Maternal-
Newborn Nursing: The Critica
n n n
l Components Of Nursing Care
n n n n
n3rd Edition Durham Chapma
n n n
n Test Bank
n n
, Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of nNursingn Care,n 3rdnEdition,nRobertanDurham,nL
indan Chapman
TESTnBANK:nMATERNAL-
NEWBORNNURSING:nTHEnCRITICALnCOMPONENTSnOFnNURSING nCARE,n3RD nEDITI
ON,nROBERTA nDURHAM,nLINDA nCHAPMAN
Chaptern1:nTrendsnandnIssues
MULTIPLEn CHOICE
1. Then nursen isn caringn forn an patient n whonisn inn laborn withnhern first n child.nThen patient’sn mothern is
n present n forn support nand nnotesnthatn thingsn havenchanged ninnthen deliverynroomnsincen shen last n gaven bir
thn inn then earlyn 1980s.n Whichn current n trend norn interventionnmayn thenpatient’sn mothern findnmost n diffe
rent?
1. Fetalnmonitoringn throughout n labor
2. Postpartumn staynof n 10n days
3. Expectant n partnern and n familyninn operatingn roomn forn cesareann birth
4. Hospitalnsupport nfornbreastfeedingn
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern LearningnObjective:n 1.n Discussncurrent n trendsninnthenmanagement n ofnlaborn andnbirthn Page:
n 4
Heading:n Tablen1-1:n Past n and n Present n Trendsn Integrated nProcesses:n Nursingn Process
Client n Need:nHealthnPromotionnandnMaintenancenCognitiven Level:n Applicationn[Applying]n Conce
pt:n Evidence-Based n Practice
Difficulty:n Moderate
Feedback
1 Thisn isn incorrect.n Fetaln monitoringn duringn laborn begann inn then laten 1970s.nAsnsuch,n t
hisn likelynwould n haven occurred n duringn then mother’sn laborn and n deliverynduringn then 1980s.
,Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of nNursingn Care,n 3rdnEdition,nRobertanDurham,nL
indan Chapman
2 Thisn isn incorrect.n Innthen past,nthen averagen hospitalnpostpartumnstaynwasn 10n days.n
Presently,n then averagen postpartumn stayn isn 48n hoursn orn less.
3 Thisn isn incorrect.n Inn then past,n expectant npartnersn and n familiesn weren excluded n fromn then la
born and n birthnexperience.n Present n trendsninvolventhenexpectantn partnernandn familyninn then laborn an
d n birthn experience,n includingn presencen inn then operating
roomnforn cesareann births.
4 Thisn isncorrect.n Hospitalnsupport nfornbreastfeeding,n includingnan lactationnconsultant nandne
mployment n of n then Baby-Friendlyn Hospitaln Initiative,n weren both
enacted n duringn then earlyn1990s.
PTS: 1 CON:nEvidence-Based n Practice
2. A npatient n withnanhistorynof nhypertensionn isn givingn birth.n Duringn delivery,n then staffnwasn notna
blen ton stabilizen then patient’sn blood npressure.n Asn an result,n then patient ndied nshortlyn aftern delivery.n Thi
sn isn ann examplen of n what n typen of n death?
1. Earlyn maternaln death
2. Laten maternaln death
3. Direct n obstetricn death
4. Indirect n obstetricn deathn ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
ChapternLearningnObjective:n 2.nDiscussncurrent n trendsn inn maternalnandn infantn healthnoutcomes.n
Page:n 7
Heading:n Trendsn >n Maternaln Deathn andn MortalitynRatesnIntegratedn Processes:n Nursingn Processn
Client n Need:nPhysiologicalnIntegrity:n Reductionnof nRisknPotentialnCognitivenLevel:n Applicationn [
Applying]
Concept:n Ante/Intra/Post-partumnDifficulty:n Hard
, Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of nNursingn Care,n 3rdnEdition,nRobertanDurham,nL
indan Chapman
Feedback
1 Thisn isn incorrect.n Earlyn maternalndeathn isn not n annexamplen of n maternalndeath.
Examplesnof nmaternalndeathn includen latenmaternaln death,n indirect nobstetricndeath,ndirect n obstetricn d
eath,n and n pregnancy-related n death.
