MATERNAL-NEWBORN NURSING:
THE CRITICAL COMPONENTS OF
NURSING CARE 3RD EDITION BY
LINDA CHAPMAN AND ROBERTA
DURHAM
,TESTr5BANK:r5Maternal-
Newbornr5Nursing:r5Ther5Criticalr5Componentsr5Ofr5Nursingr5Carer53rdr5Editionr5Byr5Robertar5Durhamr5Andr5Lind
ar5Chapman
Unitr51:r5Maternityr5Nursingr5Overviewr5Chap
terr51:r5Trendsr5andr5Issues
MULTIPLEr5CHOICE
1. Ther5nurser5isr5caringr5forr5ar5patientr5whor5isr5inr5laborr5withr5herr5firstr5child.r5Ther5patient’sr5mo
therr5isr5presentr5forr5supportr5andr5notesr5thatr5thingsr5haver5changedr5inr5ther5deliveryr5roomr5s
incer5sher5lastr5gaver5birthr5inr5ther5earlyr51980s.r5Whichr5currentr5trendr5orr5interventionr5mayr5t
her5patient’sr5motherr5findr5mostr5different?
1. Fetalr5monitoringr5throughoutr5labor
2. Postpartumr5stayr5ofr510r5days
3. Expectantr5partnerr5andr5familyr5inr5operatingr5roomr5forr5cesareanr5birth
4. Hospitalr5supportr5forr5breastfeeding
ANS:r 5 4
Chapter:r5Chapterr51r5Trendsr5andr5 Issues
Chapterr5Learningr5Objective:r51.r5Discussr5currentr5trendsr5inr5ther5managementr5ofr5laborr5andr5b
irthr5Page:r54
Heading:r5Tabler51-
1:r5Pastr5andr5Presentr5Trendsr5Integratedr5Processes
:r5Nursingr5Process
Clientr5Need:r5Healthr5Promotionr5andr5Maintenanc
er5Cognitiver5Level:r5Applicationr5[Applying]r5Co
ncept:r5Evidence-Basedr5Practice
Difficulty:r5Moderate
Feedback
1 Thisr5isr5incorrect.r5Fetalr5monitoringr5duringr5laborr5beganr5inr5ther5later51970s.r5Asr5s
uch,r5thisr5likelyr5wouldr5haver5occurredr5duringr5ther5mother’sr5laborr5andr5deliveryr
5duringr5ther51980s.
2 Thisr5isr5incorrect.r5Inr5ther5past,r5ther5averager5hospitalr5postpartumr5stayr5wasr510r5days.
r5Presently,r5ther5averager5postpartumr5stayr5isr548r5hoursr5orr5less.
3 Thisr5isr5incorrect.r5Inr5ther5past,r5expectantr5partnersr5andr5familiesr5werer5excludedr5fr
omr5ther5laborr5andr5birthr5experience.r5Presentr5trendsr5involver5ther5expectantr5part
nerr5andr5familyr5inr5ther5laborr5andr5birthr5experience,r5includingr5presencer5inr5ther5
operating
roomr5forr5cesareanr5births.
4 Thisr5isr5correct.r5Hospitalr5supportr5forr5breastfeeding,r5includingr5ar5lactationr5con
sultantr5andr5employmentr5ofr5ther5Baby-
Friendlyr5Hospitalr5Initiative,r5werer5bothr5enactedr5duringr5ther5earlyr51990s.
PTS: 1 CON:r 5 Evidence-Basedr5Practice
2. Ar5patientr5withr5ar5historyr5ofr5hypertensionr5isr5givingr5birth.r5Duringr5delivery,r5ther5staffr5wa
sr5notr5abler5tor5stabilizer5ther5patient’sr5bloodr5pressure.r5Asr5ar5result,r5ther5patientr5diedr5sho
rtlyr5afterr5delivery.r5Thisr5isr5anr5exampler5ofr5whatr5typer5ofr5death?
