Olds Maternal-Newborn Nursing and Women’s Health Across the Lifespan 11th Edition Test Bank Practice Questions Answers Nursing Exam Prep Guide 2025/ 2026

Chapter 1 GqIIll




Question 1 GqIIll


Type: MCSA
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The nurse is speaking to students about changes in maternal–newborn care. One change is
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that self-care has gained wide acceptance with patients, the healthcare community, and third-
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party payers due to research findingsthat suggest that it:
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1. Shortens newborn length of stay. GqIIll GqIIll GqIIll GqIIll




2. Decreases use of home health agencies. GqIIll GqIIll GqIIll GqIIll GqIIll




3. Reduces healthcare costs. GqIIll GqIIll




4. Decreases the number of emergency department visits. GqIIll GqIIll GqIIll GqIIll GqIIll GqIIll




CORRECT ANSWER: 3 GqIIll GqIIll




Rationale 1: Length of stay is often determined by third-party payer (insurance company)
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policies as well as physiologic stability of the mother and newborn. Home healthcare
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agencies often are involved in patient care todecrease hospital stay time.
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Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital
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stay time.
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Rationale 3: Research indicates self-care significantly reduces healthcare costs.
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Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed
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by those practicingself-care.
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Question 2 GqIIll




In order to combat the impersonal nature of technology that sometimes interferes with
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family-focused care, thenurse should take which actions?
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Standard Text: Select all that apply. GqIIl GqIIll GqIIll GqIIll GqIIll




1. Advocate within the community for natural childbirth. GqIIll GqIIll GqIIll GqIIll GqIIll GqIIll




2. Make childbirth education classes available.
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3. Be instrumental in providing change in the birth environment at work.
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,4. Suggest that doulas not be allowed to interfere with the childbirth process.
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5. Advocate for more home healthcare agencies.
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CORRECT ANSWER: 1,2,3,5 GqIIll GqIIll




Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
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Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to
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provide childbirth classesfor the expectant families.
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Rationale 3: By working with other staff and doctors, the nurse is able to implement change as
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needed within thebirthing unit.
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Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes.
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They are mainly thereas a coach.
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Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up
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in the home.
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Question 3 GqIIll




The nurse is telling a new patient how technology used in maternal–newborn care has
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changed the way the nursecares for her patients. An example of this is:
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1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
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2. Delivering at home with a nurse-midwife and doula.
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3. Having the father present as the coach and cut the umbilical cord.
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4. Breastfeeding of the new baby on the delivery table. GqIIll GqIIll GqIIll GqIIll GqIIll GqIIll GqIIll GqIIll




CORRECT ANSWER: 1 GqIIll GqIIll




Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal
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monitoring are all recenttechnologies that have affected the care in labor and delivery
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areas.
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Rationale 2: A nurse-midwife and a doula are not examples of technological care.
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Rationale 3: Fathers’ being present during labor and coaching their partners represents
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nontechnological careduring childbirth.
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Rationale 4: Breastfeeding is not an example of technology impacting care.
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Question 4 GqIIll

,A nurse is examining different nursing roles. Which example best illustrates an advanced practice
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Gq IIll nursing role? Gq IIll




1. A registered nurse who is the manager of a large obstetrical unit
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2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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3. A clinical nurse specialist working as a staff nurse on a motherbaby unit
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4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for
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GqIIll high-risk infants GqIIll




CORRECT ANSWER: 4 GqIIll GqIIll




Rationale 1: A registered nurse who is the manager of a large obstetrical unit is a professional
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GqIIll nurse who hasgraduated from an accredited program in nursing and completed the licensure
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GqIIll examination.


Rationale 2: A registered nurse who is a circulating nurse at surgical deliveries
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GqIIll (cesarean sections) is a professional nurse who has graduated from an accredited
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GqIIll program in nursing and completed the licensureexamination.
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Rationale 3: A clinical nurse specialist working as a staff nurse on a mother–baby
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GqIIll unit might have thequalifications for an advanced practice nursing staff but is not
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GqIIll working in that capacity. GqIIll GqIIll GqIIll




Rationale 4: A clinical nurse specialist with whom other nurses consult for expertise in caring
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GqIIll for high-risk infants is working in an advanced practice nursing role. This nurse has
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specialized knowledge and competence ina specific clinical area, and is master's-prepared.
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Question 5 GqIIll




A nursing student investigating potential career goals is strongly considering becoming a nurse
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GqIIll practitioner (NP).The major focus of the NP is on:Gq IIll qIlG GqIIll Gq IIll GqIIll GqIIll GqIIll GqIIll GqIIll

, 1. Leadership.


2. Physical and psychosocial clinical assessment.
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3. Independent care of the high-risk, pregnant patient.
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4. Tertiary prevention.
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CORRECT ANSWER: 2 GqIIll GqIIll




Rationale 1: Leadership might be a quality of the NP, but it is not the major focus.
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Rationale 2: Physical and psychosocial clinical assessment is the major focus of the nurse
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practitioner (NP).
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