TEST BANK - Olds' Maternal-Newborn Nursing
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
1
, TABLE OF
CONTENTS
Chapter 1
Question 1
Type: MCSA
2
,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.
3
, 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
A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a motherbaby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants
CORRECT ANSWER: 4
Rationale 1: A registered nurse who is the manager of a large obstetrical unit is a professional nurse who has
graduated from an accredited program in nursing and completed the licensure examination.
Rationale 2: A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a professional
4
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
1
, TABLE OF
CONTENTS
Chapter 1
Question 1
Type: MCSA
2
,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.
3
, 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
A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a motherbaby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants
CORRECT ANSWER: 4
Rationale 1: A registered nurse who is the manager of a large obstetrical unit is a professional nurse who has
graduated from an accredited program in nursing and completed the licensure examination.
Rationale 2: A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a professional
4
