TEST BANK FOR
Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition,
Roberta Durham, Linda Chapman
Table .of .Contents
Chapter .1: .Trends .and .Issues
Chapter .2: .Ethics .and .Standards .of .Practice .Issues
Chapter .3: .Genetics, .Conception, .Fetal .Development, .and .Chapter .4:
.Chapter .5: .The .Psycho-Social-Cultural .Aspects .of .the .Antepartum .Period
.Chapter .6: .Antepartal .Tests
Chapter .7: .High-Risk .Antepartum .Nursing .Care
.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 .Chapter .12: .Postpartum .Physiological .Assessments .and .Nursing
.Care .Chapter .13: .Transition .to .Parenthood
Chapter .14: .High-Risk .Postpartum .Nursing .Care
Chapter .15: .Physiological .and .Behavioral .Responses .of .the .Neonate
.Chapter .16: .Discharge .Planning .and .Teaching
Chapter .17: .High-Risk .Neonatal .Nursing .Care
.Chapter .18: .Well .Women’s .Health
Chapter .19: .Alterations .in .Women’s .Health
,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 .present .for .support .and .notes .that .things .have .changed .in .the .delivery .room
.since .she .last .gave .birth .in .the .early .1980s. .Which .current .trend .or .intervention .may .the
.patient’s .mother .find .most .different?
1. Fetal .monitoring .throughout .labor
2. Postpartum .stay .of .10 .days
3. Expectant .partner .and .family .in .operating .room .for .cesarean .birth
4. Hospital .support .for .breastfeeding
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .1. .Discuss .current .trends .in .the .management .of .labor .and
.birth .Page: .4
Heading: .Table .1-1: .Past .and .Present .Trends
.Integrated .Processes: .Nursing .Process
Client .Need: .Health .Promotion .and .Maintenance
.Cognitive .Level: .Application .[Applying]
.Concept: .Evidence-Based .Practice
Difficulty: .Moderate
Feedback
1 This .is .incorrect. .Fetal .monitoring .during .labor .began .in .the .late .1970s. .As .such,
this .likely .would .have .occurred .during .the .mother’s .labor .and .delivery .during
.the .1980s.
2 This .is .incorrect. . In .the .past, .the .average .hospital .postpartum .stay .was .10 .days.
Presently, .the .average .postpartum .stay .is .48 .hours .or .less.
3 This .is .incorrect. .In .the .past, .expectant .partners .and .families .were .excluded .from
.the .labor .and .birth .experience. .Present .trends .involve .the .expectant .partner .and
.family .in .the .labor .and .birth .experience, .including .presence .in .the .operating
room .for .cesarean .births.
4 This .is .correct. .Hospital .support .for .breastfeeding, .including .a .lactation
.consultant .and .employment .of .the .Baby-Friendly .Hospital .Initiative, .were
.both
enacted .during .the .early .1990s.
PTS: 1 CON: . Evidence-Based .Practice
2. A .patient .with .a .history .of .hypertension .is .giving .birth. .During .delivery, .the .staff .was .not
, able .to .stabilize .the .patient’s .blood .pressure. .As .a .result, .the .patient .died .shortly .after
.delivery. .This .is .an .example .of .what .type .of .death?
1. Early .maternal .death
2. Late .maternal .death
3. Direct .obstetric .death
4. Indirect .obstetric .death
.ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .2. .Discuss .current .trends .in .maternal .and .infant .health
.outcomes.
Page: .7
Heading: .Trends .> .Maternal .Death .and .Mortality .Rates
.Integrated .Processes: .Nursing .Process
Client .Need: .Physiological .Integrity: .Reduction .of .Risk .Potential
.Cognitive .Level: .Application .[Applying]
Concept: .Ante/Intra/Post-partum
.Difficulty: .Hard
Feedback
1 This .is .incorrect. .Early .maternal .death .is .not .an .example .of .maternal .death.
.Examples .of .maternal .death .include .late .maternal .death, .indirect .obstetric .death,
.direct .obstetric .death, .and .pregnancy-related .death.
2 This .is .incorrect. .Late .maternal .death .occurs .42 .days .after .termination .of
pregnancy .from .a .direct .or .indirect .obstetric .cause.
