Davidson/London/Ladewig, Olds’ Maternal– r r
Newborn Nursing and Women’sHealth Across the Lifespan 9th Edition Test
r r r r r r r r r r r
Bank
Chapter 1 r
Questionr1rType
:rMCSA
Thernurserisrspeakingrtorstudentsraboutrchangesrinrmaternal–newbornrcare.rOnerchangerisrthatrself-
carerhasrgainedrwideracceptancerwithrpatients,rtherhealthcarercommunity,randrthird-
partyrpayersrduertorresearchrfindingsrthatrsuggestrthatrit:
1. Shortensrnewbornrlengthrofrstay.
2. Decreasesruserofrhomerhealthragencies.
3. Reducesrhealthcarercosts.
4. Decreasesrthernumberrofremergencyrdepartmentrvisits.
CorrectrAnswer:r3
Rationaler1:rLengthrofrstayrisroftenrdeterminedrbyrthird-
partyrpayerr(insurancercompany)rpoliciesrasrwellrasrphysiologicrstabilityrofrthermotherrandrnewborn.rHomerhealthc
areragenciesroftenrarerinvolvedrinrpatientrcarertordecreaserhospitalrstayrtime.
Rationaler2:rHomerhealthcareragenciesroftenrarerinvolvedrinrpatientrcarertordecreaserhospitalrstayrtime.
Rationaler3:rResearchrindicatesrself-carersignificantlyrreducesrhealthcarercosts.
Rationaler4:rAcuteremergenciesrareraddressedrbyremergencyrdepartments,randrarernotrdelayedr byrthoserpracticingrself-
care.
Questionr2
Inrorderrtorcombatrtherimpersonalrnaturerofrtechnologyrthatrsometimesrinterferesrwithrfamily-
focusedrcare,rthernursershouldrtakerwhichractions?
StandardrText:rSelectrallrthatrapply.
1. Advocaterwithinrthercommunityrforrnaturalrchildbirth.
2. Makerchildbirthreducationrclassesravailable.
3. Berinstrumentalrinrprovidingrchangerinrtherbirthrenvironmentratrwork.
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4. Suggestrthatrdoulasrnotrberallowedrtorinterfererwithrtherchildbirthrprocess.
5. Advocaterforrmorerhomerhealthcareragencies.
CorrectrAnswer:r1,2,3,5
Rationaler1:rNaturalrchildbirth,rifrtherpatientrisrable,risrthersafestrmethodrforrtherbaby.
Rationaler2:rItrisrappropriaterforrnurses,rinrconjunctionrwithrdoctorsrandrhospitals,rtorproviderchildbirthrclassesrforrt
herexpectantrfamilies.
Rationaler3:rByrworkingrwithrotherrstaffrandrdoctors,rthernurserisrablertorimplementrchangerasrneededrwithinrtherbirthin
grunit.
Rationaler4:rDoulasrarerencouragedrtorberpartrofrtherbirthingrprocessrasrtherpatientrwishes.rTheyrarermainlyrthererasrarc
oach.
Rationaler5:rPatientsrarergoingrhomersoonerrallrthertime,rsorthererneedsrtorbermorerfollow-uprinrtherhome.
Questionr3
Thernurserisrtellingrarnewrpatientrhowrtechnologyrusedrinrmaternal–
newbornrcarerhasrchangedrtherwayrthernursercaresrforrherrpatients.rAnrexamplerofrthisris:
1. Electiverinductions,rrequestedrcesareans,repiduralranesthesia,randrfetalrmonitoring.
2. Deliveringratrhomerwithrarnurse-midwiferandrdoula.
3. Havingrtherfatherrpresentrasrthercoachrandrcutrtherumbilicalrcord.
4. Breastfeedingrofrthernewrbabyronrtherdeliveryrtable.
CorrectrAnswer:r1
Rationaler1:rElectiverinductions,rrequestedrcesareans,repiduralranesthesia,randrfetalrmonitoringrarerallrrecentrtec
hnologiesrthatrhaveraffectedrthercarerinrlaborrandrdeliveryrareas.
Rationaler2:rArnurse-midwiferandrardoulararernotrexamplesrofrtechnologicalrcare.
Rationaler3:rFathers’rbeingrpresentrduringrlaborrandrcoachingrtheirrpartnersrrepresentsrnontechnologicalrcarerduringr
childbirth.
Rationaler4:rBreastfeedingrisrnotranrexamplerofrtechnologyrimpactingrcare.
Questionr4
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Arnurserisrexaminingrdifferentrnursingrroles.rWhichrexamplerbestrillustratesr anradvancedrpracticernursingrrole?
