deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto
the foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and
the irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimporta
nceinbiologicalsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccdes,
TEST BANK FOR
Maternal & Child Nursing Care, 6th edition Marcia London, Patricia Ladewig, Michele Davidson,
Jane W. Ball, Ruth C. Bindler, Kay Cowen
Chapter 1-28
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
The nurse is examining different nursing roles. Which statement best illustrates an advanced
practice nursing role?
A registered nurse who is the manager of a large obstetric unit
A clinical nurse specialist working as a staff nurse on a mother-baby unit
A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring for
high-risk infants
Answer: 4
Explanation: 1. A RN who is a nurse manager is not required to be an advanced practice nurse.
RNs may have a high level of education but are not considered an advanced practice nurse by the
American Nurses Association definition. They are not managing the primary care of a patient.
The clinical nurse specialist is an advanced practice nurse but is not working in that role when in
the clinical nurse role at the bedside.
The registered nurse working as a circulating nurse is not required to have an advanced degree.
The role of the circulating nurse is a specialized role but does not require a higher level of
education like the advanced practice nurse.
A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge
and competence in a specific clinical area, and is master's-prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
,in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
The nurse is investigating opportunities as a nurse practitioner. Which should the nurse identify as
the major focus of the nurse practitioner (NP)?
Leadership
Tertiary prevention
Provide ambulatory care services
Independent care of the high-risk, pregnant client
Answer: 3
Explanation: 1. The role of a nurse practitioner is usually directed toward patient care and not
focused on leadership. The Nurse Practitioner can be in a leadership role, but it is not usually the
degree that would lead to that type of position in healthcare.
deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto the
foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and the
irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimportanceinbiologic
alsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccharides,disaccha
rides,polysaccharides), the irrolesasenergysourcesandstructuralcomponentsincells.**Lipids**:Classificationoflipids(fats,phospholipids,steroids), the
irstructure,functions(energystorage,cellmembranes),androlesinbiologicalprocesses.**Proteins**:Structureofproteins(aminoacids,primary,secondary,tertiary,andquaternarystructure),functions(enzymes,st
ructuralproteins,antibodies),andproteinsyn the
sis.**NucleicAcids**:Structureandfunctionofnucleicacids(DNAandRNA),includingnucleotidestructure,DNAreplication,transcription,andtranslation.**EnzymesandCatalysis**:Roleofenzymesasbiologic
alcatalysts,enzyme-substrateinteractions,enzymespecificity,factorsinfluencingenzymeactivity,andregulationofenzymefunction.**EnergyandMetabolism**:Overviewofenergytrans for
mationsinbiologicalsystems,includinganintroductiontometabolism,energycarriers(ATP),andmetabolicpathways(e.g.,glycolysis,Krebscycle).**SummaryandKeyConcepts**: the
chapterconcludeswithasummaryofkeyconceptsrelatedto the chemicalbasisoflife,rein for cingunderstandingof the foundationalprinciplesofbiochemistryand the
irsignificanceinbiologicalprocesses.Chapter2providesacomprehensiveintroductionto the
chemicalfoundationsthatunderpinbiologicalsystems.Itestablishesacrucialunderstandingofhowchemicalprinciplesgovern the structure,function,andinteractionsofbiologicalmoleculesessential for
life.Thisknowledgeservesasabasis for fur the
The role of providing tertiary prevention is not usually something the NP will provide. Tertiary
prevention is usually community-based outreach. This is something an NP can do but does not
require an advanced degree and can include other disciplines such as social workers, community
activists, public health workers, and mental health workers.
A nurse practitioner (NP) often provides ambulatory care services to pregnant women, newborns,
children, adolescents, and families. NPs do not necessarily have leadership positions or provide
tertiary prevention. Certified nurse-midwives independently manage the care of women at low
risk for complications during pregnancy, birth, and the postpartum period.
