& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
,TABLE OF CONTENTS
, Chapter 1
Question 1
Type: MCSA
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has
gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings
that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
CORRECT ANSWER: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to
decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
self-care.
Questionaj2
Inajorderajtoajcombatajtheajimpersonalajnatureajofajtechnologyajthatajsometimesajinterferesajwithajfamily-
focusedajcare,ajthejna urseajshouldajtakeajwhichajactions?
StandardajText:ajSelectajallajthatajapply.
1. Advocateajwithinajtheajcommunityajforajnaturalajchildbirth.
2. Makeajchildbirthajeducationajclassesajavailable.
3. Beajinstrumentalajinajprovidingajchangeajinajtheajbirthajenvironmentajatajwork.
, 4. Suggestajthatajdoulasajnotajbeajallowedajtoajinterfereajwithajtheajchildbirthajprocess.
5. Advocateajforajmoreajhomeajhealthcareajagencies.
CORRECTajANSWER:aj1,2,3,5
Rationaleaj1:ajNaturalajchildbirth,ajifajtheajpatientajisajable,ajisajtheajsafestajmethodajforajtheajbaby.
Rationaleaj2:ajItajisajappropriateajforajnurses,ajinajconjunctionajwithajdoctorsajandajhospitals,ajtoajprovideajchildbirthajclass
esjaforajtheajexpectantajfamilies.
Rationaleaj3:ajByajworkingajwithajotherajstaffajandajdoctors,ajtheajnurseajisajableajtoajimplementajchangeajasajneededajwithinajtheja
birthingajunit.
Rationaleaj4:ajDoulasajareajencouragedajtoajbeajpartajofajtheajbirthingajprocessajasajtheajpatientajwishes.ajTheyajareajmainlyajth
erejaasajaajcoach.
Rationaleaj5:ajPatientsajareajgoingajhomeajsoonerajallajtheajtime,ajsoajthereajneedsajtoajbeajmoreajfollow-upajinajtheajhome.
Questionaj3
Theajnurseajisajtellingajaajnewajpatientajhowajtechnologyajusedajinajmaternal–
newbornajcareajhasajchangedajtheajwayajtheajnursejca aresajforajherajpatients.ajAnajexampleajofajthisajis:
1. Electiveajinductions,ajrequestedajcesareans,ajepiduralajanesthesia,ajandajfetalajmonitoring.
2. Deliveringajatajhomeajwithajaajnurse-midwifeajandajdoula.
3. Havingajtheajfatherajpresentajasajtheajcoachajandajcutajtheajumbilicalajcord.
4. Breastfeedingajofajtheajnewajbabyajonajtheajdeliveryajtable.
CORRECTajANSWER:aj1
Rationaleaj1:ajElectiveajinductions,ajrequestedajcesareans,ajepiduralajanesthesia,ajandajfetalajmonitoringajareajallajrece
ntjatechnologiesajthatajhaveajaffectedajtheajcareajinajlaborajandajdeliveryajareas.
Rationaleaj2:ajAajnurse-midwifeajandajaajdoulaajareajnotajexamplesajofajtechnologicalajcare.
Rationaleaj3:ajFathers‟ajbeingajpresentajduringajlaborajandajcoachingajtheirajpartnersajrepresentsajnontechnologicalajcarejda
uringajchildbirth.
Rationaleaj4:ajBreastfeedingajisajnotajanajexampleajofajtechnologyajimpactingajcare.
Questionaj4