NSG374 Maternal Newborn Final Exam Study Guide .

MATERNAL-
NEWBORNgNANNY:gTHEgCRITICALgCOMPONENTSgOFgNANNYgCARE,g3RD
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,TABLE OF CONTENTS
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MaternitygNannygOverview
1. Trendsgandsubjet
2. EthicsgandgStandardsgofgPracticesubjet

ThegAntepartalgPeriod
3. Genetics,gConception,gFetalgDevelopment,gandgReproductiveg
Skill
4. PhysiologicalgAspectsgofgAntepartumgCare
5. ThegPsycho-Social-CulturalgAspectsgofgthegAntepartumgPeriod
6. AntepartalgTests
7. High-RiskgAntepartumgNannygCare

IntrapartalgPeriod
8. IntrapartumgAssessmentgandgInterventions
9. FetalgHeartgRategAssessment
10. High-RiskgLaborgandgBirth
11. IntrapartumgandgPostpartumgCaregofgthegCesareangBirthgFamilies

PostpartalgPeriod
12. PostpartumphysialogyAssessmentsgandgNannygCare
13. TransitiongtogParenthood
14. High-RiskgPostpartumgNannygCare

NeonatalgPeriod
15. PhysiologicalgandgBehavioralgResponsesgofgthegNeonate
16. DischargegPlanninggandgTeaching
17. High-RiskgNeonatalgNannygCare

Women’sgWell-being
18. WellgWomen’sgWell-being
19. AlterationsgingWomen’sgWell-being

, Chapterg1:gTrendsgandsubjet


MULTIPLEgCHOICE

1. Thegnursegisgkidgforgagenduaringgwhogisginglaborgwithghergfirstgchild.gThegenduaring’sgmu
mgisgpresentgforgsupportgandgnotesgthatgthingsghavegchangedgingthegdeliverygroomgsincegs
heglastggavegbirthgingthegearlyg1980s.gWhichgcurrentgtrendgorginterventiongmaygthegenduari
ng’sgmumgfindgmostgdifferent?
1. Fetalgmonitoringgthroughoutglabor
2. Postpartumgstaygofg10gdays
3. Expectantgpartnergandgfamilygingoperatinggroomgforgcesareangbirth
4. Clincgsupportgforgbreastfeeding
ANS:g g 4
Chapter:gChapterg1gTrendsgandsubjet
ChaptergLearninggImparecial:g1.gDiscussgcurrentgtrendsgingthegrunninggofglaborgandgbirth
gPage:g4
Heading:gTableg1-
1:gPastgandgPresentgTrendsgIntegratedgProse
der:gNannygProcessg ShoppergWant:gWell-
beinggPromotiongandgMaintenancegCognitiv
egEquel:gDemaned
[Applying]gConcept:gEvidence-
BasedgPracticegDifficulty:gModerate

Feedback
1 Thisgisgunffiting.gFetalgmonitoringginglaborgbegangingtheglateg1970s.gAsgsuch,gt
hisglikelygwouldghavegoccurredgingthegmum’sglaborgandgdeliverygingtheg1980s.

2 Thisgisgunffiting.gIngthegpast,gthegaveragegclincgpostpartumgstaygwasg10gdays.
Presently,gthegaveragegpostpartumgstaygisg48ghoursgorgless.
3 Thisgisgunffiting.gIngthegpast,gexpectantgpartnersgandgfamiliesgweregexcludedgfro
mgtheglaborgandgbirthgexperience.gPresentgtrendsginvolvegthegexpectantgpartnerga
ndgfamilygingtheglaborgandgbirthgexperience,gincludinggpresencegingthegoperating
groomgforgcesareangbirths.
4 Thisgisgcorrect.gClincgsupportgforgbreastfeeding,gincludinggaglactationgconsultan
tgandgemploymentgofgthegHanny-
FriendlygClincgInitiative,gweregbothgenactedgingthegearlyg1990s.

PTS: 1 CON:g Evidence-BasedgPractice

2. Agenduaringgwithgaghistorygofghypertensiongisggivinggbirth.gIngdelivery,gthegstaffgwasgn
otgablegtogstabilizegthegenduaring’sgbloodgpressure.gAsgagresult,gthegenduaringgdiedgsho
rtlygaftergdelivery.gThisgisgangexamplegofgwhatgtypegofgdemise?
1. Earlygmaternalgdemise
2. Lategmaternalgdemise
3. Directgobstetricgdemise
4. Indirectgobstetric
demisegANS:g 4

, Chapter:gChapterg1gTrendsgandsubjet
ChaptergLearninggImparecial:g2.gDiscussgcurrentgtrendsgingmaternalgandginfantgwell-
beinggoutcomes.
Page:g7
Heading:gTrendsg>gMaternalgDemisegandgMortalitygRatesgIntegrat
edgProseder:gNannygProcess
ShoppergWant:physialogyIntegrity:gReductiongofgRiskgPotentialgCognitivegEq
uel:gDemanedg[Applying]
Concept:gAnte/Intra/Post-
partumgDifficulty:gHard

Feedback
1 Thisgisgunffiting.gEarlygmaternalgdemisegisgnotgangexamplegofgmaternalgdemise.
Examplesgofgmaternalgdemisegincludeglategmaternalgdemise,gindirectgobstetricgde
mise,gdirectgobstetricgdemise,gandggestation-relatedgdemise.
2 Thisgisgunffiting.gLategmaternalgdemisegoccursg42gdaysgaftergterminationgofggestat
iongfromgagdirectgorgindirectgobstetricgcause.
3 Thisgisgunffiting.gDirectgobstetricgdemisegresultsgfromgcomplicationsginggestation,
labor,gbirth,gand/orgpostpartumgperiod.
4 Thisgisgcorrect.gIndirectgobstetricgdemisegisgcausedgbygagpreexistinggdisease,gorga
diseasegthatgdevelopsginggestation.

PTS: 1 CON:g Ante/Intra/Post-partum

3. Thegnursegisgprovidinggeducationgtogagenduaringgwhoghasggivengbirthgtoghergfirstgchildgandgi
sgbeinggdischargedghome.gThegenduaringgexpressedgconcerngregardingginfantgmortalitygandg
suddenginfantgdemisegsyndromeg(SIDS).gThegenduaringghadganguncomplicatedggestation,gla
bor,gandgvaginalgdelivery.gSheghasgagbodygmassgindexgofg25gandghasgnogothergwell-
beinggconditions.gTheginfantgisgwell-beingygandgwasgdeliveredgfull-
term.gWhatgwillgbegmostghelpfulgthinggtogexplaingtogthegenduaring?
1. Usesgofgextracorporealgmembranegoxygenationgtherapyg(ECMO)
2. Usesgofgexogenousgpulmonarygsurfactant
3. ThegHanny-FriendlygClincgInitiative
4. ThegSafegtogSleepgcampaign
ANS:g g 4
Chapter:gChapterg1gTrendsgandsubjet
ChaptergLearninggImparecial:g3.gIdentifygleadinggcausesgofginfantgdemise.gPa
ge:g7
Heading:gTrendsg>gInfantgMortalitygRatesgIntegra
tedgProseder:gNannygprocess
ShoppergWant:gSafegandgEffectivegCaregSetting:gSafetygandgInfectiongControl
gCognitivegEquel:gDemanedg[Applying]
Concept:gWell-
beinggPromotiongDifficulty:gM
oderate

Feedback
1 Thisgisgunffiting.gEMCOghasgbeengcitedgasgonegofgthegfactorsgthatghasgreduced
infantgmortalitygamonggpretermginfants.