The NP may be part of a team caring for a high-risk mother but would not be independently
caring for her. A high risk patient will need to be followed by a physician along with an NP but not
independently, NP's must stay within their scope of practice and high risk patients may need care
beyond that an NP can provide. Certified nurse-midwives independently manage the care of
women at low risk for complications during pregnancy, birth, and the postpartum period.
Page Ref: 2-3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
,The nurse wants to become a certified nurse-midwife. What is the role of the certified
nurse-midwife (CNM)? Select all that apply.
Give primary care for healthy newborns.
Be educated in two disciplines of nursing.
Give primary care for high-risk clients who are in hospital settings.
Obtain a physician consultation for all technical procedures at delivery.
Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
Answer: 1, 2, 5
Explanation: 1. The 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.
The CNM is educated in the disciplines of nursing and midwifery.
The midwife is not allowed to provide high-risk care per the certification provided by the
American College of Nurse-Midwives. The certification states care of the low risk for
complications for women or newborn.
The CNM is an independent practitioner and is working within the scope and standards of
practice. They do not need an order from a practitioner for technical procedures at delivery. They
are allowed to do what they need to do without supervision.
The 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.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto the
foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and the
irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimportanceinbiologic
alsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccharides,disaccha
rides,polysaccharides), the irrolesasenergysourcesandstructuralcomponentsincells.**Lipids**:Classificationoflipids(fats,phospholipids,steroids), the
irstructure,functions(energystorage,cellmembranes),androlesinbiologicalprocesses.**Proteins**:Structureofproteins(aminoacids,primary,secondary,tertiary,andquaternarystructure),functions(enzymes,st
ructuralproteins,antibodies),andproteinsyn the
sis.**NucleicAcids**:Structureandfunctionofnucleicacids(DNAandRNA),includingnucleotidestructure,DNAreplication,transcription,andtranslation.**EnzymesandCatalysis**:Roleofenzymesasbiologic
alcatalysts,enzyme-substrateinteractions,enzymespecificity,factorsinfluencingenzymeactivity,andregulationofenzymefunction.**EnergyandMetabolism**:Overviewofenergytrans for
mationsinbiologicalsystems,includinganintroductiontometabolism,energycarriers(ATP),andmetabolicpathways(e.g.,glycolysis,Krebscycle).**SummaryandKeyConcepts**: the
chapterconcludeswithasummaryofkeyconceptsrelatedto the chemicalbasisoflife,rein for cingunderstandingof the foundationalprinciplesofbiochemistryand the
irsignificanceinbiologicalprocesses.Chapter2providesacomprehensiveintroductionto the
chemicalfoundationsthatunderpinbiologicalsystems.Itestablishesacrucialunderstandingofhowchemicalprinciplesgovern the structure,function,andinteractionsofbiologicalmoleculesessential for
life.Thisknowledgeservesasabasis for fur the
During the hospital admission process, a child's parent asks for information about
family-centered care. Which information should the nurse provide to this parent?
Mother is the principal caregiver in each family.
Father is the leader in each home; thus, all communications should include him.
Family serves as the constant influence and continuing support in the child's life.
Child's physician is the key person in ensuring the health of a child.
Answer: 3
Explanation: 1. The mother is not always the principal caregiver in each family and it is
, important for the healthcare provided to not make assumptions in the delivery of family-centered
care
The mother is not present in all family units. It is important when providing information on
family-centered care that it allows for all types of family units in the explanation of forming a
family-centered approach to the child.
The foundation for the development of trusting relationships and partnerships with families is
the recognition that the family is the principal caregiver, knows the unique nature of each
individual child best, plays the vital role of meeting the child's needs, and is responsible for
ensuring each child's health.
Family-centered care is all about the family working with the healthcare professional to care for
the patient; the physician is not the key person in this equation. The key is the family as a whole.
