TEST BANK - Olds' Maternal-Newborn Nursing &
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nWomen's Health Across the Lifespan,
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11th Edition (Davidson),
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Chapters 1 - 36 | All Chapters Verified
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,TABLE OF CONTENTS
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, Chapter 1 n
Question 1 n
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
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ngained wide acceptance with patients, the healthcare community, and third-party payers due to research findings
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that suggest that it:
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1. Shortens newborn length of stay. n n n n
2. Decreases use of home health agencies. n n n n n
3. Reduces healthcare costs. n n
4. Decreases the number of emergency department visits.
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CORRECT ANSWER: 3 n n
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
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physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care
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todecrease hospital stay time.
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Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
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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
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self-care.
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Question 2 n
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
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nurse should take which actions?
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Standard Text: Select all that apply.
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1. Advocate within the community for natural childbirth.
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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 n n
Rationale 1: Natural childbirth, if the 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
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for the expectant families.
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Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within the
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birthing 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
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as a 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 n
The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nurse
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cares for 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 as the coach and cut the umbilical cord.
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4. Breastfeeding of the new baby on the delivery table. n n n n n n n n
CORRECT ANSWER: 1 n n
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
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technologies that have affected the care in labor and delivery areas.
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Rationale 2: A nurse-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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during childbirth.
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Rationale 4: Breastfeeding is not an example of technology impacting care.
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Question 4 n
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nWomen's Health Across the Lifespan,
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11th Edition (Davidson),
n n n
Chapters 1 - 36 | All Chapters Verified
n n n n n n n n
,TABLE OF CONTENTS
n n n
, Chapter 1 n
Question 1 n
Type: MCSA
n n
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has
n n n n n n n n n n n n n n n n
ngained wide acceptance with patients, the healthcare community, and third-party payers due to research findings
n n n n n n n n n n n n n n
that suggest that it:
n n n n
1. Shortens newborn length of stay. n n n n
2. Decreases use of home health agencies. n n n n n
3. Reduces healthcare costs. n n
4. Decreases the number of emergency department visits.
n n n n n n
CORRECT ANSWER: 3 n n
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
n n n n n n n n n n n n n n n n
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care
n n n n n n n n n n n n n n n n
todecrease hospital stay time.
n n n n n
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
n n n n n n n n n n n n n n n
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
n n n n n n n n
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
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self-care.
n
Question 2 n
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the
n n n n n n n n n n n n n n n
nurse should take which actions?
n n n n n
Standard Text: Select all that apply.
n n n n n
1. Advocate within the community for natural childbirth.
n n n n n n
2. Make childbirth education classes available.
n n n n
3. Be instrumental in providing change in the birth environment at work.
n n n n n n n n n n
, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
n n n n n n n n n n n
5. Advocate for more home healthcare agencies.
n n n n n
CORRECT ANSWER: 1,2,3,5 n n
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
n n n n n n n n n n n n n n n
Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes
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for the expectant families.
n n n n
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within the
n n n n n n n n n n n n n n n n n n n
birthing unit.
n n
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly there
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as a coach.
n n n
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
n n n n n n n n n n n n n n n n n n n
Question 3 n
The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nurse
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cares for her patients. An example of this is:
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1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring.
n n n n n n n n
2. Delivering at home with a nurse-midwife and doula.
n n n n n n n
3. Having the father present as the coach and cut the umbilical cord.
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4. Breastfeeding of the new baby on the delivery table. n n n n n n n n
CORRECT ANSWER: 1 n n
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
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technologies that have affected the care in labor and delivery areas.
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Rationale 2: A nurse-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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during childbirth.
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Rationale 4: Breastfeeding is not an example of technology impacting care.
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Question 4 n