Test Bank f
Old's Maternal-Newborn Nursing and Women's
f f f f
Health,11e (Davidson/London/Ladewig)
f f f
Chapter 1 : Contemporary Maternal-Newborn Nursing
f f f f f
1) The nurse is speaking to students about changes in maternal-
f f f f f f f f f
newborn care. One change is that self-care has gained wide
f f f f f f f f f f
acceptance with clients and the healthcare community due
f f f f f f f f
toresearchfindings that suggest that it has which effect?
f f f f f f f f f
A) Shortens newborn length of stay f f f f
B) Decreases use of home health agencies f f f f f
C) Decreases healthcare costs f f
D) Decreases the number of emergency department f f f f f
f visitsAnswer: C .
f f f
Explanation: A) Length of stay is often determined by third-party payer (insurance company) policiesas
f f f f f f f f f f f f f f
well as the physiologic stability of the mother and newborn. Home healthcare agencies often are
f f f f f f f f f f f f f f f
involved in client care to decrease hospital stay time.
f f f f f f f f f
B) Home healthcare agencies often are involved in client care to decrease hospital stay time.
f f f f f f f f f f f f f
C) Research indicates that self-care significantly decreases healthcare costs.
f f f f f f f
D) Acute emergencies are addressed by emergency departments, and are not delayed by
f f f f f f f f f f f
thosepracticing self-care.
f f f
Page Ref: 3 f f
Cognitive Level: Understanding f f
Client Need/Sub: Health Promotion and Maintenance: Self-Care
f f f f f f
Standards: QSEN Competencies: I.A.2. Describe strategies to empower patients or families in all
f f f f f f f f f f f f
aspects of the healthcare process. | AACN Essentials Competencies: IX.7. Provide appropriate patient
f f f f f f f f f f f f f
teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health
f f f f f f f f f f f f
literacy considerations to foster patient engagement in their care. | NLN Competencies: Context and
f f f f f f f f f f f f f f
Environment: Health care economic policy; reimbursement structures; accreditation standards;
f f f f f f f f f
staffingmodels and productivity; supply chain models | Nursing/Integrated Concepts: Nursing Process:
f f f f f f f f f f f f
Planning.
f
Learning Outcome: 1 Discuss the impact of the self-care movement on contemporary childbirth.MNL
f f f f f f f f f f f f f
LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f
1
,2) Care delivered by nurse-midwives can be safe and effective and can represent a positive response
f f f f f f f f f f f f f f
tothe healthcare provider shortage. Nurse-midwives tend to use less technology, which often results in
f f f f f f f f f f f f f f f
which of the following?
f f f f
A) There is less trauma to the mother. f f f f f f
B) More childbirth education classes are available.
f f f f f
C) They are instrumental in providing change in the birth environment at work.
f f f f f f f f f f f
D) They advocate for more home healthcare
f f f f f
agencies.Answer: A
f f f
Explanation: A) Nurse-midwife models of care can be one way to ensure that mothers
f f f f f f f f f f f f f
receiveexcellent prenatal and intrapartum care.
f f f f f f
B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide
f f f f f f f f f f f f
childbirthclasses for expectant families.
f f f f f
C) By working with other staff members and doctors, the nurse-midwife is able to implement changesas
f f f f f f f f f f f f f f f
needed within the birthing unit.
f f f f f
D) Clients are increasingly going home sooner, so there needs to be more follow-up in the
f f f f f f f f f f f f f f
home.Page Ref: 3
f f f f
Cognitive Level: Understanding f f
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
f f f f f f f f
Standards: QSEN Competencies: III.A. 6. Describe how the strength and relevance of available
f f f f f f f f f f f f f
evidence influences the choice of interventions in provision of patient-centered care. | AACN
f f f f f f f f f f f f f
Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that
f f f f f f f f f f
respects patient and family preferences. | NLN Competencies: Context and Environment: Read
f f f f f f f f f f f f
andinterpret data; apply health promotion/disease prevention strategies; apply health policy; conduct
f f f f f f f f f f f f
population-based transcultural health assessments and interventions. | Nursing/Integrated
f f f f f f f f
Concepts:Nursing Process: Planning.