Page Ref: 3
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience | AACN 2021 Domains and Competencies: 3.2
Engage in effective partnerships. | NLN Competencies: Relationship-Centered Care; Knowledge;
The role of family, culture, and community in a person's development | Nursing/Integrated
Concepts: Nursing Process: Planning
Learning Outcome: 1.2 Describe the use of community-based nursing care in meeting the needs
of childbearing and childrearing families.
deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto the
foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and the
irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimportancein
biologicalsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccharides,d
isaccharides,polysaccharides), the irrolesasenergysourcesandstructuralcomponentsincells.**Lipids**:Classificationoflipids(fats,phospholipids,steroids), the
irstructure,functions(energystorage,cellmembranes),androlesinbiologicalprocesses.**Proteins**:Structureofproteins(aminoacids,primary,secondary,tertiary,andquaternarystructure),functions(enz
ymes,structuralproteins,antibodies),andproteinsyn the
sis.**NucleicAcids**:Structureandfunctionofnucleicacids(DNAandRNA),includingnucleotidestructure,DNAreplication,transcription,andtranslation.**EnzymesandCatalysis**:Roleofenzymesas
biologicalcatalysts,enzyme-substrateinteractions,enzymespecificity,factorsinfluencingenzymeactivity,andregulationofenzymefunction.**EnergyandMetabolism**:Overviewofenergytrans for
mationsinbiologicalsystems,includinganintroductiontometabolism,energycarriers(ATP),andmetabolicpathways(e.g.,glycolysis,Krebscycle).**SummaryandKeyConcepts**: the
chapterconcludeswithasummaryofkeyconceptsrelatedto the chemicalbasisoflife,rein for cingunderstandingof the foundationalprinciplesofbiochemistryand the
irsignificanceinbiologicalprocesses.Chapter2providesacomprehensiveintroductionto the
chemicalfoundationsthatunderpinbiologicalsystems.Itestablishesacrucialunderstandingofhowchemicalprinciplesgovern the structure,function,andinteractionsofbiologicalmoleculesessential for
life.Thisknowledgeservesasabasis for fur the
A child is not enrolled in the Children's Health Insurance Program (CHIP). Which action should
the nurse take to encourage the family to consider enrolling the child in this program?
Assessment of the details of the family's income and expenditures
Case management to limit costly, unnecessary duplication of services
Advocacy for the child by encouraging the family to investigate its CHIP eligibility
Education of the family about the need for keeping regular well-child visit appointments
Answer: 3
Explanation: 1. Every family in today's world is different. We have stay-at-home dads, same-sex
couples, and untraditional family units. So the mom may not be the primary caregiver in each
family, and it is important to not assume when caring for a child. It is not the role of the nurse to
assess the family's income or expenditure; the nurse can only inform the family of the Program.
All families are made up of different dynamics and may not include a father figure. The nurse
must assess the family dynamics when providing family-centered care. Case management should
be consulted in the care of this child; however, it is not how the nurse should encourage the family
to enroll in the program.
In the role of an advocate, a nurse will advance the interests of another by suggesting the family
investigate its CHIP eligibility.
The child's family is actually the most influential in the health of a child. The physician spends a
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto
the foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and
the irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimporta
nceinbiologicalsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccdes,
TEST BANK FOR
Maternal & Child Nursing Care, 6th edition Marcia London, Patricia Ladewig, Michele Davidson,
Jane W. Ball, Ruth C. Bindler, Kay Cowen
Chapter 1-28
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
The nurse is examining different nursing roles. Which statement best illustrates an advanced
practice nursing role?
A registered nurse who is the manager of a large obstetric unit
A clinical nurse specialist working as a staff nurse on a mother-baby unit
A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring for
high-risk infants
Answer: 4
Explanation: 1. A RN who is a nurse manager is not required to be an advanced practice nurse.
RNs may have a high level of education but are not considered an advanced practice nurse by the
American Nurses Association definition. They are not managing the primary care of a patient.
The clinical nurse specialist is an advanced practice nurse but is not working in that role when in
the clinical nurse role at the bedside.
