, TESTBANK for Davis Advantage for Maternal-
Newborn Nursing Critical Components of Nursing
Care 4th Edition Roberta Durham
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
, Durham, Chapman, Miller 1
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Chapter 1: Trends and Issues
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The maternal mortality rate for black women in the United States is:
1. The same as for white women in the United States, regardless of socioeconomic
factors.
2. Lower than the rate for white women due to improvements in the social
determinants of health.
3. Higher than the rate for white women, regardless of socioeconomic factors.
4. Higher than the rate for white women, but have improved in the last decade.
____ 2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to
stabilize the patient’s blood pressure. Therefore, the patient died shortly after delivery. This is an
example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
____ 3. The nurse is providing education to a patient who has given birth to her first child and is being
discharged home. The patient expressed concern regarding infant mortality and sudden infant
death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery.
She has a body mass index (BMI) of 25 and has no other health conditions. The infant is healthy
and was delivered full-term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
____ 4. Compared with other countries in the world, the United States’ maternal mortality rate is:
1. One of the lowest rates in the world.
2. The same as in other high-resource countries.
3. Worse than in other high-resource countries, but has improved in the last decade.
4. The highest rate of all high-resource countries.
____ 5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
information provided, which condition is the patient’s baby at highest risk for?
1. Respiratory disorders
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 2
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
____ 6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test
confirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic
cigarette because it will not harm my baby.” Which is the best response by the nurse?
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
2. “Tobacco products, including electronic cigarettes, should not be used during
pregnancy due to the risk of nicotine toxicity.”
3. “According to the U.S. Food and Drug Administration (FDA), although electronic
cigarettes are safe for you, they can cause harm to the fetus during pregnancy.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
____ 7. The nurse is caring for a 16-year-old patient who is 32 weeks’ pregnant with her first child, who is
male. The patient’s mother has accompanied her to today’s visit. During the nursing assessment,
the patient mentions that she is no longer in a relationship with the baby’s father but her mother
plans to help her. However, the patient’s mother asks whether this will have any impact on the
child. Which of the following should the nurse indicate the child is at increased risk for during his
adolescence?
1. Hypertension
2. Diabetes
3. Alcohol abuse
4. Intraventricular bleeding
____ 8. The nurse is caring for a patient at 7 weeks’ gestation. The nurse suspects that this pregnant patient
may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which
statement by the nurse is most appropriate?
1. “Did you smoke marijuana when pregnant with your other child?”
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
during your last trimester.”
3. “Using marijuana while pregnant can have a negative effect on the neurological
development of your baby.”
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
____ 9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by
the patient demonstrates successful patient teaching?
1. “I will limit my drinking to just one alcoholic beverage per day.”
2. “It’s best for my baby if I avoid drinking during pregnancy.”
3. “An occasional drink on special occasions is okay.”
4. “Drinking alcohol is only acceptable in the first trimester.”
____ 10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows
that teaching has been effective when the patient states which of the following?
1. “My child may be at increased risk for birth injury.”
2. “My child may have a decreased risk of developing childhood diabetes.”
3. “I will probably give birth vaginally.”
4. “I have a lower risk of developing gestational hypertension.”
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 3
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
____ 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the
patient may be at risk for during pregnancy. Which response by the patient indicates that she
understands?
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
2. “I am not overweight, but I am still at risk for gestational diabetes.”
3. “My mother had preeclampsia during one of her pregnancies.”
4. “I will need to do a glucose tolerance test in my second trimester.”
____ 12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the
nurse take first?
1. Refer the patient to a drug abuse program.
2. Screen the infant for side effects associated with cocaine use.
3. Educate the patient of the risks associated with cocaine use during pregnancy.
4. Advise the patient that her baby will be okay even with the history of cocaine use.
____ 13. A pregnant patient with a body mass index (BMI) of 35 is concerned about health effects she and
her baby may face during pregnancy. During routine testing, the patient tested negative for
sexually transmitted infections (STIs) and indicated that she is in a committed, long-term
relationship with the child’s father. Which of the following is accurate?
1. The patient’s infant is at increased risk of neonatal blindness.
2. The patient’s infant has a decreased risk of birth injury.
3. The patient will have an increased risk of wound infection.
4. The patient will have a decreased risk of preeclampsia.
____ 14. When should women be screened for mood disorders during pregnancy?
1. Women should be screened at the first prenatal visit, then repeated if risk factors
are present.
