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TEST BANK - Olds' Maternal-Newborn Nursing & Women's Health Across the Lifespan, 11th Edition (Davidson), Chapters 1 - 36 | All Chapters Verified

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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 healthcare 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.

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TEST BANK - Olds' Maternal-Newborn Nursing
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified

,TABLE OF CONTENTS

, 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 healthcare 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.

Questionaj2

Inajorderajtoajcombatajtheajimpersonalajnatureajofajtechnologyajthatajsometimesajinterferesajwithajfamily-
focusedajcare,ajthejna urseajshouldajtakeajwhichajactions?

StandardajText:ajSelectajallajthatajapply.

1. Advocateajwithinajtheajcommunityajforajnaturalajchildbirth.

2. Makeajchildbirthajeducationajclassesajavailable.

3. Beajinstrumentalajinajprovidingajchangeajinajtheajbirthajenvironmentajatajwork.

, 4. Suggestajthatajdoulasajnotajbeajallowedajtoajinterfereajwithajtheajchildbirthajprocess.

5. Advocateajforajmoreajhomeajhealthcareajagencies.

CORRECTajANSWER:aj1,2,3,5

Rationaleaj1:ajNaturalajchildbirth,ajifajtheajpatientajisajable,ajisajtheajsafestajmethodajforajtheajbaby.

Rationaleaj2:ajItajisajappropriateajforajnurses,ajinajconjunctionajwithajdoctorsajandajhospitals,ajtoajprovideajchildbirthajclass
esjaforajtheajexpectantajfamilies.

Rationaleaj3:ajByajworkingajwithajotherajstaffajandajdoctors,ajtheajnurseajisajableajtoajimplementajchangeajasajneededajwithinajtheja
birthingajunit.

Rationaleaj4:ajDoulasajareajencouragedajtoajbeajpartajofajtheajbirthingajprocessajasajtheajpatientajwishes.ajTheyajareajmainlyajth
erejaasajaajcoach.

Rationaleaj5:ajPatientsajareajgoingajhomeajsoonerajallajtheajtime,ajsoajthereajneedsajtoajbeajmoreajfollow-upajinajtheajhome.

Questionaj3

Theajnurseajisajtellingajaajnewajpatientajhowajtechnologyajusedajinajmaternal–
newbornajcareajhasajchangedajtheajwayajtheajnursejca aresajforajherajpatients.ajAnajexampleajofajthisajis:

1. Electiveajinductions,ajrequestedajcesareans,ajepiduralajanesthesia,ajandajfetalajmonitoring.

2. Deliveringajatajhomeajwithajaajnurse-midwifeajandajdoula.

3. Havingajtheajfatherajpresentajasajtheajcoachajandajcutajtheajumbilicalajcord.

4. Breastfeedingajofajtheajnewajbabyajonajtheajdeliveryajtable.

CORRECTajANSWER:aj1

Rationaleaj1:ajElectiveajinductions,ajrequestedajcesareans,ajepiduralajanesthesia,ajandajfetalajmonitoringajareajallajrece
ntjatechnologiesajthatajhaveajaffectedajtheajcareajinajlaborajandajdeliveryajareas.

Rationaleaj2:ajAajnurse-midwifeajandajaajdoulaajareajnotajexamplesajofajtechnologicalajcare.

Rationaleaj3:ajFathers‟ajbeingajpresentajduringajlaborajandajcoachingajtheirajpartnersajrepresentsajnontechnologicalajcarejda
uringajchildbirth.

Rationaleaj4:ajBreastfeedingajisajnotajanajexampleajofajtechnologyajimpactingajcare.


Questionaj4

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