Test bank for olds maternal newborn nursing women s health across the lifespan 11th edition davidson

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Davidson/London/Ladewig, Olds’ Maternal– Z Z



Newborn Nursing and Women’sHealth Across the Lifespan 9th Edition Te
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st Bank
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Chapter 1 Z



QuestionZ1ZTyp
e:ZMCSA

TheZnurseZisZspeakingZtoZstudentsZaboutZchangesZinZmaternal–newbornZcare.ZOneZchangeZisZthatZself-
careZhasZgainedZwideZacceptanceZwithZpatients,ZtheZhealthcareZcommunity,ZandZthird-
partyZpayersZdueZtoZresearchZfindingsZthatZsuggestZthatZit:

1. ShortensZnewbornZlengthZofZstay.

2. DecreasesZuseZofZhomeZhealthZagencies.

3. ReducesZhealthcareZcosts.

4. DecreasesZtheZnumberZofZemergencyZdepartmentZvisits.

CorrectZAnswer:Z3

RationaleZ1:ZLengthZofZstayZisZoftenZdeterminedZbyZthird-
partyZpayerZ(insuranceZcompany)ZpoliciesZasZwellZasZphysiologicZstabilityZofZtheZmotherZandZnewborn.ZHomeZhe
althcareZagenciesZoftenZareZinvolvedZinZpatientZcareZtoZdecreaseZhospitalZstayZtime.

RationaleZ2:ZHomeZhealthcareZagenciesZoftenZareZinvolvedZinZpatientZcareZtoZdecreaseZhospitalZstayZtime.

RationaleZ3:ZResearchZindicatesZself-careZsignificantlyZreducesZhealthcareZcosts.

RationaleZ4:ZAcuteZemergenciesZareZaddressedZbyZemergencyZdepartments,ZandZareZnotZdelayedZbyZthoseZpracticingZ
self-care.

QuestionZ2

InZorderZtoZcombatZtheZimpersonalZnatureZofZtechnologyZthatZsometimesZinterferesZwithZfamily-
focusedZcare,ZtheZnurseZshouldZtakeZwhichZactions?

StandardZText:ZSelectZallZthatZapply.

1. AdvocateZwithinZtheZcommunityZforZnaturalZchildbirth.

2. MakeZchildbirthZeducationZclassesZavailable.

3. BeZinstrumentalZinZprovidingZchangeZinZtheZbirthZenvironmentZatZwork.




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4. SuggestZthatZdoulasZnotZbeZallowedZtoZinterfereZwithZtheZchildbirthZprocess.

5. AdvocateZforZmoreZhomeZhealthcareZagencies.

CorrectZAnswer:Z1,2,3,5

RationaleZ1:ZNaturalZchildbirth,ZifZtheZpatientZisZable,ZisZtheZsafestZmethodZforZtheZbaby.

RationaleZ2:ZItZisZappropriateZforZnurses,ZinZconjunctionZwithZdoctorsZandZhospitals,ZtoZprovideZchildbirthZclasse
sZforZtheZexpectantZfamilies.

RationaleZ3:ZByZworkingZwithZotherZstaffZandZdoctors,ZtheZnurseZisZableZtoZimplementZchangeZasZneededZwithinZtheZbi
rthingZunit.

RationaleZ4:ZDoulasZareZencouragedZtoZbeZpartZofZtheZbirthingZprocessZasZtheZpatientZwishes.ZTheyZareZmainlyZther
eZasZaZcoach.

RationaleZ5:ZPatientsZareZgoingZhomeZsoonerZallZtheZtime,ZsoZthereZneedsZtoZbeZmoreZfollow-upZinZtheZhome.

QuestionZ3

TheZnurseZisZtellingZaZnewZpatientZhowZtechnologyZusedZinZmaternal–
newbornZcareZhasZchangedZtheZwayZtheZnurseZcaresZforZherZpatients.ZAnZexampleZofZthisZis:

1. ElectiveZinductions,ZrequestedZcesareans,ZepiduralZanesthesia,ZandZfetalZmonitoring.

2. DeliveringZatZhomeZwithZaZnurse-midwifeZandZdoula.

3. HavingZtheZfatherZpresentZasZtheZcoachZandZcutZtheZumbilicalZcord.

4. BreastfeedingZofZtheZnewZbabyZonZtheZdeliveryZtable.

CorrectZAnswer:Z1

RationaleZ1:ZElectiveZinductions,ZrequestedZcesareans,ZepiduralZanesthesia,ZandZfetalZmonitoringZareZallZrecent
technologiesZthatZhaveZaffectedZtheZcareZinZlaborZandZdeliveryZareas.
Z




RationaleZ2:ZAZnurse-midwifeZandZaZdoulaZareZnotZexamplesZofZtechnologicalZcare.

RationaleZ3:ZFathers’ZbeingZpresentZduringZlaborZandZcoachingZtheirZpartnersZrepresentsZnontechnologicalZcareZdur
ingZchildbirth.

RationaleZ4:ZBreastfeedingZisZnotZanZexampleZofZtechnologyZimpactingZcare.

QuestionZ4




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AZnurseZisZexaminingZdifferentZnursingZroles.ZWhichZexampleZbestZillustratesZanZadvancedZpracticeZnursingZrole?

