Davis Advantage for Maternal-
y y y
Newborn Nursing Critical Components of
y y y y y
Nursing Care Fourth Edition
y y y
TESTBANK y
,TableyofyContents
MaternityyNursingyOverview
1. TrendsyandyIssues
2. EthicsyandyStandardsyofyPracticeyIssues
TheyAntepartalyPeriod
3. Genetics,yConception,yFetalyDevelopment,yandyReproductiveyTechnology
4. PhysiologicalyAspectsyofyAntepartumyCare
5. TheyPsycho-Social-CulturalyAspectsyofytheyAntepartumyPeriod
6. AntepartalyTests
7. High-RiskyAntepartumyNursingyCare
IntrapartalyPeriod
8. IntrapartumyAssessmentyandyInterventions
9. FetalyHeartyRateyAssessment
10. High-RiskyLaboryandyBirth
11. IntrapartumyandyPostpartumyCareyofytheyCesareanyBirthyFamilies
PostpartalyPeriod
12. PostpartumyPhysiologicalyAssessmentsyandyNursingyCare
13. TransitionytoyParenthood
14. High-RiskyPostpartumyNursingyCare
NeonatalyPeriod
15. PhysiologicalyandyBehavioralyResponsesyofytheyNeonate
16. DischargeyPlanningyandyTeaching
17. High-RiskyNeonatalyNursingyCare
Women’syHealth
18. WellyWomen’syHealth
19. AlterationsyinyWomen’syHealth
,Chapter 1: Trends and Issues
y y y y
Durham & Chapman: Davis Advantage for Maternal-
y y y y y y
Newborn Nursing Critical Components of Nursing Care Fourth Edition
y y y y y y y y
MULTIPLEyCHOICE
1. yTheynurseyisycaringyforyaypatientywhoyisyinylaborywithyheryfirstychild.yTheypatient’symotheryisyp
resentyforysupportyandynotesythatythingsyhaveychangedyinytheydeliveryyroomysinceysheylastygav
eybirthyinytheyearlyy1980s.yWhichycurrentytrendyoryinterventionymayytheypatient’symotheryfindy
mostydifferent?
1. Fetalymonitoringythroughoutylabor
2. Postpartumystayyofy10ydays
3. Expectantypartneryandyfamilyyinyoperatingyroomyforycesareanybirth
4. Hospitalysupportyforybreastfeeding
ANS:y 4
Chapter:yChaptery1yTrendsyandyIssues
ChapteryLearningyObjective:y1.yDiscussycurrentytrendsyinytheymanagementyofylaboryandybirthyP
age:y4
Heading:yTabley1-
1:yPastyandyPresentyTrendsyIntegratedyProcesses:y
NursingyProcess
ClientyNeed:yHealthyPromotionyandyMaintenancey
CognitiveyLevel:yApplicationy[Applying]yConcep
t:yEvidence-BasedyPractice
Difficulty:yModerate
Feedback
1 Thisyisyincorrect.yFetalymonitoringyduringylaborybeganyinytheylatey1970s.yAsysuch,ythis
ylikelyywould yhaveyoccurredyduringytheymother’sylaboryandydeliveryyduring
they1980s.
2 Thisyisyincorrect.yInytheypast,ytheyaverageyhospitalypostpartumystayywasy10ydays.yPrese
ntly,ytheyaverageypostpartumystayyisy48yhoursyoryless.
3 Thisyisyincorrect.yInytheypast,yexpectantypartnersyandyfamiliesywereyexcludedyfromyt
heylaboryandybirthyexperience.yPresentytrendsyinvolveytheyexpectantypartneryandyfa
milyyinytheylaboryandybirthyexperience,yincludingypresenceyinytheyoperatingyroomyf
orycesareanybirths.
4 Thisyisycorrect.yHospitalysupportyforybreastfeeding,yincludingyaylactationyconsulta
ntyandyemploymentyofytheyBaby-FriendlyyHospitalyInitiative,ywereyboth
enactedyduringytheyearlyy1990s.
PTS: 1 CON:y Evidence-BasedyPractice
2. Aypatientywithyayhistoryyofyhypertensionyisygivingybirth.yDuringydelivery,ytheystaffywasynotya
bleytoystabilizeytheypatient’sybloodypressure.yAsyayresult,ytheypatientydiedyshortlyyafterydeliv
ery.yThisyisyanyexampleyofywhatytypeyofydeath?
1. Earlyymaternalydeath
2. Lateymaternalydeath
3. Directyobstetricydeath
4. Indirectyobstetricydeath
y ANS:y 4
, Chapter:yChaptery1yTrendsyandyIssues
ChapteryLearningyObjective:y2.yDiscussycurrentytrendsyinymaternalyandyinfantyhealthyoutcomes
.
Page:y7
Heading:yTrendsy>yMaternalyDeathyandyMortalityyRatesyInt
egratedyProcesses:yNursingyProcess
ClientyNeed:yPhysiologicalyIntegrity:yReductionyofyRiskyPotentialyCognitiv
eyLevel:yApplicationy[Applying]
Concept:yAnte/Intra/Post-
partumyDifficulty:yHard
Feedback
1 Thisyisyincorrect.yEarlyymaternalydeathyisynotyanyexampleyofymaternalydeath.yExamp
lesyofymaternalydeathyincludeylateymaternalydeath,yindirectyobstetricydeath,ydirectyobs
tetricydeath,yandypregnancy-relatedydeath.
2 Thisyisyincorrect.yLateymaternalydeathyoccursy42ydaysyafteryterminationyofypregnanc
yyfromyaydirectyoryindirectyobstetricycause.
3 Thisyisyincorrect.yDirectyobstetricydeathyresultsyfromycomplicationsyduringypregnanc
y,ylabor,ybirth,yand/orypostpartumyperiod.
4 Thisyisycorrect.yIndirectyobstetricydeathyisycausedybyyaypreexistingydisease,yoryaydisea
seythatydevelopsyduringypregnancy.
PTS: 1 CON:y Ante/Intra/Post-partum
3. Theynurseyisyprovidingyeducationytoyaypatientywhoyhasygivenybirthytoyheryfirstychildyandyisybein
gydischargedyhome.yTheypatientyexpressedyconcernyregardingyinfantymortalityyandysuddenyinfa
ntydeathysyndromey(SIDS).yTheypatientyhadyanyuncomplicatedypregnancy,ylabor,yandyvaginalyd
elivery.ySheyhasyaybodyymassyindexyofy25yandyhasynoyotheryhealthyconditions.yTheyinfantyisyhea
lthyyandywasydeliveredyfull-term.yWhatywillybeymostyhelpfulythingytoyexplainytoytheypatient?
1. Usesyofyextracorporealymembraneyoxygenationytherapyy(ECMO)
2. Usesyofyexogenousypulmonaryysurfactant
3. TheyBaby-FriendlyyHospitalyInitiative
4. TheySafeytoySleepycampaign
ANS:y 4
Chapter:yChaptery1yTrendsyandyIssues
ChapteryLearningyObjective:y3.yIdentifyyleadingycausesyofyinfantydeath.yPag
e:y7
Heading:yTrendsy>yInfantyMortalityyRatesyIntegrat
edyProcesses:yNursingyprocess
ClientyNeed:ySafeyandyEffectiveyCareyEnvironment:ySafetyyandyInfectionyControlyCo
gnitiveyLevel:yApplicationy[Applying]
Concept:yHealthyPromotion
yDifficulty: yModerate
Feedback
1 Thisyisyincorrect.yEMCOyhasybeenycitedyasyoneyofytheyfactorsythatyhasyreducedyinfa
ntymortalityyamongypretermyinfants.