f f f f
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
f f f f f f f f f f
nurse.MNL LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f f f
2
,3) The nurse is telling a new client how advanced technology has permitted the physician to do whichof
f f f f f f f f f f f f f f f f f
the following?
f f
A) Treat the fetus and monitor fetal development.
f f f f f f
B) Deliver at home with a nurse-midwife and doula.
f f f f f f f
C) Have the father act as the coach and cut the umbilical cord.
f f f f f f f f f f f
D) Breastfeed a new baby on the delivery f f f f f f
table.Answer: A
f f f
Explanation: A) The fetus is increasingly viewed as a patient separate from the mother, althoughtreatment
f f f f f f f f f f f f f f f
of the fetus necessarily involves the mother.
f f f f f f f
B) A nurse-midwife and a doula are not examples of technological care.
f f f f f f f f f f
C) Fathers being present during labor and coaching their partners represents nontechnological
f f f f f f f f f f
careduring childbirth.
f f f
D) Breastfeeding is not an example of technology impacting f f f f f f f
care.Page Ref: 2—3
f f f f
Cognitive Level: Understanding f f
Client Need/Sub: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Standards: QSEN Competencies: I.B.10. Engage patients or designated surrogates in active partnerships
f f f f f f f f f f f
that promote health, safety and well-being, and self-care management. | AACN Essentials
f f f f f f f f f f f f
Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects
f f f f f f f f f
patientand family preferences. | NLN Competencies: Teamwork: Scope of practice, roles, and
f f f f f f f f f f f f f
responsibilitiesof health care team members, including overlaps. | Nursing/Integrated Concepts: Nursing
f f f f f f f f f f f f
Process: Implementation.
f f
Learning Outcome: 6 Evaluate the potential impact of some of the special situations in
f f f f f f f f f f f f f
contemporarymaternity care.
f f f
MNL LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f
3
, 4) A nurse is examining different nursing roles. Which example best illustrates an advanced
f f f f f f f f f f f f
practicenursing role?
f f f
A) A registered nurse who is the manager of a large obstetrical unit
f f f f f f f f f f f
B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
f f f f f f f f f f f f
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit
f f f f f f f f f f f f
D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
f f f f f f f f f f f f f f f
riskinfants
f
Answer: D f
Explanation: A) A registered nurse who is the manager of a large obstetrical unit is a professionalnurse
f f f f f f f f f f f f f f f f f
who has graduated from an accredited program in nursing and completed the licensure examination.
f f f f f f f f f f f f f f
B) A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a
f f f f f f f f f f f f f f
professional nurse who has graduated from an accredited program in nursing and completed
f f f f f f f f f f f f f
thelicensure examination.
f f f
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit might have the
f f f f f f f f f f f f f f f
qualifications for an advanced practice nursing staff member but is not working in that capacity.
f f f f f f f f f f f f f f f
D) A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
f f f f f f f f f f f f f f
infants is working in an advanced practice nursing role. This nurse has specialized knowledge
f f f f f f f f f f f f f f
andcompetence in a specific clinical area, and is master's prepared.
f f f f f f f f f f f
Page Ref: 5 f f
Cognitive Level: Understanding f f
Client Need/Sub: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
f f f f f f f f f f f f
members. | AACN Essentials Competencies: VI. 6. Compare/contrast the roles and perspectives of
f f f f f f f f f f f f f
thenursing profession with other care professionals on the healthcare team (i.e. scope of discipline,
f f f f f f f f f f f f f f f
education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles,
f f f f f f f f f f f f
andresponsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:
f f f f f f f f f f f f
Nursing Process: Assessment.
