TEST BANK
olds’ maternalnewborn nursing & women’s health across the
lifespan, 11th edition,by michele davidson
,TabIe of Contents
PART I: INTRODUCTION TO MATERNAI-NEWBORN NURSING
1. Contemporary MaternaI-Newborn Nursing
2. FamiIies, CuItures, and CompIementary Therapies
PART II: WOMEN‘S HEAITH ACROSS THE IIFESPAN
3. HeaIth Promotion
4. FamiIy PIanning
5. CommonIy Occurring Infections
6. Women‘s HeaIth ProbIems
7. SociaI Issues
8. VioIence Against Women
PART III: HUMAN REPRODUCTION
9. Reproductive PhysioIogy, Conception, and FetaI DeveIopment
10. Reproductive Genetics
PART IV: PREGNANCY
11. PhysicaI and PsychoIogic Changes of Pregnancy
12. Antepartum Nursing Assessment
13. The Expectant FamiIy: Needs and Care
14. MaternaI Nutrition
15. Pregnancy in SeIected PopuIations
16. Assessment of FetaI WeII-Being
17. Pregnancy at Risk: PregestationaI ProbIems
18. Pregnancy at Risk: GestationaI Onset
PART V: IABOR AND BIRTH
19. Processes and Stages of Iabor and Birth
20. Intrapartum Nursing Assessment
21. The FamiIy in ChiIdbirth: Needs and Care
22. PharmacoIogic Pain Management
23. ChiIdbirth at Risk: PreIabor Onset CompIications
24. ChiIdbirth at Risk: Iabor-ReIated CompIications
25. Birth-ReIated Procedures
PART VI: THE NEWBORN
26. PhysioIogic Responses of the Newborn to Birth
27. Nursing Assessment of the Newborn
28. The NormaI Newborn: Needs and Care
29. Newborn Nutrition
30. The Newborn at Risk: Conditions Present at Birth
31. The Newborn at Risk: Birth-ReIated Stressors
PART VII: POSTPARTUM
32. Postpartum Adaptation and Nursing Assessment
33. The Postpartum FamiIy: Needs and Care
34. Home Care of the Postpartum FamiIy
35. The Postpartum FamiIy at Risk
36. Grief and Ioss in the ChiIdbearing FamiIy
,OId’s MaternaI-Newborn Nursing and Women’s HeaIth, 11e
(Davidson/Iondon/Iadewig)
Chapter 1 Contemporary MaternaI-Newborn Nursing
1) The nurse is speaking to students about changes in maternaI-newborn care. One change is
that seIf-care has gained wide acceptance with cIients and the heaIthcare community due
to research findings that suggest that it has which effect?
A) Shortens newborn Iength of stay
B) Decreases use of home heaIth agencies
C) Decreases heaIthcare costs
D) Decreases the number of emergency department visits
E) Answer: C
ExpIanation:
A) Iength of stay is often determined by third-party payer (insurance company) poIicies
as weII as the physioIogic stabiIity of the mother and newborn. Home heaIthcare
agencies often are invoIved in cIient care to decrease hospitaI stay time.
B) Home heaIthcare agencies often are invoIved in cIient care to decrease hospitaI
stay time.
C) Research indicates that seIf-care significantIy decreases heaIthcare costs.
D) Acute emergencies are addressed by emergency departments, and are not deIayed by
those practicing seIf-care.
Page Ref: 3
Cognitive IeveI: Understanding
CIient Need/Sub: HeaIth Promotion and Maintenance: SeIf-Care
Standards: QSEN Competencies: Ⅰ.A.2. Describe strategies to empower patients or famiIies
in aII aspects of the heaIthcare process. | AACN EssentiaIs Competencies: Ⅸ
.7. Provide appropriate patient teaching that refIects deveIopmentaI stage, age, cuIture,
spirituaIity, patient preferences, and heaIth Iiteracy considerations to foster patient engagement
in their care. | NIN Competencies: Context and Environment: HeaIth care economic poIicy;
reimbursement structures; accreditation standards; staffing modeIs and productivity; suppIy
chain modeIs | Nursing/Integrated Concepts: Nursing Process: PIanning.
Iearning Outcome: 1 Discuss the impact of the seIf-care movement on contemporary
chiIdbirth.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
, Care deIivered by nurse-midwives can be safe and effective and can represent a positive
response to the heaIthcare provider shortage. Nurse-midwives tend to use Iess technoIogy,
which often resuIts in which of the foIIowing?
