MATERNAL NEWBORN CHAPTER 1
Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases
healthcare costs. - answer-1) The nurse is speaking to students about
changes in maternal-newborn care. One change is that self-care has gained
wide acceptance with clients and the healthcare community due to research
findings that suggest that it has which effect?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits
Answer: 1
Explanation: 1. Nurse-midwife models of care can be one way to ensure that
mothers receive excellent prenatal and intrapartum care. - answer-2) Care
delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse midwives tend
to use less technology, which often results in which of the following?
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at
work.
4. They advocate for more home healthcare agencies.
Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from
the mother, although treatment of the fetus necessarily involves the mother.
- answer-3) The nurse is telling a new client how advanced technology has
permitted the physician to do which of the following?
1. Treat the fetus and monitor fetal development.
,2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table.
Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for
expertise in caring for high-risk infants is working in an advanced practice
nursing role. This nurse has specialized knowledge and competence in a
specific clinical area, and is masters prepared. - answer-4) A nurse is
examining different nursing roles. Which example best illustrates an
advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries
(cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise
in caring for high-risk infants
Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major
focus of the NP. - answer-5) A nursing student investigating potential career
goals is strongly considering becoming a nurse practitioner (NP). The major
focus of the NP is on which of the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention
Answer: 1, 3, 5
Explanation: 1. A CNM is prepared to manage independently the care of
women at low risk for complications during pregnancy and birth and the care
of healthy newborns.
, 3. A CNM is prepared to manage independently the care of women at low risk
for complications during pregnancy and birth and the care of healthy
newborns.
5. The CNM is educated in the disciplines of nursing and midwifery. - answer-
6) The nurse manager is consulting with a certified nurse-midwife about a
client. What is the role of the CNM?
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for
complications during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing.
Answer: 4
Explanation: 4. A nurse practitioner has completed either a masters or
doctoral degree in nursing and passed a certification exam, and functions as
an advanced practice nurse. Ambulatory care settings and the community
are common sites for nurse practitioners to provide client care. - answer-7)
The registered nurse who has completed a masters degree program and
passed a national certification exam has clinic appointments with clients who
are pregnant or seeking well-woman care. What would the role of this nurse
be considered?
1. Professional nurse
2. Certified registered nurse (RNC)
3. Clinical nurse specialist
4. Nurse practitioner
Answer: 1, 2, 3
Explanation: 1. A nurse practitioner must have additional education and
experience to hold advanced practice status.
Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases
healthcare costs. - answer-1) The nurse is speaking to students about
changes in maternal-newborn care. One change is that self-care has gained
wide acceptance with clients and the healthcare community due to research
findings that suggest that it has which effect?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits
Answer: 1
Explanation: 1. Nurse-midwife models of care can be one way to ensure that
mothers receive excellent prenatal and intrapartum care. - answer-2) Care
delivered by nurse-midwives can be safe and effective and can represent a
positive response to the healthcare provider shortage. Nurse midwives tend
to use less technology, which often results in which of the following?
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at
work.
4. They advocate for more home healthcare agencies.
Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from
the mother, although treatment of the fetus necessarily involves the mother.
- answer-3) The nurse is telling a new client how advanced technology has
permitted the physician to do which of the following?
1. Treat the fetus and monitor fetal development.
,2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table.
Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for
expertise in caring for high-risk infants is working in an advanced practice
nursing role. This nurse has specialized knowledge and competence in a
specific clinical area, and is masters prepared. - answer-4) A nurse is
examining different nursing roles. Which example best illustrates an
advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries
(cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise
in caring for high-risk infants
Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major
focus of the NP. - answer-5) A nursing student investigating potential career
goals is strongly considering becoming a nurse practitioner (NP). The major
focus of the NP is on which of the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention
Answer: 1, 3, 5
Explanation: 1. A CNM is prepared to manage independently the care of
women at low risk for complications during pregnancy and birth and the care
of healthy newborns.
, 3. A CNM is prepared to manage independently the care of women at low risk
for complications during pregnancy and birth and the care of healthy
newborns.
5. The CNM is educated in the disciplines of nursing and midwifery. - answer-
6) The nurse manager is consulting with a certified nurse-midwife about a
client. What is the role of the CNM?
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for
complications during pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing.
Answer: 4
Explanation: 4. A nurse practitioner has completed either a masters or
doctoral degree in nursing and passed a certification exam, and functions as
an advanced practice nurse. Ambulatory care settings and the community
are common sites for nurse practitioners to provide client care. - answer-7)
The registered nurse who has completed a masters degree program and
passed a national certification exam has clinic appointments with clients who
are pregnant or seeking well-woman care. What would the role of this nurse
be considered?
1. Professional nurse
2. Certified registered nurse (RNC)
3. Clinical nurse specialist
4. Nurse practitioner
Answer: 1, 2, 3
Explanation: 1. A nurse practitioner must have additional education and
experience to hold advanced practice status.