f f f
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
f f f f f f f f f f
nurse.MNL LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f f f
4
Old's Maternal-Newborn Nursing and Women's
f f f f
Health,11e (Davidson/London/Ladewig)
f f f
Chapter 1 : Contemporary Maternal-Newborn Nursing
f f f f f
1) The nurse is speaking to students about changes in maternal-
f f f f f f f f f
newborn care. One change is that self-care has gained wide
f f f f f f f f f f
acceptance with clients and the healthcare community due
f f f f f f f f
toresearchfindings that suggest that it has which effect?
f f f f f f f f f
A) Shortens newborn length of stay f f f f
B) Decreases use of home health agencies f f f f f
C) Decreases healthcare costs f f
D) Decreases the number of emergency department f f f f f
f visitsAnswer: C .
f f f
Explanation: A) Length of stay is often determined by third-party payer (insurance company) policiesas
f f f f f f f f f f f f f f
well as the physiologic stability of the mother and newborn. Home healthcare agencies often are
f f f f f f f f f f f f f f f
involved in client care to decrease hospital stay time.
f f f f f f f f f
B) Home healthcare agencies often are involved in client care to decrease hospital stay time.
f f f f f f f f f f f f f
C) Research indicates that self-care significantly decreases healthcare costs.
f f f f f f f
D) Acute emergencies are addressed by emergency departments, and are not delayed by
f f f f f f f f f f f
thosepracticing self-care.
f f f
Page Ref: 3 f f
Cognitive Level: Understanding f f
Client Need/Sub: Health Promotion and Maintenance: Self-Care
f f f f f f
Standards: QSEN Competencies: I.A.2. Describe strategies to empower patients or families in all
f f f f f f f f f f f f
aspects of the healthcare process. | AACN Essentials Competencies: IX.7. Provide appropriate patient
f f f f f f f f f f f f f
teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health
f f f f f f f f f f f f
literacy considerations to foster patient engagement in their care. | NLN Competencies: Context and
f f f f f f f f f f f f f f
Environment: Health care economic policy; reimbursement structures; accreditation standards;
f f f f f f f f f
staffingmodels and productivity; supply chain models | Nursing/Integrated Concepts: Nursing Process:
f f f f f f f f f f f f
Planning.
f
Learning Outcome: 1 Discuss the impact of the self-care movement on contemporary childbirth.MNL
f f f f f f f f f f f f f
LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f
1
,2) Care delivered by nurse-midwives can be safe and effective and can represent a positive response
f f f f f f f f f f f f f f
tothe healthcare provider shortage. Nurse-midwives tend to use less technology, which often results in
f f f f f f f f f f f f f f f
which of the following?
f f f f
A) There is less trauma to the mother. f f f f f f
B) More childbirth education classes are available.
f f f f f
C) They are instrumental in providing change in the birth environment at work.
f f f f f f f f f f f
D) They advocate for more home healthcare
f f f f f
agencies.Answer: A
f f f
Explanation: A) Nurse-midwife models of care can be one way to ensure that mothers
f f f f f f f f f f f f f
receiveexcellent prenatal and intrapartum care.
f f f f f f
B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide
f f f f f f f f f f f f
childbirthclasses for expectant families.
f f f f f
C) By working with other staff members and doctors, the nurse-midwife is able to implement changesas
f f f f f f f f f f f f f f f
needed within the birthing unit.
f f f f f
D) Clients are increasingly going home sooner, so there needs to be more follow-up in the
f f f f f f f f f f f f f f
home.Page Ref: 3
f f f f
Cognitive Level: Understanding f f
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
f f f f f f f f
Standards: QSEN Competencies: III.A. 6. Describe how the strength and relevance of available
f f f f f f f f f f f f f
evidence influences the choice of interventions in provision of patient-centered care. | AACN
f f f f f f f f f f f f f
Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that
f f f f f f f f f f
respects patient and family preferences. | NLN Competencies: Context and Environment: Read
f f f f f f f f f f f f
andinterpret data; apply health promotion/disease prevention strategies; apply health policy; conduct
f f f f f f f f f f f f
population-based transcultural health assessments and interventions. | Nursing/Integrated
f f f f f f f f
Concepts:Nursing Process: Planning.
