TEST BANK;OLDS MATERNAL NEWBORN NURSING & WOMEN HEALTH ACROSS THE LIFESPAN 11TH EDITION

TEST BANK;OLDS MATERNAL NEWBORN NURSING & WOMEN HEALTH ACROSS THE LIFESPAN 11TH EDITION Table of Contents PART I: INTRODUCTION TO MATERNAL-NEWBORN NURSING 1. Contemporary Maternal-Newborn Nursing 2. Families, Cultures, and Complementary Therapies PART II: WOMEN’S HEALTH ACROSS THE LIFESPAN 3. Health Promotion 4. Family Planning 5. Commonly Occurring Infections 6. Women’s Health Problems 7. Social Issues 8. Violence Against Women PART III: HUMAN REPRODUCTION 9. Reproductive Physiology, Conception, and Fetal Development 10. Reproductive Genetics PART IV: PREGNANCY 11. Physical and Psychologic Changes of Pregnancy 12. Antepartum Nursing Assessment 13. The Expectant Family: Needs and Care 14. Maternal Nutrition 15. Pregnancy in Selected Populations 16. Assessment of Fetal Well-Being 17. Pregnancy at Risk: Pregestational Problems 18. Pregnancy at Risk: Gestational Onset PART V: LABOR AND BIRTH 19. Processes and Stages of Labor and Birth 20. Intrapartum Nursing Assessment 21. The Family in Childbirth: Needs and Care 22. Pharmacologic Pain Management 23. Childbirth at Risk: Prelabor Onset Complications 24. Childbirth at Risk: Labor-Related Complications 25. Birth-Related Procedures PART VI: THE NEWBORN 26. Physiologic Responses of the Newborn to Birth 27. Nursing Assessment of the Newborn 28. The Normal Newborn: Needs and Care 29. Newborn Nutrition 30. The Newborn at Risk: Conditions Present at Birth 31. The Newborn at Risk: Birth-Related Stressors PART VII: POSTPARTUM 32. Postpartum Adaptation and Nursing Assessment 33. The Postpartum Family: Needs and Care 34. Home Care of the Postpartum Family 35. The Postpartum Family at Risk 36. Grief and Loss in the Childbearing Family Old’s Maternal-Newborn Nursing and Women’s Health, 11e(Davidson/London/Ladewig) Chapter 1 Contemporary Maternal-Newborn Nursing 1) The nurse is speaking to students about changes in maternal-newborn care. One change is that self-care has gained wide acceptance with clients and the healthcarecommunity due to research findings that suggest that it has which effect? A) Shortens newborn length of stay B) Decreases use of home health agencies C) Decreases healthcare costs D) Decreases the number of emergency department visits Answer: C Explanation: A) Length of stay is often determined by third-party payer (insurance company) policies as well as the physiologic stability of the mother and newborn. Home healthcare agencies often are involved in client care to decrease hospital staytime. B) Home healthcare agencies often are involved in client care to decrease hospitalstay time. C) Research indicates that self-care significantly decreases healthcare costs. D) Acute emergencies are addressed by emergency departments, and are notdelayed by those practicing self-care. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Self-Care Standards: QSEN Competencies: Ⅰ.A.2. Describe strategies to empower patients orfamilies in all aspects of the healthcare process. | AACN Essentials Competencies: Ⅸ .7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care. | NLN Competencies: Context and Environment: Health careeconomic policy; reimbursement structures; accreditation standards; staffing models and productivity; supply chain models | Nursing/Integrated Concepts: Nursing Process:Planning. Learning Outcome: 1 Discuss the impact of the self-care movement on contemporary childbirth. MNL LO: Recognize contemporary issues related to care of the childbearing family. 2) Care delivered by nurse-midwives can be safe and effective and can represent a positive response to the healthcare provider shortage. Nurse-midwives tend to useless technology, which often results in which of the following? A) There is less trauma to the mother. B) More childbirth education classes are available. C) They are instrumental in providing change in the birth environment at work. D) They advocate for more home healthcare agencies. Answer: A Explanation: A) Nurse-midwife models of care can be one way to ensure that mothers receive excellent prenatal and intrapartum care. B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide childbirth classes for expectant families. C) By working with other staff members and doctors, the nurse-midwife is able to implement changes as needed within the birthing unit. D) Clients are increasingly going home sooner, so there needs to be more follow-upin the home. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Health Promotion/DiseasePrevention Standards: QSEN Competencies: Ⅲ.A.6. Describe how the strength and relevance of available evidence influences the choice of interventions in provision of patient-centeredcare. | AACN Essentials Competencies: Ⅸ. 5. Deliver compassionate, patient-centered,evidence-based care that respects patient and family preferences. | NLN Competencies: Context and Environment: Read and interpret data; apply health promotion/disease prevention strategies; apply health policy; conduct population-based transcultural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Planning. Learning Outcome: 2 Compare the nursing roles available to the maternal-newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 3) The nurse is telling a new client how advanced technology has permitted the physician to do which of the following? A) Treat the fetus and monitor fetal development. B) Deliver at home with a