2. Women should be screened at the first prenatal visit, during the second and third
trimesters, and during the first postpartum year.
3. Women should be screened when they have been diagnosed with a history of
mental health disorders.
4. Women should be screened when they have been diagnosed with a high adverse
childhood experience (ACE) score.
____ 15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
What guidelines will the nursing student use to assist in setting her goals?
1. World Health Organization (WHO) maternal care guidelines
2. Healthy People 2020
3. Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) white
papers
4. State practice act
?
____ 16. Which of the following sexually transmitted infections (STIs) has shown the most significant
increase and has led to increased infant deaths in the United States?
1. Congenital syphilis
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 4
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
2. HIV
3. Gonorrhea
4. Herpes simplex 2
____ 17. Biological weathering refers to:
1. The physiological changes that occur in the body to all people equally across the life span.
2. The premature aging that occurs in the body due to prolonged exposure to stressors such as
institutionalized racism.
3. The genetic differences that lead to early onset chronic illnesses, such as diabetes.
4. The impact of environmental changes on the body due to climate change.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 18. A woman has recently given birth to an infant born at 35 weeks and 5 days’ gestation. What long-
term effects should the nurse be concerned about with the infant being born at this gestation?
Select all that apply.
1. Cerebral palsy
2. Respiratory disorders
3. Developmental delays
4. Visual impairments
5. Hearing impairments
____ 19. An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight of
this infant is an important indicator of what? Select all that apply.
1. Morbidity rate
2. Prenatal care
3. Mortality rate
4. Infant health
5. Postpartum care
____ 20. The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient’s history
warrant further action? Select all that apply.
1. Anemia
2. Severe hemorrhage
3. Infections
4. Malnutrition
5. Eclampsia
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 5
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Chapter 1: Trends and Issues
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality Rates
Integrated Processes: Population Health
Client Need: Safe and Effective Care Environment
Cognitive Level: Knowledge (Remembering)
Concept: Population Health
Difficulty: Hard
Feedback
1 This is incorrect. Socioeconomic factors affect maternal mortality rates.
2 This is incorrect. Social determinants of health have not improved for black
women.
3 This is correct. The maternal mortality ratio for black women is 2.5 times higher
than for white women. Wide disparities in maternal mortality exist that are based
on race, ethnicity, and geographic location.
4 This is incorrect. The maternal mortality rate for black women is higher than for
white women and has gotten worse in the last decade.
PTS: 1 CON: Evidence-Based Practice
2. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 6
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Examples of maternal death include late maternal death, indirect obstetric death,
direct obstetric death, and pregnancy-related death.
2 This is incorrect. Late maternal death occurs 42 days after termination of
pregnancy from a direct or indirect obstetric cause.
3 This is incorrect. Direct obstetric death results from complications during
pregnancy, labor, birth, and/or the postpartum period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
3. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 3
Heading: Issues in Maternal-Newborn and Gender Health > Infant Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. ECMO has been cited as one of the factors that has reduced
infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
designed to promote healthy infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
4. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 7
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
1 This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
2 This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
3 This is incorrect. The United States is one of the few nations in the world where
the maternal mortality rate is rising.
4 This is correct. The United States’ maternal mortality rate is the highest of all
high-resource countries.
PTS: 1 CON: Ante/Intra/Post-partum
5. ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Page: 9
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Difficult
Feedback
1 This is correct. Infants born to teen mothers are at increased risk for various
conditions related to prematurity, including infant death, intestinal problems,
and/or respiratory distress syndrome (RDS).
2 This is incorrect. Infants born to teen mothers who have gonorrhea are at
increased risk of neonatal conjunctivitis and blindness.
3 This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at
increased risk of blindness.
4 This is incorrect. Infants born to teen mothers with chlamydia may be at
increased risk of developing chlamydial pneumonia.
PTS: 1 CON: Health Promotion
6. ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 8
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Page: 10
Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Behaviors
Difficulty: Moderate
Feedback
1 This is incorrect. Electronic cigarettes can be harmful during pregnancy.
2 This is correct. Pregnant women should not use tobacco products or electronic
cigarettes during pregnancy.
3 This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
harmful to both mother and fetus.
4 This is incorrect. Electronic cigarettes are considered harmful during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
7. ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Page: 9
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Teen mothers, rather than their children, are at increased risk of
hypertension during pregnancy.
