OLDS’ MATERNAL-NEWBORN NURSING & WOMEN’S HEALTH
12TH EDITION /COMPLETE GUIDE 2024-2025
, Chapter 1
Question 1
Type: MCSA
The Professional nurse is speaking to learners about changes in maternal–newborn care. One change is that self-
care has gained wide acceptance with clients, the healthcare community, and third-party payers due to research
findings that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
CORRECT CHOICE:-3
Feedback 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in client care to
decrease hospital stay time.
Feedback 2: Home healthcare agencies often are involved in client care to decrease hospital stay time.
Feedback 3: Research indicates self-care significantly reduces healthcare costs.
Feedback 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
Professional nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
,4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
CORRECT CHOICE:-1,2,3,5
Feedback 1: Natural childbirth, if the client is able, is the safest method for the baby.
Feedback 2: It is appropriate for Professional nurses, in conjunction with doctors and hospitals, to provide
childbirth classes for the expectant families.
Feedback 3: By working with other staff and doctors, the Professional nurse is able to implement change as needed
within the birthing unit.
Feedback 4: Doulas are encouraged to be part of the birthing process as the client wishes. They are mainly there as a
coach.
Feedback 5: Clients are going home sooner all the time, so there needs to be more follow-up in the home.
Question 3
The Professional nurse is telling a new client how technology used in maternal–newborn care has changed the way
the Professional nurse cares for her clients. An example of this is:
1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a Professional nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeeding of the new baby on the delivery table.
CORRECT CHOICE:-1
Feedback 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
technologies that have affected the care in labor and delivery areas.
Feedback 2: A Professional nurse-midwife and a doula are not examples of technological care.
Feedback 3: Fathers’ being present during labor and coaching their partners represents nontechnological care during
childbirth.
Feedback 4: Breastfeeding is not an example of technology impacting care.
Question 4
, A Professional nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?
1. A registered Professional nurse who is the manager of a large obstetrical unit
2. A registered Professional nurse who is the circulating Professional nurse at surgical deliveries (cesarean sections)
3. A clinical Professional nurse specialist working as a staff Professional nurse on a motherbaby unit
4. A clinical Professional nurse specialist with whom other Professional nurses consult for her expertise in caring for high-
risk infants
CORRECT CHOICE:-4
Feedback 1: A registered Professional nurse who is the manager of a large obstetrical unit is a professional
Professional nurse who hasgraduated from an accredited program in nursing and completed the licensure
examination.
Feedback 2: A registered Professional nurse who is a circulating Professional nurse at surgical deliveries (cesarean
sections) is a professionalProfessional nurse who has graduated from an accredited program in nursing and
completed the licensure examination.
Feedback 3: A clinical Professional nurse specialist working as a staff Professional nurse on a mother–baby unit
might have thequalifications for an advanced practice nursing staff but is not working in that capacity.
Feedback 4: A clinical Professional nurse specialist with whom other Professional nurses consult for expertise in
caring for high-risk infants isworking in an advanced practice nursing role. This Professional nurse has specialized
knowledge and competence in a specific clinical area, and is master's-prepared.
Question 5
A nursing learner investigating potential career goals is strongly considering becoming a Professional nurse
practitioner (NP). The major focus of the NP is on:
1. Leadership.
2. Physical and psychosocial clinical assessment.
12TH EDITION /COMPLETE GUIDE 2024-2025
, Chapter 1
Question 1
Type: MCSA
The Professional nurse is speaking to learners about changes in maternal–newborn care. One change is that self-
care has gained wide acceptance with clients, the healthcare community, and third-party payers due to research
findings that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
CORRECT CHOICE:-3
Feedback 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in client care to
decrease hospital stay time.
Feedback 2: Home healthcare agencies often are involved in client care to decrease hospital stay time.
Feedback 3: Research indicates self-care significantly reduces healthcare costs.
Feedback 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
Professional nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
,4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
CORRECT CHOICE:-1,2,3,5
Feedback 1: Natural childbirth, if the client is able, is the safest method for the baby.
Feedback 2: It is appropriate for Professional nurses, in conjunction with doctors and hospitals, to provide
childbirth classes for the expectant families.
Feedback 3: By working with other staff and doctors, the Professional nurse is able to implement change as needed
within the birthing unit.
Feedback 4: Doulas are encouraged to be part of the birthing process as the client wishes. They are mainly there as a
coach.
Feedback 5: Clients are going home sooner all the time, so there needs to be more follow-up in the home.
Question 3
The Professional nurse is telling a new client how technology used in maternal–newborn care has changed the way
the Professional nurse cares for her clients. An example of this is:
1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a Professional nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeeding of the new baby on the delivery table.
CORRECT CHOICE:-1
Feedback 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
technologies that have affected the care in labor and delivery areas.
Feedback 2: A Professional nurse-midwife and a doula are not examples of technological care.
Feedback 3: Fathers’ being present during labor and coaching their partners represents nontechnological care during
childbirth.
Feedback 4: Breastfeeding is not an example of technology impacting care.
Question 4
, A Professional nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role?
1. A registered Professional nurse who is the manager of a large obstetrical unit
2. A registered Professional nurse who is the circulating Professional nurse at surgical deliveries (cesarean sections)
3. A clinical Professional nurse specialist working as a staff Professional nurse on a motherbaby unit
4. A clinical Professional nurse specialist with whom other Professional nurses consult for her expertise in caring for high-
risk infants
CORRECT CHOICE:-4
Feedback 1: A registered Professional nurse who is the manager of a large obstetrical unit is a professional
Professional nurse who hasgraduated from an accredited program in nursing and completed the licensure
examination.
Feedback 2: A registered Professional nurse who is a circulating Professional nurse at surgical deliveries (cesarean
sections) is a professionalProfessional nurse who has graduated from an accredited program in nursing and
completed the licensure examination.
Feedback 3: A clinical Professional nurse specialist working as a staff Professional nurse on a mother–baby unit
might have thequalifications for an advanced practice nursing staff but is not working in that capacity.
Feedback 4: A clinical Professional nurse specialist with whom other Professional nurses consult for expertise in
caring for high-risk infants isworking in an advanced practice nursing role. This Professional nurse has specialized
knowledge and competence in a specific clinical area, and is master's-prepared.
Question 5
A nursing learner investigating potential career goals is strongly considering becoming a Professional nurse
practitioner (NP). The major focus of the NP is on:
1. Leadership.
2. Physical and psychosocial clinical assessment.
