TEST BANK Davis Advantage for Maternal Child Nursing Care 3rd Ed by Meredith Scannell; 9781719640985

, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
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Ruggiero Test Bank xc xc




Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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MULTIPLE CHOICE xc




A patient chooses to have the certified nurse midwife (CNM) provide care
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xc during her pregnancy. What does the CNMs scope of practice include?
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• Practice independent from medical supervision xc xc xc xc




• Comprehensive prenatal care xc xc




• Attendance at all deliveries xc xc xc




• Cesarean sections xc




ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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xc deliveries, and ensures that a backup physician is available in case of unforeseen
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problems.

REF: Page 6xc xc




Which medical pioneer discovered the relationship between the incidence of
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xc puerperal fever and unwashed hands? xc xc xc xc




• Karl Cred xc




• Ignaz Semmelweis xc




• Louis Pasteur xc




• Joseph List xc




ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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xc unwashed hands of physicians and medical students. xc xc xc xc xc xc




A pregnant woman who has recently immigrated to the United States comments to
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the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is
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xc the best nursing response reflecting cultural sensitivity?
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• Maternal mortality in the United States is extremely low.xc xc xc xc xc xc xc xc




• Anesthesia is available to relieve pain during labor and childbirth. xc xc xc xc xc xc xc xc xc




• Tell me why you are afraid of childbirth.
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• Your condition will be monitored during labor and delivery.
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, 2


ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
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xc patient care. xc




• An urban area has been reported to have a high perinatal mortality rate. What
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information does this provide?
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• Maternal and infant deaths per 100,000 live births per year xc xc xc xc xc xc xc xc xc




• Deaths of fetuses weighing more than 500 g per 10,000 births per year
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• Deaths of infants up to 1 year of age per 1000 live births per year
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• Fetal and neonatal deaths per 1000 live births per year
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ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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• What is the focus of current maternity practice?
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• Hospital births for the majority of women xc xc xc xc xc xc




• The traditional family unit
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• Separation of labor rooms from delivery rooms xc xc xc xc xc xc




• A quality family experience for each patient
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ANS: D - Current maternity practice focuses on a high-quality family experience for all
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xc families, traditional or otherwise. xc xc xc




: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
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• Who advocated the establishment of the Childrens Bureau?
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• Lillian Wald xc




• Florence Nightingale xc




• Florence Kelly xc




• Clara Barton xc




ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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• What was the result of research done in the 1930s by the Childrens Bureau?
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• Children with heart problems are now cared for by pediatric cardiologists.
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• The Child Abuse and Prevention Act was passed.
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• Hot lunch programs were established in many schools.
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• Childrens asylums were founded. xc xc xc




ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
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, 3


The effects of economic depression on children.
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• What government program was implemented to increase the educational
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xc exposure of preschool children? xc xc xc




• WIC

• Title XIX of Medicaid xc xc xc




• The Childrens Charterxc xc




• Head Start xc




ANS:D - Head Start programs were established to increase educational exposure of preschool children.
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• What guidelines define multidisciplinary patient care in terms of expected
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xc outcome and timeframe from different areas of care provision?
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• Clinical pathways xc




• Nursing outcome criteria xc xc




• Standards of care xc xc




• Nursing care plan xc xc




ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative
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xc guidelines that define patient care across disciplines. Expected progress within a
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xc specified timeline is identified. xc xc xc




• A nursing student has reviewed a hospitalized pediatric patient chart,
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xc interviewed her mother, and collected admission data. What is the next step the
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student will take to develop a nursing care plan for this child?
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• Identify measurable outcomes with a timeline. xc xc xc xc xc




• Choose specific nursing interventions for the child.
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• Determine appropriate nursing diagnoses. xc xc xc




• State nursing actions related to the childs medical diagnosis.
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ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I
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xc list. Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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• A nursing student on an obstetric rotation questions the floor nurse about
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xc the definition of the LVN/LPN scope of practice. What resource can the nurse
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suggest to the student?
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