Maternal & Child Nursing Cxare, 5e (London et al.)
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Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
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1) A nurse is examining different nursing roles. Which statement best illustrates an advance
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d practice nursing role?
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1. A registered nurse who is the manager of a large obstetric unit
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2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in carin
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g for high-risk infants
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Answer: 4 z v
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring
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for high-
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risk infants would illustrate an advanced practice nursing role. This nurse has specialized kno
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wledge and competence in a specific clinical area, and is master's-prepared.
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Page Ref: 3 zv zv
Cognitive Level: Remembering zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
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a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast th
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e roles and perspectives of the nursing profession with other care professionals on the healthca
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re team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team mem
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bers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning
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Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention zv
3. Physical and psychosocial clinical assessment zv zv zv zv
4. Independent care of the high- zv zv zv zv
risk, pregnant client Answer: 3
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Explanation: Physical and psychosocial clinical assessment is the major focus of the NP. P
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age Ref: 3 zv zv
Cognitive Level: Remembering zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
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a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast th
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e roles and perspectives of the nursing profession with other care professionals on the healthca
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re team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team mem
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bers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning
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Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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1
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
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1. Give primary care for healthy newborns.
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2. Be educated in two disciplines of nursing.
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3. Give primary care for high-risk clients who are in hospital settings.
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4. Obtain a physician consultation for all technical procedures at delivery.
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5. Be prepared to manage independently the care of women at low risk for complications durin
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g pregnancy and birth.
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Answer: 1, 2, 5 z v zv zv
Explanation: The CNM is prepared to manage independently the care of women at low risk fo
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r complications during pregnancy and birth and the care of healthy newborns.
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The CNM is educated in the disciplines of nursing and midwifery.
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The CNM is prepared to manage independently the care of women at low risk for complication
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s during pregnancy and birth and the care of healthy newborns.
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Page Ref: 3 zv zv
Cognitive Level: Understanding zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
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a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast th
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e roles and perspectives of the nursing profession with other care professionals on the healthca
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
re team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team mem
zv zv zv zv zv zv zv zv zv zv zv zv
bers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning
zv zv zv zv zv zv zv zv zv z
Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2
,4) During the hospital admission process, a child's parent asks for information about family
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- centered care. What should the nurse explain to this parent?
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1. Mother is the principal caregiver in each family.
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2. Father is the leader in each home; thus, all communications should include him.
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3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintaine
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d. Answer: 3
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Explanation: The foundation for the development of trusting relationships and partnerships wit
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h families is the recognition that the family is the principal caregiver, knows the unique natur
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e of each individual child best, plays the vital role of meeting the child's needs, and is responsi
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ble for ensuring each child's health.
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Page Ref: 3 zv zv
Cognitive Level: Applying zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.B.3. Provide patient-
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centered care with sensitivity and respect for the diversity of human experience | AACN Esse
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ntial Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
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based care that respects patient and family preferences | NLN Competencies: Relationship Cen
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tered Care; Knowledge; The role of family, culture, and community in a person's development
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| Nursing/Integrated Concepts: Nursing Process: Planning
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Learning Outcome: 1.2 Summarize the use of community-
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based nursing care in meeting the needs of childbearing and childrearing families.
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MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
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5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should th
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e nurse do to encourage the family to consider enrolling the child in this program?
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1. Assessment of the details of the family's income and expenditures zv zv zv zv zv zv zv zv zv
2. Case management to limit costly, unnecessary duplication of services
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3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
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4. Education of the family about the need for keeping regular well-
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child visit appointments Answer: 3
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Explanation: In the role of an advocate, a nurse will advance the interests of another by sugge
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sting the family investigate its CHIP eligibility.
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Page Ref: 6 zv zv
Cognitive Level: Applying zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pa
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tient centered care: information, communication, and education | AACN Essential Competenc
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ies: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationsh
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ip Centered Care; Practice; Communicate information effectively; listen openly and cooperati
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vely | Nursing/Integrated Concepts: Nursing Process: Implementation
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Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
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vaccess to health care. zv zv zv
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to th
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e childbearing family.
