TEST BANK
MATERNAL-NEWBORN NURSING: THE CRITICAL
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA
CHAPMAN AND ROBERTA DURHAM
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
T T T T T T T T T T T T T T T T T T
present for support and notes that things have changed in the delivery room since she last
T T T T T T T T T T T T T T T T
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
T T T T T T T T T T T T T T T
find most different?
T T
1. Fetal monitoring throughout labor T T T
2. Postpartum stayof 10 days T T T T
3. Expectant partner and family in operating room for cesarean birth T T T T T T T T T
4. Hospital support for breastfeeding T T T
ANS: 4 T
Chapter: Chapter 1 Trends and Issues T T T T T
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
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Page: 4 T
Heading: Table 1-1: Past and Present Trends T T T T T T T
Integrated Processes: Nursing Process T T T
Client Need: Health Promotion and Maintenance
T T T T T T
Cognitive Level: Application [Applying] T T T T
Concept: Evidence-Based Practice T T
Difficulty: Moderate T
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
T T T T T T T T T T T T T T
this likely would have occurred during the mother’s labor and delivery during
T T T T T T T T T T T T
the 1980s. T
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
T T T T T T T T T T T T T T
Presently, the average postpartum stay is 48 hours or less. T T T T T T T T T
3 This is incorrect. In the past, expectant partners and families were excluded from
T T T T T T T T T T T T T
the labor and birth experience. Present trends involve the expectant partner and
T T T T T T T T T T T T
family in the labor and birth experience, including presence in the operating
T T T T T T T T T T T
room for cesarean births. T T T
4 This is correct. Hospital support for breastfeeding, including a lactation
T T T T T T T T T T
consultant and employment of the Baby-Friendly Hospital Initiative, were both
T T T T T T T T T T
enacted during the early 1990s. T T T T
PTS: 1 CON: Evidence-Based Practice T T
2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not
T T T T T T T T T T T T T T T T
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
T T T T T T T T T T T T T T T
delivery. This is an example of what type of death?
T T T T T T T T T
1. Early maternal death T T
2. Late maternal death T T
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
3. Direct obstetric death T T
4. Indirect obstetric death T T T
ANS: 4 T
Chapter: Chapter 1 Trends and Issues
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Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
T T T T T T T T T T T T
Page: 7 T
Heading: Trends > Maternal Death and Mortality Rates Integrated
T T T T T T T T T
Processes: Nursing Process T T
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive
T T T T T T T T T
Level: Application [Applying]
T T
Concept: Ante/Intra/Post-partum T T
Difficulty: Hard T
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
T T T T T T T T T T T T T
Examples of maternal death include late maternal death, indirect obstetric death,
T T T T T T T T T T T
direct obstetric death, and pregnancy-related death.
T T T T T
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy
T T T T T T T T T T T T T
from a direct or indirect obstetric cause.
T T T T T T
3 This is incorrect. Direct obstetric death results from complications during
T T T T T T T T T
pregnancy, labor, birth, and/or postpartum period. T T T T T
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
T T T T T T T T T T T T T
disease that develops during pregnancy. T T T T
PTS: 1 CON: Ante/Intra/Post-partum T
3. The nurse is providing education to a patient who has given birth to her first child and is
T T T T T T T T T T T T T T T T T T
being discharged home. The patient expressed concern regarding infant mortality and
T T T T T T T T T T T
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
T T T T T T T T T T T T
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
T T T T T T T T T T T T T T T T T
The infant is healthy and was delivered full-term. What will be most helpful thing to explain
T T T T T T T T T T T T T T T T
to the patient?
T T
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
T T T T T T
2. Uses of exogenous pulmonary surfactant
T T T T
3. The Baby-Friendly Hospital Initiative
T T T
4. The Safe to Sleep campaign
T T T T
ANS: 4 T
Chapter: Chapter 1 Trends and Issues
T T T T T
Chapter Learning Objective: 3. Identify leading causes of infant death.
T T T T T T T T T T
Page: 7 T
Heading: Trends > Infant Mortality Rates
T T T T T T
Integrated Processes: Nursing processT T T
Client Need: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T T T
Cognitive Level: Application [Applying]
T T T
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
Concept: Health Promotion T T T
Difficulty: Moderate T
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
T T T T T T T T T T T T T T T
infant mortality among preterm infants.
