TEST BANK - Olds' Maternal-Newborn Nursing
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
,
, Chapter 1
Question 1
Type: MCSA
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has
gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings
that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
CORRECT ANSWER: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to
decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
CORRECT ANSWER: 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes
for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within the
birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly there
as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
Question 3
The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nurse
cares for her patients. An example of this is:
1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeeding of the new baby on the delivery table.
CORRECT ANSWER: 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnological care
during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
,
, Chapter 1
Question 1
Type: MCSA
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has
gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings
that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
CORRECT ANSWER: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to
decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
CORRECT ANSWER: 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes
for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within the
birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly there
as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
Question 3
The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nurse
cares for her patients. An example of this is:
1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeeding of the new baby on the delivery table.
CORRECT ANSWER: 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnological care
during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
