TEST BANK: MATERNAL- NEWBORNNURSING: THE CRITICAL COMPONENTS OF NURSING CARE, 3RD EDITION, ROBERTA DURHAM, LINDA CHAPMAN
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MATERNAL- NEWBORNNURSING: THE CRITICAL
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MATERNAL- NEWBORNNURSING: THE CRITICAL
TEST BANK: MATERNAL-
NEWBORNNURSING: 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 su...
**Test Bank: Maternal-Newborn Nursing: Core
Aspects of Nursing Care**
**Chapter 1: Contemporary Trends and Issues**
**MULTIPLE CHOICE**
1. A nurse is caring for a first-time laboring patient. The patient’s mother, who is present for
support, observes that practices in the delivery room have evolved since her own childbirth
experience in the early 1980s. Which current practice might stand out as different to the patient’s
mother?
- A) Continuous fetal monitoring during labor
- B) Extended postpartum hospital stay of 10 days
- C) Inclusion of partners and families in cesarean delivery rooms
- D) Increased hospital support for breastfeeding
**Answer: D**
*Chapter Learning Objective: Examine modern trends in labor and delivery management.*
*Feedback: The support for breastfeeding, including initiatives like the Baby-Friendly Hospital
Initiative, became more prevalent in the early 1990s, marking a significant change from past
practices.*
2. A patient with a history of hypertension is giving birth, but the staff cannot stabilize her blood
pressure, resulting in the patient’s death shortly after delivery. This scenario exemplifies which
type of death?
, - A) Early maternal death
- B) Late maternal death
- C) Direct obstetric death
- D) Indirect obstetric death
**Answer: D**
*Chapter Learning Objective: Discuss trends in maternal health outcomes.*
*Feedback: Indirect obstetric death arises from preexisting conditions or those developed
during pregnancy, unlike direct obstetric death which results from pregnancy-related
complications.*
3. When educating a new mother concerned about infant mortality and sudden infant death
syndrome (SIDS), what information is most relevant?
- A) Extracorporeal membrane oxygenation (ECMO) usage
- B) Benefits of exogenous pulmonary surfactant
- C) The Baby-Friendly Hospital Initiative
- D) Safe sleep practices from the Safe to Sleep campaign
**Answer: D**
*Chapter Learning Objective: Identify major causes of infant mortality.*
*Feedback: The Safe to Sleep campaign was crucial in reducing SIDS rates by promoting safe
sleep practices.*
4. A 14-year-old patient, 32 weeks pregnant, tests positive for syphilis. What is the increased risk
to her fetus?
- A) Diabetes
- B) Blindness
, - C) Pneumonia
- D) Hypertension
**Answer: B**
*Chapter Learning Objective: Explore current maternal and infant health issues.*
*Feedback: Syphilis can lead to severe outcomes such as neonatal blindness among other
complications.*
5. A 15-year-old patient, pregnant with her first child, tested negative for sexually transmitted
infections. What condition might her baby be more susceptible to?
- A) Intestinal problems
- B) Neonatal conjunctivitis
- C) Blindness
- D) Pneumonia
**Answer: A**
*Chapter Learning Objective: Assess health risks associated with adolescent pregnancy.*
*Feedback: Teen mothers' infants may face increased risks like intestinal issues, which are
often linked to prematurity.*
6. A 23-year-old patient, newly pregnant, believes that using electronic cigarettes is safe. What
should the nurse convey?
- A) Electronic cigarettes are harmless during pregnancy.
- B) Tobacco products, including e-cigarettes, should be avoided to prevent nicotine toxicity.
- C) The FDA deems electronic cigarettes safe during pregnancy.
- D) Electronic cigarettes are only harmful in the first trimester.
, **Answer: B**
*Chapter Learning Objective: Discuss the impact of tobacco and electronic cigarettes on
pregnancy.*
*Feedback: Nicotine toxicity from any tobacco product, including e-cigarettes, poses risks
during pregnancy.*
7. A 16-year-old patient, 32 weeks pregnant, is worried about her child's future given her current
situation. What is the increased risk to her child during adolescence?
- A) Hypertension
- B) Diabetes
- C) Alcohol abuse
- D) Intraventricular bleeding
**Answer: C**
*Chapter Learning Objective: Consider the long-term implications of teenage parenting.*
*Feedback: Adolescent boys without an involved father are statistically at higher risk for issues
such as substance abuse.*
8. A nurse suspects a pregnant patient might be using marijuana. With consent, a urine test
confirms this. What is the most appropriate statement from the nurse?
- A) Ask if the patient used marijuana in previous pregnancies.
- B) Advise cessation of marijuana use only in the last trimester.
- C) Explain that marijuana use can negatively impact the baby’s neurological development.
- D) Inform that marijuana use increases miscarriage risk.
**Answer: C**
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