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Chapter 1: Trends and Issues
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
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present for support and notes that things have changed in the delivery room since she last ga
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ve birth in the early 1980s. Which current trend or intervention may the patient’s mother fin
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d most different?
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1. Fetal monitoring throughout labor 2w 2w 2w
2. Postpartum stay of 10 days 2w 2w 2w 2w
3. Expectant partner and family in operating room for cesarean birth
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4. Hospital support for breastfeeding 2w 2w 2w
2. A patient with a history of hypertension is giving birth. During delivery, the staff was not a
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ble to stabilize the patient’s blood pressure. As a result, the patient died shortly after delivery
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. This is an example of what type of death?
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1. Early maternal death 2w 2w
2. Late maternal death 2w 2w
3. Direct obstetric death 2w 2w
4. Indirect obstetric death 2w 2w
3. The nurse is providing education to a patient who has given birth to her first child and is b
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eing discharged home. The patient expressed concern regarding infant mortality and sudden
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infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vagina
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l delivery. She has a body mass index of 25 and has no other health conditions. The infant is
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healthy and was delivered full-
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term. What will be most helpful thing to explain to the patient?
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1. Uses of extracorporeal membrane oxygenation therapy (ECMO)
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2. Uses of exogenous pulmonary surfactant
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3. The Baby-Friendly Hospital Initiative
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4. The Safe to Sleep campaign 2w 2w 2w 2w
4. The nurse is caring for a 14-year-
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old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, th
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e patient tests positive for syphilis. The fetus is at increased risk of which condition?
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1. Diabetes
2. Blindness
3. Pneumonia
4. Hypertension
5. The nurse is caring for a 15-year-
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old female who is pregnant with her first child. In her previous prenatal visit, the patient test
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ed negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided,
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which condition is the patient’s baby at higher risk for?
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1. Intestinal problems 2w
2. Neonatal conjunctivitis 2w
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3. Blindness
4. Pneumonia