Updated/Latest Maternal Newborn Nursing The Critical Components of Nursing Care 3rd Edition Durham and Chapman Test Bank Comprehensive Examination Questions and Answers Study Guide for Maternal Health Newborn Care Obstetric Nursing Labor Delivery Postpart

TES BANK J




MATERNAL-NEWBORN NURSING: THE CRITICAL
COMPONENTS OF NURSING CARE 3RD EDITION BY LINDA
CHAPMAN AND ROBERTA DURHAM

,TES BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
J




Durham And Linda Chapman

Uni 1: Maternity Nursing Overview
J




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
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present for support and notes that things have changed in the delivery room since she last gave
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birth in the early1980s. Which current trend or intervention maythe patient’s mother find most
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different?
1. Fetal monitoring throughout labor J J J




2. Postpartum stayof 10 days J J J J




3. Expectant partner and familyin operatingroom for cesarean birth J J J J J J J J J




4. Hospital support for breastfeeding J J J




ANS: 4 J




Chapter:Chapter 1 Trends and Issues J J J J J




Chapter LearningObjective: 1.Discuss current trends in the management oflaborand birth Page:
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4
Heading:Table1-1:PastandPresentTrends J J J J J J J




Integrated Processes: Nursing Process J J J




ClientNeed:HealthPromotionandMaintenance
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Cognitive Level: Application [Applying] J J J J




Concept: Evidence-Based Practice J J




Difficulty:Moderate J




Feedback
1 This is incorrect. Fetal monitoringduringlabor began in the late1970s. As such, this
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likely would have occurred during the mother’s labor and delivery during the 1980s.
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2 Thisis incorrect. In the past, theaverage hospital postpartum staywas 10 days.
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Presently, the average postpartum stayis 48 hours or less. J J J J J J J J J




3 Thisis incorrect. Inthepast, expectant partnersandfamilies wereexcluded from the
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labor and birth experience. Present trends involve the expectant partner and family
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in the labor and birth experience, including presence in the operating
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room for cesarean births. J J J




4 This is correct. Hospital support for breastfeeding, including a lactation consultant
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andemployment ofthe Baby-FriendlyHospital Initiative,were both enacted during
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the early 1990s. J J




PTS: 1 CON: Evidence-Based Practice J J




2. Apatient with a historyofhypertension is giving birth. Duringdelivery, the staffwas not able
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to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery.
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This is an example of what type of death?
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1. Earlymaternal death J J




2. Latematernal death J J

,TES BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
J




Durham And Linda Chapman


3. Direct obstetric death J J




4. Indirectobstetricdeath J J J




ANS: 4 J




Chapter:Chapter 1 Trends and Issues J J J J J




Chapter LearningObjective: 2.Discuss current trends in maternaland infant health outcomes.
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Page:7 J




Heading:Trends>MaternalDeathand MortalityRates Integrated
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Processes: Nursing Process J J




Client Need: Physiological Integrity: ReductionofRiskPotential Cognitive
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Level: Application [Applying]
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Concept:Ante/Intra/Post-partum J J




Difficulty: Hard J




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Examples
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ofmaternaldeathincludelatematernal death, indirect obstetricdeath, direct obstetric
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death, and pregnancy-related death. J J J




2 This is incorrect. Latematernal deathoccurs42days aftertermination of pregnancy
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from a direct or indirect obstetric cause. J J J J J J




3 Thisis incorrect. Direct obstetricdeath results fromcomplications during
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pregnancy, labor, birth, and/or postpartum period. J J J J J




4 This is correct. Indirect obstetricdeath is caused byapreexistingdisease, or a
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disease that develops during pregnancy. J J J J




PTS: 1 CON: Ante/Intra/Post-partum J




3. The nurse is providing education to a patient who has given birth to her first child and is being
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discharged home. The patient expressed concern regarding infant mortality and sudden infant
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death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal
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delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy
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and was delivered full-term. What will be most helpful thingto explain to the patient?
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1. Usesof extracorporeal membrane oxygenation therapy(ECMO)
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2. Uses of exogenous pulmonarysurfactant J J J J




3. The Baby-FriendlyHospital Initiative
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4. TheSafe to Sleep campaign J J J J




ANS: 4 J




Chapter:Chapter 1 Trends and Issues J J J J J




ChapterLearningObjective: 3. Identifyleadingcausesofinfant death. Page: 7
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Heading:Trends>InfantMortalityRates Integrated
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Processes: Nursing process J J




Client Need: Safeand Effective Care Environment: Safetyand Infection Control
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Cognitive Level: Application [Applying] J J J

, TES BANK: Maternal-Newborn Nursing: The Critical Components Of Nursing Care 3rd Edition By Roberta
J




Durham And Linda Chapman

Concept:HealthPromotion J J J




Difficulty: Moderate J




Feedback
1 This is incorrect. EMCO has been cited as oneofthe factors that has reduced infant
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mortality among preterm infants. J J J




2 This is incorrect. Although advances in medical treatments have decreased infant
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mortality,exogenous pulmonarysurfactant is primarilyused to reduce mortalityof J J J J J J J J J J J




preterm infants. J




3 Thisis incorrect. The Baby-FriendlyHospital Initiativewas developed to support
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breastfeeding and is not directly linked to reduced infant mortalityor SIDS. J J J J J J J J J J J




4 This is correct. TheBack toSleep campaign and theSafeto Sleepcampaigns were
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designed to promote healthy infant sleeping habits. The decrease in SIDS from
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1995 to 2015 was attributed to the Safe to Sleep campaign.
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PTS: 1 CON: Health Promotion J J




4. The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of
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genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk
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of which condition?
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1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension

ANS: 4 J




Chapter:Chapter 1 Trends and Issues J J J J J




ChapterLearningObjective: 4. Discuss current maternaland infant healthissues. Page: 10
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Heading: Issues >TeenPregnancy> Implications ofTeenPregnancyand Birth Integrated
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Processes: Nursing Process J J




Client Need: Physiological Integrity: ReductionofRiskPotential Cognitive
J J J J J J J J J




Level: Application [Applying]
J J




Concept:Ante/Intra/Post-partum J J




Difficulty: Moderate J




Feedback
1 This is incorrect. Maternalobesityincreases a child’srisk ofdeveloping childhood
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obesity and diabetes. J J




2 This is correct. Neonatal blindness, maternal death, and neonataldeath areall associated
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with a patient who contracts syphilis during pregnancy.
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3 This is incorrect. Chlamydial pneumonia is associated with maternal chlamydia.
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4 This is incorrect. Teen mothers mayhave a higher risk ofcontracting sexually
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transmitted illnesses and hypertension during pregnancy; however, maternal syphilis J J J J J J J J J




is not associated with fetal hypertension.
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PTS: 1 CON: Ante/Intra/Post-partum J