Nursing Care 4th Edition Durham Chapman | All 1-19 Chapters Covered With Questions
And Verified Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
Unit 1: Maternity Nursing Overview
• Chapter 1: Trends and Issues
• Chapter 2: Ethics and Standards of Practice Issues
Unit 2: The Antepartal Period
• Chapter 3: Genetics, Conception, Fetal Development, and Reproductive Technology
• Chapter 4: Physiological Aspects of Pregnancy
• Chapter 5: The Psycho-Social-Cultural Aspects of Pregnancy
• Chapter 6: Antepartal Tests
• Chapter 7: Complications of Pregnancy
Unit 3: The Intrapartal Period
• Chapter 8: Labor and Birth
• Chapter 9: Fetal Heart Rate Assessment
• Chapter 10: Complications of Labor and Birth
• Chapter 11: Intrapartum and Postpartum Care of Cesarean Birth Families
Unit 4: The Postpartal Period
• Chapter 12: Postpartum Physiological Assessments and Nursing Care
• Chapter 13: Transition to Parenthood
• Chapter 14: Postpartum Complications and Nursing Care
Unit 5: The Neonatal Period
• Chapter 15: Nursing Care of the Neonate and Family
• Chapter 16: Newborn Nutrition
• Chapter 17: Complications of the Neonate and Nursing Care
Unit 6: Women's Health
, • Chapter 18: Well Women's Health
• Chapter 19: Alterations in Women's Health
Chapter 1: Trends and Issues in Maternal-Newborn Nursing
Multiple-Choice Questions (21 items)
1. A nurse is reviewing maternal mortality data. Which racial/ethnic group in the United States has
the highest maternal mortality rate?
• A) Non-Hispanic White women
• B) Hispanic women
• C) Asian/Pacific Islander women
• D) Non-Hispanic Black women
Rationale: Non-Hispanic Black women experience the highest maternal mortality rate in the U.S.,
largely due to systemic racism, disparities in healthcare access, chronic stress, and implicit bias in
care.
2. Which of the following is a major goal of the Healthy People 2030 initiative related to maternal-
newborn health?
• A) Reduce maternal deaths and severe complications during pregnancy and childbirth
• B) Increase the rate of elective cesarean sections before 39 weeks
• C) Decrease the number of prenatal visits for low-risk pregnancies
• D) Promote home births for all women
Rationale: Healthy People 2030 includes goals to reduce maternal mortality and morbidity, improve
preconception health, and increase access to quality prenatal and postpartum care.
3. A nurse working in a postpartum unit notices that many new mothers miss follow-up
appointments. Which is the most common barrier to postpartum care?
• A) Lack of newborn health concerns
• B) Transportation and childcare issues
• C) Focus on infant's health over maternal health
, • D) Overly flexible appointment scheduling
Rationale: Mothers often prioritize infant care over their own health, leading to missed postpartum
visits. Lack of awareness and logistical barriers also contribute.
4. What does "implicit bias" in maternal-newborn nursing most directly affect?
• A) Hospital billing practices
• B) The color of nursing scrubs
• C) Quality of pain assessment and treatment in minority patients
• D) Choice of infant formula brand
Rationale: Implicit bias can lead to underestimating pain, dismissing symptoms, or delaying care for
minority mothers, contributing to disparities in outcomes.
5. Which trend has contributed most significantly to the rise in maternal mortality in the U.S.
compared to other high-income nations?
• A) Too many home births
• B) Lack of obstetricians
• C) Fragmented healthcare system and lack of postpartum coverage
• D) Excessive use of epidurals
Rationale: The U.S. lacks a unified maternal care system; many women lose insurance coverage 60
days postpartum, leading to missed follow-up for conditions like hypertension or depression.
6. A nurse is implementing trauma-informed care. Which action is most appropriate?
• A) Ask permission before any physical assessment
• B) Avoid discussing past birth experiences
• C) Require the patient to have a support person present
• D) Perform all procedures quickly to minimize distress
Rationale: Trauma-informed care emphasizes safety, trust, and collaboration. Asking permission
gives the patient control and reduces the risk of re-traumatization.
7. Which factor is a key driver of the rising U.S. cesarean birth rate?
• A) Strong preference for vaginal birth among patients
• B) Decreased use of labor induction