TEST BANK - Olds' Maternal-Newborn Nursing
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
,TABLEOFCONTENT
S
, Chapter 1
Question 1 Typ
e: MCSA
The nurse is speaking to students aboutachanges in maternal–newborn care. One change is that self-
care has gained wide acceptance with patients, the healthcare community, and third-
party payers due to research findingsthat suggest that it:
1. Shortens newbornalength of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Rationale 1: Length of stay is often determinedaby third-
party payera(insurance company) policies as well as physiologic stability of the mother and newborn. Home healthc
are agencies often are involved in patient care todecrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are notadelayed by those practicings
elf-care.
Question 2
In orderato combat the impersonal nature of technology that sometimes interferes with family-
focused care, thenurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within theacommunity for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
CORRECTaANSWER:a 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
Rationale 2: It is appropriate for nurses, in conjunction withadoctors and hospitals, to provide childbirth classes forth
e expectant families.
Rationale 3: By working with other staff and doctors, the nurseais able to implement change as needed within theb
irthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patienta wishes. They are mainly there asa
coach.
Rationale 5: Patients are going home sooneraall the time, so there needs to be more follow-upa in the home.
Question 3
The nurse is telling aanew patient how technology used in maternal–
newborn care has changed the way the nursecares for her patients. An example of this is:
1. Electiveainductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeedingaof the new baby onathe delivery table.
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recenttechn
ologies that have affected the care in laboraand delivery areas.
Rationale 2: Anurse-midwife and a doula are notaexamples of technological care.
Rationale 3: Fathers’ being presentaduring laboraand coachingatheir partners represents nontechnological care duringchildbi
rth.
Rationale 4: Breastfeeding is not an exampleaof technology impactingacare.
Question 4
& Women's Health Across the Lifespan,
11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
,TABLEOFCONTENT
S
, Chapter 1
Question 1 Typ
e: MCSA
The nurse is speaking to students aboutachanges in maternal–newborn care. One change is that self-
care has gained wide acceptance with patients, the healthcare community, and third-
party payers due to research findingsthat suggest that it:
1. Shortens newbornalength of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Rationale 1: Length of stay is often determinedaby third-
party payera(insurance company) policies as well as physiologic stability of the mother and newborn. Home healthc
are agencies often are involved in patient care todecrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are notadelayed by those practicings
elf-care.
Question 2
In orderato combat the impersonal nature of technology that sometimes interferes with family-
focused care, thenurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within theacommunity for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work.
, 4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
CORRECTaANSWER:a 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
Rationale 2: It is appropriate for nurses, in conjunction withadoctors and hospitals, to provide childbirth classes forth
e expectant families.
Rationale 3: By working with other staff and doctors, the nurseais able to implement change as needed within theb
irthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patienta wishes. They are mainly there asa
coach.
Rationale 5: Patients are going home sooneraall the time, so there needs to be more follow-upa in the home.
Question 3
The nurse is telling aanew patient how technology used in maternal–
newborn care has changed the way the nursecares for her patients. An example of this is:
1. Electiveainductions, requested cesareans, epidural anesthesia, and fetal monitoring.
2. Delivering at home with a nurse-midwife and doula.
3. Having the father present as the coach and cut the umbilical cord.
4. Breastfeedingaof the new baby onathe delivery table.
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recenttechn
ologies that have affected the care in laboraand delivery areas.
Rationale 2: Anurse-midwife and a doula are notaexamples of technological care.
Rationale 3: Fathers’ being presentaduring laboraand coachingatheir partners represents nontechnological care duringchildbi
rth.
Rationale 4: Breastfeeding is not an exampleaof technology impactingacare.
Question 4