1. AZregisteredZnurseZwhoZisZtheZmanagerZofZaZlargeZobstetricalZunit

2. AZregisteredZnurseZwhoZisZtheZcirculatingZnurseZatZsurgicalZdeliveriesZ(cesareanZsections)

3. AZclinicalZnurseZspecialistZworkingZasZaZstaffZnurseZonZaZmotherbabyZunit

4. AZclinicalZnurseZspecialistZwithZwhomZotherZnursesZconsultZforZherZexpertiseZinZcaringZforZhigh-riskZinfants

CorrectZAnswer:Z4

RationaleZ1:ZAZregisteredZnurseZwhoZisZtheZmanagerZofZaZlargeZobstetricalZunitZisZaZprofessionalZnurseZwhoZhasZgradu
atedZfromZanZaccreditedZprogramZinZnursingZandZcompletedZtheZlicensureZexamination.

RationaleZ2:ZAZregisteredZnurseZwhoZisZaZcirculatingZnurseZatZsurgicalZdeliveriesZ(cesareanZsections)ZisZaZpr
ofessionalZnurseZwhoZhasZgraduatedZfromZanZaccreditedZprogramZinZnursingZandZcompletedZtheZlicensureZe
xamination.

RationaleZ3:ZAZclinicalZnurseZspecialistZworkingZasZaZstaffZnurseZonZaZmother–
babyZunitZmightZhaveZtheZqualificationsZforZanZadvancedZpracticeZnursingZstaffZbutZisZnotZworkingZinZtha
tZcapacity.

RationaleZ4:ZAZclinicalZnurseZspecialistZwithZwhomZotherZnursesZconsultZforZexpertiseZinZcaringZforZhigh-
riskZinfantsZisZworkingZinZanZadvancedZpracticeZnursingZrole.ZThisZnurseZhasZspecializedZknowledgeZandZcompeten
ceZinZaZspecificZclinicalZarea,ZandZisZmaster's-prepared.

QuestionZ5

AZnursingZstudentZinvestigatingZpotentialZcareerZgoalsZisZstronglyZconsideringZbecomingZaZnurseZpractitionerZ(NP).ZT
heZmajorZfocusZofZtheZNPZisZon:

1. Leadership.

2. PhysicalZandZpsychosocialZclinicalZassessment.

3. IndependentZcareZofZtheZhigh-risk,ZpregnantZpatient.

4. TertiaryZprevention.

CorrectZAnswer:Z2

RationaleZ1:ZLeadershipZmightZbeZaZqualityZofZtheZNP,ZbutZitZisZnotZtheZmajorZfocus.

RationaleZ2:ZPhysicalZandZpsychosocialZclinicalZassessmentZisZtheZmajorZfocusZofZtheZnurseZpractitionerZ(NP).




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RationaleZ3:ZNPsZcannotZprovideZindependentZcareZofZtheZhigh-
riskZpregnantZpatient,ZbutZmustZworkZunderZaZphysician'sZsupervision.

RationaleZ4:ZTheZNPZcannotZdoZtertiaryZpreventionZasZaZmajorZfocus.


QuestionZ6

TheZnurseZmanagerZisZconsultingZwithZaZcertifiedZnurse–midwifeZaboutZaZpatient.ZTheZroleZofZtheZCNMZisZto:

StandardZText:ZSelectZallZthatZapply.

1. BeZpreparedZtoZmanageZindependentlyZtheZcareZofZwomenZatZlowZriskZforZcomplicationsZduringZpregnancyZan
dZbirth.

2. GiveZprimaryZcareZforZhigh-riskZpatientsZwhoZareZinZhospitalZsettings.

3. GiveZprimaryZcareZforZhealthyZnewborns.

4. ObtainZaZphysicianZconsultationZforZanyZtechnicalZproceduresZatZdelivery.

5. BeZeducatedZinZtwoZdisciplinesZofZnursing.

CorrectZAnswer:Z1,3,5

RationaleZ1:ZAZCNMZisZpreparedZtoZmanageZindependentlyZtheZcareZofZwomenZatZlowZriskZforZcomplicationsZduringZp
regnancyZandZbirthZandZtheZcareZofZhealthyZnewborns.

RationaleZ2:ZCNMsZcannotZgiveZprimaryZcareZforZhigh-
riskZpatientsZwhoZareZinZhospitalZsettings.ZTheZphysicianZprovidesZtheZprimaryZcare.

RationaleZ3:ZAZCNMZisZpreparedZtoZmanageZindependentlyZtheZcareZofZwomenZatZlowZriskZforZcomplicationsZduringZp
regnancyZandZbirthZandZtheZcareZofZhealthyZnewborns.

RationaleZ4:ZTheZCNMZdoesZnotZneedZtoZobtainZaZphysicianZconsultationZforZanyZtechnicalZproceduresZatZdelivery.

RationaleZ5:ZTheZCNMZisZeducatedZinZtheZdisciplinesZofZnursingZandZmidwifery.

QuestionZ7

TheZregisteredZnurseZwhoZhasZcompletedZaZmaster'sZdegreeZprogramZandZpassedZaZnationalZcertificationZexamZhas
ZclinicZappointmentsZwithZpatientsZwhoZareZpregnantZorZseekingZwell-


womanZcare.ZTheZroleZofZthisZnurseZwouldZbeZconsidered:

1. ProfessionalZnurse.




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