3 This .is .incorrect. .Direct .obstetric .death .results .from .complications .during
pregnancy, .labor, .birth, .and/or .postpartum .period.
4 This .is .correct. .Indirect .obstetric .death .is .caused .by .a .preexisting .disease, .or .a
disease .that .develops .during .pregnancy.
PTS: 1 CON: . Ante/Intra/Post-partum
3. The .nurse .is .providing .education .to .a .patient .who .has .given .birth .to .her .first .child .and .is
.being .discharged .home. .The .patient .expressed .concern .regarding .infant .mortality .and
.sudden .infant .death .syndrome .(SIDS). .The .patient .had .an .uncomplicated .pregnancy,
.labor, .and .vaginal .delivery. .She .has .a .body .mass .index .of .25 .and .has .no .other .health
.conditions. .The .infant .is .healthy .and .was .delivered .full-term. .What .will .be .most .helpful
.thing .to .explain .to .the .patient?
1. Uses .of .extracorporeal .membrane .oxygenation .therapy .(ECMO)
2. Uses .of .exogenous .pulmonary .surfactant
3. The .Baby-Friendly .Hospital .Initiative
4. The .Safe .to .Sleep .campaign
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .3. .Identify .leading .causes .of .infant .death.
.Page: .7
Heading: .Trends .> .Infant .Mortality .Rates
.Integrated .Processes: .Nursing .process
Client .Need: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
, Cognitive .Level: .Application .[Applying]
.Concept: .Health .Promotion
Difficulty: .Moderate
Feedback
1 This .is .incorrect. .EMCO .has .been .cited .as .one .of .the .factors .that .has .reduced
.infant .mortality .among .preterm .infants.
2 This .is .incorrect. .Although .advances .in .medical .treatments .have .decreased
.infant .mortality, .exogenous .pulmonary .surfactant .is .primarily .used .to .reduce
.mortality .of
preterm .infants.
3 This .is .incorrect. .The .Baby-Friendly .Hospital .Initiative .was .developed .to .support
breastfeeding .and .is .not .directly .linked .to .reduced .infant .mortality .or .SIDS.
4 This .is .correct. .The .Back .to .Sleep .campaign .and .the .Safe .to .Sleep .campaigns
.were .designed .to .promote .healthy .infant .sleeping .habits. .The .decrease .in .SIDS
.from
1995 .to .2015 .was .attributed .to .the .Safe .to .Sleep .campaign.
PTS: 1 CON: . Health .Promotion
4. The .nurse .is .caring .for .a .14-year-old .patient .who .is .32 .weeks .pregnant. .After
.complaining .of .genital .sores .and .discomfort, .the .patient .tests .positive .for .syphilis. .The
.fetus .is .at .increased .risk .of .which .condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .4. .Discuss .current .maternal .and .infant .health .issues.
.Page: .10
Heading: .Issues .> .Teen .Pregnancy .> .Implications .of .Teen .Pregnancy .and .Birth
.Integrated .Processes: .Nursing .Process
Client .Need: .Physiological .Integrity: .Reduction .of .Risk .Potential
.Cognitive .Level: .Application .[Applying]
Concept: .Ante/Intra/Post-partum
.Difficulty: .Moderate
Feedback
1 This .is .incorrect. .Maternal .obesity .increases .a .child’s .risk .of .developing
childhood .obesity .and .diabetes.
2 This .is .correct. .Neonatal .blindness, . maternal .death, .and .neonatal .death .are .all
associated .with .a .patient .who .contracts .syphilis .during .pregnancy.
3 This .is .incorrect. .Chlamydial .pneumonia .is .associated .with .maternal .chlamydia.
4 This .is .incorrect. .Teen .mothers .may .have .a .higher .risk .of .contracting .sexually
transmitted .illnesses .and .hypertension .during .pregnancy; .however, .maternal
.syphilis .is .not .associated .with .fetal .hypertension.
