v v v v
v Critical Components of Nursing Care 4th Edition Durham Test
v v v v v v v v v
Bank
med surg (Chamberlain University)
v v v
, Davis Advantage for Maternal-Newborn Nursing-
v v v v
Critical Components of Nursing Care 4th Edition Durham Test B
v v v v v v v v v v
ank
MaternityvNursingvOverviewvCh
apterv1.vTrendsvandvIssues
1. Sincev1995vtherevhasvbeenvavsignificantvdecreasevinvthevratevofvinfantvdeathvr
elatedvtovwhichvofvthevfollowing:
a. Disordersvassociatedvwithvshortvgestationvandvlowvbirthvweight
b. Accidents
c. Suddenvinfantvdeath
d. Newbornsvaffectedvbyvcomplicationsvofvplacenta,vcord,vandvmembranesv
ANS:vc
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a. Thevratesvofvprematurityvandvlowvbirthvweightvarevincreasing.
b. Thevratesvofvaccidentsvhavevincreased.
c. Correct.vThevratevofvinfantvdeathvrelatedvtovSIDSvhasvdecreasedvfromv87.1vto
47.2.vThevdecreasevinvratevisvpartiallyvattributedvtovplacingvinfantsvonvtheirvbacksvwhe
nvsleeping.
d. Thevratesvofvnewbornsvaffectedvbyvcomplicationsvofvplacenta,vcord,vandv
membranesvhavevincreased.
KEY:vIntegratedvProcess:vTeachingvandvLearningv|vCognitivevLevel:vKnowledgev|vC
ontentvArea:vMaternityv|vClientvNeed:vHealthvPromotionvandvMaintenancev|vDifficult
yvLevel:vEasy
2. Tobaccovusevduringvpregnancyvisvassociatedvwithvadverseveffectsvonvthevunb
ornvinfantvsuchvasvintrauterinevgrowthvrestriction,vpretermvbirths,vandvrespiratoryv
problems.vByvrace,vwhichvhasvthevhighestvpercentagesvofvsmokers?
a. AmericanvIndianvandvAlaskanvNatives
b. AsianvorvPacificvIslanders
c. Non-Hispanicvblacks
d. Non-
HispanicvwhitesvANS:va
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a. 36%vofvAmericanvIndianvandvNativevAmericanvwomenvarevcigarettevsmokers.
b. 4.3%vofvAsianvorvPacificvIslandervwomenvarevcigarettevsmokers.
c. 17.1%vofvnon-Hispanicvblackvwomenvarevcigarettevsmokers.
d. 19.6%vofvnon-Hispanicvwhitevwomenvarevcigarettevsmokers.
KEY:vIntegratedvProcess:vClinicalvProblemvSolvingv|vCognitivevLevel:vKnowledgev|vC
ontentvArea:vMaternityv|vClientvNeed:vSafevandvEffectivevCarevEnvironmentv|vDifficult
yvLevel:vEasy
,3. Whichvofvthevfollowingvwomenvisvatvthevhighestvriskvforvhealthvdisparity?
a. Avwhite,vmiddle-class,v16-year-oldvwoman
b. AnvAfricanvAmerican,vmiddle-class,v25-year-oldvwoman
c. AnvAfricanvAmerican,vupper-middle-class,v19-year-oldvwoman
d. AnvAsian,vlow-income,v30-year-
oldvwomanvANS:vd
Feedback
a. Althoughvagevisvavriskvfactor,vincomevcontributesvtovdisparity.
b. AlthoughvAfricanvAmericanvwomenvarevatvincreasedvrisk,vincomevaccountsvforvt
hevlargestvdisparity.
c. Althoughvagevandvracevcontributevtovincreasedvrisk,vincomevaccountsvforvthevl
argestvdisparity.
d. Althoughvagevandvracevcontributevtovincreasedvrisk,vincomevaccountsvforvthevl
argestvdisparity.
KEY:vIntegratedvProcess:vClinicalvProblemvSolvingv|vCognitivevLevel:vApplicationv|vC
ontentvArea:vMaternityv|vClientvNeed:vHealthvPromotionvandvMaintenancev|vDifficultyv
Level:vModerate
4. Avneonatevbornvatv36vweeksvgestationvisvclassifiedvasvwhichvofvthevfollowing?
a. Veryvpremature
b. Moderatelyvpremature
c. Latevpremature
d. Term
vANS:vc
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a. Veryvprematurevisvlessvthanv32vweeksvgestation.
b. Moderatelyvprematurevisv32vtov33vcompletedvweeksvgestation.
c. Correct.vLatevprematurevisv34vtov36vcompletedvweeksvgestation.
d. Termvisv37vtov42vweeksvgestation.
KEY:vIntegratedvProcess:vClinicalvProblemvSolvingv|vCognitivevLevel:vApplicationv|vC
ontentvArea:vMaternityv|vClientvNeed:vPhysiologicalvAdaptationv|vDifficultyvLevel:vEas
y
5. ThevperinatalvnursevexplainsvtovthevstudentvnursevthatvavgoalvofvthevHealthyv
Peoplev2020vreportvisvto:
a. Increasevproportionvofvinfantsvwhovarevbreastfedvtov93.1%.
b. Increasevproportionvofvinfantsvwhovarevbreastfedvtov90.7%.
c. Increasevproportionvofvinfantsvwhovarevbreastfedvtov85.6%.
d. Increasevproportionvofvinfantsvwhovarevbreastfedvtov83.9%.v
ANS:vd
AvgoalvofvHealthyvPeoplev2020visvtovincreasevthevproportionvofvinfantsvwhovarevbreast
fedvfromv74%vtov81.9%.
KEY:vIntegratedvProcess:vTeachingvandvLearningv|vClientvNeed:vHealthvPromotionv
andvMaintenancev|vCognitivevLevel:vApplicationv|vContentvArea:vMaternityv|vDifficult
yvLevel:vModerate
, 6. Thevperinatalvnursevexplainsvtovthevstudentvnursevthatv
isvthevleadingvcausevofvinfantvdeathvinvthevUnitedvStates.
a. SuddenvInfantvDeathvSyndrome
b. Respiratoryvdistressvofvnewborns
c. Disordersvrelatedvtovshortvgestationvandvlowvbirthvweight
d. Congenitalvmalformationsvandvchromosomalvabnormalitiesv
ANS:vd
KEY:vIntegratedvProcess:vClinicalvProblemvSolvingv|vCognitivevLevel:vKnowledgev|vC
ontentvArea:vMaternityv|vClientvNeed:vSafevandvEffectivevCarevEnvironmentv|vDifficult
yvLevel:vDifficult
MultiplevResponse
7. Whichvofvthevfollowingvstatementsvarevtruevrelatedvtovteenvpregnancies?v(
Selectvallvthatvapply.)
a. TeenvmothersvarevatvhighervriskvforvHIV.
b. Teenvmothersvarevatvhighervriskvforvhypertensivevproblems.
c. Thevbirthvratevforvteenagedvwomenvhasvincreasedvinvthevpastv15vyears.
d. Infantsvbornvtovteenvmothersvarevatvhighervriskvforvhealthvproblems.v
ANS:va,vb,vd
HealthvstatisticsvreportvhighervriskvforvHIV,vforvhypertensivevproblems,vandvforvhealt
hvproblemsvtovinfantsvbornvtovteenvmothers.vBirthvratesvforvteenvmothersvinvallvagevca
tegoriesvhavevdecreasedvsincev1991.