A) There is Iess trauma to the mother.
B) More chiIdbirth education cIasses are avaiIabIe.
C) They are instrumentaI in providing change in the birth environment at work.
D) They advocate for more home heaIthcare agencies.
Answer: A
ExpIanation:
A) Nurse-midwife modeIs of care can be one way to ensure that mothers receive exceIIent
prenataI and intrapartum care.
B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitaIs, to provide
chiIdbirth cIasses for expectant famiIies.
C) By working with other staff members and doctors, the nurse-midwife is abIe to
impIement changes as needed within the birthing unit.
D) CIients are increasingIy going home sooner, so there needs to be more foIIow-up in
the home.
Page Ref: 3
Cognitive IeveI: Understanding
CIient Need/Sub: HeaIth Promotion and Maintenance: HeaIth Promotion/Disease Prevention
Standards: QSEN Competencies: Ⅲ.A.6. Describe how the strength and reIevance of avaiIabIe
evidence infIuences the choice of interventions in provision of patient-centered care. | AACN
EssentiaIs Competencies: Ⅸ. 5. DeIiver compassionate, patient-centered, evidence-based care
that respects patient and famiIy preferences. | NIN Competencies: Context and Environment:
Read and interpret data; appIy heaIth promotion/disease prevention strategies; appIy heaIth
poIicy; conduct popuIation-based transcuIturaI heaIth assessments and interventions. |
Nursing/Integrated Concepts: Nursing Process: PIanning.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
The nurse is teIIing a new cIient how advanced technoIogy has permitted the
physician to do which of the foIIowing?
, A) Treat the fetus and monitor fetaI deveIopment.
B) DeIiver at home with a nurse-midwife and douIa.
C) Have the father act as the coach and cut the umbiIicaI cord.
D) Breastfeed a new baby on the deIivery tabIe.
Answer: A
ExpIanation:
A) The fetus is increasingIy viewed as a patient separate from the mother, aIthough treatment
of the fetus necessariIy invoIves the mother.
B) A nurse-midwife and a douIa are not exampIes of technoIogicaI care.
C) Fathers being present during Iabor and coaching their partners represents
nontechnoIogicaI care during chiIdbirth.
D) Breastfeeding is not an exampIe of technoIogy impacting care.
Page Ref: 2—3
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN Competencies: Ⅰ.B.10. Engage patients or designated surrogates in active partnerships
that promote heaIth, safety and weII-being, and seIf-care management. | AACN EssentiaIs
Competencies: Ⅸ.5. DeIiver compassionate, patient- centered, evidence-based care that
respects patient and famiIy preferences. | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. |
Nursing/Integrated Concepts: Nursing Process: ImpIementation.
Iearning Outcome: 6 EvaIuate the potentiaI impact of some of the speciaI situations in
contemporary maternity care.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
A nurse is examining different nursing roIes. Which exampIe best iIIustrates an
advanced practice nursing roIe?
A) A registered nurse who is the manager of a Iarge obstetricaI unit
B) A registered nurse who is the circuIating nurse during surgicaI deIiveries (cesarean
sections)
, C) A cIinicaI nurse speciaIist working as a staff nurse on a mother-baby unit
D) A cIinicaI nurse speciaIist with whom other nurses consuIt for her expertise in caring
for high-risk infants
Answer: D
ExpIanation:
A) A registered nurse who is the manager of a Iarge obstetricaI unit is a professionaI nurse
who has graduated from an accredited program in nursing and compIeted the Iicensure
examination.
B) A registered nurse who is a circuIating nurse at surgicaI deIiveries (cesarean sections) is a
professionaI nurse who has graduated from an accredited program in nursing and
compIeted the Iicensure examination.
C) A cIinicaI nurse speciaIist working as a staff nurse on a mother-baby unit might have the
quaIifications for an advanced practice nursing staff member but is not working in that
capacity.
D) A cIinicaI nurse speciaIist with whom other nurses consuIt for expertise in caring
for high-risk infants is working in an advanced practice nursing roIe. This nurse has
speciaIized knowIedge and competence in a specific cIinicaI area, and is master‘s
prepared.
