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Davidson/London/Ladewig, Olds’ Maternal– m m
Newborn Nursing and Women’s Health Across the Lifespan 9th Edition Test B
m m m m m m m m m m m
ank
Chapter 1 m
Questionm1m
Type:mMCS
A
Themnursemismspeakingmtomstudentsmabout mchangesminmmaternal–newbornmcare.mOnemchangemis mthat mself-
caremhasmgained mwidemacceptancemwithmpatients,mthemhealthcaremcommunity,mand mthird-
partympayersmduemtomresearchmfindingsmthat msuggest mthat mit:
1. Shortensmnewbornmlengthmof mstay.
2. Decreasesmusemof mhomemhealthmagencies.
3. Reducesmhealthcaremcosts.
4. Decreasesmthemnumbermof memergencymdepartment mvisits.
CorrectmAnswer:m3
Rationalem1:mLengthmof mstaymismoftenmdetermined mbymthird-
partympayerm(insurancemcompany)mpoliciesmasmwellmas mphysiologicm stabilitymof mthemmothermand mnewborn.mHomemhea
lthcaremagenciesmoftenmareminvolved minmpatient mcaremtomdecreasemhospitalmstaymtime.
Rationalem2:mHomemhealthcaremagenciesmoftenmareminvolved minmpatient mcaremtomdecreasemhospitalmstaymtime.
Rationalem3:mResearchmindicatesmself-caremsignificantlymreducesmhealthcaremcosts.
Rationalem4:mAcutememergenciesmaremaddressed mbymemergencymdepartments,mand maremnot mdelayed mbymthosempractici
ngmself-care.
Questionm2
Inmordermtomcombat mthemimpersonalmnaturemof mtechnologymthat msometimesminterferesmwithmfamily-
focused mcare,mthemnursemshould mtakemwhichmactions?
StandardmText:mSelect mallmthat mapply.
1. Advocatemwithinmthemcommunitymformnaturalmchildbirth.
2. Makemchildbirthmeducationmclassesmavailable.
3. Beminstrumentalminmprovidingmchangeminmthembirthmenvironment mat mwork.
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4. Suggest mthat mdoulasmnot mbemallowed mtominterferemwithmthemchildbirthmprocess.
5. Advocatemformmoremhomemhealthcaremagencies.
CorrectmAnswer:m1,2,3,5
Rationalem1:mNaturalmchildbirth,mif mthempatient mismable,mismthemsafest mmethod mformthembaby.
Rationalem2:mIt mismappropriatemformnurses,minmconjunctionmwithmdoctorsmand mhospitals,mtomprovidemchildbirthmclass
esmformthemexpectant mfamilies.
Rationalem3:mBymworkingmwithmothermstaff mand mdoctors,mthemnursemismablemtomimplement mchangemasmneeded mwithinmt
hembirthingmunit.
Rationalem4:mDoulasmaremencouraged mtombempart mof mthembirthingmprocessmasmthempatient mwishes.mTheymaremmainlymth
eremasmamcoach.
Rationalem5:mPatientsmaremgoingmhomemsoonermallmthemtime,msomtheremneedsmtombemmoremfollow-upminmthemhome.
Questionm3
Themnursemismtellingmamnew mpatient mhowmtechnologymused minmmaternal–
newbornmcaremhasmchanged mthemwaymthemnursemcaresmformhermpatients.mAnmexamplemof mthismis:
1. Electiveminductions,mrequested mcesareans,mepiduralmanesthesia,mand mfetalmmonitoring.
2. Deliveringmat mhomemwithmamnurse-midwifemand mdoula.
3. Havingmthemfathermpresent masmthemcoachmand mcut mthemumbilicalmcord.
4. Breastfeedingmof mthemnew mbabymonmthemdeliverymtable.
CorrectmAnswer:m1
Rationalem1:mElectiveminductions,mrequested mcesareans,mepiduralmanesthesia,mand mfetalmmonitoringmaremallmrecent mte
chnologiesmthat mhavemaffected mthemcareminmlabormand mdeliverymareas.
Rationalem2:mAmnurse-midwifemand mamdoulamaremnot mexamplesmof mtechnologicalmcare.
Rationalem3:mFathers’mbeingmpresent mduringmlabormand mcoachingmtheirmpartnersmrepresentsmnontechnologicalmcaremd
uringmchildbirth.
Rationalem4:mBreastfeedingmismnot manmexamplemof mtechnologymimpactingmcare.
Questionm4
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Amnursemismexaminingmdifferent mnursingmroles.mWhichmexamplembest millustratesmanmadvanced mpracticemnursingmrole?