2 Thisn isn incorrect.n Laten maternaln deathnoccursn 42ndaysn aftern terminationn of n
pregnancyn fromn an direct n orn indirect n obstetricn cause.
3 Thisn isnincorrect.n Direct nobstetricndeathnresultsn fromncomplicationsnduringn
pregnancy,n labor,n birth,n and/orn postpartumn period.
4 Thisn isn correct.n Indirect n obstetricn deathnisn causedn bynan preexistingn disease,n ornand
iseasen that n developsn duringn pregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Thennursen isn providingn educationnton anpatient nwhonhasngivennbirthntonhernfirst n child nandnisn b
eingn discharged n home.n Then patient n expressed n concernn regardingn infant nmortalityn and nsuddenn infa
nt n deathnsyndromen (SIDS).n Then patient nhadnannuncomplicated n pregnancy,n labor,n andnvaginaln deliv
ery.n Shen hasn an bodyn massn indexn ofn 25nandnhasn nonothern healthnconditions.n Then infant nisn healthyn an
d n wasn delivered n full-term.n What n willn ben most n helpfuln thingn ton explainn ton then patient?
1. Usesn of nextracorporealn membranen oxygenationn therapyn(ECMO)
2. Usesn of nexogenousn pulmonarynsurfactant
3. Then Baby-FriendlynHospitaln Initiative
4. ThenSafentonSleepncampaignn
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 3.n Identifynleadingn causesn ofn infant ndeath.nPage:n 7n Headin
g:nTrendsn>n Infant n MortalitynRatesnIntegrated n Processes:n Nursingnprocess
Client n Need:n SafenandnEffectivenCarenEnvironment:n SafetynandnInfectionn ControlnCognitiven Level
:n Applicationn [Applying]
Concept:n HealthnPromotionnDifficulty:n Moderate
Newborn Nursing: The Critica
n n n
l Components Of Nursing Care
n n n n
n3rd Edition Durham Chapma
n n n
n Test Bank
n n
, Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of nNursingn Care,n 3rdnEdition,nRobertanDurham,nL
indan Chapman
TESTnBANK:nMATERNAL-
NEWBORNNURSING:nTHEnCRITICALnCOMPONENTSnOFnNURSING nCARE,n3RD nEDITI
ON,nROBERTA nDURHAM,nLINDA nCHAPMAN
Chaptern1:nTrendsnandnIssues
MULTIPLEn CHOICE
1. Then nursen isn caringn forn an patient n whonisn inn laborn withnhern first n child.nThen patient’sn mothern is
n present n forn support nand nnotesnthatn thingsn havenchanged ninnthen deliverynroomnsincen shen last n gaven bir
thn inn then earlyn 1980s.n Whichn current n trend norn interventionnmayn thenpatient’sn mothern findnmost n diffe
rent?
1. Fetalnmonitoringn throughout n labor
2. Postpartumn staynof n 10n days
3. Expectant n partnern and n familyninn operatingn roomn forn cesareann birth
4. Hospitalnsupport nfornbreastfeedingn
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern LearningnObjective:n 1.n Discussncurrent n trendsninnthenmanagement n ofnlaborn andnbirthn Page:
n 4
Heading:n Tablen1-1:n Past n and n Present n Trendsn Integrated nProcesses:n Nursingn Process
Client n Need:nHealthnPromotionnandnMaintenancenCognitiven Level:n Applicationn[Applying]n Conce
pt:n Evidence-Based n Practice
Difficulty:n Moderate
Feedback
1 Thisn isn incorrect.n Fetaln monitoringn duringn laborn begann inn then laten 1970s.nAsnsuch,n t
hisn likelynwould n haven occurred n duringn then mother’sn laborn and n deliverynduringn then 1980s.
,Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of nNursingn Care,n 3rdnEdition,nRobertanDurham,nL
indan Chapman
2 Thisn isn incorrect.n Innthen past,nthen averagen hospitalnpostpartumnstaynwasn 10n days.n
Presently,n then averagen postpartumn stayn isn 48n hoursn orn less.