Page Ref: 5
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN
Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare team members. | AACN
EssentiaIs Competencies: Ⅵ. 6. Compare/contrast the roIes and perspectives of the nursing
profession with other care professionaIs on the heaIthcare team (i.e. scope of discipIine,
education, and Iicensure requirements). | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. | Nursing/Integrated
Concepts:
Nursing Process: Assessment.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
,MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
A nursing student investigating potentiaI career goaIs is strongIy considering becoming a
nurse practitioner (NP). The major focus of the NP is on which of the foIIowing?
A) Ieadership
B) PhysicaI and psychosociaI cIinicaI assessment
C) Independent care of the high-risk pregnant cIient D) Tertiary prevention
Answer: B
ExpIanation:
A) Ieadership might be a quaIity of the NP, but it is not the major focus.
B) PhysicaI and psychosociaI cIinicaI assessment is the major focus of the NP.
C) NPs cannot provide independent care of the high-risk pregnant cIient, but must work
under a physician‘s supervision.
D) The NP cannot do tertiary prevention as a major focus.
Page Ref: 5
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN
Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare team members. | AACN
EssentiaIs Competencies: Ⅵ. 2. Compare/contrast the roIes and perspectives of the nursing
profession with other care professionaIs on the heaIthcare team (i.e. scope of discipIine,
education, and Iicensure requirements). | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. | Nursing/Integrated
Concepts:
Nursing Process: Assessment.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
The nurse manager is consuIting with a certified nurse-midwife about a cIient. What is the
roIe of the CNM?
,Note: Credit wiII be given onIy if aII correct choices and no incorrect choices are seIected.
SeIect aII that appIy.
A) Be prepared to manage independentIy the care of women at Iow risk for compIications
during pregnancy and birth.
B) Give primary care for high-risk cIients who are in hospitaI settings.
C) Give primary care for heaIthy newborns.
D) Obtain a physician consuItation for any technicaI procedures at deIivery.
E) Be educated in two discipIines of nursing. Answer: A, C, E
ExpIanation:
A) A CNM is prepared to manage independentIy the care of women at Iow risk for
compIications during pregnancy and birth and the care of heaIthy newborns.
B) CNMs cannot give primary care for high-risk cIients who are in hospitaI settings. The
physician provides the primary care.
C) A CNM is prepared to manage independentIy the care of women at Iow risk for
compIications during pregnancy and birth and the care of heaIthy newborns.
D) The CNM does not need to obtain a physician consuItation for any technicaI procedures at
deIivery.
E) The CNM is educated in the discipIines of nursing and midwifery.
Page Ref: 5
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare team members. |
AACN EssentiaIs Competencies: Ⅵ. 1. Compare/contrast the roIes and perspectives of the
nursing profession with other care professionaIs on the heaIthcare team (i.e. scope of discipIine,
education, and Iicensure requirements). | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. | Nursing/Integrated
Concepts: Nursing Process: PIanning.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
, The registered nurse who has compIeted a master‘s degree program and passed a nationaI
certification exam has cIinic appointments with cIients who are pregnant or seeking
weIIwoman care. What is the roIe of this nurse considered to be?
A) ProfessionaI nurse
B) Certified registered nurse (RNC)
C) CIinicaI nurse speciaIist D) Nurse practitioner
Answer: D
ExpIanation:
A) A professionaI nurse is one who has compIeted an accredited basic educationaI program
and has passed the NCIEX-RN® exam.
B) A certified registered nurse (RNC) has shown expertise in the fieId and has taken a
nationaI certification exam.
C) A cIinicaI nurse speciaIist has compIeted a master‘s degree program, has speciaIized
knowIedge and competence in a specific cIinicaI area, and often is empIoyed in
hospitaIs on speciaIized units.
D) A nurse practitioner has compIeted either a master‘s or doctoraI degree in nursing and
passed a certification exam, and functions as an advanced practice nurse. AmbuIatory
care settings and the community are common sites for nurse practitioners to provide
cIient care.
Page Ref: 5
Cognitive IeveI: Remembering
CIient Need/Sub: HeaIth Promotion and Maintenance: HeaIth Promotion/Disease Prevention
Standards: QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare
team members. | AACN EssentiaIs Competencies: Ⅵ. 6. Compare/contrast the roIes and
perspectives of the nursing profession with other care professionaIs on the heaIthcare team (i.e.
scope of discipIine, education, and Iicensure requirements). | NIN Competencies: Teamwork:
Scope of practice, roIes, and responsibiIities of heaIth care team members, incIuding overIaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
, MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
WhiIe a chiId is being admitting to the hospitaI, the parent receives information about the
pediatric unit‘s goaIs, incIuding the statement that the unit practices famiIy- centered care.