1. Earlyr5maternalr5death
2. Later5maternalr5death
,TESTr 5 BANK:r 5 Maternal-
Newbornr 5 Nursing:r 5 Ther 5 Criticalr 5 Componentsr 5 Ofr 5 Nursin 3rd Editionr 5 Byr 5 Robertar 5 Durhamr
gr 5 Care 5 And
3. Directr5obstetricr5death
4. Indirectr5obstetricr5deat
hr5ANS:r 5 4
Chapter:r5Chapterr51r5Trendsr5andr5Issues
Chapterr5Learningr5Objective:r52.r5Discussr5currentr5trendsr5inr5maternalr5andr5infantr5healthr5outc
omes.
Page:r57
Heading:r5Trendsr5>r5Maternalr5Deathr5andr5Mortalityr5Ratesr5Integ
ratedr5Processes:r5Nursingr5Process
Clientr5Need:r5Physiologicalr5Integrity:r5Reductionr5ofr5Riskr5Potentialr5Cogni
tiver5Level:r5Applicationr5[Applying]
Concept:r5Ante/Intra/Post-
partumr5Difficulty:r5Hard
Feedback
1 Thisr5isr5incorrect.r5Earlyr5maternalr5deathr5isr5notr5anr5exampler5ofr5maternalr5death.r5
Examplesr5ofr5maternalr5deathr5includer5later5maternalr5death,r5indirectr5obstetricr5death
,r5directr5obstetricr5death,r5andr5pregnancy-relatedr5death.
2 Thisr5isr5incorrect.r5Later5maternalr5deathr5occursr542r5daysr5afterr5terminationr5ofr5preg
nancyr5fromr5ar5directr5orr5indirectr5obstetricr5cause.
3 Thisr5isr5incorrect.r5Directr5obstetricr5deathr5resultsr5fromr5complicationsr5duringr5preg
nancy,r5labor,r5birth,r5and/orr5postpartumr5period.
4 Thisr5isr5correct.r5Indirectr5obstetricr5deathr5isr5causedr5byr5ar5preexistingr5disease,r5orr5ar
5diseaser5thatr5developsr5duringr5pregnancy.
PTS: 1 CON:r 5 Ante/Intra/Post-partum
3. Ther5nurser5isr5providingr5educationr5tor5ar5patientr5whor5hasr5givenr5birthr5tor5herr5firstr5childr5an
dr5isr5beingr5dischargedr5home.r5Ther5patientr5expressedr5concernr5regardingr5infantr5mortalityr5a
ndr5suddenr5infantr5deathr5syndromer5(SIDS).r5Ther5patientr5hadr5anr5uncomplicatedr5pregnancy
,r5labor,r5andr5vaginalr5delivery.r5Sher5hasr5ar5bodyr5massr5indexr5ofr525r5andr5hasr5nor5otherr5healt
hr5conditions.r5Ther5infantr5isr5healthyr5andr5wasr5deliveredr5full-
term.r5Whatr5willr5ber5mostr5helpfulr5thingr5tor5explainr5tor5ther5patient?
1. Usesr5ofr5extracorporealr5membraner5oxygenationr5therapyr5(ECMO)
2. Usesr5ofr5exogenousr5pulmonaryr5surfactant
3. Ther5Baby-Friendlyr5Hospitalr5 Initiative
4. Ther5Safer5tor5Sleepr5campaign
ANS:r 5 4
Chapter:r5Chapterr51r5Trendsr5andr5 Issues
Chapterr5Learningr5Objective:r53.r5Identifyr5leadingr5causesr5ofr5infantr5death.r5
Page:r57
Heading:r5Trendsr5>r5Infantr5Mortalityr5Ratesr5Integ
ratedr5Processes:r5Nursingr5process
Clientr5Need:r5Safer5andr5Effectiver5Carer5Environment:r5Safetyr5andr5Infectionr5Controlr5
Cognitiver5Level:r5Applicationr5[Applying]
, TESTr 5 BANK:r 5 Maternal-
Newbornr 5 Nursing:r 5 Ther 5 Criticalr 5 Componentsr 5 Ofr 5 Nursin 3rd Editionr 5 Byr 5 Robertar 5 Durhamr
gr 5 Care 5 And
Concept:r 5 Healthr 5 Promotio
nr5Difficulty:r 5 Moderate