The registered nurse working as a circulating nurse is not required to have an advanced degree.
The role of the circulating nurse is a specialized role but does not require a higher level of
education like the advanced practice nurse.
A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge
and competence in a specific clinical area, and is master's-prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
,in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
The nurse is investigating opportunities as a nurse practitioner. Which should the nurse identify as
the major focus of the nurse practitioner (NP)?
Leadership
Tertiary prevention
Provide ambulatory care services
Independent care of the high-risk, pregnant client
Answer: 3
Explanation: 1. The role of a nurse practitioner is usually directed toward patient care and not
focused on leadership. The Nurse Practitioner can be in a leadership role, but it is not usually the
degree that would lead to that type of position in healthcare.
deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto the
foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and the
irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimportanceinbiologic
alsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccharides,disaccha
rides,polysaccharides), the irrolesasenergysourcesandstructuralcomponentsincells.**Lipids**:Classificationoflipids(fats,phospholipids,steroids), the
irstructure,functions(energystorage,cellmembranes),androlesinbiologicalprocesses.**Proteins**:Structureofproteins(aminoacids,primary,secondary,tertiary,andquaternarystructure),functions(enzymes,st
ructuralproteins,antibodies),andproteinsyn the
sis.**NucleicAcids**:Structureandfunctionofnucleicacids(DNAandRNA),includingnucleotidestructure,DNAreplication,transcription,andtranslation.**EnzymesandCatalysis**:Roleofenzymesasbiologic
alcatalysts,enzyme-substrateinteractions,enzymespecificity,factorsinfluencingenzymeactivity,andregulationofenzymefunction.**EnergyandMetabolism**:Overviewofenergytrans for
mationsinbiologicalsystems,includinganintroductiontometabolism,energycarriers(ATP),andmetabolicpathways(e.g.,glycolysis,Krebscycle).**SummaryandKeyConcepts**: the
chapterconcludeswithasummaryofkeyconceptsrelatedto the chemicalbasisoflife,rein for cingunderstandingof the foundationalprinciplesofbiochemistryand the
irsignificanceinbiologicalprocesses.Chapter2providesacomprehensiveintroductionto the
chemicalfoundationsthatunderpinbiologicalsystems.Itestablishesacrucialunderstandingofhowchemicalprinciplesgovern the structure,function,andinteractionsofbiologicalmoleculesessential for
life.Thisknowledgeservesasabasis for fur the
The role of providing tertiary prevention is not usually something the NP will provide. Tertiary
prevention is usually community-based outreach. This is something an NP can do but does not
require an advanced degree and can include other disciplines such as social workers, community
activists, public health workers, and mental health workers.
A nurse practitioner (NP) often provides ambulatory care services to pregnant women, newborns,
children, adolescents, and families. NPs do not necessarily have leadership positions or provide
tertiary prevention. Certified nurse-midwives independently manage the care of women at low
risk for complications during pregnancy, birth, and the postpartum period.
The NP may be part of a team caring for a high-risk mother but would not be independently
caring for her. A high risk patient will need to be followed by a physician along with an NP but not
independently, NP's must stay within their scope of practice and high risk patients may need care
beyond that an NP can provide. Certified nurse-midwives independently manage the care of
women at low risk for complications during pregnancy, birth, and the postpartum period.
Page Ref: 2-3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
,The nurse wants to become a certified nurse-midwife. What is the role of the certified
nurse-midwife (CNM)? Select all that apply.
Give primary care for healthy newborns.
Be educated in two disciplines of nursing.
Give primary care for high-risk clients who are in hospital settings.
Obtain a physician consultation for all technical procedures at delivery.
Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
Answer: 1, 2, 5
Explanation: 1. The 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.
The CNM is educated in the disciplines of nursing and midwifery.
The midwife is not allowed to provide high-risk care per the certification provided by the
American College of Nurse-Midwives. The certification states care of the low risk for
complications for women or newborn.