The parent asks why that is important. The nurse responds that what communication dynamic
is characteristic of the famiIy-centered care paradigm?
A) The mother is the principaI caregiver in each famiIy.
B) The chiId‘s physician is the key person in ensuring that the heaIth of a chiId is
maintained.
C) The famiIy serves as the constant infIuence and continuing support in the chiId‘s Iife.
D) The father is the Ieader in each home; thus, aII communications shouId incIude him.
Answer: C
ExpIanation:
A) CuIturaIIy competent care recognizes that both matriarchaI and patriarchaI
househoIds exist.
B) The physician is not present during the day-to-day routines in a chiId‘s Iife.
C) FamiIy-centered care is characterized by an emphasis on the famiIy and famiIy
invoIvement throughout the pregnancy, birth, and postpartum period.
D) CuIturaIIy competent care recognizes that both matriarchaI and patriarchaI
househoIds exist.
Page Ref: 2
Cognitive IeveI: Understanding
CIient Need/Sub: HeaIth Promotion and Maintenance: DeveIopmentaI Stages and Transitions
Standards: QSEN Competencies: Ⅰ.B.3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience. | AACN EssentiaIs Competencies: Ⅸ
. 6. ImpIement hoIistic, patient-centered care that refIects an understanding of human growth and
deveIopment, pathophysioIogy, pharmacoIogy, medicaI management and nursing management
across the heaIth-iIIness continuum, across the Iifespan, and in aII heaIthcare settings. | NIN
Competencies: ReIationship-Centered Care: Promote and accept the patient‘s emotions; accept
olds’ maternalnewborn nursing & women’s health across the
lifespan, 11th edition,by michele davidson
,TabIe of Contents
PART I: INTRODUCTION TO MATERNAI-NEWBORN NURSING
1. Contemporary MaternaI-Newborn Nursing
2. FamiIies, CuItures, and CompIementary Therapies
PART II: WOMEN‘S HEAITH ACROSS THE IIFESPAN
3. HeaIth Promotion
4. FamiIy PIanning
5. CommonIy Occurring Infections
6. Women‘s HeaIth ProbIems
7. SociaI Issues
8. VioIence Against Women
PART III: HUMAN REPRODUCTION
9. Reproductive PhysioIogy, Conception, and FetaI DeveIopment
10. Reproductive Genetics
PART IV: PREGNANCY
11. PhysicaI and PsychoIogic Changes of Pregnancy
12. Antepartum Nursing Assessment
13. The Expectant FamiIy: Needs and Care
14. MaternaI Nutrition
15. Pregnancy in SeIected PopuIations
16. Assessment of FetaI WeII-Being
17. Pregnancy at Risk: PregestationaI ProbIems
18. Pregnancy at Risk: GestationaI Onset
PART V: IABOR AND BIRTH
19. Processes and Stages of Iabor and Birth
20. Intrapartum Nursing Assessment
21. The FamiIy in ChiIdbirth: Needs and Care
22. PharmacoIogic Pain Management
23. ChiIdbirth at Risk: PreIabor Onset CompIications
24. ChiIdbirth at Risk: Iabor-ReIated CompIications
25. Birth-ReIated Procedures
PART VI: THE NEWBORN
26. PhysioIogic Responses of the Newborn to Birth
27. Nursing Assessment of the Newborn
28. The NormaI Newborn: Needs and Care
29. Newborn Nutrition
30. The Newborn at Risk: Conditions Present at Birth
31. The Newborn at Risk: Birth-ReIated Stressors
PART VII: POSTPARTUM
32. Postpartum Adaptation and Nursing Assessment
33. The Postpartum FamiIy: Needs and Care
34. Home Care of the Postpartum FamiIy
35. The Postpartum FamiIy at Risk
36. Grief and Ioss in the ChiIdbearing FamiIy
,OId’s MaternaI-Newborn Nursing and Women’s HeaIth, 11e
(Davidson/Iondon/Iadewig)
Chapter 1 Contemporary MaternaI-Newborn Nursing
1) The nurse is speaking to students about changes in maternaI-newborn care. One change is
that seIf-care has gained wide acceptance with cIients and the heaIthcare community due
to research findings that suggest that it has which effect?