nurse-midwife and doula. C) Have the father act as the coach and cut the umbilical cord. D) Breastfeed a new baby on the delivery table. Answer: A Explanation: A) The fetus is increasingly viewed as a patient separate from the mother, although treatment of the fetus necessarily involves the mother. B) A nurse-midwife and a doula are not examples of technological care. C) Fathers being present during labor and coaching their partners represents nontechnological care during childbirth. D) Breastfeeding is not an example of technology impacting care. Page Ref: 2—3 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: Ⅰ.B.10. Engage patients or designated surrogatesin active partnerships that promote health, safety and well-being, and self-care management. | AACN Essentials Competencies: Ⅸ.5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of health careteam members, including overlaps. | Nursing/Integrated Concepts: Nursing Process: Implementation. Learning Outcome: 6 Evaluate the potential impact of some of the special situations in contemporary maternity care. MNL LO: Recognize contemporary issues related to care of the childbearing family. 4) A nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role? A) A registered nurse who is the manager of a large obstetrical unit B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections) C) A clinical nurse specialist working as a staff nurse on a mother-baby unit D) A clinical nurse specialist with whom other nurses consult for her expertise incaring for high-risk infants Answer: D Explanation: A) A registered nurse who is the manager of a large obstetrical unit is a professionalnurse who has graduated from an accredited program in nursing and completed the licensure examination. B) A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a professional nurse who has graduated from an accredited programin nursing and completed the licensure examination. C) A clinical nurse specialist working as a staff nurse on a mother-baby unit might have the qualifications for an advanced practice nursing staff member but is notworking in that capacity. D) A clinical nurse specialist with whom other nurses consult for expertise in caringfor high-risk infants is working in an advanced practice nursing role. This nurse has specialized knowledge and competence in a specific clinical area, and is master’s prepared. Page Ref: 5 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roles of healthcare team members. | AACN Essentials Competencies: Ⅵ. 6. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on thehealthcare team (i.e. scope of discipline, education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts: Nursing Process: Assessment. Learning Outcome: 2 Compare the nursing roles available to the maternal-newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 5) A nursing student investigating potential career goals is strongly considering becoming a nurse practitioner (NP). The major focus of the NP is on which of thefollowing? A) Leadership B) Physical and psychosocial clinical assessment C) Independent care of the high-risk pregnant client D) Tertiary prevention Answer: B Explanation: A) Leadership might be a quality of the NP, but it is not the major focus. B) Physical and psychosocial clinical assessment is the major focus of the NP. C) NPs cannot provide independent care of the high-risk pregnant client, but mustwork under a physician’s supervision. D) The NP cannot do tertiary prevention as a major focus. Page Ref: 5 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roles of healthcare team members. | AACN Essentials Competencies: Ⅵ. 2. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on thehealthcare team (i.e. scope of discipline, education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts: Nursing Process: Assessment. Learning Outcome: 2 Compare the nursing roles available to the maternal-newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 6) The nurse manager is consulting with a certified nurse-midwife about a client. Whatis the role of the CNM? Note: Credit will be given only if all correct choices and no incorrect choices areselected. Select all that apply. A) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. B) Give primary care for high-risk clients who are in hospital settings. C) Give primary care for healthy newborns. D) Obtain a physician consultation for any technical procedures at delivery. E) Be educated in two disciplines of nursing. Answer: A, C, E Explanation: A) A CNM is prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns. B) CNMs cannot give primary care for high-risk clients who are in hospital settings.The physician provides the primary care. C) A CNM is prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns. D) The CNM does not need to obtain a physician consultation for any technical procedures at delivery. E) The CNM is educated in the disciplines of nursing and midwifery. Page Ref: 5 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: Ⅱ.A.2. Describe scopes of practice and roles of healthcare team members. | AACN Essentials Competencies: Ⅵ. 1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on thehealthcare team (i.e. scope of discipline, education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts: Nursing Process: Planning. Learning Outcome: 2 Compare the nursing roles available to the maternal-newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family.