PTS: 1 CON: . Ante/Intra/Post-partum
Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition,
Roberta Durham, Linda Chapman
Table .of .Contents
Chapter .1: .Trends .and .Issues
Chapter .2: .Ethics .and .Standards .of .Practice .Issues
Chapter .3: .Genetics, .Conception, .Fetal .Development, .and .Chapter .4:
.Chapter .5: .The .Psycho-Social-Cultural .Aspects .of .the .Antepartum .Period
.Chapter .6: .Antepartal .Tests
Chapter .7: .High-Risk .Antepartum .Nursing .Care
.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 .Chapter .12: .Postpartum .Physiological .Assessments .and .Nursing
.Care .Chapter .13: .Transition .to .Parenthood
Chapter .14: .High-Risk .Postpartum .Nursing .Care
Chapter .15: .Physiological .and .Behavioral .Responses .of .the .Neonate
.Chapter .16: .Discharge .Planning .and .Teaching
Chapter .17: .High-Risk .Neonatal .Nursing .Care
.Chapter .18: .Well .Women’s .Health
Chapter .19: .Alterations .in .Women’s .Health
,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 .present .for .support .and .notes .that .things .have .changed .in .the .delivery .room
.since .she .last .gave .birth .in .the .early .1980s. .Which .current .trend .or .intervention .may .the
.patient’s .mother .find .most .different?
1. Fetal .monitoring .throughout .labor
2. Postpartum .stay .of .10 .days
3. Expectant .partner .and .family .in .operating .room .for .cesarean .birth
4. Hospital .support .for .breastfeeding
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .1. .Discuss .current .trends .in .the .management .of .labor .and
.birth .Page: .4
Heading: .Table .1-1: .Past .and .Present .Trends
.Integrated .Processes: .Nursing .Process
Client .Need: .Health .Promotion .and .Maintenance
.Cognitive .Level: .Application .[Applying]
.Concept: .Evidence-Based .Practice
Difficulty: .Moderate
Feedback
1 This .is .incorrect. .Fetal .monitoring .during .labor .began .in .the .late .1970s. .As .such,
this .likely .would .have .occurred .during .the .mother’s .labor .and .delivery .during
.the .1980s.
2 This .is .incorrect. . In .the .past, .the .average .hospital .postpartum .stay .was .10 .days.
Presently, .the .average .postpartum .stay .is .48 .hours .or .less.
3 This .is .incorrect. .In .the .past, .expectant .partners .and .families .were .excluded .from
.the .labor .and .birth .experience. .Present .trends .involve .the .expectant .partner .and
.family .in .the .labor .and .birth .experience, .including .presence .in .the .operating
room .for .cesarean .births.
4 This .is .correct. .Hospital .support .for .breastfeeding, .including .a .lactation
.consultant .and .employment .of .the .Baby-Friendly .Hospital .Initiative, .were
.both
enacted .during .the .early .1990s.
PTS: 1 CON: . Evidence-Based .Practice
2. A .patient .with .a .history .of .hypertension .is .giving .birth. .During .delivery, .the .staff .was .not
, able .to .stabilize .the .patient’s .blood .pressure. .As .a .result, .the .patient .died .shortly .after
.delivery. .This .is .an .example .of .what .type .of .death?
1. Early .maternal .death
2. Late .maternal .death
3. Direct .obstetric .death
4. Indirect .obstetric .death
.ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .2. .Discuss .current .trends .in .maternal .and .infant .health
.outcomes.
Page: .7
Heading: .Trends .> .Maternal .Death .and .Mortality .Rates
.Integrated .Processes: .Nursing .Process
Client .Need: .Physiological .Integrity: .Reduction .of .Risk .Potential
.Cognitive .Level: .Application .[Applying]
Concept: .Ante/Intra/Post-partum
.Difficulty: .Hard
Feedback
1 This .is .incorrect. .Early .maternal .death .is .not .an .example .of .maternal .death.
.Examples .of .maternal .death .include .late .maternal .death, .indirect .obstetric .death,
.direct .obstetric .death, .and .pregnancy-related .death.
2 This .is .incorrect. .Late .maternal .death .occurs .42 .days .after .termination .of
pregnancy .from .a .direct .or .indirect .obstetric .cause.
