FULL Test Bank for Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Edition by Durham, Chapman, and Miller|Newest edition 2025 A+

,Unit 1: Maternity Nursing Overview Chap
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ter 1: Trends and Issues
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MULTIPLE CHOICE ki




1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is prese
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nt for support and notes that things have changed in the delivery room since she last gave birth i
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n the early 1980s. Which current trend or intervention may the patient’s mother find most differ
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ent?
1. Fetal monitoring throughout labor ki ki ki




2. Postpartum stayof 10 days ki ki ki ki




3. Expectant partner and familyin operating room for cesarean birth ki ki ki ki ki ki ki ki ki




4. Hospital support for breastfeeding ki ki ki




ANS: 4 k i




Chapter: Chapter 1 Trends and Issues ki ki ki ki ki




Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth Page
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:4
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Heading: Table 1- ki ki




1: Past and Present Trends Integrated Processes: Nu
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rsing Process ki




ClientNeed: Health Promotion and Maintenance C ki ki ki ki ki ki




ognitive Level: Application [Applying] Concept: ki ki ki ki ki




Evidence-Based Practice ki




Difficulty: Moderate ki




Feedback
1 This is incorrect. Fetal monitoring during labor began in the late 1970s. 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 This is incorrect. In the past, the average hospital postpartum staywas 10 days.
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Presently, the average postpartum stayis 48 hours or less. ki ki ki ki ki ki ki ki ki




3 This is incorrect. In the past, expectant partners and families were excluded from the lab
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or and birth experience. Present trends involve the expectant partner and family in the l
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abor and birth experience, including presence in the operating
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room for cesarean births. ki ki ki




4 This is correct. Hospital support for breastfeeding, including a lactation
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consultant and employment of the Baby- ki ki ki ki ki




FriendlyHospital Initiative, were both enacted during the early 1990s. ki ki ki ki ki ki ki ki ki




PTS: 1 CON: Evidence-Based Practice k i ki




2. A patient with a historyof hypertension is giving birth. Duringdelivery, the staff was not able t
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o stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery. Thi
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s is an example of what type of death?
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1. Earlymaternal death ki ki

,2. Latematernal death
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, 3. Direct obstetric death ki ki




4. Indirect obstetricdeath ki ki ki




ANS: 4 k i




Chapter: Chapter 1 Trends and Issues ki ki ki ki ki




Chapter Learning Objective: 2. Discuss current trends in maternal and infant health outcomes.
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Page: 7 ki




Heading: Trends > Maternal Death and MortalityRates Integrated ki ki ki ki ki ki ki ki ki




Processes: Nursing Process ki ki




Client Need: Physiological Integrity: Reduction of Risk Potential Cognitive L
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evel: Application [Applying]
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Concept:Ante/Intra/Post- ki




partum Difficulty: Hard ki ki




Feedback
1 This is incorrect. Early maternal death is not an example of maternal death. Example
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s of maternal death include late maternal death, indirect obstetric death, direct obstetri
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c death, and pregnancy-related death.
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2 This is incorrect. Late maternal death occurs 42 days after termination of
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pregnancyfrom a direct or indirect obstetric cause. ki ki ki ki ki ki ki




3 This is incorrect. Direct obstetric death results from complications during pregnancy,
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labor, birth, and/or postpartum period. ki ki ki ki




4 This is correct. Indirect obstetric death is caused bya preexisting disease, or a disease t
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hat develops during pregnancy.ki ki ki




PTS: 1 CON: Ante/Intra/Post-partum k i




3. The nurse is providing education to a patient who has given birth to her first child and is being dis
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charged home. The patient expressed concern regarding infant mortality and sudden infant deat
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h syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. S
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he has a body mass index of 25 and has no other health conditions. The infant is healthy and was d
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elivered full-term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy(ECMO) ki ki ki ki ki ki




2. Uses of exogenous pulmonarysurfactant ki ki ki ki




3. The Baby-FriendlyHospital Initiative ki ki ki




4. The Safe to Sleep campaign ki ki ki ki




ANS: 4 k i




Chapter: Chapter 1 Trends and Issues ki ki ki ki ki




Chapter Learning Objective: 3. Identifyleading causes of infant death. Page: 7
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Heading:Trends > Infant MortalityRates Integrate ki ki ki ki ki ki




d Processes: Nursing process
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Client Need: Safe and Effective Care Environment: Safety and Infection Control Cogniti
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ve Level: Application [Applying]
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