NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
Chaptern1:nTrendsnandnIssues
MULTIPLEnCHOICE
1. Then nursen isn caringn forn an patient n whon isn inn laborn withn hernfirst n child.n Then patient’sn mothern isnp
resent n forn support n and nnotesnthatn thingsn haven changedn innthendeliveryn roomn sincen shen last n gav
en birthn inn then earlyn 1980s.n Whichn current n trendnorn interventionn mayn then patient’sn mothernf indn
most n different?
1. Fetaln monitoringn throughout n labor
2. Postpartumn staynof n 10n days
3. Expectant n partnern and n familyninn operatingn roomn forn cesareann birth
4. Hospitaln support n forn breastfeeding
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 1.n Discussn current n trendsn inn thenmanagement n of nlaborn andnbirthnP
age:n 4
Heading:n Tablen 1-
1:n Past n and nPresent n TrendsnIntegratedn Process
es:n Nursingn Process
Client n Need:n HealthnPromotionn and n Maintenancen
Cognitiven Level:n Applicationn [Applying]n Conce
pt:n Evidence-Based n Practice
Difficulty:n Moderate
Feedback
1 Thisn isn incorrect.n Fetaln monitoringn duringn laborn begann inn then laten 1970s.n Asn such,
thisn likelynwould n haven occurred n duringn thenmother’sn laborn and ndeliverynduringnt
hen 1980s.
2 Thisn isn incorrect.n Inn then past,n then averagen hospitaln postpartumn staynwasn 10n days.
Presently,n then averagen postpartumn staynisn 48n hoursn orn less.
3 Thisn isn incorrect.n Inn then past,n expectantnpartnersn andnfamiliesn weren excludedn fromnt
hen laborn and n birthn experience.n Present n trendsninvolven thenexpectant n partnern and n fa
milyninn then laborn and n birthn experience,n includingn presencen inn then operating
roomn forn cesareann births.
4 Thisn isn correct.n Hospitaln support n forn breastfeeding,n includingn an lactationn consult
ant n and n employment n of n then Baby-FriendlynHospitaln Initiative,n weren both
enacted n duringn then earlyn 1990s.
PTS: 1 CON:n Evidence-Based n Practice
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
,NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
2. An patient n withnanhistorynof nhypertensionn isn givingn birth.nDuringn delivery,n thenstaffnwasn not na
blen ton stabilizen then patient’sn blood npressure.n Asn an result,n then patient ndied n shortlyn aftern deliv
ery.n Thisn isn ann examplen of n what n typen of n death?
1. Earlynmaternaln death
2. Laten maternaln death
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
,NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
3. Direct n obstetricn death
4. Indirect nobstetricndeathn
ANS:n 4
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
, NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 2.n Discussn current n trendsn innmaternaln and ninfantnhealthno
utcomes.
Page:n 7
Heading:n Trendsn >n Maternaln DeathnandnMortalityn RatesnI
ntegrated n Processes:n Nursingn Process
Client n Need:n Physiologicaln Integrity:n Reductionn of n Riskn Potentialn
Cognitiven Level:n Applicationn [Applying]
Concept:n Ante/Intra/Post-
partumnDifficulty:n Hard
Feedback
1 Thisn isn incorrect.n Earlyn maternaln deathn isn not n ann examplen of n maternaln death.
Examplesn of n maternaln deathn includenlatenmaternaln death,nindirect n obstetricn death,nd
irect n obstetricn death,n and n pregnancy-related n death.
2 Thisn isn incorrect.n Laten maternaln deathn occursn 42n daysn aftern terminationn of
pregnancynfromn an direct n orn indirect n obstetricn cause.
3 Thisn isn incorrect.n Direct n obstetricn deathn resultsn fromn complicationsn during
pregnancy,n labor,n birth,n and/orn postpartumn period.
4 Thisn isn correct.n Indirect n obstetricn deathn isn caused n byn an preexistingn disease,n orn a
diseasen that n developsn duringn pregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Then nursen isn providingn educationn ton an patient n whonhasn givenn birthn tonhern first n child n andnisn being
n discharged n home.n Then patient n expressed n concernn regardingn infant nmortalityn andn suddenninfan
t n deathn syndromen (SIDS).n Then patient nhadn annuncomplicated n pregnancy,n labor,n andn vaginaln de
livery.n Shen hasn an bodyn massn indexn ofn25n andnhasn nonothernhealthn conditions.n Then infant nisn healt
hyn and n wasn delivered n full-term.n What n willn ben most n helpfuln thingn ton explainnt on then patient?
1. Usesn of n extracorporealn membranen oxygenationn therapyn(ECMO)
2. Usesn of n exogenousn pulmonarynsurfactant
3. Then Baby-FriendlynHospitaln Initiative
4. Then Safen ton Sleepn campaign
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 3.n Identifynleadingn causesn ofn infant n death.n
Page:n 7
Heading:n Trendsn >n Infant n MortalitynRatesn
Integrated n Processes:n Nursingnprocess
Client n Need:n Safen andnEffectiven Caren Environment:n Safetyn and n Infectionn Controln
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
Chaptern1:nTrendsnandnIssues
MULTIPLEnCHOICE
1. Then nursen isn caringn forn an patient n whon isn inn laborn withn hernfirst n child.n Then patient’sn mothern isnp
resent n forn support n and nnotesnthatn thingsn haven changedn innthendeliveryn roomn sincen shen last n gav
en birthn inn then earlyn 1980s.n Whichn current n trendnorn interventionn mayn then patient’sn mothernf indn
most n different?
