MATERNAL-
NEWBORN NURSING:THE CRITIC
n n n
AL COMPONENTS OFNURSING CA
n n n n
RE 3RD EDITION BY LINDA CHAPM
n n n n n
AN AND ROBERTA DURHAM
n n n
,TESTn BANK:n Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of n Nursingn Caren 3rd nEditionnByn RobertanDurhamn And n Lindan Chap
man
Unitn1:nMaternitynNursingnOverview n
Chaptern1:nTrendsnandnIssues
MULTIPLEnCHOICE
1. Then nursen isn caringn forn an patient n whon isn inn laborn withn hernfirst n child.n Then patient’sn mothern isnp
resent n forn support n and nnotesnthatn thingsn haven changedn innthendeliveryn roomn sincen shen last n gav
en birthn inn then earlyn 1980s.n Whichn current n trendnorn interventionn mayn then patient’sn mothernf indn
most n different?
1. Fetaln monitoringnthroughout n labor
2. Postpartumn staynof n 10n days
3. Expectant n partnern and n familyninn operatingn roomn forn cesareann birth
4. Hospitaln support n forn breastfeeding
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern LearningnObjective:n 1.n Discussn current n trendsn innthenmanagement n ofn laborn and n birthnP
age:n 4
Heading:n Tablen 1-
1:n Past n and nPresent nTrendsnI ntegrated nProcess
es:n NursingnProcess
Client nNeed:nHealthn Promotionn andnMaintenancenC
ognitiven Level:n Applicationn [Applying]n Concept:n
Evidence-Based n Practice
Difficulty:n Moderate
Feedback
1 Thisn isn incorrect.n Fetaln monitoringn duringn laborn begann inn then laten 1970s.n Asn such,nt
hisn likelyn would n haven occurred n duringn thenmother’sn laborn and ndeliveryn duringn then
1980s.
2 Thisn isn incorrect.n Inn then past,n then averagen hospitaln postpartumn staynwasn 10n days.
Presently,n then averagen postpartumn staynisn 48n hoursn orn less.
3 Thisn isn incorrect.n Inn then past,nexpectant npartnersnand nfamiliesn weren excluded n fromnt
hen laborn and n birthn experience.n Present n trendsninvolven thenexpectant n partnern and n fa
milyninn then laborn and n birthn experience,n includingn presencen inn then operating
roomn forn cesareann births.
4 Thisn isn correct.n Hospitaln support n forn breastfeeding,n includingn an lactation
consultant n and n employment n of n then Baby-
FriendlynHospitaln Initiative,n weren bothnenacted n duringn then earlyn 1990s.
PTS: 1 CON:n Evidence-Based n Practice
2. An patient n withn anhistorynof nhypertensionn isn givingn birth.n Duringndelivery,n thenstaff nwasn not na
blen ton stabilizen then patient’sn blood npressure.n Asn an result,n then patient ndied n shortlyn aftern deliv
ery.n Thisn isn ann examplen of n what n typen of n death?
1. Earlynmaternaln death
2. Latenmaternaln death
,TESTn BANK:n Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of n Nursingn Caren 3rd nEditionnByn RobertanDurhamn And n Lindan Chap
man
3. Direct n obstetricn death
4. Indirect n obstetricn deathn
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern LearningnObjective:n 2.n Discussn current n trendsninn maternaln andninfant nhealthnoutcomes.
Page:n 7
Heading:n Trendsn >n Maternaln DeathnandnMortalitynRatesnI
ntegrated n Processes:n Nursingn Process
Client n Need:n Physiologicaln Integrity:n Reductionn of n Riskn Potentialn
Cognitiven Level:n Applicationn [Applying]
Concept:n Ante/Intra/Post-
partumnDifficulty:n Hard
Feedback
1 Thisn isn incorrect.n Earlyn maternaln deathn isn not n ann examplen of n maternaln death.n Exa
mplesn of n maternaln deathnincluden latenmaternaln death,nindirect n obstetricn death,ndirec
t n obstetricn death,n and n pregnancy-related n death.
2 Thisn isn incorrect.n Latenmaternaln deathn occursn 42n daysn aftern terminationn of
pregnancynfromn an direct n orn indirect n obstetricn cause.
3 Thisn isn incorrect.n Direct n obstetricn deathn resultsn fromn complicationsn duringn
pregnancy,n labor,n birth,n and/orn postpartumn period.
4 Thisn isn correct.n Indirect n obstetricn deathnisn causednbynanpreexistingn disease,n orn and
iseasen that n developsn duringnpregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Then nursen isn providingn educationn ton an patient n whonhasn givenn birthn tonhern first n child n andnisn being
n discharged n home.n Then patient n expressed n concernn regardingn infantn mortalitynandn suddenn infan
t n deathn syndromen (SIDS).n Then patient nhadn annuncomplicated n pregnancy,n labor,n andnvaginaln de
livery.n Shen hasn an bodyn massn indexn ofn25n andnhasn nonothernhealthn conditions.n Then infant nisn healt
hyn and n wasn delivered n full-term.n What n willn ben most n helpfuln thingn ton explainnt on then patient?
1. Usesn of n extracorporealn membranen oxygenationn therapyn(ECMO)
2. Usesn of n exogenousn pulmonarynsurfactant
3. Then Baby-FriendlynHospitaln Initiative
4. ThenSafen ton Sleepn campaign
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern LearningnObjective:n 3.n Identifynleadingn causesn ofninfantn death.nPage:n
7
Heading:n Trendsn >n Infantn Mortalityn Ratesn
Integrated n Processes:n Nursingnprocess
Client n Need:n Safen andnEffectiven Caren Environment:n Safetyn and n Infectionn Controln
Cognitiven Level:n Applicationn [Applying]
, TESTn BANK:n Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of n Nursingn Caren 3rd nEditionnByn RobertanDurhamn And n Lindan Chap
man
Concept:n Healthn Promotionn
Difficulty:n Moderate