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3
, 6) The nurse is evaluating telephone calls made by the mothers of newborns in a communit
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y clinic. Which calls should the nurse make a priority? Select all that apply.
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1. Mother who is 16 years old zv zv zv zv zv
2. Mother who is breastfeeding zv zv zv
3. Mother who is a single parent zv zv zv zv zv
4. Mother who gave birth to twins 2 weeks ago
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5. Mother whose baby was born at 30 weeks' gestation
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Answer: 1, 3, 4, 5
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Explanation: Infant mortality rates are higher for infants of teen mother
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s. Infant mortality rates are higher among unmarried mothers.
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Infant mortality rates are higher among infants born in multiple births. In
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fant mortality rates are higher among infants born prematurely.
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Page Ref: 8 zv zv
Cognitive Level: Analyzing zv z v
Client Need/Sub: Health Promotion and Maintenance
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pa
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tient centered care: information, communication, and education | AACN Essential Competenc
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ies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, so
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cioeconomic, and environmental assessments of health and illness parameters in patients, usin
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g developmentally and culturally appropriate approaches | NLN Competencies: Context and E
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nvironment; Practice; conduct population- zv zv zv
based transcultural health assessments and interventions | Nursing/Integrated Concepts: Nursin
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g Process: Implementation
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Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further re
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search questions. zv
MNL LO: 1.1.3. Relate various factors to their effect on pregnancy outcomes.
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4
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Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
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1) A nurse is examining different nursing roles. Which statement best illustrates an advance
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d practice nursing role?
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1. A registered nurse who is the manager of a large obstetric unit
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2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in carin
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g for high-risk infants
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Answer: 4 z v
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in caring
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for high-
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risk infants would illustrate an advanced practice nursing role. This nurse has specialized kno
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wledge and competence in a specific clinical area, and is master's-prepared.
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Page Ref: 3 zv zv
Cognitive Level: Remembering zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
zv z v zv zv zv zv zv zv
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
z v zv zv zv zv zv zv zv zv zv zv zv
a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast th
zv zv zv zv zv zv zv zv zv zv zv zv zv
e roles and perspectives of the nursing profession with other care professionals on the healthca
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
re team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team mem
zv zv zv zv zv zv zv zv zv zv zv zv
bers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning
zv zv zv zv zv zv zv zv zv z
Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2) What is the major focus of the nurse practitioner (NP)?
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1. Leadership
2. Tertiary prevention zv
3. Physical and psychosocial clinical assessment zv zv zv zv
4. Independent care of the high- zv zv zv zv
risk, pregnant client Answer: 3
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Explanation: Physical and psychosocial clinical assessment is the major focus of the NP. P
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age Ref: 3 zv zv
Cognitive Level: Remembering zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
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a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast th
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e roles and perspectives of the nursing profession with other care professionals on the healthca
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
re team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team mem
zv zv zv zv zv zv zv zv zv zv zv zv
bers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning
zv zv zv zv zv zv zv zv zv z
Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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1
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
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1. Give primary care for healthy newborns.
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2. Be educated in two disciplines of nursing.
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3. Give primary care for high-risk clients who are in hospital settings.
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4. Obtain a physician consultation for all technical procedures at delivery.
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5. Be prepared to manage independently the care of women at low risk for complications durin
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g pregnancy and birth.
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Answer: 1, 2, 5 z v zv zv
Explanation: The CNM is prepared to manage independently the care of women at low risk fo
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r complications during pregnancy and birth and the care of healthy newborns.
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The CNM is educated in the disciplines of nursing and midwifery.
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The CNM is prepared to manage independently the care of women at low risk for complication
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s during pregnancy and birth and the care of healthy newborns.
