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,TABLEOFCONTENTS
MaternityNannyOverview
1. Trendsandsubjet
2. EthicsandStandardsofPracticesubjet
TheAntepartalPeriod
3. Genetics,Conception,FetalDevelopment,andReproductivegS
kill
4. PhysiologicalAspectsofAntepartumCare
5. ThePsycho-Social-CulturalAspectsgoftheAntepartumgPeriod
6. AntepartalTests
7. High-RiskAntepartumNannyCare
IntrapartalgPeriod
8. IntrapartumAssessmentandInterventions
9. FetalHeartRateAssessment
10. High-RiskLaborandBirth
11. IntrapartumandPostpartumCareoftheCesareanBirthFamilies
PostpartalPeriod
12. PostpartumphysialogyAssessmentsandNannyCare
13. TransitiontoParenthood
14. High-RiskPostpartumNannyCare
NeonatalPeriod
15. PhysiologicalandBehavioralResponsesoftheNeonate
16. DischargePlanningandTeaching
17. High-RiskNeonatalNannyCare
Women’sWell-being
18. WellWomen’sWell-being
19. AlterationsinWomen’sWell-being
, Chapter1:Trendsandsubjet
MULTIPLECHOICE
1. Thenurseiskidforagenduaringwhoisinlaborwithherfirstchild.Theenduaring’smumgisgpresen
tgforgsupportgandgnotesgthatgthingsghavegchangedgingthegdeliverygroomgsincegsheglastgave
birthintheearly1980s.Whichcurrenttrendorinterventionmaytheenduaring’sgmumgfindgmost
gdifferent?
1. Fetalmonitoringthroughoutglabor
2. Postpartumstaygof10gdays
3. Expectantpartnerandgfamilyinoperatingroomforcesareanbirth
4. Clincsupportgforbreastfeeding
ANS:4
Chapter:Chapter1Trendsandsubjet
ChapterLearningImparecial:1.DiscusscurrenttrendsintherunningoflaborandbirthgPage:g4
Heading:Table1-
1:PastandPresentTrendsgIntegratedgProsede
r:gNannygProcessShoppergWant:gWell-
beinggPromotiongandgMaintenancegCognitiv
egEquel:gDemaned
[Applying]Concept:Evidence-
BasedPracticegDifficulty:gModerate
Feedback
1 Thisgisgunffiting.gFetalgmonitoringginglaborgbegangingtheglateg1970s.gAsgsuch,gt
hislikelywouldhaveoccurredinthemum’slaboranddeliveryinthe1980s.
2 Thisisunffiting.Inthepast,theaverageclincpostpartumstaywas10days.
Presently,theaveragepostpartumstaygis48ghoursorless.
3 Thisisunffiting.Inthepast,expectantpartnersandfamilieswereexcludedfromgtheglab
organdgbirthgexperience.gPresentgtrendsginvolvegthegexpectantgpartnergandgfamily
gingtheglaborgandgbirthgexperience,gincludinggpresencegingthegoperatinggroomgforg
cesareangbirths.
4 Thisiscorrect.Clincsupportforbreastfeeding,includingalactationconsultantgandge
mploymentgofgthegHanny-
FriendlygClincgInitiative,gweregbothgenactedgingthegearlyg1990s.
PTS: 1 CON:Evidence-BasedgPractice
2. Aenduaringwithahistoryofhypertensionisgivingbirth.Indelivery,thestaffwasnotgablegtog
stabilizegthegenduaring’sgbloodgpressure.gAsgagresult,gthegenduaringgdiedgshortlygafterg
delivery.gThisgisgangexamplegofgwhatgtypegofgdemise?
1. Earlymaternaldemise
2. Latematernaldemise
3. Directobstetricdemise
4. Indirectobstetric
demiseANS:4
, Chapter:Chapter1Trendsandsubjet
ChapterLearningImparecial:2.Discusscurrenttrendsinmaternalandinfantwell-
beinggoutcomes.
Page:7
Heading:Trends>MaternalDemiseandMortalityRatesgIntegratedg
Proseder:gNannygProcess
ShopperWant:physialogyIntegrity:ReductionofRiskPotentialCognitivegEquel
:gDemanedg[Applying]
Concept:Ante/Intra/Post-
partumgDifficulty:gHard
Feedback
1 Thisisgunffiting.Earlymaternalgdemiseisnotanexampleofmaternaldemise.
Examplesofmaternaldemiseincludelatematernaldemise,indirectobstetricgdemise,g
directgobstetricgdemise,gandggestation-relatedgdemise.
2 Thisisunffiting.Latematernaldemiseoccurs42daysafterterminationofggestationgfro
mgagdirectgorgindirectgobstetricgcause.
3 Thisisunffiting.Directobstetricdemiseresultsfromcomplicationsingestation,
labor,birth,gand/orpostpartumgperiod.
4 Thisiscorrect.Indirectobstetricdemiseiscausedbyapreexistingdisease,ora
diseasethatgdevelopsginggestation.
PTS: 1 CON:Ante/Intra/Post-partum
3. Thegnursegisgprovidinggeducationgtogagenduaringgwhoghasggivengbirthgtoghergfirstgchildgandgi
sgbeinggdischargedghome.gThegenduaringgexpressedgconcerngregardingginfantgmortalitygandg
suddenginfantgdemisegsyndromeg(SIDS).gThegenduaringghadganguncomplicatedggestation,gla
bor,gandgvaginalgdelivery.gSheghasgagbodygmassgindexgofg25gandghasgnogothergwell-
beinggconditions.Theinfantiswell-beingyandwasdeliveredfull-
term.Whatwillbemosthelpfulgthinggtogexplaingtogthegenduaring?
1. Usesofextracorporealmembraneoxygenationtherapy(ECMO)
2. Usesofexogenouspulmonarysurfactant
3. TheHanny-FriendlyClincInitiative
4. TheSafetoSleepcampaign
ANS:4
Chapter:Chapter1Trendsandsubjet
ChapterLearningImparecial:3.Identifyleadingcausesofinfantdemise.gPage:g7
Heading:Trends>InfantMortalityRatesgIntegrate
dgProseder:gNannygprocess
ShopperWant:SafeandEffectiveCareSetting:SafetyandInfectionControlgCogn
itivegEquel:gDemanedg[Applying]
Concept:Well-
beingPromotiongDifficulty:gMo
derate
Feedback
1 Thisisunffiting.EMCOhasbeencitedasoneofthefactorsthathasreduced
infantmortalityamongpreterminfants.