Test Bank Complete for Maternal-Newborn Nursing: The Critical Components of Nursing Care, 3rd Edition

Test Bank Complete
Maternal-Newborn Nursing:
The Critical Components of Nursing
Care, 3rd Edition

TEST BANK Complete
MATERNALNEWBORNNURSING:
THE CRITICAL
COMPONENTS OF
NURSING CARE, 3RD
EDITION, ROBERTA
DURHAM, LINDA
CHAPMAN
Chapter 1: Trends and Issues

MULTIPLE CHOICE

1. The nurse is caring for a patient who is in labor with her first child. The patient’s mother is
   present for support and notes that things have changed in the delivery room since she last
   gave birth in the early 1980s. Which current trend or intervention may the patient’s mother
   find most different?
2. Fetal monitoring throughout labor
3. Postpartum stay of 10 days
4. Expectant partner and family in operating room for cesarean birth
5. Hospital support for breastfeeding
   ANS: 4
   Chapter: Chapter 1 Trends and Issues
   Chapter Learning Objective: 1. Discuss current trends in the management of labor and birth
   Page: 4
   Heading: Table 1-1: Past and Present Trends
   Integrated Processes: Nursing Process
   Client Need: Health Promotion and Maintenance
   Cognitive Level: Application [Applying]
   Concept: Evidence-Based Practice
   Difficulty: Moderate
   Feedback
   1 This is incorrect. Fetal monitoring during labor began in the late 1970s. As such,
   this likely would have occurred during the mother’s labor and delivery during
   the 1980s.
   2 This is incorrect. In the past, the average hospital postpartum stay was 10 days.
   Presently, the average postpartum stay is 48 hours or less.
   3 This is incorrect. In the past, expectant partners and families were excluded from
   the labor and birth experience. Present trends involve the expectant partner and
   family in the labor and birth experience, including presence in the operating room
   for cesarean births.
   4 This is correct. Hospital support for breastfeeding, including a lactation
   consultant and employment of the Baby-Friendly Hospital Initiative, were both
   enacted during the early 1990s.
   PTS: 1 CON: Evidence-Based Practice
6. A patient with a history of hypertension is giving birth. During delivery, the staff was not
   able to stabilize the patient’s blood pressure. As a result, the patient died shortly after
   delivery. This is an example of what type of death?
7. Early maternal death
8. Late maternal death
9. Direct obstetric death
10. Indirect obstetric death
    ANS: 4

Chapter: Chapter 1 Trends and Issues
Chapter Learning Objective: 2. Discuss current trends in maternal and infant health
outcomes.
Page: 7
Heading: Trends > Maternal Death and Mortality Rates
Integrated Processes: Nursing Process
Client Need: Physiological Integrity: Reduction of Risk Potential
Cognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
Feedback
1 This is incorrect. Early maternal death is not an example of maternal death.
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 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. 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 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?
4. Uses of extracorporeal membrane oxygenation therapy (ECMO)
5. Uses of exogenous pulmonary surfactant
6. The Baby-Friendly Hospital Initiative
7. The Safe to Sleep campaign
   ANS: 4
   Chapter: Chapter 1 Trends and Issues
   Chapter Learning Objective: 3. Identify leading causes of infant death.
   Page: 7
   Heading: Trends > 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. EMCO has been cited as one of the factors that has reduced
   infant mortality among preterm infants