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
... [Show More] 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
3. Direct obstetric death
4. Indirect obstetric death
ANS: 4
Test Bank: Maternal-Newborn Nursing latest update June 2023: The CriticalComponents of Nursing Care, 10th Edition, Roberta
Durham, Linda Chapman
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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 [Show Less]