1. Arregisteredrnurserwhorisrthermanagerrofrarlargerobstetricalrunit
2. Arregisteredrnurserwhorisrthercirculatingrnurseratrsurgicalrdeliveriesr(cesareanrsections)
3. Arclinicalrnurserspecialistrworkingrasrarstaffrnurseronrarmotherbabyrunit
4. Arclinicalrnurserspecialistrwithrwhomrotherrnursesrconsultrforrherrexpertiserinrcaringrforrhigh-riskrinfants
CorrectrAnswer:r4
Rationaler1:rArregisteredrnurserwhorisrthermanagerrofrarlargerobstetricalrunitrisrarprofessionalrnurserwhorhasrgraduatedrfr
omranraccreditedrprogramrinrnursingrandrcompletedrtherlicensurerexamination.
Rationaler2:rArregisteredrnurserwhorisrarcirculatingrnurseratrsurgicalrdeliveriesr(cesareanrsections)risrarprofes
sionalrnurserwhorhasrgraduatedrfromranraccreditedrprogramrinrnursingrandrcompletedrtherlicensurerexaminati
on.
Rationaler3:rArclinicalrnurserspecialistrworkingrasrarstaffrnurseronrarmother–
babyrunitrmightrhavertherqualificationsrforranradvancedrpracticernursingrstaffrbutrisrnotrworkingrinrthatrcap
acity.
Rationaler4:rArclinicalrnurserspecialistrwithrwhomrotherrnursesrconsultrforrexpertiserinrcaringrforrhigh-
riskrinfantsrisrworkingrinranradvancedrpracticernursingrrole.rThisrnurserhasrspecializedrknowledgerandrcompetencerinra
rspecificr clinicalr area,randrisrmaster's-prepared.
Questionr5
Arnursingrstudentrinvestigatingrpotentialrcareerrgoalsrisrstronglyrconsideringrbecomingrarnurserpractitionerr(NP).rTherm
ajorrfocusrofrtherNPrisron:
1. Leadership.
2. Physicalrandrpsychosocialrclinicalrassessment.
3. Independentrcarerofrtherhigh-risk,rpregnantrpatient.
4. Tertiaryrprevention.
CorrectrAnswer:r2
Rationaler1:rLeadershiprmightrberarqualityrofrtherNP,rbutritrisrnotrthermajorrfocus.
Rationaler2:rPhysicalrandrpsychosocialrclinicalrassessmentrisrthermajorrfocusrofrthernurserpractitionerr(NP).
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Rationaler3:rNPsrcannotrproviderindependentrcarerofrtherhigh-
riskrpregnantrpatient,rbutrmustrworkrunderrarphysician'srsupervision.
Rationaler4:rTherNPrcannotrdortertiaryrpreventionrasrarmajorrfocus.
Questionr6
Thernursermanagerrisrconsultingrwithrarcertifiedrnurse–midwiferaboutrarpatient.rTherrolerofrtherCNMrisrto:
StandardrText:rSelectrallrthatrapply.
1. Berpreparedrtormanagerindependentlyrthercarerofrwomenratrlowrriskrforrcomplicationsrduringrpregnancyrandrbirt
h.
2. Giverprimaryrcarerforrhigh-riskrpatientsrwhorarerinrhospitalrsettings.
3. Giverprimaryrcarerforrhealthyrnewborns.
4. Obtainrarphysicianrconsultationrforranyrtechnicalrproceduresratrdelivery.
5. Bereducatedrinrtwordisciplinesrofrnursing.
CorrectrAnswer:r1,3,5
Rationaler1:rArCNMrisrpreparedrtormanagerindependentlyrthercarerofrwomenratrlowrriskrforrcomplicationsrduringrpregn
ancyrandrbirthrandrthercarerofrhealthyrnewborns.
Rationaler2:rCNMsrcannotrgiverprimaryrcarerforrhigh-
riskrpatientsrwhorarerinrhospitalrsettings.rTherphysicianrprovidesrtherprimaryrcare.
Rationaler3:rArCNMrisrpreparedrtormanagerindependentlyrthercarerofrwomenratrlowrriskrforrcomplicationsrduringrpregn
ancyrandrbirthrandrthercarerofrhealthyrnewborns.
Rationaler4:rTherCNMrdoesrnotrneedrtorobtainrarphysicianrconsultationrforranyrtechnicalrproceduresratrdelivery.
Rationaler5:rTherCNMrisreducatedrinrtherdisciplinesrofrnursingrandrmidwifery.
Questionr7
Therregisteredrnurserwhorhasrcompletedrarmaster'srdegreerprogramrandrpassedrarnationalrcertificationrexamrhasrclini
crappointmentsrwithrpatientsrwhorarerpregnantrorrseekingrwell-
womanrcare.rTherrolerofrthisrnurserwouldrberconsidered:
1. Professionalrnurse.
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