T T T T
2 This is incorrect. Although advances in medical treatments have decreased infant
T T T T T T T T T T T
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
T T T T T T T T T T T
preterm infants. T
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
T T T T T T T T T T T
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
T T T T T T T T T T T
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
T T T T T T T T T T T T T T T
designed to promote healthy infant sleeping habits. The decrease in SIDS from
T T T T T T T T T T T
1995 to 2015 was attributed to the Safe to Sleep campaign.
T T T T T T T T T T
PTS: 1 CON: Health Promotion T T
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
T T T T T T T T T T T T T T T
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
T T T T T T T T T T T T T T T
increased risk of which condition?
T T T T
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 T
Chapter: Chapter 1 Trends and Issues
T T T T T
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. Page:
T T T T T T T T T T T T
10
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
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Integrated Processes: Nursing ProcessT T T
Client Need: Physiological Integrity: Reduction of Risk Potential
T T T T T T T T
Cognitive Level: Application [Applying]
T T T
Concept: Ante/Intra/Post-partum
T T
Difficulty: Moderate T
Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood
T T T T T T T T T T T T
obesity and diabetes. T T
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
T T T T T T T T T T T T
associated with a patient who contracts syphilis during pregnancy.
T T T T T T T T
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
T T T T T T T T T
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
T T T T T T T T T T T T T
transmitted illnesses and hypertension during pregnancy; however, maternal
T T T T T T T T
syphilis is not associated with fetal hypertension.
T T T T T T
PTS: 1 CON: Ante/Intra/Post-partum T
MATERNAL-NEWBORN NURSING: THE CRITICAL
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA
CHAPMAN AND ROBERTA DURHAM
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
Unit 1: Maternity Nursing Overview
Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
T T T T T T T T T T T T T T T T T T
present for support and notes that things have changed in the delivery room since she last
T T T T T T T T T T T T T T T T
gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
T T T T T T T T T T T T T T T
find most different?
T T
1. Fetal monitoring throughout labor T T T
2. Postpartum stayof 10 days T T T T
3. Expectant partner and family in operating room for cesarean birth T T T T T T T T T
4. Hospital support for breastfeeding T T T
ANS: 4 T
Chapter: Chapter 1 Trends and Issues T T T T T
Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
T T T T T T T T T T T T T T
Page: 4 T
Heading: Table 1-1: Past and Present Trends T T T T T T T
Integrated Processes: Nursing Process T T T
Client Need: Health Promotion and Maintenance
T T T T T T
Cognitive Level: Application [Applying] T T T T
Concept: Evidence-Based Practice T T
Difficulty: Moderate T
Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
T T T T T T T T T T T T T T
this likely would have occurred during the mother’s labor and delivery during
T T T T T T T T T T T T
the 1980s. T
2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
T T T T T T T T T T T T T T
Presently, the average postpartum stay is 48 hours or less. T T T T T T T T T
3 This is incorrect. In the past, expectant partners and families were excluded from
T T T T T T T T T T T T T
the labor and birth experience. Present trends involve the expectant partner and
T T T T T T T T T T T T
family in the labor and birth experience, including presence in the operating
T T T T T T T T T T T
room for cesarean births. T T T
4 This is correct. Hospital support for breastfeeding, including a lactation
T T T T T T T T T T
consultant and employment of the Baby-Friendly Hospital Initiative, were both
T T T T T T T T T T
enacted during the early 1990s. T T T T
PTS: 1 CON: Evidence-Based Practice T T
2. A patient with a historyof hypertension is giving birth. During delivery, the staff was not
T T T T T T T T T T T T T T T T
able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
T T T T T T T T T T T T T T T
delivery. This is an example of what type of death?