2 This is incorrect. Children born to mothers who are obese have an increased risk
of developing childhood obesity and childhood diabetes.
3 This is correct. Statistics have shown that adolescent boys without an involved
father may be at higher risk of incarceration, dropping out of school, and abusing
drugs or alcohol.
4 This is incorrect. Children born to teen mothers are at increased risk for health
problems associated with low birth weight, including intraventricular bleeding.
PTS: 1 CON: Ante/Intra/Post-partum
8. ANS: 3
Chapter: Chapter 1 Trends and Issues
Copyright © 2023 F. A. Davis Company
Newborn Nursing Critical Components of Nursing
Care 4th Edition Roberta Durham
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
, Durham, Chapman, Miller 1
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Chapter 1: Trends and Issues
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The maternal mortality rate for black women in the United States is:
1. The same as for white women in the United States, regardless of socioeconomic
factors.
2. Lower than the rate for white women due to improvements in the social
determinants of health.
3. Higher than the rate for white women, regardless of socioeconomic factors.
4. Higher than the rate for white women, but have improved in the last decade.
____ 2. A patient with a history of hypertension is giving birth. During delivery, the staff was not able to
stabilize the patient’s blood pressure. Therefore, the patient died shortly after delivery. This is an
example of what type of death?
1. Early maternal death
2. Late maternal death
3. Direct obstetric death
4. Indirect obstetric death
____ 3. The nurse is providing education to a patient who has given birth to her first child and is being
discharged home. The patient expressed concern regarding infant mortality and sudden infant
death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery.
She has a body mass index (BMI) of 25 and has no other health conditions. The infant is healthy
and was delivered full-term. What will be most helpful thing to explain to the patient?
1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
2. Uses of exogenous pulmonary surfactant
3. The Baby-Friendly Hospital Initiative
4. The Safe to Sleep campaign
____ 4. Compared with other countries in the world, the United States’ maternal mortality rate is:
1. One of the lowest rates in the world.
2. The same as in other high-resource countries.
3. Worse than in other high-resource countries, but has improved in the last decade.
4. The highest rate of all high-resource countries.
____ 5. The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous
prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the
information provided, which condition is the patient’s baby at highest risk for?
1. Respiratory disorders
2. Neonatal conjunctivitis
3. Blindness
4. Pneumonia
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 2
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
____ 6. The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test
confirms the patient is pregnant. The patient states, “I do not need to stop smoking my electronic
cigarette because it will not harm my baby.” Which is the best response by the nurse?
1. “You are correct. Electronic cigarettes are not harmful during pregnancy.”
2. “Tobacco products, including electronic cigarettes, should not be used during
pregnancy due to the risk of nicotine toxicity.”
3. “According to the U.S. Food and Drug Administration (FDA), although electronic
cigarettes are safe for you, they can cause harm to the fetus during pregnancy.”
4. “Electronic cigarettes are considered harmful only in the first trimester.”
____ 7. The nurse is caring for a 16-year-old patient who is 32 weeks’ pregnant with her first child, who is
male. The patient’s mother has accompanied her to today’s visit. During the nursing assessment,
the patient mentions that she is no longer in a relationship with the baby’s father but her mother
plans to help her. However, the patient’s mother asks whether this will have any impact on the
child. Which of the following should the nurse indicate the child is at increased risk for during his
adolescence?
1. Hypertension
2. Diabetes
3. Alcohol abuse
4. Intraventricular bleeding
____ 8. The nurse is caring for a patient at 7 weeks’ gestation. The nurse suspects that this pregnant patient
may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which
statement by the nurse is most appropriate?
1. “Did you smoke marijuana when pregnant with your other child?”
2. “To avoid negative effects on your baby, you’ll need to stop using marijuana
during your last trimester.”
3. “Using marijuana while pregnant can have a negative effect on the neurological
development of your baby.”
4. “Marijuana use while pregnant greatly increases your risk of miscarriage.”
____ 9. The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by
the patient demonstrates successful patient teaching?
1. “I will limit my drinking to just one alcoholic beverage per day.”
2. “It’s best for my baby if I avoid drinking during pregnancy.”
3. “An occasional drink on special occasions is okay.”
4. “Drinking alcohol is only acceptable in the first trimester.”
____ 10. The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows
that teaching has been effective when the patient states which of the following?
