHAPMAN AND ROBERTA DURHAM
h1 h1 h1 h1 h1

,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


Roberta Durham And Linda Chapman
h1 h1 h1 h1 h1




Unit 1: Maternity Nursing Overview
h1 h1 h1 h1



h1 Chapter 1: Trends and Issues
h1 h1 h1 h1




MULTIPLE CHOICE h1




1. The nurse is caring for a patient who is in labor with her first child. The patient’s
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



mother is present for support and notes that things have changed in the delivery
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



room since she last gave birth in the early 1980s. Which current trend or intervention
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



may the patient’s mother find most different?
h1 h1 h1 h1 h1 h1 h1



1. Fetal monitoring throughout labor h1 h1 h1


2. Postpartum stay of 10 days h1 h1 h1 h1



3. Expectant partner and family in operating room for cesarean birth h1 h1 h1 h1 h1 h1 h1 h1 h1



4. Hospital support for breastfeeding h1 h1 h1




ANS: 4 h 1



Chapter: Chapter 1 Trends and Issues
h1 h1 h1 h1 h1



Chapter Learning Objective: 1. Discuss current trends in the management of labor and
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



birth Page: 4
h1 h1 h1



Heading: Table 1-1: Past and Present Trends
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Integrated Processes: Nursing Process
h1 h1 h1 h1


Client Need: Health Promotion and Maintenance
h1 h1 h1 h1 h1



Cognitive Level: Application [Applying]
h1 h1 h1 h1


Concept: Evidence-Based Practice
h1 h1 h1


Difficulty: Moderate h1




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


such, this likely would have occurred during the mother’s labor and
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


delivery during the 1980s.
h1 h1 h1 h1



2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


Presently, the average postpartum stay is 48 hours or less.
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



3 This is incorrect. In the past, expectant partners and families were excluded
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



from the labor and birth experience. Present trends involve the expectant
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



partner and family in the labor and birth experience, including presence in
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



the operating
h1 h1


room for cesarean births. h1 h1 h1


4 This is correct. Hospital support for breastfeeding, including a lactation
h1 h1 h1 h1 h1 h1 h1 h1 h1


consultant and employment of the Baby-Friendly Hospital Initiative, were both
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


enacted during the early 1990s.
h1 h1 h1 h1 h1




PTS: 1 CON: Evidence-Based Practice h1 h1




2. A patient with a history of hypertension is giving birth. During delivery, the staff was
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


not able to stabilize the patient’s blood pressure. As a result, the patient died
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



shortly after delivery. This is an example of what type of death?
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



1. Early maternal death h1 h1


2. Late maternal death h1 h1

,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


Roberta Durham And Linda Chapman
h1 h1 h1 h1 h1




3. Direct obstetric death h1 h1



4. Indirect obstetric h1


death ANS: 4
h1 h1 h 1




Chapter: Chapter 1 Trends and Issuesh1 h1 h1 h1 h1



Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


outcomes.
h1



Page: 7 h1



Heading: Trends > Maternal Death and Mortality Rates
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Integrated Processes: Nursing Process
h1 h1 h1 h1



Client Need: Physiological Integrity: Reduction of Risk Potential
h1 h1 h1 h1 h1 h1 h1



Cognitive Level: Application [Applying]
h1 h1 h1 h1



Concept: Ante/Intra/Post-partum h1


Difficulty: Hard
h1 h1




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


Examples of maternal death include late maternal death, indirect obstetric
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


death, direct obstetric death, and pregnancy-related death.
h1 h1 h1 h1 h1 h1 h1



2 This is incorrect. Late maternal death occurs 42 days after termination of
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


pregnancy from a direct or indirect obstetric cause.
h1 h1 h1 h1 h1 h1 h1 h1



3 This is incorrect. Direct obstetric death results from complications during
h1 h1 h1 h1 h1 h1 h1 h1 h1


pregnancy, labor, birth, and/or postpartum period. h1 h1 h1 h1 h1



4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


disease that develops during pregnancy. h1 h1 h1 h1




PTS: 1 CON: Ante/Intra/Post-partum h1




3. The nurse is providing education to a patient who has given birth to her first child
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


and is being discharged home. The patient expressed concern regarding infant
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



mortality and sudden infant death syndrome (SIDS). The patient had an
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



25 and has no other health conditions. The infant is healthy and was delivered full-
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



term. What will be most helpful thing to explain to the patient?
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
h1 h1 h1 h1 h1 h1


2. Uses of exogenous pulmonary surfactant
h1 h1 h1 h1



3. The Baby-Friendly Hospital Initiative
h1 h1 h1



4. The Safe to Sleep campaign h1 h1 h1 h1




ANS: 4 h 1


Chapter: Chapter 1 Trends and Issuesh1 h1 h1 h1 h1



Chapter Learning Objective: 3. Identify leading causes of infant death.
h1 h1 h1 h1 h1 h1 h1 h1 h1



Page: 7
h1 h1



Heading: Trends > Infant Mortality Rates
h1 h1 h1 h1 h1


Integrated Processes: Nursing process
h1 h1 h1 h1



Client Need: Safe and Effective Care Environment: Safety and Infection Control
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



Cognitive Level: Application [Applying]
h1 h1 h1 h1

, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


Roberta Durham And Linda Chapman
h1 h1 h1 h1 h1




Concept: Health Promotion h1 h1


Difficulty: Moderate
h1 h1




Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


infant mortality among preterm infants.
h1 h1 h1 h1 h1




2 This is incorrect. Although advances in medical treatments have decreased
h1 h1 h1 h1 h1 h1 h1 h1 h1


infant mortality, exogenous pulmonary surfactant is primarily used to reduce
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


mortality of preterm infants.
h1 h1 h1 h1



3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to
h1 h1 h1 h1 h1 h1 h1 h1 h1


support breastfeeding and is not directly linked to reduced infant mortality or
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


SIDS.
h1


4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



were designed to promote healthy infant sleeping habits. The decrease in
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



SIDS from
h1 h1


1995 to 2015 was attributed to the Safe to Sleep campaign.
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1




PTS: 1 CON: Health Promotion h1 h1




4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



complaining of genital sores and discomfort, the patient tests positive for syphilis.
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


The fetus is at increased risk of which condition?
h1 h1 h1 h1 h1 h1 h1 h1 h1



1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 h 1



Chapter: Chapter 1 Trends and Issues
h1 h1 h1 h1 h1


Chapter Learning Objective: 4. Discuss current maternal and infant health issues.
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1



Page: 10
h1 h1



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
h1 h1 h1 h1 h1 h1 h1


Cognitive Level: Application [Applying]
h1 h1 h1 h1



Concept: Ante/Intra/Post-partumh1



Difficulty: Moderate
h1 h1




Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of developing
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


childhood obesity and diabetes.
h1 h1 h1 h1



2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


associated with a patient who contracts syphilis during pregnancy.
h1 h1 h1 h1 h1 h1 h1 h1 h1



3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
h1 h1 h1 h1 h1 h1 h1 h1 h1



4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1 h1


transmitted illnesses and hypertension during pregnancy; however, maternal
h1 h1 h1 h1 h1 h1 h1 h1


syphilis is not associated with fetal hypertension.
h1 h1 h1 h1 h1 h1 h1

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