Test Bank:

MaternalNewborn Nursing:

The Critical

Components of

Nursing Care, 3rd

Edition, Roberta

Durham, Linda

Chapman

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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?

1. Fetal monitoring throughout labor

2. Postpartum stay of 10 days

3. Expectant partner and family in operating room for cesarean birth

4. 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

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. As a result, the patient died shortly after

delivery. This is an example of what type of death?

1. Early maternal death

2. Late maternal death Downloaded by: viridianagrim | [email protected]

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3. Direct obstetric death

4. Indirect obstetric death

ANS: 4

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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?

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

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

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