1. “My child may be at increased risk for birth injury.”
2. “My child may have a decreased risk of developing childhood diabetes.”
3. “I will probably give birth vaginally.”
4. “I have a lower risk of developing gestational hypertension.”
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 3
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
____ 11. A pregnant woman weighs 90.9 kg. The nurse is educating the patient on complications that the
patient may be at risk for during pregnancy. Which response by the patient indicates that she
understands?
1. “Due to my weight, there is a possibility that I may develop gestational diabetes.”
2. “I am not overweight, but I am still at risk for gestational diabetes.”
3. “My mother had preeclampsia during one of her pregnancies.”
4. “I will need to do a glucose tolerance test in my second trimester.”
____ 12. The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the
nurse take first?
1. Refer the patient to a drug abuse program.
2. Screen the infant for side effects associated with cocaine use.
3. Educate the patient of the risks associated with cocaine use during pregnancy.
4. Advise the patient that her baby will be okay even with the history of cocaine use.
____ 13. A pregnant patient with a body mass index (BMI) of 35 is concerned about health effects she and
her baby may face during pregnancy. During routine testing, the patient tested negative for
sexually transmitted infections (STIs) and indicated that she is in a committed, long-term
relationship with the child’s father. Which of the following is accurate?
1. The patient’s infant is at increased risk of neonatal blindness.
2. The patient’s infant has a decreased risk of birth injury.
3. The patient will have an increased risk of wound infection.
4. The patient will have a decreased risk of preeclampsia.
____ 14. When should women be screened for mood disorders during pregnancy?
1. Women should be screened at the first prenatal visit, then repeated if risk factors
are present.
2. Women should be screened at the first prenatal visit, during the second and third
trimesters, and during the first postpartum year.
3. Women should be screened when they have been diagnosed with a history of
mental health disorders.
4. Women should be screened when they have been diagnosed with a high adverse
childhood experience (ACE) score.
____ 15. A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery.
What guidelines will the nursing student use to assist in setting her goals?
1. World Health Organization (WHO) maternal care guidelines
2. Healthy People 2020
3. Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) white
papers
4. State practice act
?
____ 16. Which of the following sexually transmitted infections (STIs) has shown the most significant
increase and has led to increased infant deaths in the United States?
1. Congenital syphilis
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 4
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
2. HIV
3. Gonorrhea
4. Herpes simplex 2
____ 17. Biological weathering refers to:
1. The physiological changes that occur in the body to all people equally across the life span.
2. The premature aging that occurs in the body due to prolonged exposure to stressors such as
institutionalized racism.
3. The genetic differences that lead to early onset chronic illnesses, such as diabetes.
4. The impact of environmental changes on the body due to climate change.
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 18. A woman has recently given birth to an infant born at 35 weeks and 5 days’ gestation. What long-
term effects should the nurse be concerned about with the infant being born at this gestation?
Select all that apply.
1. Cerebral palsy
2. Respiratory disorders
3. Developmental delays
4. Visual impairments
5. Hearing impairments
____ 19. An infant was recently born weighing 1,498 grams. The nurse understands that the birth weight of
this infant is an important indicator of what? Select all that apply.
1. Morbidity rate
2. Prenatal care
3. Mortality rate
4. Infant health
5. Postpartum care
____ 20. The nurse is taking the history of a gravida 2 para 1 patient. Which findings in the patient’s history
warrant further action? Select all that apply.
1. Anemia
2. Severe hemorrhage
3. Infections
4. Malnutrition
5. Eclampsia
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 5
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Chapter 1: Trends and Issues
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality Rates
Integrated Processes: Population Health
Client Need: Safe and Effective Care Environment
Cognitive Level: Knowledge (Remembering)
Concept: Population Health
Difficulty: Hard
Feedback
1 This is incorrect. Socioeconomic factors affect maternal mortality rates.
2 This is incorrect. Social determinants of health have not improved for black
women.
3 This is correct. The maternal mortality ratio for black women is 2.5 times higher
than for white women. Wide disparities in maternal mortality exist that are based
on race, ethnicity, and geographic location.
4 This is incorrect. The maternal mortality rate for black women is higher than for
white women and has gotten worse in the last decade.
PTS: 1 CON: Evidence-Based Practice
2. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 6
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Examples of maternal death include late maternal death, indirect obstetric death,
direct obstetric death, and pregnancy-related death.
