TEST BANK FOR CONTEMPORARY MATERNAL NEWBORN NURSING, 8TH EDITION

Ladewig, Contemporary Maternal-Newborn Nursing, 8/E Chapter 01 Question 1 Type: MCSA During a prenatal visit, a patient expresses interest in accessing community-based care and services. Which response allows the registered nurse to best describe services that are offered by way of community-based care? 1. "Most healthcare services provided to childbearing women and their families take place in a hospital setting." 2. "Community-based care can provide a patient with certain primary care services." 3. "Nurses are the sole providers of services related to home care." 4. "Due to lack of support from third-party payers, community-based care has decreased." Correct Answer: 2 Rationale 1: The majority of health care provided to childbearing women and their families takes place outside of hospital in clinics, offices, community-based organizations, and private homes. Rationale 2: Primary care includes health promotion and illness prevention, and it features services that are best provided in community-based settings. Rationale 3: While nurses are the major providers of home care services, healthcare providers in various other fields, such as physical therapy, also offer home care services. Rationale 4: As third-party payers begin to recognize the importance of primary care in containing costs and maintaining health, community-based care has increased. Global Rationale: Cognitive Level: Applying Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: LO01 - Describe the use of community-based nursing care in meeting the needs of childbearing families. Question 2 Type: MCSA The labor and delivery nurse and a nurse new to the labor and delivery unit are admitting a laboring patient. The patient is making groaning guttural sounds during contractions and answering questions with one-word answers. The labor and delivery nurse simultaneously is quickly setting up the instruments and sterile field for this delivery while asking the admission questions between contractions. The experienced labor and delivery nurse has not yet completed a pelvic exam. The nurse new to labor and delivery understands that this is an example of: 1. An expert nurse assessing advanced labor and imminent delivery in the patient. 2. The correct order of steps when admitting a laboring patient.