HH239 – Health and Human Development – Course Notes and Study Material

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,Chapter 01: Contemporary Maternal Newborn Nursing
Question 1 T
ype: 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- 2i


party payers due to research findings that suggest that it:

1. Shortens newborn length ofstay.

2. Decreases use of home health agencies.

3. Reduces healthcare costs.
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4. Decreases the number of emergency departmentvisits.

Care delivered by nurse-
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midwives can be safe and effective and can represent a positive response to the healthcare
provider shortage. Nurse midwives tend to use less technology, which often results in which
of the following?
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1. There is less trauma to the mother.
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2. More childbirth education classes are available.
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3. They are instrumental in providing change in the birth environment at work.
4. They advocate for more home healthcare agencies. b
Question 2 T
ype: MCMA

In order to combat the impersonal nature of technology that sometimes interferes with family-
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focused care, the nurse should take which actions?

Standard Text: Select all that apply.

1. Advocate within the community for natural childbirth.
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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.

5. Advocate for more home healthcare agencies.
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Question 3 T
ype: MCSA

,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:




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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. 2i




3. Having the father present as the coach and cut the umbilical cord.

4. Breastfeeding of the new baby on the deliverytable.

The nurse is telling a new client how advanced technology has permitted the physician to do whi
ch of the following?
1. Treat the fetus and monitor fetal development.
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2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table.

Question 4 T a
ype: MCSA

A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?
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1. A registered nurse who is the manager of a large obstetricalunit
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2. A registered nurse who is the circulating nurse at surgical deliveries (cesareansections) u
3. A clinical nurse specialist working as a staff nurse on a mother-babyunit b
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-riskinfants
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Question 5 T
ype: MCSA
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A nursing student investigating potential career goals is strongly considering becoming a nurse practitioner (NP).
The major focus of the NP is on:

1. Leadership.

2. Physical and psychosocial clinical assessment.
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3. Independent care of the high-risk, pregnant patient.

4. Tertiaryprevention.


Question 6 T
ype: MCMA

The nurse manager is consulting with a certified nurse–midwife about a patient. The role of the CNM is to:

Standard Text: Select all that apply.