TEST BANK for Olds' Maternal-Newborn Nursing & Women's Health Across The Lifespan, 11th Edition (Davidson), Chapters 1 to 36 | All Chapters Verified

TEST BANK - Olds' Maternal-Newborn Nursing &
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Women's Health Across the Lifespan,
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11th Edition (Davidson),
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Chapters 1 - 36 | All Chapters Verified
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,TABLE OF CONTENTS
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, Chapter 1 ff




Question 1 ff



Type: MCSA
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The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has
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gained wide acceptance with patients, the healthcare community, and third-party payers due to research
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findingsthat suggest that it:
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1. Shortens newborn length of stay. ff ff ff ff




2. Decreases use of home health agencies. ff ff ff ff ff




3. Reduces healthcare costs. ff ff




4. Decreases the number of emergency department visits. ff ff ff ff ff ff




CORRECT ANSWER: 3 ff ff




Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
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physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care
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todecrease hospital stay time.
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Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
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Rationale 3: Research indicates self-care significantly reduces healthcare costs.
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Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those
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practicingself-care.
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Question 2 ff




In order to combat the impersonal nature of technology that sometimes interferes with family-focused care,
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thenurse should take which actions?
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1. Advocate within the community for natural childbirth. ff ff ff ff ff ff




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.
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5. Advocate for more home healthcare agencies. ff ff ff ff ff




CORRECT ANSWER: 1,2,3,5 ff ff




Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
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Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth
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classesfor the expectant families.
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Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within
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thebirthing unit.
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Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly
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thereas a coach.
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Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
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Question 3 ff




The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the
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nursecares 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. ff ff ff ff ff ff ff




3. Having the father present as the coach and cut the umbilical cord.
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4. Breastfeeding of the new baby on the delivery table. ff ff ff ff ff ff ff ff




CORRECT ANSWER: 1 ff ff




Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all
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recenttechnologies that have affected the care in labor and delivery areas.
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Rationale 2: A nurse-midwife and a doula are not examples of technological care.
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Rationale 3: Fathers‟ being present during labor and coaching their partners represents nontechnological
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careduring childbirth.
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Rationale 4: Breastfeeding is not an example of technology impacting care.
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Question 4 ff