MULTIPLEgCHOICE
1. Thegnursegisgcaringgforgagpatientgwhogisginglaborgwithghergfirstgchild.gThegpatient’sgmotherg
isgpresentgforgsupportgandgnotesgthatgthingsghavegchangedgingthegdeliverygroomgsincegshegl
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:gPastgandgPresentgTrendsgIntegratedgProcesses:g
NursinggProcess
ClientgNeed:gHealthgPromotiongandgMaintenance
gCognitivegLevel:gApplicationg[Applying] gConce
pt:gEvidence-BasedgPractice
Difficulty:gModerate
Feedback
1 Thisgisgincorrect.gFetalgmonitoringgduringglaborgbegangingtheglateg1970s.gAsgsuc
h,gthisglikelygwouldghavegoccurredgduringgthegmother’sglaborgandgdeliverygdurin
ggtheg1980s.
2 Thisgisgincorrect.gIngthegpast,gthegaverageghospitalgpostpartumgstaygwasg10gdays.gPr
esently,gthegaveragegpostpartumgstaygisg48ghoursgorgless.
3 Thisgisgincorrect.gIngthegpast,gexpectantgpartnersgandgfamiliesgweregexcludedgfromg
theglaborgandgbirthgexperience.gPresentgtrendsginvolvegthegexpectantgpartnergandgf
amilygingtheglaborgandgbirthgexperience,gincludinggpresencegingthegoperating
roomgforgcesareangbirths.
4 Thisgisgcorrect.gHospitalgsupportgforgbreastfeeding,gincludinggaglactation
consultantgandgemploymentgofgthegBaby-
FriendlygHospitalgInitiative,gweregbothgenactedgduringgthegearlyg1990s.
PTS: 1 CON:g Evidence-BasedgPractice
2. Agpatientgwithgaghistorygofghypertensiongisggivinggbirth.gDuringgdelivery,gthegstaffgwasgn
otgablegtogstabilizegthegpatient’sgbloodgpressure.gAsgagresult,gthegpatientgdiedgshortlygafte
rgdelivery.gThisgisgangexamplegofgwhatgtypegofgdeath?
1. Earlygmaternalgdeath
2. Lategmaternalgdeath
,3. Directgobstetricgdeath
4. Indirectgobstetricgdeath
gANS:g 4
, Chapter:gChapterg1gTrendsgandgIssues
ChaptergLearninggObjective:g2.gDiscussgcurrentgtrendsgingmaternalgandginfantghealthgoutcom
es.
Page:g7
Heading:gTrendsg>gMaternalgDeathgandgMortalitygRatesgIntegra
tedgProcesses:gNursinggProcess
ClientgNeed:gPhysiologicalgIntegrity:gReductiongofgRiskgPotentialgCogniti
vegLevel:gApplicationg[Applying]
Concept:gAnte/Intra/Post-
partumgDifficulty:gHard
Feedback
1 Thisgisgincorrect.gEarlygmaternalgdeathgisgnotgangexamplegofgmaternalgdeath.gExa
mplesgofgmaternalgdeathgincludeglategmaternalgdeath,gindirectgobstetricgdeath,gdire
ctgobstetricgdeath,gandgpregnancy-relatedgdeath.
2 Thisgisgincorrect.gLategmaternalgdeathgoccursg42gdaysgaftergterminationgof
pregnancygfromgagdirectgorgindirectgobstetricgcause.
3 Thisgisgincorrect.gDirectgobstetricgdeathgresultsgfromgcomplicationsgduring
pregnancy,glabor,gbirth,gand/orgpostpartumgperiod.
4 Thisgisgcorrect.g Indirectgobstetricgdeathgisgcausedgbygagpreexistinggdisease,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.gIdentifygleadinggcausesgofginfantgdeath.gPa
ge:g7
Heading:gTrendsg>gInfantgMortalitygRatesgIntegra
tedgProcesses:gNursinggprocess
ClientgNeed:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControlgC
ognitivegLevel:gApplicationg[Applying]
Concept:gHealthgPromotiongDifficu
lty:gModerate
, Feedback
1 Thisgisgincorrect.gEMCOghasgbeengcitedgasgonegofgthegfactorsgthatghasgreducedgi
nfantgmortalitygamonggpretermginfants.