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Chapter 1- Nursing Roles in Maternal Child Nursing exam| 21 questions with 100% correct answers(verified for accuracy)

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What role do nurses playing in inpatient and outpatient facilities? minimize psychologic and physical distress associated with reproductive issues What other responsibilities does the RN provide in settings? Collaborative Care: Function as part of multidisciplinary health team Case management: coordinate cost effective health care based on need Client education: client education is major component of maternal-child nursing What are the nurse practitioners responsibilities within the healthcare team? -Focus on physical and psychosocial assessments: conduct some diagnostic tests and procedures, obtain historical information, perform comprehensive physical examinations -Make Clinical Judgements based on data -Treatment: provide treatment regimens for diagnosed conditions -Collaborative practice: Seek physician consultation when necessary Certified Nurse-Midwives responsibilities within the healthcare team? -Manages independently: client with low-risk pregnancy, normal newborn -Collaborative Practice: refers to high risk cases to physician when in doubt -Treatment: provides treatment for childbirth-related problems What is the clinical nurse specialists (CNS) function in maternal newborn settings? -they have a master's degree and specialized knowledge; competent in specific clinical area -Often work with maternal-newborn clients on various units (ICU, peds, mother-baby) -Assist unit staff to provide evidence based care What is the responsibility of the nurse researcher? -assume the leadership role in generating new research -usually has advanced doctoral degree -typically found in the university setting True or False: Primary care: Services best provided in community-based settings; cost effective True What is the focus of primary care? health promotion, illness prevention, responsibilities for one's own health What are third-party payers and managed care organizations beginning to recognize? importance of primary care in containing costs What is a challenge that managed care organizations face? how to relate to essential community providers of care True or False: community based care is important for childbearing families that are underinsured or uninsured; geared towards needs of a specific populations True Where does community based care take place? -Clinics -Offices -Community based organizations -Private homes (enables infants, children and women to remain at home with conditions that formerly would have required hospitalization) What percent was without health insurance in 2010? 18.2% what percentage of pregnant women in the US who had live births, began prenatal care in the first trimester? 70.7% What ethnicities are more likely to receive early and adequate prenatal care? African american, hispanic and native american What are the obstacles that poor children face? more likely to be uninsured, and obtain basic preventative health care including immunizations How many ppl are without health insurance in US? 48.3 million, 18.2% What is the available insurance for people living in poverty? -Medicaid is more prevalent form of insurance -Medicaid and CHIP cover 17% if the population under age 65 Nurses responsibilities when it comes to insurance -identify types of clients who access services -determine the relationship between interventions and outcomes -determine case loads or staffing and/or equipment needs What are the potential dilemmas in maternal-child nursing? may arise conflict due to conflict and having two clients in one body, caregivers must respect the clients autonomy, clients must never be abandoned regardless of a nurse's beliefs What does EBP do for nursing? Nursing interventions supported by current valid research It provides a useful approach to problem solving/decision making; self-directed, patient-centered, life-long learning Builds on actions necessary to transform research findings into clinical practice

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