3 This .is .incorrect. .Direct .obstetric .death .results .from .complications .during
pregnancy, .labor, .birth, .and/or .postpartum .period.
4 This .is .correct. .Indirect .obstetric .death .is .caused .by .a .preexisting .disease, .or .a
disease .that .develops .during .pregnancy.
PTS: 1 CON: . Ante/Intra/Post-partum
3. The .nurse .is .providing .education .to .a .patient .who .has .given .birth .to .her .first .child .and .is
.being .discharged .home. .The .patient .expressed .concern .regarding .infant .mortality .and
.sudden .infant .death .syndrome .(SIDS). .The .patient .had .an .uncomplicated .pregnancy,
.labor, .and .vaginal .delivery. .She .has .a .body .mass .index .of .25 .and .has .no .other .health
.conditions. .The .infant .is .healthy .and .was .delivered .full-term. .What .will .be .most .helpful
.thing .to .explain .to .the .patient?
1. Uses .of .extracorporeal .membrane .oxygenation .therapy .(ECMO)
2. Uses .of .exogenous .pulmonary .surfactant
3. The .Baby-Friendly .Hospital .Initiative
4. The .Safe .to .Sleep .campaign
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .3. .Identify .leading .causes .of .infant .death.
.Page: .7
Heading: .Trends .> .Infant .Mortality .Rates
.Integrated .Processes: .Nursing .process
Client .Need: .Safe .and .Effective .Care .Environment: .Safety .and .Infection .Control
, Cognitive .Level: .Application .[Applying]
.Concept: .Health .Promotion
Difficulty: .Moderate
Feedback
1 This .is .incorrect. .EMCO .has .been .cited .as .one .of .the .factors .that .has .reduced
.infant .mortality .among .preterm .infants.
2 This .is .incorrect. .Although .advances .in .medical .treatments .have .decreased
.infant .mortality, .exogenous .pulmonary .surfactant .is .primarily .used .to .reduce
.mortality .of
preterm .infants.
3 This .is .incorrect. .The .Baby-Friendly .Hospital .Initiative .was .developed .to .support
breastfeeding .and .is .not .directly .linked .to .reduced .infant .mortality .or .SIDS.
4 This .is .correct. .The .Back .to .Sleep .campaign .and .the .Safe .to .Sleep .campaigns
.were .designed .to .promote .healthy .infant .sleeping .habits. .The .decrease .in .SIDS
.from
1995 .to .2015 .was .attributed .to .the .Safe .to .Sleep .campaign.
PTS: 1 CON: . Health .Promotion
4. The .nurse .is .caring .for .a .14-year-old .patient .who .is .32 .weeks .pregnant. .After
.complaining .of .genital .sores .and .discomfort, .the .patient .tests .positive .for .syphilis. .The
.fetus .is .at .increased .risk .of .which .condition?
1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
ANS: . 4
Chapter: .Chapter .1 .Trends .and .Issues
Chapter .Learning .Objective: .4. .Discuss .current .maternal .and .infant .health .issues.
.Page: .10
Heading: .Issues .> .Teen .Pregnancy .> .Implications .of .Teen .Pregnancy .and .Birth
.Integrated .Processes: .Nursing .Process
Client .Need: .Physiological .Integrity: .Reduction .of .Risk .Potential
.Cognitive .Level: .Application .[Applying]
Concept: .Ante/Intra/Post-partum
.Difficulty: .Moderate
Feedback
1 This .is .incorrect. .Maternal .obesity .increases .a .child’s .risk .of .developing
childhood .obesity .and .diabetes.
2 This .is .correct. .Neonatal .blindness, . maternal .death, .and .neonatal .death .are .all
associated .with .a .patient .who .contracts .syphilis .during .pregnancy.
3 This .is .incorrect. .Chlamydial .pneumonia .is .associated .with .maternal .chlamydia.
4 This .is .incorrect. .Teen .mothers .may .have .a .higher .risk .of .contracting .sexually
transmitted .illnesses .and .hypertension .during .pregnancy; .however, .maternal
.syphilis .is .not .associated .with .fetal .hypertension.
PTS: 1 CON: . Ante/Intra/Post-partum