1. Fetaln monitoringn throughout n labor
2. Postpartumn staynof n 10n days
3. Expectant n partnern and n familyninn operatingn roomn forn cesareann birth
4. Hospitaln support n forn breastfeeding
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 1.n Discussn current n trendsn inn thenmanagement n of nlaborn andnbirthnP
age:n 4
Heading:n Tablen 1-
1:n Past n and nPresent n TrendsnIntegratedn Process
es:n Nursingn Process
Client n Need:n HealthnPromotionn and n Maintenancen
Cognitiven Level:n Applicationn [Applying]n Conce
pt:n Evidence-Based n Practice
Difficulty:n Moderate
Feedback
1 Thisn isn incorrect.n Fetaln monitoringn duringn laborn begann inn then laten 1970s.n Asn such,
thisn likelynwould n haven occurred n duringn thenmother’sn laborn and ndeliverynduringnt
hen 1980s.
2 Thisn isn incorrect.n Inn then past,n then averagen hospitaln postpartumn staynwasn 10n days.
Presently,n then averagen postpartumn staynisn 48n hoursn orn less.
3 Thisn isn incorrect.n Inn then past,n expectantnpartnersn andnfamiliesn weren excludedn fromnt
hen laborn and n birthn experience.n Present n trendsninvolven thenexpectant n partnern and n fa
milyninn then laborn and n birthn experience,n includingn presencen inn then operating
roomn forn cesareann births.
4 Thisn isn correct.n Hospitaln support n forn breastfeeding,n includingn an lactationn consult
ant n and n employment n of n then Baby-FriendlynHospitaln Initiative,n weren both
enacted n duringn then earlyn 1990s.
PTS: 1 CON:n Evidence-Based n Practice
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
,NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
2. An patient n withnanhistorynof nhypertensionn isn givingn birth.nDuringn delivery,n thenstaffnwasn not na
blen ton stabilizen then patient’sn blood npressure.n Asn an result,n then patient ndied n shortlyn aftern deliv
ery.n Thisn isn ann examplen of n what n typen of n death?
1. Earlynmaternaln death
2. Laten maternaln death
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
,NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
3. Direct n obstetricn death
4. Indirect nobstetricndeathn
ANS:n 4
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
, NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 2.n Discussn current n trendsn innmaternaln and ninfantnhealthno
utcomes.
Page:n 7
Heading:n Trendsn >n Maternaln DeathnandnMortalityn RatesnI
ntegrated n Processes:n Nursingn Process
Client n Need:n Physiologicaln Integrity:n Reductionn of n Riskn Potentialn
Cognitiven Level:n Applicationn [Applying]
Concept:n Ante/Intra/Post-
partumnDifficulty:n Hard
Feedback
1 Thisn isn incorrect.n Earlyn maternaln deathn isn not n ann examplen of n maternaln death.
Examplesn of n maternaln deathn includenlatenmaternaln death,nindirect n obstetricn death,nd
irect n obstetricn death,n and n pregnancy-related n death.
2 Thisn isn incorrect.n Laten maternaln deathn occursn 42n daysn aftern terminationn of
pregnancynfromn an direct n orn indirect n obstetricn cause.
3 Thisn isn incorrect.n Direct n obstetricn deathn resultsn fromn complicationsn during
pregnancy,n labor,n birth,n and/orn postpartumn period.
4 Thisn isn correct.n Indirect n obstetricn deathn isn caused n byn an preexistingn disease,n orn a
diseasen that n developsn duringn pregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Then nursen isn providingn educationn ton an patient n whonhasn givenn birthn tonhern first n child n andnisn being
n discharged n home.n Then patient n expressed n concernn regardingn infant nmortalityn andn suddenninfan
t n deathn syndromen (SIDS).n Then patient nhadn annuncomplicated n pregnancy,n labor,n andn vaginaln de
livery.n Shen hasn an bodyn massn indexn ofn25n andnhasn nonothernhealthn conditions.n Then infant nisn healt
hyn and n wasn delivered n full-term.n What n willn ben most n helpfuln thingn ton explainnt on then patient?
1. Usesn of n extracorporealn membranen oxygenationn therapyn(ECMO)
2. Usesn of n exogenousn pulmonarynsurfactant
3. Then Baby-FriendlynHospitaln Initiative
4. Then Safen ton Sleepn campaign
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 3.n Identifynleadingn causesn ofn infant n death.n
Page:n 7
Heading:n Trendsn >n Infant n MortalitynRatesn
Integrated n Processes:n Nursingnprocess
Client n Need:n Safen andnEffectiven Caren Environment:n Safetyn and n Infectionn Controln
NSG 2420 Test Bank: Maternal-
n n n n
Newborn Nursing: The Critical Components of Nursing Care, 3rd
n n n n n n n n n
Edition, Roberta Durham, Linda Chapman
n n n n n
