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Test Bank for Davis Advantage for Maternal-Newborn Nursing Critical Components of Nursing Care 4th Edition by Durham, Chapman, and Miller$16.49
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Test Bank for Davis Advantage for Maternal-Newborn Nursing Critical Components of
Nursing Care 4th Edition by Durham, Chapman, and Miller
,Chapter 1: Trends and Issues
MULTIPLE CHOICE
1. The registered nurse is caring for a hospital patient who is in labor with her first child. The
hospital patient ’s mother ispresent 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 hospital 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
RIGHT CHOICE✔✔ 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
Hospital patient Need: Health Promotion and
MaintenanceCognitive Level: Application
[Applying] Concept: Evidence-Based Practice
Difficulty: Moderate
DETAILED ELEBORATION
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 hospital patient with a history of hypertension is giving birth. During delivery, the staff
was not able to stabilize the hospital patient ’s blood pressure. As a result, the hospital
patient died shortly after delivery. This is an example of what type of death?
1. Early maternal death
2. Late maternal death
, 3. Direct obstetric death
4. Indirect obstetric death
RIGHT CHOICE✔✔ 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
Hospital patient Need: Physiological Integrity: Reduction of Risk
PotentialCognitive Level: Application [Applying]
Concept: Ante/Intra/Post-partum
Difficulty: Hard
DETAILED ELEBORATION
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 registered nurse is providing education to a hospital patient who has given birth to her
first child and is being discharged home. The hospital patient expressed concern regarding
infant mortality and sudden infant death syndrome (SIDS). The hospital 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 explainto the hospital 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
RIGHT CHOICE✔✔ 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
Hospital patient Need: Safe and Effective Care Environment: Safety and Infection
ControlCognitive Level: Application [Applying]
Concept: Health Promotion
, Difficulty: Moderate
N
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