2 This is incorrect. Late maternal death occurs 42 days after termination of
pregnancy from a direct or indirect obstetric cause.
3 This is incorrect. Direct obstetric death results from complications during
pregnancy, labor, birth, and/or the postpartum period.
4 This is correct. Indirect obstetric death is caused by a preexisting disease, or a
disease that develops during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
3. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 3
Heading: Issues in Maternal-Newborn and Gender Health > Infant Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Moderate
Feedback
1 This is incorrect. ECMO has been cited as one of the factors that has reduced
infant mortality among preterm infants.
2 This is incorrect. Although advances in medical treatments have decreased infant
mortality, exogenous pulmonary surfactant is primarily used to reduce mortality of
preterm infants.
3 This is incorrect. The Baby-Friendly Hospital Initiative was developed to support
breastfeeding and is not directly linked to reduced infant mortality or SIDS.
4 This is correct. The Back to Sleep campaign and the Safe to Sleep campaigns were
designed to promote healthy infant sleeping habits. The decrease in SIDS from
1995 to 2015 was attributed to the Safe to Sleep campaign.
PTS: 1 CON: Health Promotion
4. ANS: 4
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 3. Identify leading causes of maternal and infant morbidity and
mortality in the United States.
Page: 8
Heading: Issues in Maternal-Newborn and Gender Health > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 7
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Cognitive Level: Application [Applying]
Concept: Population Health
Difficulty: Moderate
Feedback
1 This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
2 This is incorrect. The United States has the highest maternal mortality rate for
high-resource countries.
3 This is incorrect. The United States is one of the few nations in the world where
the maternal mortality rate is rising.
4 This is correct. The United States’ maternal mortality rate is the highest of all
high-resource countries.
PTS: 1 CON: Ante/Intra/Post-partum
5. ANS: 1
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Page: 9
Heading: Issues > Teen Pregnancy
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Health Promotion
Difficulty: Difficult
Feedback
1 This is correct. Infants born to teen mothers are at increased risk for various
conditions related to prematurity, including infant death, intestinal problems,
and/or respiratory distress syndrome (RDS).
2 This is incorrect. Infants born to teen mothers who have gonorrhea are at
increased risk of neonatal conjunctivitis and blindness.
3 This is incorrect. Infants born to teen mothers with syphilis and gonorrhea are at
increased risk of blindness.
4 This is incorrect. Infants born to teen mothers with chlamydia may be at
increased risk of developing chlamydial pneumonia.
PTS: 1 CON: Health Promotion
6. ANS: 2
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Copyright © 2023 F. A. Davis Company
, Durham, Chapman, Miller 8
Davis Advantage for Maternal-Newborn Nursing 4e Test Bank – Ch1
Page: 10
Heading: Issues > Tobacco and Electronic Cigarette Use During Pregnancy
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Safety and Infection Control
Cognitive Level: Application [Applying]
Concept: Behaviors
Difficulty: Moderate
Feedback
1 This is incorrect. Electronic cigarettes can be harmful during pregnancy.
2 This is correct. Pregnant women should not use tobacco products or electronic
cigarettes during pregnancy.
3 This is incorrect. Electronic cigarettes are not controlled by the FDA and may be
harmful to both mother and fetus.
4 This is incorrect. Electronic cigarettes are considered harmful during pregnancy.
PTS: 1 CON: Ante/Intra/Post-partum
7. ANS: 3
Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Examine maternal and infant health outcomes in the United States
and analyze how the social determinants of health impact outcomes and lead to health disparities.
Page: 9
Heading: Issues > Teen Pregnancy > Implications of Teen Pregnancy and Birth
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Moderate
Feedback
1 This is incorrect. Teen mothers, rather than their children, are at increased risk of
hypertension during pregnancy.
2 This is incorrect. Children born to mothers who are obese have an increased risk
of developing childhood obesity and childhood diabetes.
3 This is correct. Statistics have shown that adolescent boys without an involved
father may be at higher risk of incarceration, dropping out of school, and abusing
drugs or alcohol.
4 This is incorrect. Children born to teen mothers are at increased risk for health
problems associated with low birth weight, including intraventricular bleeding.
PTS: 1 CON: Ante/Intra/Post-partum
8. ANS: 3
Chapter: Chapter 1 Trends and Issues
Copyright © 2023 F. A. Davis Company