The CNM is an independent practitioner and is working within the scope and standards of
practice. They do not need an order from a practitioner for technical procedures at delivery. They
are allowed to do what they need to do without supervision.
The 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.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto the
foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and the
irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimportanceinbiologic
alsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccharides,disaccha
rides,polysaccharides), the irrolesasenergysourcesandstructuralcomponentsincells.**Lipids**:Classificationoflipids(fats,phospholipids,steroids), the
irstructure,functions(energystorage,cellmembranes),androlesinbiologicalprocesses.**Proteins**:Structureofproteins(aminoacids,primary,secondary,tertiary,andquaternarystructure),functions(enzymes,st
ructuralproteins,antibodies),andproteinsyn the
sis.**NucleicAcids**:Structureandfunctionofnucleicacids(DNAandRNA),includingnucleotidestructure,DNAreplication,transcription,andtranslation.**EnzymesandCatalysis**:Roleofenzymesasbiologic
alcatalysts,enzyme-substrateinteractions,enzymespecificity,factorsinfluencingenzymeactivity,andregulationofenzymefunction.**EnergyandMetabolism**:Overviewofenergytrans for
mationsinbiologicalsystems,includinganintroductiontometabolism,energycarriers(ATP),andmetabolicpathways(e.g.,glycolysis,Krebscycle).**SummaryandKeyConcepts**: the
chapterconcludeswithasummaryofkeyconceptsrelatedto the chemicalbasisoflife,rein for cingunderstandingof the foundationalprinciplesofbiochemistryand the
irsignificanceinbiologicalprocesses.Chapter2providesacomprehensiveintroductionto the
chemicalfoundationsthatunderpinbiologicalsystems.Itestablishesacrucialunderstandingofhowchemicalprinciplesgovern the structure,function,andinteractionsofbiologicalmoleculesessential for
life.Thisknowledgeservesasabasis for fur the
During the hospital admission process, a child's parent asks for information about
family-centered care. Which information should the nurse provide to this parent?
Mother is the principal caregiver in each family.
Father is the leader in each home; thus, all communications should include him.
Family serves as the constant influence and continuing support in the child's life.
Child's physician is the key person in ensuring the health of a child.
Answer: 3
Explanation: 1. The mother is not always the principal caregiver in each family and it is
, important for the healthcare provided to not make assumptions in the delivery of family-centered
care
The mother is not present in all family units. It is important when providing information on
family-centered care that it allows for all types of family units in the explanation of forming a
family-centered approach to the child.
The foundation for the development of trusting relationships and partnerships with families is
the recognition that the family is the principal caregiver, knows the unique nature of each
individual child best, plays the vital role of meeting the child's needs, and is responsible for
ensuring each child's health.
Family-centered care is all about the family working with the healthcare professional to care for
the patient; the physician is not the key person in this equation. The key is the family as a whole.
Page Ref: 3
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience | AACN 2021 Domains and Competencies: 3.2
Engage in effective partnerships. | NLN Competencies: Relationship-Centered Care; Knowledge;
The role of family, culture, and community in a person's development | Nursing/Integrated
Concepts: Nursing Process: Planning
Learning Outcome: 1.2 Describe the use of community-based nursing care in meeting the needs
of childbearing and childrearing families.