3 Thisn isn incorrect.n Inn then past,n expectant npartnersn and n familiesn weren excluded n fromn then la
born and n birthnexperience.n Present n trendsninvolventhenexpectantn partnernandn familyninn then laborn an
d n birthn experience,n includingn presencen inn then operating
roomnforn cesareann births.
4 Thisn isncorrect.n Hospitalnsupport nfornbreastfeeding,n includingnan lactationnconsultant nandne
mployment n of n then Baby-Friendlyn Hospitaln Initiative,n weren both
enacted n duringn then earlyn1990s.
PTS: 1 CON:nEvidence-Based n Practice
2. A npatient n withnanhistorynof nhypertensionn isn givingn birth.n Duringn delivery,n then staffnwasn notna
blen ton stabilizen then patient’sn blood npressure.n Asn an result,n then patient ndied nshortlyn aftern delivery.n Thi
sn isn ann examplen of n what n typen of n death?
1. Earlyn maternaln death
2. Laten maternaln death
3. Direct n obstetricn death
4. Indirect n obstetricn deathn ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
ChapternLearningnObjective:n 2.nDiscussncurrent n trendsn inn maternalnandn infantn healthnoutcomes.n
Page:n 7
Heading:n Trendsn >n Maternaln Deathn andn MortalitynRatesnIntegratedn Processes:n Nursingn Processn
Client n Need:nPhysiologicalnIntegrity:n Reductionnof nRisknPotentialnCognitivenLevel:n Applicationn [
Applying]
Concept:n Ante/Intra/Post-partumnDifficulty:n Hard
, Maternal-
Newbornn Nursing:n Then Criticaln Componentsn Of nNursingn Care,n 3rdnEdition,nRobertanDurham,nL
indan Chapman
Feedback
1 Thisn isn incorrect.n Earlyn maternalndeathn isn not n annexamplen of n maternalndeath.
Examplesnof nmaternalndeathn includen latenmaternaln death,n indirect nobstetricndeath,ndirect n obstetricn d
eath,n and n pregnancy-related n death.
2 Thisn isn incorrect.n Laten maternaln deathnoccursn 42ndaysn aftern terminationn of n
pregnancyn fromn an direct n orn indirect n obstetricn cause.
3 Thisn isnincorrect.n Direct nobstetricndeathnresultsn fromncomplicationsnduringn
pregnancy,n labor,n birth,n and/orn postpartumn period.
4 Thisn isn correct.n Indirect n obstetricn deathnisn causedn bynan preexistingn disease,n ornand
iseasen that n developsn duringn pregnancy.
PTS: 1 CON:n Ante/Intra/Post-partum
3. Thennursen isn providingn educationnton anpatient nwhonhasngivennbirthntonhernfirst n child nandnisn b
eingn discharged n home.n Then patient n expressed n concernn regardingn infant nmortalityn and nsuddenn infa
nt n deathnsyndromen (SIDS).n Then patient nhadnannuncomplicated n pregnancy,n labor,n andnvaginaln deliv
ery.n Shen hasn an bodyn massn indexn ofn 25nandnhasn nonothern healthnconditions.n Then infant nisn healthyn an
d n wasn delivered n full-term.n What n willn ben most n helpfuln thingn ton explainn ton then patient?
1. Usesn of nextracorporealn membranen oxygenationn therapyn(ECMO)
2. Usesn of nexogenousn pulmonarynsurfactant
3. Then Baby-FriendlynHospitaln Initiative
4. ThenSafentonSleepncampaignn
ANS:n 4
Chapter:n Chaptern 1n Trendsn and n Issues
Chaptern Learningn Objective:n 3.n Identifynleadingn causesn ofn infant ndeath.nPage:n 7n Headin
g:nTrendsn>n Infant n MortalitynRatesnIntegrated n Processes:n Nursingnprocess
Client n Need:n SafenandnEffectivenCarenEnvironment:n SafetynandnInfectionn ControlnCognitiven Level
:n Applicationn [Applying]
Concept:n HealthnPromotionnDifficulty:n Moderate
