Test bank for olds maternal newborn NUrsing women s health across the lifespan 11th edition davidson - Copy

TEST BANK - Olds' Maternal-Newborn Nursing &
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nWomen's Health Across the Lifespan,
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11th Edition (Davidson),
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Chapters 1 - 36 | All Chapters Verified
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,TABLE OF CONTENTS
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, Chapter 1 n




Question 1 n




Type:MCSA
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The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has gained
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wide acceptance with patients, the healthcare community, and third-party payers due to research findingsthat suggest
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that it:
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1. Shortens newborn length of stay. n n n n




2. Decreases use of home health agencies. n n n n n




3. Reduces healthcare costs. n n




4. Decreases the number of emergency department visits. n n n n n n




CORRECT ANSWER: 3 n n




Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
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physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to
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decrease hospital stay time.
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Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
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Rationale 3: Research indicates self-care significantly reduces healthcare costs.
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Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicingself-
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care.

Question 2 n




In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
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nurse should take which actions?
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StandardText: Select all that apply. n n n n n




1. Advocate within the community for natural childbirth. n n n n n n




2. Make childbirth education classes available.
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3. Be instrumental in providing change in the birth environment at work.
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, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
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5. Advocate for more home healthcare agencies.
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CORRECT ANSWER: 1,2,3,5 n n




Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
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Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classesfor
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the expectant families.
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Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within thebirthing
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unit.
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Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly thereas a
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coach.
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Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
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Question 3 n




The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nursecares
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for her patients. An example of this is:
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1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
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2. Delivering at home with a nurse-midwife and doula.
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3. Having the father present as the coach and cut the umbilical cord.
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4. Breastfeeding of the new baby on the delivery table. n n n n n n n n




CORRECT ANSWER: 1 n n




Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
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technologies that have affected the care in labor and delivery areas.
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Rationale 2:Anurse-midwife and a doula are not examples of technological care.
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Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnological careduring
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childbirth.
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Rationale 4: Breastfeeding is not an example of technology impacting care.
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Question 4 n