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CONTENTS
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Chapter1 a
Question 1 a
Type:MCSA
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The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has gained wide
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acceptance with patients, the healthcare community, and third-partypayers due to research findings that suggest that it:
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1. Shortens newborn length ofstay. a a a a
2. Decreases use of home health agencies. a a a a a
3. Reduces healthcare costs. a a
4. Decreases the number ofemergency department visits. a a a a a a
CORRECT ANSWER: 3 a a
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as physiologic
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stability of the mother and newborn. Home healthcare agencies often are involved in patient care to decrease hospital
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stay time.
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Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital staytime.
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Rationale 3: Research indicates self-care significantly reduces healthcare costs.
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Rationale 4:Acute emergencies are addressed by emergency departments, and are not delayed by those practicing self-care.
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Question 2 a
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the nurse
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should take which actions?
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StandardText: Select allthat apply.
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1. Advocate within the community for natural childbirth.a a a a a a
2. Make childbirth education classes available.
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3. Be instrumental in providing change in the birth environment at work.
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, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
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5. Advocate for more home healthcare agencies.
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CORRECT ANSWER: 1,2,3,5 a a
Rationale 1: Natural childbirth, ifthe patient is able, is the safest method for the baby.
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Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes for the
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expectant families.
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Rationale 3: Byworking with other staff and doctors, the nurse is able to implement change as needed within the birthing
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unit.
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Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly there as a
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coach.
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Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
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Question 3 a
The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nurse cares for
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her patients.An example of this is:
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1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
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2. Delivering at home with a nurse-midwife and doula.
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3. Having the father present asthe coach and cut the umbilical cord.
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4. Breastfeeding of the new babyon the delivery table. a a a a a a a a
CORRECT ANSWER: 1 a a
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
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atechnologies that have affected the care in labor and delivery areas.
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Rationale 2:Anurse-midwife and a doula are not examples of technological care.
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Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnological care
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childbirth.
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Rationale 4: Breastfeeding is not an example oftechnology impacting care.
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Question 4 a
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