T T T T T T T T T
1. Early maternal death T T
2. Late maternal death T T
,TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
3. Direct obstetric death T T
4. Indirect obstetric death T T T
ANS: 4 T
Chapter: Chapter 1 Trends and Issues
T T T T T
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
T T T T T T T T T T T T
Page: 7 T
Heading: Trends > Maternal Death and Mortality Rates Integrated
T T T T T T T T T
Processes: Nursing Process T T
Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive
T T T T T T T T T
Level: Application [Applying]
T T
Concept: Ante/Intra/Post-partum T T
Difficulty: Hard T
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
T T T T T T T T T T T T T
Examples of maternal death include late maternal death, indirect obstetric death,
T T T T T T T T T T T
direct obstetric death, and pregnancy-related death.
T T T T T
2 This is incorrect. Late maternal death occurs 42 days after termination of pregnancy
T T T T T T T T T T T T T
from a direct or indirect obstetric cause.
T T T T T T
3 This is incorrect. Direct obstetric death results from complications during
T T T T T T T T T
pregnancy, labor, birth, and/or postpartum period. T T T T T
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
T T T T T T T T T T T T T
disease that develops during pregnancy. T T T T
PTS: 1 CON: Ante/Intra/Post-partum T
3. The nurse is providing education to a patient who has given birth to her first child and is
T T T T T T T T T T T T T T T T T T
being discharged home. The patient expressed concern regarding infant mortality and
T T T T T T T T T T T
sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor,
T T T T T T T T T T T T
and vaginal delivery. She has a body mass index of 25 and has no other health conditions.
T T T T T T T T T T T T T T T T T
The infant is healthy and was delivered full-term. What will be most helpful thing to explain
T T T T T T T T T T T T T T T T
to the patient?
T T
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
T T T T T T
2. Uses of exogenous pulmonary surfactant
T T T T
3. The Baby-Friendly Hospital Initiative
T T T
4. The Safe to Sleep campaign
T T T T
ANS: 4 T
Chapter: Chapter 1 Trends and Issues
T T T T T
Chapter Learning Objective: 3. Identify leading causes of infant death.
T T T T T T T T T T
Page: 7 T
Heading: Trends > Infant Mortality Rates
T T T T T T
Integrated Processes: Nursing processT T T
Client Need: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T T T
Cognitive Level: Application [Applying]
T T T
, TEST BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
Durham And Linda Chapman
Concept: Health Promotion T T T
Difficulty: Moderate T
Feedback
1 This is incorrect. EMCO has been cited as one of the factors that has reduced
T T T T T T T T T T T T T T T
infant mortality among preterm infants.
T T T T
2 This is incorrect. Although advances in medical treatments have decreased infant
T T T T T T T T T T T
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
T T T T T T T T T T T
preterm infants. T
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
T T T T T T T T T T T
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
T T T T T T T T T T T
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
T T T T T T T T T T T T T T T
designed to promote healthy infant sleeping habits. The decrease in SIDS from
T T T T T T T T T T T
1995 to 2015 was attributed to the Safe to Sleep campaign.
T T T T T T T T T T
PTS: 1 CON: Health Promotion T T
4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining
T T T T T T T T T T T T T T T
of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at
T T T T T T T T T T T T T T T
increased risk of which condition?
T T T T
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: 4 T
Chapter: Chapter 1 Trends and Issues
T T T T T
Chapter Learning Objective: 4. Discuss current maternal and infant health issues. Page:
T T T T T T T T T T T T
10
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
T T T T T T T T T T T T
Integrated Processes: Nursing ProcessT T T
Client Need: Physiological Integrity: Reduction of Risk Potential
T T T T T T T T
Cognitive Level: Application [Applying]
T T T
Concept: Ante/Intra/Post-partum
T T
Difficulty: Moderate T
Feedback
1 This is incorrect. Maternal obesity increases a child’s risk of developing childhood
T T T T T T T T T T T T
obesity and diabetes. T T
2 This is correct. Neonatal blindness, maternal death, and neonatal death are all
T T T T T T T T T T T T
associated with a patient who contracts syphilis during pregnancy.
T T T T T T T T
3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
T T T T T T T T T
4 This is incorrect. Teen mothers may have a higher risk of contracting sexually
T T T T T T T T T T T T T
transmitted illnesses and hypertension during pregnancy; however, maternal
T T T T T T T T
syphilis is not associated with fetal hypertension.
T T T T T T
PTS: 1 CON: Ante/Intra/Post-partum T
