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Newborn Nursing & Women's Health Across the Lif
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espan, .
11th Edition (Davidson),
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Chapters 1 - 36 | All Chapters Verified
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,TABLE OF CONTENTS
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, Chapter 1 .
Question.1.Type
:.MCSA
The.nurse.is.speaking.to.students.about.changes.in.maternal–newborn.care..One.change.is.that.self-
care.has.gained.wide.acceptance.with.patients,.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.ANSWER:.3
Rationale.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.healthca
re.agencies.often.are.involved.in.patient.care.to.decrease.hospital.stay.time.
Rationale.2:.Home.healthcare.agencies.often.are.involved.in.patient.care.to.decrease.hospital.stay.time.
Rationale.3:.Research.indicates.self-care.significantly.reduces.healthcare.costs.
Rationale.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.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.ANSWER:.1,2,3,5
Rationale.1:.Natural.childbirth,.if.the.patient.is.able,.is.the.safest.method.for.the.baby.
Rationale.2:.It.is.appropriate.for.nurses,.in.conjunction.with.doctors.and.hospitals,.to.provide.childbirth.classes.for.th
e.expectant.families.
Rationale.3:.By.working.with.other.staff.and.doctors,.the.nurse.is.able.to.implement.change.as.needed.within.the.birthing.
unit.
Rationale.4:.Doulas.are.encouraged.to.be.part.of.the.birthing.process.as.the.patient.wishes..They.are.mainly.there.as.a.c
oach.
Rationale.5:.Patients.are.going.home.sooner.all.the.time,.so.there.needs.to.be.more.follow-up.in.the.home.
Question.3
The.nurse.is.telling.a.new.patient.how.technology.used.in.maternal–
newborn.care.has.changed.the.way.the.nurse.cares.for.her.patients..An.example.of.this.is:
1. Elective.inductions,.requested.cesareans,.epidural.anesthesia,.and.fetal.monitoring.
2. Delivering.at.home.with.a.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.ANSWER:.1
Rationale.1:.Elective.inductions,.requested.cesareans,.epidural.anesthesia,.and.fetal.monitoring.are.all.recent.tech
nologies.that.have.affected.the.care.in.labor.and.delivery.areas.
Rationale.2:.A.nurse-midwife.and.a.doula.are.not.examples.of.technological.care.
Rationale.3:.Fathers’.being.present.during.labor.and.coaching.their.partners.represents.nontechnological.care.during.
childbirth.
Rationale.4:.Breastfeeding.is.not.an.example.of.technology.impacting.care.
Question.4