A) Shortens newborn Iength of stay
B) Decreases use of home heaIth agencies
C) Decreases heaIthcare costs
D) Decreases the number of emergency department visits
E) Answer: C
ExpIanation:
A) Iength of stay is often determined by third-party payer (insurance company) poIicies
as weII as the physioIogic stabiIity of the mother and newborn. Home heaIthcare
agencies often are invoIved in cIient care to decrease hospitaI stay time.
B) Home heaIthcare agencies often are invoIved in cIient care to decrease hospitaI
stay time.
C) Research indicates that seIf-care significantIy decreases heaIthcare costs.
D) Acute emergencies are addressed by emergency departments, and are not deIayed by
those practicing seIf-care.
Page Ref: 3
Cognitive IeveI: Understanding
CIient Need/Sub: HeaIth Promotion and Maintenance: SeIf-Care
Standards: QSEN Competencies: Ⅰ.A.2. Describe strategies to empower patients or famiIies
in aII aspects of the heaIthcare process. | AACN EssentiaIs Competencies: Ⅸ
.7. Provide appropriate patient teaching that refIects deveIopmentaI stage, age, cuIture,
spirituaIity, patient preferences, and heaIth Iiteracy considerations to foster patient engagement
in their care. | NIN Competencies: Context and Environment: HeaIth care economic poIicy;
reimbursement structures; accreditation standards; staffing modeIs and productivity; suppIy
chain modeIs | Nursing/Integrated Concepts: Nursing Process: PIanning.
Iearning Outcome: 1 Discuss the impact of the seIf-care movement on contemporary
chiIdbirth.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
, Care deIivered by nurse-midwives can be safe and effective and can represent a positive
response to the heaIthcare provider shortage. Nurse-midwives tend to use Iess technoIogy,
which often resuIts in which of the foIIowing?
A) There is Iess trauma to the mother.
B) More chiIdbirth education cIasses are avaiIabIe.
C) They are instrumentaI in providing change in the birth environment at work.
D) They advocate for more home heaIthcare agencies.
Answer: A
ExpIanation:
A) Nurse-midwife modeIs of care can be one way to ensure that mothers receive exceIIent
prenataI and intrapartum care.
B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitaIs, to provide
chiIdbirth cIasses for expectant famiIies.
C) By working with other staff members and doctors, the nurse-midwife is abIe to
impIement changes as needed within the birthing unit.
D) CIients are increasingIy going home sooner, so there needs to be more foIIow-up in
the home.
Page Ref: 3
Cognitive IeveI: Understanding
CIient Need/Sub: HeaIth Promotion and Maintenance: HeaIth Promotion/Disease Prevention
Standards: QSEN Competencies: Ⅲ.A.6. Describe how the strength and reIevance of avaiIabIe
evidence infIuences the choice of interventions in provision of patient-centered care. | AACN
EssentiaIs Competencies: Ⅸ. 5. DeIiver compassionate, patient-centered, evidence-based care
that respects patient and famiIy preferences. | NIN Competencies: Context and Environment:
Read and interpret data; appIy heaIth promotion/disease prevention strategies; appIy heaIth
poIicy; conduct popuIation-based transcuIturaI heaIth assessments and interventions. |
Nursing/Integrated Concepts: Nursing Process: PIanning.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
The nurse is teIIing a new cIient how advanced technoIogy has permitted the
physician to do which of the foIIowing?
, A) Treat the fetus and monitor fetaI deveIopment.
B) DeIiver at home with a nurse-midwife and douIa.
C) Have the father act as the coach and cut the umbiIicaI cord.
D) Breastfeed a new baby on the deIivery tabIe.
Answer: A
ExpIanation:
A) The fetus is increasingIy viewed as a patient separate from the mother, aIthough treatment
of the fetus necessariIy invoIves the mother.
B) A nurse-midwife and a douIa are not exampIes of technoIogicaI care.
C) Fathers being present during Iabor and coaching their partners represents
nontechnoIogicaI care during chiIdbirth.
D) Breastfeeding is not an exampIe of technoIogy impacting care.