deeperexplorationintobiologicalconceptsandprinciplescoveredthroughout the textbook.Ifyouhavespecificquestionsaboutanyof the setopicsorwouldlikemoredetailedin for
mationonaparticularaspectofChapter1,feelfreetoask!Chapter2Chapter2of"EssentialsofBiology"bySylviaMaderandMichaelWindelspecht,titled" the ChemicalBasisofLife,"typicallydelvesinto the
foundationalprinciplesofchemistryas the yrelatetobiologicalsystems.Here’sanoverviewofwhatyoumightfindinthischapter:**IntroductiontoBiochemistry**:Definitionofbiochemistryas the
branchofchemistryconcernedwith the chemicalprocessesandsubstancesthatoccurwithinlivingorganisms.**ElementsandAtoms**:Explanationofbasicchemicalelementsessentialtolife, the
iratomicstructure(protons,neutrons,electrons),andhowatomscombineto for mmolecules.**ChemicalBonds**:Discussionondifferenttypesofchemicalbonds(covalent,ionic,hydrogenbonds)and the
irroleinholdingatomstoge the
rinmoleculesandcompounds.**PropertiesofWater**:Explorationofwaterasapolarmolecule,itsuniqueproperties(highcohesion,adhesion,surfacetension,highspecificheatcapacity),anditsimportancein
biologicalsystems.**Acids,Bases,andpH**:Definitionofacidsandbases, the irroleinchemicalreactions,and the
conceptofpHasameasureofhydrogenionconcentration.ImportanceofpHregulationinbiologicalprocesses.**OrganicMolecules**:Introductiontoorganicmoleculesessential for
life,includingcarbohydrates,lipids,proteins,andnucleicacids.Structure,function,andbiologicalsignificanceofeachgroupofmolecules.**Carbohydrates**:Structureofcarbohydrates(monosaccharides,d
isaccharides,polysaccharides), the irrolesasenergysourcesandstructuralcomponentsincells.**Lipids**:Classificationoflipids(fats,phospholipids,steroids), the
irstructure,functions(energystorage,cellmembranes),androlesinbiologicalprocesses.**Proteins**:Structureofproteins(aminoacids,primary,secondary,tertiary,andquaternarystructure),functions(enz
ymes,structuralproteins,antibodies),andproteinsyn the
sis.**NucleicAcids**:Structureandfunctionofnucleicacids(DNAandRNA),includingnucleotidestructure,DNAreplication,transcription,andtranslation.**EnzymesandCatalysis**:Roleofenzymesas
biologicalcatalysts,enzyme-substrateinteractions,enzymespecificity,factorsinfluencingenzymeactivity,andregulationofenzymefunction.**EnergyandMetabolism**:Overviewofenergytrans for
mationsinbiologicalsystems,includinganintroductiontometabolism,energycarriers(ATP),andmetabolicpathways(e.g.,glycolysis,Krebscycle).**SummaryandKeyConcepts**: the
chapterconcludeswithasummaryofkeyconceptsrelatedto the chemicalbasisoflife,rein for cingunderstandingof the foundationalprinciplesofbiochemistryand the
irsignificanceinbiologicalprocesses.Chapter2providesacomprehensiveintroductionto the
chemicalfoundationsthatunderpinbiologicalsystems.Itestablishesacrucialunderstandingofhowchemicalprinciplesgovern the structure,function,andinteractionsofbiologicalmoleculesessential for
life.Thisknowledgeservesasabasis for fur the
A child is not enrolled in the Children's Health Insurance Program (CHIP). Which action should
the nurse take to encourage the family to consider enrolling the child in this program?
Assessment of the details of the family's income and expenditures
Case management to limit costly, unnecessary duplication of services
Advocacy for the child by encouraging the family to investigate its CHIP eligibility
Education of the family about the need for keeping regular well-child visit appointments
Answer: 3
Explanation: 1. Every family in today's world is different. We have stay-at-home dads, same-sex
couples, and untraditional family units. So the mom may not be the primary caregiver in each
family, and it is important to not assume when caring for a child. It is not the role of the nurse to
assess the family's income or expenditure; the nurse can only inform the family of the Program.
All families are made up of different dynamics and may not include a father figure. The nurse
must assess the family dynamics when providing family-centered care. Case management should
be consulted in the care of this child; however, it is not how the nurse should encourage the family
to enroll in the program.
In the role of an advocate, a nurse will advance the interests of another by suggesting the family
investigate its CHIP eligibility.
The child's family is actually the most influential in the health of a child. The physician spends a
