g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
Chapterg1:gTrendsgandgIssues
MULTIPLEgCHOICE
1. Thegnursegisgcaringgforgagpatientgwhogisginglaborgwithghergfirstgchild.gThegpatient’sgmother
gisgpresentgforgsupportgandgnotesgthatgthingsghavegchangedgingthegdeliverygroomgsincegshegl
astggavegbirthgingthegearlyg1980s.gWhichgcurrentgtrendgorginterventiongmaygthegpatient’sgm
othergfindgmostgdifferent?
1. Fetalgmonitoringgthroughoutglabor
2. Postpartumgstaygofg10gdays
3. Expectantgpartnergandgfamilygingoperatinggroomgforgcesareangbirth
4. Hospitalgsupportgforgbreastfeeding
ANS:g 4
Chapter:gChapterg1gTrendsgandgIssues
ChaptergLearninggObjective:g1.gDiscussgcurrentgtrendsgingthegmanagementgofglaborgandgbirt
hgPage:g4
Heading:gTableg1-
1:gPastgandgPresentgTrendsgIntegratedgProces
ses:gNursinggProcess
ClientgNeed:gHealthgPromotiongandgMaintenanc
egCognitivegLevel:gApplicationg[Applying]gConc
ept:gEvidence-BasedgPractice
Difficulty:gModerate
Feedback
1 Thisgisgincorrect.gFetalgmonitoringgduringglaborgbegangingtheglateg1970s.gAsgsuch,
thisglikelygwouldghavegoccurredgduringgthegmother’sglaborgandgdeliverygdurin
ggtheg1980s.
2 Thisgisgincorrect.gIngthegpast,gthegaverageghospitalgpostpartumgstaygwasg10gdays.
Presently,gthegaveragegpostpartumgstaygisg48ghoursgorgless.
3 Thisgisgincorrect.gIngthegpast,gexpectantgpartnersgandgfamiliesgweregexcludedgfro
mgtheglaborgandgbirthgexperience.gPresentgtrendsginvolvegthegexpectantgpartnerga
ndgfamilygingtheglaborgandgbirthgexperience,gincludinggpresencegingthegoperating
roomgforgcesareangbirths.
4 Thisgisgcorrect.gHospitalgsupportgforgbreastfeeding,gincludinggaglactationgconsu
ltantgandgemploymentgofgthegBaby-FriendlygHospitalgInitiative,gweregboth
enactedgduringgthegearlyg1990s.
PTS: 1 CON:g Evidence-BasedgPractice
NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
,NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
2. Agpatientgwithgaghistorygofghypertensiongisggivinggbirth.gDuringgdelivery,gthegstaffgwasgn
otgablegtogstabilizegthegpatient’sgbloodgpressure.gAsgagresult,gthegpatientgdiedgshortlygafter
gdelivery.gThisgisgangexamplegofgwhatgtypegofgdeath?
1. Earlygmaternalgdeath
2. Lategmaternalgdeath
NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
,NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
3. Directgobstetricgdeath
4. Indirectgobstetricgdeath
gANS:g 4
NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
, NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g
Chapter:gChapterg1gTrendsgandgIssues
ChaptergLearninggObjective:g2.gDiscussgcurrentgtrendsgingmaternalgandginfantghealt
hgoutcomes.
Page:g7
Heading:gTrendsg>gMaternalgDeathgandgMortalitygRate
sgIntegratedgProcesses:gNursinggProcess
ClientgNeed:gPhysiologicalgIntegrity:gReductiongofgRiskgPotentia
lgCognitivegLevel:gApplicationg[Applying]
Concept:gAnte/Intra/Post-
partumgDifficulty:gHard
Feedback
1 Thisgisgincorrect.gEarlygmaternalgdeathgisgnotgangexamplegofgmaternalgdeath.
Examplesgofgmaternalgdeathgincludeglategmaternalgdeath,gindirectgobstetricgdeat
h,gdirectgobstetricgdeath,gandgpregnancy-relatedgdeath.
2 Thisgisgincorrect.gLategmaternalgdeathgoccursg42gdaysgaftergterminationgof
pregnancygfromgagdirectgorgindirectgobstetricgcause.
3 Thisgisgincorrect.gDirectgobstetricgdeathgresultsgfromgcomplicationsgduring
pregnancy,glabor,gbirth,gand/orgpostpartumgperiod.
4 Thisgisgcorrect.gIndirectgobstetricgdeathgisgcausedgbygagpreexistinggdisease,gorga
diseasegthatgdevelopsgduringgpregnancy.
PTS: 1 CON:g Ante/Intra/Post-partum
3. Thegnursegisgprovidinggeducationgtogagpatientgwhoghasggivengbirthgtoghergfirstgchildgandgisgb
einggdischargedghome.gThegpatientgexpressedgconcerngregardingginfantgmortalitygandgsudde
nginfantgdeathgsyndromeg(SIDS).gThegpatientghadganguncomplicatedgpregnancy,glabor,gandgv
aginalgdelivery.gSheghasgagbodygmassgindexgofg25gandghasgnogotherghealthgconditions.gThegi
nfantgisghealthygandgwasgdeliveredgfull-
term.gWhatgwillgbegmostghelpfulgthinggtogexplaingtogthegpatient?
1. Usesgofgextracorporealgmembranegoxygenationgtherapyg(ECMO)
2. Usesgofgexogenousgpulmonarygsurfactant
3. ThegBaby-FriendlygHospitalgInitiative
4. ThegSafegtogSleepgcampaign
ANS:g 4
Chapter:gChapterg1gTrendsgandgIssues
ChaptergLearninggObjective:g3.gIdentifygleadinggcausesgofginfantgdeat
h.gPage:g7
Heading:gTrendsg>gInfantgMortalitygRate
sgIntegratedgProcesses:gNursinggprocess
NSG 2420 Test Bank: Maternal-
g g g g
Newborn Nursing: The Critical Components of Nursing Care, 3rd
g g g g g g g g
Edition, Roberta Durham, Linda Chapman
g g g g g g