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Maternal-ChildNursing
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Care 3rdEdition By
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ScannellRuggieroTest
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Bank
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,Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the
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Continuum
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MULTIPLE CHOICE x3
• A patient chooses to have the certified nurse midwife (CNM) provide care
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during her pregnancy. What does the CNMs scope of practice include?
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• Practice independent from medical supervision x3 x3 x3 x3
• Comprehensive prenatal care x3 x3
• Attendance at all deliveries x3 x3 x3
•
Cesar
ean
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sectio
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ANS:
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B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated
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deliveries, and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
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TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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• Which medical pioneer discovered the relationship between the incidence of
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puerperal fever and unwashed hands?
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• Karl Cred x3
• Ignaz Semmelweis x3
• Louis Pasteur x3
•
J
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p
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L
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A
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N
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:
B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: Page2 OBJ:
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1 TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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• A pregnant woman who has recently immigrated to the United States comments to the
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nurse, I
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am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing
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response reflecting cultural sensitivity?
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• Maternal mortality in the United States is extremely low. x3 x3 x3 x3 x3 x3 x3 x3
• Anesthesia is available to relieve pain during labor and childbirth. x3 x3 x3 x3 x3 x3 x3 x3 x 3
• Tell me why you are afraid of childbirth. x3 x3 x3 x3 x3 x3 x3
• Your condition will be monitored during x3 x3 x3 x3 x3
labor and delivery. ANS: C
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Asking the patient about her concerns helps promote understanding and individualizes
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patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8 TOP:
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Cross-Cultural Care KEY: Nursing Process Step:
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Implementation MSC: NCLEX: Psychosocial Integrity: x3 x3 x3 x3
Psychological Adaptation x3
• 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 x3 x3 x3 x3 x3 x3 x3 x3 x 3
• 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
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births per year ANS: D
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The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension REF: Page 12,
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Box 1-6 OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation
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