f f f f
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
f f f f f f f f f f
nurse.MNL LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f f f
2
,3) The nurse is telling a new client how advanced technology has permitted the physician to do whichof
f f f f f f f f f f f f f f f f f
the following?
f f
A) Treat the fetus and monitor fetal development.
f f f f f f
B) Deliver at home with a nurse-midwife and doula.
f f f f f f f
C) Have the father act as the coach and cut the umbilical cord.
f f f f f f f f f f f
D) Breastfeed a new baby on the delivery f f f f f f
table.Answer: A
f f f
Explanation: A) The fetus is increasingly viewed as a patient separate from the mother, althoughtreatment
f f f f f f f f f f f f f f f
of the fetus necessarily involves the mother.
f f f f f f f
B) A nurse-midwife and a doula are not examples of technological care.
f f f f f f f f f f
C) Fathers being present during labor and coaching their partners represents nontechnological
f f f f f f f f f f
careduring childbirth.
f f f
D) Breastfeeding is not an example of technology impacting f f f f f f f
care.Page Ref: 2—3
f f f f
Cognitive Level: Understanding f f
Client Need/Sub: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Standards: QSEN Competencies: I.B.10. Engage patients or designated surrogates in active partnerships
f f f f f f f f f f f
that promote health, safety and well-being, and self-care management. | AACN Essentials
f f f f f f f f f f f f
Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects
f f f f f f f f f
patientand family preferences. | NLN Competencies: Teamwork: Scope of practice, roles, and
f f f f f f f f f f f f f
responsibilitiesof health care team members, including overlaps. | Nursing/Integrated Concepts: Nursing
f f f f f f f f f f f f
Process: Implementation.
f f
Learning Outcome: 6 Evaluate the potential impact of some of the special situations in
f f f f f f f f f f f f f
contemporarymaternity care.
f f f
MNL LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f
3
, 4) A nurse is examining different nursing roles. Which example best illustrates an advanced
f f f f f f f f f f f f
practicenursing role?
f f f
A) A registered nurse who is the manager of a large obstetrical unit
f f f f f f f f f f f
B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
f f f f f f f f f f f f
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit
f f f f f f f f f f f f
D) A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
f f f f f f f f f f f f f f f
riskinfants
f
Answer: D f
Explanation: A) A registered nurse who is the manager of a large obstetrical unit is a professionalnurse
f f f f f f f f f f f f f f f f f
who has graduated from an accredited program in nursing and completed the licensure examination.
f f f f f f f f f f f f f f
B) A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a
f f f f f f f f f f f f f f
professional nurse who has graduated from an accredited program in nursing and completed
f f f f f f f f f f f f f
thelicensure examination.
f f f
C) A clinical nurse specialist working as a staff nurse on a mother-baby unit might have the
f f f f f f f f f f f f f f f
qualifications for an advanced practice nursing staff member but is not working in that capacity.
f f f f f f f f f f f f f f f
D) A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
f f f f f f f f f f f f f f
infants is working in an advanced practice nursing role. This nurse has specialized knowledge
f f f f f f f f f f f f f f
andcompetence in a specific clinical area, and is master's prepared.
f f f f f f f f f f f
Page Ref: 5 f f
Cognitive Level: Understanding f f
Client Need/Sub: Safe and Effective Care Environment: Management of Care
f f f f f f f f f
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
f f f f f f f f f f f f
members. | AACN Essentials Competencies: VI. 6. Compare/contrast the roles and perspectives of
f f f f f f f f f f f f f
thenursing profession with other care professionals on the healthcare team (i.e. scope of discipline,
f f f f f f f f f f f f f f f
education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles,
f f f f f f f f f f f f
andresponsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:
f f f f f f f f f f f f
Nursing Process: Assessment.
f f f
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
f f f f f f f f f f
nurse.MNL LO: Recognize contemporary issues related to care of the childbearing family.
f f f f f f f f f f f f f
4