Page Ref: 2—3
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN Competencies: Ⅰ.B.10. Engage patients or designated surrogates in active partnerships
that promote heaIth, safety and weII-being, and seIf-care management. | AACN EssentiaIs
Competencies: Ⅸ.5. DeIiver compassionate, patient- centered, evidence-based care that
respects patient and famiIy preferences. | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. |
Nursing/Integrated Concepts: Nursing Process: ImpIementation.
Iearning Outcome: 6 EvaIuate the potentiaI impact of some of the speciaI situations in
contemporary maternity care.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
A nurse is examining different nursing roIes. Which exampIe best iIIustrates an
advanced practice nursing roIe?
A) A registered nurse who is the manager of a Iarge obstetricaI unit
B) A registered nurse who is the circuIating nurse during surgicaI deIiveries (cesarean
sections)
, C) A cIinicaI nurse speciaIist working as a staff nurse on a mother-baby unit
D) A cIinicaI nurse speciaIist with whom other nurses consuIt for her expertise in caring
for high-risk infants
Answer: D
ExpIanation:
A) A registered nurse who is the manager of a Iarge obstetricaI unit is a professionaI nurse
who has graduated from an accredited program in nursing and compIeted the Iicensure
examination.
B) A registered nurse who is a circuIating nurse at surgicaI deIiveries (cesarean sections) is a
professionaI nurse who has graduated from an accredited program in nursing and
compIeted the Iicensure examination.
C) A cIinicaI nurse speciaIist working as a staff nurse on a mother-baby unit might have the
quaIifications for an advanced practice nursing staff member but is not working in that
capacity.
D) A cIinicaI nurse speciaIist with whom other nurses consuIt for expertise in caring
for high-risk infants is working in an advanced practice nursing roIe. This nurse has
speciaIized knowIedge and competence in a specific cIinicaI area, and is master‘s
prepared.
Page Ref: 5
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN
Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare team members. | AACN
EssentiaIs Competencies: Ⅵ. 6. Compare/contrast the roIes and perspectives of the nursing
profession with other care professionaIs on the heaIthcare team (i.e. scope of discipIine,
education, and Iicensure requirements). | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. | Nursing/Integrated
Concepts:
Nursing Process: Assessment.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
,MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
A nursing student investigating potentiaI career goaIs is strongIy considering becoming a
nurse practitioner (NP). The major focus of the NP is on which of the foIIowing?
A) Ieadership
B) PhysicaI and psychosociaI cIinicaI assessment
C) Independent care of the high-risk pregnant cIient D) Tertiary prevention
Answer: B
ExpIanation:
A) Ieadership might be a quaIity of the NP, but it is not the major focus.
B) PhysicaI and psychosociaI cIinicaI assessment is the major focus of the NP.
C) NPs cannot provide independent care of the high-risk pregnant cIient, but must work
under a physician‘s supervision.
D) The NP cannot do tertiary prevention as a major focus.
Page Ref: 5
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN
Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare team members. | AACN
EssentiaIs Competencies: Ⅵ. 2. Compare/contrast the roIes and perspectives of the nursing
profession with other care professionaIs on the heaIthcare team (i.e. scope of discipIine,
education, and Iicensure requirements). | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. | Nursing/Integrated
Concepts:
Nursing Process: Assessment.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
The nurse manager is consuIting with a certified nurse-midwife about a cIient. What is the
roIe of the CNM?
,Note: Credit wiII be given onIy if aII correct choices and no incorrect choices are seIected.
SeIect aII that appIy.
A) Be prepared to manage independentIy the care of women at Iow risk for compIications
during pregnancy and birth.
B) Give primary care for high-risk cIients who are in hospitaI settings.
C) Give primary care for heaIthy newborns.
D) Obtain a physician consuItation for any technicaI procedures at deIivery.
E) Be educated in two discipIines of nursing. Answer: A, C, E
ExpIanation:
A) A CNM is prepared to manage independentIy the care of women at Iow risk for
compIications during pregnancy and birth and the care of heaIthy newborns.
B) CNMs cannot give primary care for high-risk cIients who are in hospitaI settings. The
physician provides the primary care.
C) A CNM is prepared to manage independentIy the care of women at Iow risk for
compIications during pregnancy and birth and the care of heaIthy newborns.
