Test Bank f
Old's Maternal-Newborn Nursing and Women's
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Health,11e (Davidson/London/Ladewig)
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Chapter 1 : Contemporary Maternal-Newborn Nursing
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1) The nurse is speaking to students about changes in maternal-
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newborn care. One change is that self-care has gained wide
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acceptance with clients and the healthcare community due
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toresearchfindings that suggest that it has which effect?
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A) Shortens newborn length of stay f f f f
B) Decreases use of home health agencies f f f f f
C) Decreases healthcare costs f f
D) Decreases the number of emergency department f f f f f
f visitsAnswer: C .
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Explanation: A) Length of stay is often determined by third-party payer (insurance company) policiesas
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well as the physiologic stability of the mother and newborn. Home healthcare agencies often are
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involved in client care to decrease hospital stay time.
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B) Home healthcare agencies often are involved in client care to decrease hospital stay time.
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C) Research indicates that self-care significantly decreases healthcare costs.
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D) Acute emergencies are addressed by emergency departments, and are not delayed by
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thosepracticing self-care.
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Page Ref: 3 f f
Cognitive Level: Understanding f f
Client Need/Sub: Health Promotion and Maintenance: Self-Care
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Standards: QSEN Competencies: I.A.2. Describe strategies to empower patients or families in all
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aspects of the healthcare process. | AACN Essentials Competencies: IX.7. Provide appropriate patient
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teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health
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literacy considerations to foster patient engagement in their care. | NLN Competencies: Context and
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Environment: Health care economic policy; reimbursement structures; accreditation standards;
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staffingmodels and productivity; supply chain models | Nursing/Integrated Concepts: Nursing Process:
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Planning.
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Learning Outcome: 1 Discuss the impact of the self-care movement on contemporary childbirth.MNL
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LO: Recognize contemporary issues related to care of the childbearing family.
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1
,2) Care delivered by nurse-midwives can be safe and effective and can represent a positive response
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tothe healthcare provider shortage. Nurse-midwives tend to use less technology, which often results in
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which of the following?
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A) There is less trauma to the mother. f f f f f f
B) More childbirth education classes are available.
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C) They are instrumental in providing change in the birth environment at work.
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D) They advocate for more home healthcare
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agencies.Answer: A
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Explanation: A) Nurse-midwife models of care can be one way to ensure that mothers
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receiveexcellent prenatal and intrapartum care.
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B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide
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childbirthclasses for expectant families.
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C) By working with other staff members and doctors, the nurse-midwife is able to implement changesas
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needed within the birthing unit.
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D) Clients are increasingly going home sooner, so there needs to be more follow-up in the
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home.Page Ref: 3
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Cognitive Level: Understanding f f
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
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Standards: QSEN Competencies: III.A. 6. Describe how the strength and relevance of available
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evidence influences the choice of interventions in provision of patient-centered care. | AACN
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Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that
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respects patient and family preferences. | NLN Competencies: Context and Environment: Read
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andinterpret data; apply health promotion/disease prevention strategies; apply health policy; conduct
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population-based transcultural health assessments and interventions. | Nursing/Integrated
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Concepts:Nursing Process: Planning.
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Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
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nurse.MNL LO: Recognize contemporary issues related to care of the childbearing family.
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2
,3) The nurse is telling a new client how advanced technology has permitted the physician to do whichof
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the following?
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A) Treat the fetus and monitor fetal development.
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B) Deliver at home with a nurse-midwife and doula.
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C) Have the father act as the coach and cut the umbilical cord.
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D) Breastfeed a new baby on the delivery f f f f f f
table.Answer: A
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Explanation: A) The fetus is increasingly viewed as a patient separate from the mother, althoughtreatment
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of the fetus necessarily involves the mother.
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B) A nurse-midwife and a doula are not examples of technological care.
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C) Fathers being present during labor and coaching their partners represents nontechnological
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careduring childbirth.
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D) Breastfeeding is not an example of technology impacting f f f f f f f
care.Page Ref: 2—3
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Cognitive Level: Understanding f f
Client Need/Sub: Safe and Effective Care Environment: Management of Care
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Standards: QSEN Competencies: I.B.10. Engage patients or designated surrogates in active partnerships
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that promote health, safety and well-being, and self-care management. | AACN Essentials
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Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects
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patientand family preferences. | NLN Competencies: Teamwork: Scope of practice, roles, and
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responsibilitiesof health care team members, including overlaps. | Nursing/Integrated Concepts: Nursing
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Process: Implementation.
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Learning Outcome: 6 Evaluate the potential impact of some of the special situations in
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contemporarymaternity care.
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MNL LO: Recognize contemporary issues related to care of the childbearing family.
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3
, 4) A nurse is examining different nursing roles. Which example best illustrates an advanced
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practicenursing role?
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A) A registered nurse who is the manager of a large obstetrical unit
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B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
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C) A clinical nurse specialist working as a staff nurse on a mother-baby unit
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D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
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riskinfants
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Answer: D f
Explanation: A) A registered nurse who is the manager of a large obstetrical unit is a professionalnurse
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who has graduated from an accredited program in nursing and completed the licensure examination.
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B) A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a
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professional nurse who has graduated from an accredited program in nursing and completed
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thelicensure examination.
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C) A clinical nurse specialist working as a staff nurse on a mother-baby unit might have the
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qualifications for an advanced practice nursing staff member but is not working in that capacity.
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D) A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
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infants is working in an advanced practice nursing role. This nurse has specialized knowledge
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andcompetence in a specific clinical area, and is master's prepared.
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Page Ref: 5 f f
Cognitive Level: Understanding f f
Client Need/Sub: Safe and Effective Care Environment: Management of Care
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Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
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members. | AACN Essentials Competencies: VI. 6. Compare/contrast the roles and perspectives of
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thenursing profession with other care professionals on the healthcare team (i.e. scope of discipline,
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education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles,
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andresponsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:
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Nursing Process: Assessment.
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Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
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nurse.MNL LO: Recognize contemporary issues related to care of the childbearing family.
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4