1. A mregistered mnursemwhomismthemmanagermof mamlargemobstetricalmunit
2. A mregistered mnursemwhomismthemcirculatingmnursemat msurgicalmdeliveriesm(cesareanmsections)
3. A mclinicalmnursemspecialist mworkingmasmamstaff mnursemonmammotherbabymunit
4. A mclinicalmnursemspecialist mwithmwhommothermnursesmconsult mformhermexpertisem inmcaringmformhigh-riskm infants
CorrectmAnswer:m4
Rationalem1:mAmregistered mnursemwhomismthemmanagermof mamlargemobstetricalmunit mismamprofessionalmnursemwhomhasmg
raduated mfrommanmaccredited mprogramminmnursingmand mcompleted mthemlicensuremexamination.
Rationalem2:mAmregistered mnursemwhomismamcirculatingmnursemat msurgical mdeliveriesm(cesarean msections) mism amprofessi
onalmnursemwhomhasmgraduated mfrommanmaccredited mprogramminmnursingmand mcompleted mthemlicensuremexamination.
Rationalem3:mAmclinicalmnursemspecialist mworkingmasmamstaff mnursemonmammother–
babymunit mmight mhavemthemqualificationsmformanmadvanced mpracticemnursingmstaff mbut mismnot mworkingminmthat mcapacit
y.
Rationalem4:mAmclinicalmnursemspecialist mwithmwhommothermnursesm consult mformexpertise minmcaringmformhigh-
riskminfantsmismworkingminmanmadvanced mpracticemnursingmrole.mThismnursemhasmspecialized mknowledgemand mcompet
enceminmamspecificmclinicalmarea,mand mis mmaster's-prepared.
Questionm5
Amnursingmstudent minvestigatingmpotentialmcareermgoalsmismstronglymconsideringmbecomingmamnursempractitionerm (NP)
.mThemmajormfocusmof mthemNPmismon:
1. Leadership.
2. Physicalmand mpsychosocialmclinicalmassessment.
3. Independent mcaremof mthemhigh-risk,mpregnant mpatient.
4. Tertiarymprevention.
CorrectmAnswer:m2
Rationalem1:mLeadershipmmight mbemamqualitymof mthemNP,mbut mit mismnot mthemmajormfocus.
Rationalem2:mPhysicalmand mpsychosocialmclinicalmassessment mismthemmajormfocusmof mthemnursempractitionerm(NP).
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Rationalem3:mNPsmcannot mprovidemindependent mcaremof mthemhigh-
riskmpregnant mpatient,mbut mmust mworkmundermamphysician'smsupervision.
Rationalem4:mThemNPmcannot mdomtertiarympreventionmasmammajormfocus.
Questionm6
Themnursemmanagermismconsultingmwithmamcertified mnurse–midwifemabout mampatient.mThemrolemof mthemCNMmismto:
StandardmText:mSelect mallmthat mapply.
1. Bemprepared mtommanagemindependentlymthemcaremof mwomenmat mlow mriskmformcomplicationsmduringmpregnancyma
nd mbirth.
2. Givemprimarymcaremformhigh-riskmpatientsmwhomareminmhospitalmsettings.
3. Givemprimarymcaremformhealthymnewborns.
4. Obtainmamphysicianmconsultationmformanymtechnicalmproceduresmat mdelivery.
5. Bemeducated minmtwomdisciplinesmof mnursing.
CorrectmAnswer:m1,3,5
Rationalem1:mAmCNMmismprepared mtommanagemindependentlymthemcaremof mwomenmat mlow mriskmformcomplicationsmdur
ingmpregnancymand mbirthmand mthemcaremof mhealthymnewborns.
Rationalem2:mCNMsmcannot mgivemprimarymcaremformhigh-
riskmpatientsmwhomareminmhospitalmsettings.mThemphysicianmprovidesmthemprimarymcare.
Rationalem3:mAmCNMmismprepared mtommanagemindependentlymthemcaremof mwomenmat mlow mriskmformcomplicationsmdur
ingmpregnancymand mbirthmand mthemcaremof mhealthymnewborns.
Rationalem4:mThemCNMmdoesmnot mneed mtomobtainmamphysicianmconsultationmformanymtechnicalmproceduresmat mdeliver
y.
Rationalem5:mThemCNMmismeducated minmthemdisciplinesmof mnursingmand mmidwifery.
Questionm7
Themregistered mnursemwhomhasm completed mammaster'smdegreemprogrammand mpassed mamnationalmcertificationmexamm
hasmclinicmappointmentsmwithmpatientsmwhomarempregnant mormseekingmwell-
womanmcare.mThemrolemof mthismnursemwould mbemconsidered:
1. Professionalmnurse.
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