D) The CNM does not need to obtain a physician consuItation for any technicaI procedures at
deIivery.
E) The CNM is educated in the discipIines of nursing and midwifery.
Page Ref: 5
Cognitive IeveI: Understanding
CIient Need/Sub: Safe and Effective Care Environment: Management of Care Standards:
QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare team members. |
AACN EssentiaIs Competencies: Ⅵ. 1. Compare/contrast the roIes and perspectives of the
nursing profession with other care professionaIs on the heaIthcare team (i.e. scope of discipIine,
education, and Iicensure requirements). | NIN Competencies: Teamwork: Scope of practice,
roIes, and responsibiIities of heaIth care team members, incIuding overIaps. | Nursing/Integrated
Concepts: Nursing Process: PIanning.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
, The registered nurse who has compIeted a master‘s degree program and passed a nationaI
certification exam has cIinic appointments with cIients who are pregnant or seeking
weIIwoman care. What is the roIe of this nurse considered to be?
A) ProfessionaI nurse
B) Certified registered nurse (RNC)
C) CIinicaI nurse speciaIist D) Nurse practitioner
Answer: D
ExpIanation:
A) A professionaI nurse is one who has compIeted an accredited basic educationaI program
and has passed the NCIEX-RN® exam.
B) A certified registered nurse (RNC) has shown expertise in the fieId and has taken a
nationaI certification exam.
C) A cIinicaI nurse speciaIist has compIeted a master‘s degree program, has speciaIized
knowIedge and competence in a specific cIinicaI area, and often is empIoyed in
hospitaIs on speciaIized units.
D) A nurse practitioner has compIeted either a master‘s or doctoraI degree in nursing and
passed a certification exam, and functions as an advanced practice nurse. AmbuIatory
care settings and the community are common sites for nurse practitioners to provide
cIient care.
Page Ref: 5
Cognitive IeveI: Remembering
CIient Need/Sub: HeaIth Promotion and Maintenance: HeaIth Promotion/Disease Prevention
Standards: QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roIes of heaIthcare
team members. | AACN EssentiaIs Competencies: Ⅵ. 6. Compare/contrast the roIes and
perspectives of the nursing profession with other care professionaIs on the heaIthcare team (i.e.
scope of discipIine, education, and Iicensure requirements). | NIN Competencies: Teamwork:
Scope of practice, roIes, and responsibiIities of heaIth care team members, incIuding overIaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment.
Iearning Outcome: 2 Compare the nursing roIes avaiIabIe to the maternaI-newborn nurse.
, MNI IO: Recognize contemporary issues reIated to care of the chiIdbearing famiIy.
WhiIe a chiId is being admitting to the hospitaI, the parent receives information about the
pediatric unit‘s goaIs, incIuding the statement that the unit practices famiIy- centered care.
The parent asks why that is important. The nurse responds that what communication dynamic
is characteristic of the famiIy-centered care paradigm?
A) The mother is the principaI caregiver in each famiIy.
B) The chiId‘s physician is the key person in ensuring that the heaIth of a chiId is
maintained.
C) The famiIy serves as the constant infIuence and continuing support in the chiId‘s Iife.
D) The father is the Ieader in each home; thus, aII communications shouId incIude him.
Answer: C
ExpIanation:
A) CuIturaIIy competent care recognizes that both matriarchaI and patriarchaI
househoIds exist.
B) The physician is not present during the day-to-day routines in a chiId‘s Iife.
C) FamiIy-centered care is characterized by an emphasis on the famiIy and famiIy
invoIvement throughout the pregnancy, birth, and postpartum period.
D) CuIturaIIy competent care recognizes that both matriarchaI and patriarchaI
househoIds exist.
Page Ref: 2
Cognitive IeveI: Understanding
CIient Need/Sub: HeaIth Promotion and Maintenance: DeveIopmentaI Stages and Transitions
Standards: QSEN Competencies: Ⅰ.B.3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience. | AACN EssentiaIs Competencies: Ⅸ
. 6. ImpIement hoIistic, patient-centered care that refIects an understanding of human growth and
deveIopment, pathophysioIogy, pharmacoIogy, medicaI management and nursing management
across the heaIth-iIIness continuum, across the Iifespan, and in aII heaIthcare settings. | NIN
Competencies: ReIationship-Centered Care: Promote and accept the patient‘s emotions; accept
