MATERNAL-NEWBORN NURSING:
The Critical Components of Nursing Care
3RD EDITION
BY DURHAM | CHAPMAN
TEST BANK
,Maternal-Newborn Nursing: The Critical Components of Nursing Care 3rd Edition Test Bank Durham & Chapman
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
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
Unit 1: Maternity Nursing Overview
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Chapter 1: Trends and Issues
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Maternal-Newborn Nursing: The Critical Components of Nursing Care 3rd Edition Test
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R MULTIPLE CHOICE R
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother
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is present for support and notes that things have changed in the delivery room since she
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last gave birth in the early 1980s. Which current trend or intervention may the patient’s
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mother find most different?
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1. Fetal monitoring throughout labor
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2. Postpartum stay of 10 days R R R R
3. Expectant partner and family in operating room for cesarean birth
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4. Hospital support for breastfeeding R R R
ANS: 4 R
Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4
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Heading: Table 1-1: Past and Present Trends
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Integrated Processes: Nursing Process
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Client Need: Health Promotion and Maintenance
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Cognitive Level: Application [Applying]
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Concept: Evidence-Based Practice
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Difficulty: Moderate R
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As
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Rsuch, this likely would have occurred during the mother’s labor and delivery
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Rduring the 1980s. R R
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
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RPresently, the average postpartum stay is 48 hours or less.
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3 This is incorrect. In the past, expectant partners and families were excluded from
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Rthe labor and birth experience. Present trends involve the expectant partner and
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Rfamily in the labor and birth experience, including presence in the operating
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room for cesarean births.
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4 This is correct. Hospital support for breastfeeding, including a lactation
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Rconsultant and employment of the Baby-Friendly Hospital Initiative, were both
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Renacted during the early 1990s. R R R R
PTS: 1 CON: Evidence-Based Practice R R
2. A patient with a history of hypertension is giving birth. During delivery, the staff was
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not able to stabilize the patient’s blood pressure. As a result, the patient died shortly
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after delivery. This is an example of what type of death?
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1. Early maternal death R R
2. Late maternal death R R
, Maternal-Newborn Nursing: The Critical Components of Nursing Care 3rd Edition Test Bank Durham & Chapman
3. Direct obstetric death R R
4. Indirect obstetric death R R
ANS: 4
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Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
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outcomes.
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Page: 7 R
Heading: Trends > Maternal Death and Mortality Rates
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Integrated Processes: Nursing Process
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Client Need: Physiological Integrity: Reduction of Risk Potential
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Cognitive Level: Application [Applying]
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Concept: Ante/Intra/Post-partum
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Difficulty: Hard
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Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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Examples of maternal death include late maternal death, indirect obstetric death,
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direct obstetric death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancy from a direct or indirect obstetric cause.
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3 This is incorrect. Direct obstetric death results from complications during
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pregnancy, labor, birth, and/or postpartum period.
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4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
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disease that develops during pregnancy.
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PTS: 1 CON: Ante/Intra/Post-partum R
3. The nurse is providing education to a patient who has given birth to her first child and is
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being discharged home. The patient expressed concern regarding infant mortality and
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sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy,
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labor, and vaginal delivery. She has a body mass index of 25 and has no other health
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conditions. The infant is healthy and was delivered full-term. What will be most helpful
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thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant
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3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign
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ANS: 4 R
Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 3. Identify leading causes of infant death.
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Page: 7
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Heading: Trends > Infant Mortality Rates
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Integrated Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control
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Cognitive Level: Application [Applying]
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