TESTBANK FOR MATERNAL-
g g
NEWBORNNURSING:THECRITICAL COMPONENT
g
SOFNURSING CARE, 3RDEDITION,ROBERTA DUR
g g g
HAM, LINDA CHAPMAN
g g
,Chapter1:TrendsandIssues
MULTIPLECHOICE
1. Thenurseiscaringforapatientwhoisinlaborwithherfirstchild.Thepatient’smotherisgpresentgfo
rgsupportgandgnotesgthatgthingsghavegchangedgingthegdeliverygroomgsincegsheglastggavebirth
intheearly1980s.Whichcurrenttrendgorinterventionmaythepatient’smothergfindgmostgdiffer
ent?
1. Fetalmonitoringthroughoutglabor
2. Postpartumstayof10days
3. Expectantpartnerandfamilyinoperatingroomforcesareangbirth
4. Hospitalsupportforbreastfeeding
ANS:4
Chapter:Chapter1TrendsandIssues
ChapterLearningObjective:1.DiscusscurrenttrendsinthemanagementoflaborandbirthgPage:g4
Heading:Table1-
1:PastandPresentTrendsgIntegratedgProcesses:gN
ursinggProcess
ClientNeed:HealthPromotionandMaintenancegC
ognitivegLevel:gApplicationg[Applying]gConcept
:gEvidence-BasedgPractice
Difficulty:Moderate
Feedback
1 Thisisincorrect.Fetalmonitoringduringlaborbeganinthelate1970s.Asgsuch,gthisgli
kelywouldghavegoccurredgduringgthegmother’sglaborgandgdeliveryduringgtheg198
0s.
2 Thisisincorrect.gInthepast,theaveragehospitalpostpartumstaywas10days.gPresently,
gthegaveragegpostpartumgstayisg48ghoursgorgless.
3 Thisisincorrect.Inthepast,expectantpartnersandfamilieswereexcludedfromgtheglabo
rgandgbirthgexperience.gPresentgtrendsginvolvegthegexpectantgpartnergandgfamilyingt
heglaborgandgbirthgexperience,gincludinggpresencegingthegoperating
roomforcesareanbirths.
4 Thisiscorrect.Hospitalsupportforbreastfeeding,includingalactation
consultantandemploymentoftheBaby-
FriendlyHospitalInitiative,werebothgenactedgduringgthegearlyg1990s.
PTS: 1 CON:Evidence-BasedPractice
2. Apatientwithahistoryofhypertensionisggivingbirth.Duringdelivery,thestaffwasnotgablegtog
stabilizegthegpatient’sgbloodgpressure.gAsgagresult,gthegpatientgdiedgshortlygaftergdelivery.
gThisgisgangexamplegofgwhatgtypegofgdeath?
1. Earlymaternaldeath
2. Latematernaldeath
,3. Directobstetricdeath
4. Indirectobstetricdeathg
ANS:4
, Chapter:Chapter1TrendsandIssues
ChapterLearningObjective:2.Discusscurrenttrendsinmaternalandinfanthealthgoutcom
es.
Page:7
Heading:Trends>MaternalDeathandMortalityRatesgIntegratedgP
rocesses:gNursinggProcess
ClientNeed:PhysiologicalIntegrity:ReductionofRiskPotentialgCognitivegL
evel:gApplicationg[Applying]
Concept:Ante/Intra/Post-
partumgDifficulty:gHard
Feedback
1 Thisgisgincorrect.gEarlygmaternalgdeathgisgnotgangexamplegofgmaternalgdeath.gExa
mplesofmaternaldeathincludelatematernalgdeath,indirectobstetricdeath,gdirectgobs
tetricgdeath,gandgpregnancy-relatedgdeath.
2 Thisisincorrect.Latematernaldeathoccurs42daysafterterminationgof
pregnancyfromgadirectorindirectgobstetriccause.
3 Thisisincorrect.Directobstetricdeathresultsfromcomplicationsgduring
pregnancy,labor,birth,and/orpostpartumgperiod.
4 Thisiscorrect.Indirectobstetricdeathgiscausedbyapreexistingdisease,ora
diseasethatdevelopsduringpregnancy.
PTS: 1 CON:Ante/Intra/Post-partum
3. Thegnursegisgprovidinggeducationgtogagpatientgwhoghasggivengbirthgtoghergfirstgchildgandgisgb
einggdischargedghome.gThegpatientgexpressedgconcerngregardingginfantgmortalitygandgsudde
nginfantgdeathgsyndromeg(SIDS).gThegpatientghadganguncomplicatedgpregnancy,glabor,gandgv
aginalgdelivery.gSheghasgagbodygmassgindexgofg25gandghasgnogotherghealthgconditions.gThein
fantishealthyandgwasdeliveredfull-
term.gWhatwillbemosthelpfulthingtoexplaingtogthegpatient?
1. Usesofextracorporealmembraneoxygenationtherapy(ECMO)
2. Usesofexogenousgpulmonarysurfactant
3. TheBaby-FriendlyHospitalInitiative
4. TheSafetoSleepgcampaign
ANS:4
Chapter:Chapter1TrendsandIssues
ChapterLearningObjective:3.Identifyleadingcausesofinfantdeath.gPage:g7
Heading:Trends>InfantMortalityRatesgIntegrated
gProcesses:gNursinggprocess
ClientNeed:SafeandEffectiveCareEnvironment:SafetyandgInfectionControlgCognitiv
egLevel:gApplicationg[Applying]
Concept:HealthPromotiongDifficult
y:gModerate
g g
NEWBORNNURSING:THECRITICAL COMPONENT
g
SOFNURSING CARE, 3RDEDITION,ROBERTA DUR
g g g
HAM, LINDA CHAPMAN
g g
,Chapter1:TrendsandIssues
MULTIPLECHOICE
1. Thenurseiscaringforapatientwhoisinlaborwithherfirstchild.Thepatient’smotherisgpresentgfo
rgsupportgandgnotesgthatgthingsghavegchangedgingthegdeliverygroomgsincegsheglastggavebirth
intheearly1980s.Whichcurrenttrendgorinterventionmaythepatient’smothergfindgmostgdiffer
ent?
