Test Bank: Maternal-Newborn Nursing: The Critical
Components of Nursing Care, 3rd Edition, Roberta
Durham, Linda Chapman
1. The nurse is caring for a
... [Show More] 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
3. Direct obstetric death
4. 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/Postpartum
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 [Show Less]