Olds'frMaternal-
NewbornfrNursingfr&frWomen'sfrHealthfrAcrossfrthefrLifespan,fr
11thfrEditionfr(Davidson),frChaptersfr1fr-fr36fr|frAllfrChaptersfrVerifiedfr
,TABLE OF CONTENTS
fr fr fr
, Chapter 1 fr
Questionfr1frTyp
e:frMCSA
Thefrnursefrisfrspeakingfrtofrstudentsfraboutfrchangesfrinfrmaternal–newbornfrcare.frOnefrchangefrisfrthatfrself-
carefrhasfrgainedfrwidefracceptancefrwithfrpatients,frthefrhealthcarefrcommunity,frandfrthird-
partyfrpayersfrduefrtofrresearchfrfindingsrfthatfrsuggestfrthatfrit:
1. Shortensfrnewbornfrlengthfroffrstay.
2. Decreasesfrusefroffrhomefrhealthfragencies.
3. Reducesfrhealthcarefrcosts.
4. Decreasesfrthefrnumberfroffremergencyfrdepartmentfrvisits.
CORRECTfrANSWER:fr3
Rationalefr1:frLengthfroffrstayfrisfroftenfrdeterminedfrbyfrthird-
partyfrpayerfr(insurancefrcompany)frpoliciesfrasfrwellfrasfrphysiologicfrstabilityfroffrthefrmotherfrandfrnewborn.frHomefrhe
althcarefragenciesfroftenfrarefrinvolvedfrinfrpatientfrcarefrtorfdecreasefrhospitalfrstayfrtime.
Rationalefr2:frHomefrhealthcarefragenciesfroftenfrarefrinvolvedfrinfrpatientfrcarefrtofrdecreasefrhospitalfrstayfrtime.
Rationalefr3:frResearchfrindicatesfrself-carefrsignificantlyfrreducesfrhealthcarefrcosts.
Rationalefr4:frAcutefremergenciesfrarefraddressedfrbyfremergencyfrdepartments,frandfrarefrnotfrdelayedfr byfrthosefrpracticin
grfself-care.
Questionfr2
Infrorderfrtofrcombatfrthefrimpersonalfrnaturefroffrtechnologyfrthatfrsometimesfrinterferesfrwithfrfamily-
focusedfrcare,frthernf ursefrshouldfrtakefrwhichfractions?
StandardfrText:frSelectfrallfrthatfrapply.
1. Advocatefrwithinfrthefrcommunityfrforfrnaturalfrchildbirth.
2. Makefrchildbirthfreducationfrclassesfravailable.
3. Befrinstrumentalfrinfrprovidingfrchangefrinfrthefrbirthfrenvironmentfratfrwork.
, 4. Suggestfrthatfrdoulasfrnotfrbefrallowedfrtofrinterferefrwithfrthefrchildbirthfrprocess.
5. Advocatefrforfrmorefrhomefrhealthcarefragencies.
CORRECTfrANSWER:fr1,2,3,5
Rationalefr1:frNaturalfrchildbirth,friffrthefrpatientfrisfrable,frisfrthefrsafestfrmethodfrforfrthefrbaby.
Rationalefr2:frItfrisfrappropriatefrforfrnurses,frinfrconjunctionfrwithfrdoctorsfrandfrhospitals,frtofrprovidefrchildbirthfrclass
esrfforfrthefrexpectantfrfamilies.
Rationalefr3:frByfrworkingfrwithfrotherfrstafffrandfrdoctors,frthefrnursefrisfrablefrtofrimplementfrchangefrasfrneededfrwithinfrtherbf
irthingfrunit.
Rationalefr4:frDoulasfrarefrencouragedfrtofrbefrpartfroffrthefrbirthingfrprocessfrasfrthefrpatientfrwishes.frTheyfrarefrmainlyfrthe
rerfasfrafrcoach.
Rationalefr5:frPatientsfrarefrgoingfrhomefrsoonerfrallfrthefrtime,frsofrtherefrneedsfrtofrbefrmorefrfollow-upfrinfrthefrhome.
Questionfr3
Thefrnursefrisfrtellingfrafrnewfrpatientfrhowfrtechnologyfrusedfrinfrmaternal–
newbornfrcarefrhasfrchangedfrthefrwayfrthefrnursercf aresfrforfrherfrpatients.frAnfrexamplefroffrthisfris:
1. Electivefrinductions,frrequestedfrcesareans,frepiduralfranesthesia,frandfrfetalfrmonitoring.
2. Deliveringfratfrhomefrwithfrafrnurse-midwifefrandfrdoula.
3. Havingfrthefrfatherfrpresentfrasfrthefrcoachfrandfrcutfrthefrumbilicalfrcord.
4. Breastfeedingfroffrthefrnewfrbabyfronfrthefrdeliveryfrtable.
CORRECTfrANSWER:fr1
Rationalefr1:frElectivefrinductions,frrequestedfrcesareans,frepiduralfranesthesia,frandfrfetalfrmonitoringfrarefrallfrrece
ntrftechnologiesfrthatfrhavefraffectedfrthefrcarefrinfrlaborfrandfrdeliveryfrareas.
Rationalefr2:frAfrnurse-midwifefrandfrafrdoulafrarefrnotfrexamplesfroffrtechnologicalfrcare.
Rationalefr3:frFathers’frbeingfrpresentfrduringfrlaborfrandfrcoachingfrtheirfrpartnersfrrepresentsfrnontechnologicalfrcarerdf u
ringfrchildbirth.
Rationalefr4:frBreastfeedingfrisfrnotfranfrexamplefroffrtechnologyfrimpactingfrcare.
Questionfr4