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Page Ref: 3 zv zv
Cognitive Level: Understanding zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as
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a member of the health care team | AACN Essential Competencies: VI.1. Compare/contrast th
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e roles and perspectives of the nursing profession with other care professionals on the healthca
zv zv zv zv zv zv zv zv zv zv zv zv zv zv
re team (i.e. scope of discipline, education and licensure requirements) | NLN Competencies:
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Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team mem
zv zv zv zv zv zv zv zv zv zv zv zv
bers, including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment Learning
zv zv zv zv zv zv zv zv zv z
Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
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MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
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2
,4) During the hospital admission process, a child's parent asks for information about family
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- centered care. What should the nurse explain to this parent?
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1. Mother is the principal caregiver in each family.
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2. Father is the leader in each home; thus, all communications should include him.
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3. Family serves as the constant influence and continuing support in the child's life.
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4. Child's physician is the key person in ensuring the health of a child is maintaine
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d. Answer: 3
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Explanation: The foundation for the development of trusting relationships and partnerships wit
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h families is the recognition that the family is the principal caregiver, knows the unique natur
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e of each individual child best, plays the vital role of meeting the child's needs, and is responsi
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ble for ensuring each child's health.
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Page Ref: 3 zv zv
Cognitive Level: Applying zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.B.3. Provide patient-
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centered care with sensitivity and respect for the diversity of human experience | AACN Esse
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ntial Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
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based care that respects patient and family preferences | NLN Competencies: Relationship Cen
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tered Care; Knowledge; The role of family, culture, and community in a person's development
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| Nursing/Integrated Concepts: Nursing Process: Planning
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Learning Outcome: 1.2 Summarize the use of community-
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based nursing care in meeting the needs of childbearing and childrearing families.
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MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
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5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should th
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e nurse do to encourage the family to consider enrolling the child in this program?
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1. Assessment of the details of the family's income and expenditures zv zv zv zv zv zv zv zv zv
2. Case management to limit costly, unnecessary duplication of services
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3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
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4. Education of the family about the need for keeping regular well-
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child visit appointments Answer: 3
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Explanation: In the role of an advocate, a nurse will advance the interests of another by sugge
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sting the family investigate its CHIP eligibility.
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Page Ref: 6 zv zv
Cognitive Level: Applying zv z v
Client Need/Sub: Safe and Effective Care Environment/Management of Care
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pa
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tient centered care: information, communication, and education | AACN Essential Competenc
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ies: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationsh
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ip Centered Care; Practice; Communicate information effectively; listen openly and cooperati
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vely | Nursing/Integrated Concepts: Nursing Process: Implementation
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Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and
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vaccess to health care. zv zv zv
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to th
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e childbearing family.
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3
, 6) The nurse is evaluating telephone calls made by the mothers of newborns in a communit
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y clinic. Which calls should the nurse make a priority? Select all that apply.
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1. Mother who is 16 years old zv zv zv zv zv
2. Mother who is breastfeeding zv zv zv
3. Mother who is a single parent zv zv zv zv zv
4. Mother who gave birth to twins 2 weeks ago
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5. Mother whose baby was born at 30 weeks' gestation
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Answer: 1, 3, 4, 5
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Explanation: Infant mortality rates are higher for infants of teen mother
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s. Infant mortality rates are higher among unmarried mothers.
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Infant mortality rates are higher among infants born in multiple births. In
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fant mortality rates are higher among infants born prematurely.
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Page Ref: 8 zv zv
Cognitive Level: Analyzing zv z v
Client Need/Sub: Health Promotion and Maintenance
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Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of pa
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tient centered care: information, communication, and education | AACN Essential Competenc
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ies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, so
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cioeconomic, and environmental assessments of health and illness parameters in patients, usin
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g developmentally and culturally appropriate approaches | NLN Competencies: Context and E
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nvironment; Practice; conduct population- zv zv zv
based transcultural health assessments and interventions | Nursing/Integrated Concepts: Nursin
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g Process: Implementation
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Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further re
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search questions. zv
MNL LO: 1.1.3. Relate various factors to their effect on pregnancy outcomes.
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4