1. Fetalmonitoringthroughoutglabor
2. Postpartumstayof10days
3. Expectantpartnerandfamilyinoperatingroomforcesareangbirth
4. Hospitalsupportforbreastfeeding
ANS:4
Chapter:Chapter1TrendsandIssues
ChapterLearningObjective:1.DiscusscurrenttrendsinthemanagementoflaborandbirthgPage:g4
Heading:Table1-
1:PastandPresentTrendsgIntegratedgProcesses:gN
ursinggProcess
ClientNeed:HealthPromotionandMaintenancegC
ognitivegLevel:gApplicationg[Applying]gConcept
:gEvidence-BasedgPractice
Difficulty:Moderate
Feedback
1 Thisisincorrect.Fetalmonitoringduringlaborbeganinthelate1970s.Asgsuch,gthisgli
kelywouldghavegoccurredgduringgthegmother’sglaborgandgdeliveryduringgtheg198
0s.
2 Thisisincorrect.gInthepast,theaveragehospitalpostpartumstaywas10days.gPresently,
gthegaveragegpostpartumgstayisg48ghoursgorgless.
3 Thisisincorrect.Inthepast,expectantpartnersandfamilieswereexcludedfromgtheglabo
rgandgbirthgexperience.gPresentgtrendsginvolvegthegexpectantgpartnergandgfamilyingt
heglaborgandgbirthgexperience,gincludinggpresencegingthegoperating
roomforcesareanbirths.
4 Thisiscorrect.Hospitalsupportforbreastfeeding,includingalactation
consultantandemploymentoftheBaby-
FriendlyHospitalInitiative,werebothgenactedgduringgthegearlyg1990s.
PTS: 1 CON:Evidence-BasedPractice
2. Apatientwithahistoryofhypertensionisggivingbirth.Duringdelivery,thestaffwasnotgablegtog
stabilizegthegpatient’sgbloodgpressure.gAsgagresult,gthegpatientgdiedgshortlygaftergdelivery.
gThisgisgangexamplegofgwhatgtypegofgdeath?
1. Earlymaternaldeath
2. Latematernaldeath
,3. Directobstetricdeath
4. Indirectobstetricdeathg
ANS:4
, Chapter:Chapter1TrendsandIssues
ChapterLearningObjective:2.Discusscurrenttrendsinmaternalandinfanthealthgoutcom
es.
Page:7
Heading:Trends>MaternalDeathandMortalityRatesgIntegratedgP
rocesses:gNursinggProcess
ClientNeed:PhysiologicalIntegrity:ReductionofRiskPotentialgCognitivegL
evel:gApplicationg[Applying]
Concept:Ante/Intra/Post-
partumgDifficulty:gHard
Feedback
1 Thisgisgincorrect.gEarlygmaternalgdeathgisgnotgangexamplegofgmaternalgdeath.gExa
mplesofmaternaldeathincludelatematernalgdeath,indirectobstetricdeath,gdirectgobs
tetricgdeath,gandgpregnancy-relatedgdeath.
2 Thisisincorrect.Latematernaldeathoccurs42daysafterterminationgof
pregnancyfromgadirectorindirectgobstetriccause.
3 Thisisincorrect.Directobstetricdeathresultsfromcomplicationsgduring
pregnancy,labor,birth,and/orpostpartumgperiod.
4 Thisiscorrect.Indirectobstetricdeathgiscausedbyapreexistingdisease,ora
diseasethatdevelopsduringpregnancy.
PTS: 1 CON:Ante/Intra/Post-partum
3. Thegnursegisgprovidinggeducationgtogagpatientgwhoghasggivengbirthgtoghergfirstgchildgandgisgb
einggdischargedghome.gThegpatientgexpressedgconcerngregardingginfantgmortalitygandgsudde
nginfantgdeathgsyndromeg(SIDS).gThegpatientghadganguncomplicatedgpregnancy,glabor,gandgv
aginalgdelivery.gSheghasgagbodygmassgindexgofg25gandghasgnogotherghealthgconditions.gThein
fantishealthyandgwasdeliveredfull-
term.gWhatwillbemosthelpfulthingtoexplaingtogthegpatient?
1. Usesofextracorporealmembraneoxygenationtherapy(ECMO)
2. Usesofexogenousgpulmonarysurfactant
3. TheBaby-FriendlyHospitalInitiative
4. TheSafetoSleepgcampaign
ANS:4
Chapter:Chapter1TrendsandIssues
ChapterLearningObjective:3.Identifyleadingcausesofinfantdeath.gPage:g7
Heading:Trends>InfantMortalityRatesgIntegrated
gProcesses:gNursinggprocess
ClientNeed:SafeandEffectiveCareEnvironment:SafetyandgInfectionControlgCognitiv
egLevel:gApplicationg[Applying]
Concept:HealthPromotiongDifficult
y:gModerate
