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TESTBANK-Olds'Maternal-NewbornNursing
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&Women'sHealthAcrosstheLifespan, 11th Edition(Davidson),
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Chapters1-36|AllChaptersVerified
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,TABLEOFCONTEN
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TS
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Chapter1 fd
Question 1 Type df d f
:MCSA
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The nurse is speaking to students about changes in maternal–newborn care. One change is that self-
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care has gainedwide acceptance withpatients, the healthcare community, and third-
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partypayers due to research findings that suggest that it:
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1. Shortensnewbornlengthofstay. df df df df
2. Decreases use ofhome health agencies. df df df df df
3. Reduces healthcare costs. df df
4. Decreases the number ofemergencydepartment visits. df df df df df df
CORRECT ANSWER: 3 df df
Rationale 1: Length ofstay is often determined by third- df df df df df df df df df
partypayer (insurance company) policies as well as physiologic stabilityofthe mother and newborn. Home healthcare age
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ncies often are involved inpatient care to decrease hospitalstaytime.
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Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospitalstaytime.
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Rationale 3: Research indicates self-care significantlyreduces healthcare costs.
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Rationale 4:Acute emergencies are addressed byemergencydepartments, and are not delayed bythose practicing self-care.
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Question 2 df
In orderto combat the impersonal nature oftechnologythat sometimes interferes with family-
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focused care, the nurse should take which actions?
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StandardText: Select allthat apply. fd df df df df
1. Advocate within the community for naturalchildbirth. df df df df df df
2. Make childbirtheducationclasses available.
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3. Be instrumental inproviding change in the birth environment at work.
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, 4. Suggest that doulas not beallowed to interfere with the childbirth process.
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5. Advocate for more home healthcare agencies. df df df df df
CORRECT ANSWER: 1,2,3,5 df df
Rationale 1: Naturalchildbirth, ifthe patient isable, isthe safest method for the baby.
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Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes for the exp
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ectant families.
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Rationale 3: Byworking with other staffand doctors, the nurse is able to implement change as needed within the birthing uni
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t.
Rationale 4: Doulas are encouraged to be part ofthe birthing process as the patient wishes. They are mainlythere as a coach.
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Rationale 5: Patients are going home sooner allthe time, so there needs to be more follow-up in the home.
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Question 3 df
The nurse is telling a new patient how technologyused in maternal–
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newborn care has changed the waythe nurse cares for her patients.Anexample ofthis is:
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1. Elective inductions, requested cesareans, epiduralanesthesia, and fetalmonitoring.
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2. Delivering at home witha nurse-midwife and doula. df df df df df df df
3. Having the father present asthe coach and cut the umbilical cord.
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4. Breastfeeding ofthe new babyon the deliverytable. df df df df df df df df
CORRECT ANSWER: 1 df df
Rationale 1: Elective inductions, requested cesareans, epiduralanesthesia, and fetal monitoring are allrecent technologies t
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hat have affected the care in labor and deliveryareas.
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Rationale 2:Anurse-midwife and a doula are not examples oftechnological care.
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Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnologicalcare
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irth.
Rationale 4: Breastfeeding is not anexample oftechnology impacting care.
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Question 4 df
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