TEST BANK - Olds' Maternal-Newborn Nursing & Women's Health
Across the Lifespan, 11th Edition (Davidson),
Chapters 1-36/ All Chapters Verified
, Chapterl1
TABLElOFlCONTENTSl Questionl1lType
:lMCSA
Thelnurselislspeakingltolstudentslaboutlchangeslinlmaternal–newbornlcare.lOnelchangelislthatlself-
carelhaslgainedlwidelacceptancelwithlpatients,lthelhealthcarelcommunity,landlthird-
partylpayersldueltolresearchlfindingslthatlsuggestlthatlit:
1. Shortenslnewbornllengthloflstay.
2. Decreasesluseloflhomelhealthlagencies.
3. Reduceslhealthcarelcosts.
4. Decreaseslthelnumberloflemergencyldepartmentlvisits.
CORRECTlANSWER:l3
Rationalel1:lLengthloflstaylisloftenldeterminedlbylthird-
partylpayerl(insurancelcompany)lpolicieslaslwelllaslphysiologiclstabilityloflthelmotherlandlnewborn.lHomelhealth
carelagenciesloftenlarelinvolvedlinlpatientlcareltoldecreaselhospitallstayltime.
Rationalel2:lHomelhealthcarelagenciesloftenlarelinvolvedlinlpatientlcareltoldecreaselhospitallstayltime.
Rationalel3:lResearchlindicateslself-carelsignificantlylreduceslhealthcarelcosts.
Rationalel4:lAcutelemergencieslareladdressedlbylemergencyldepartments,landlarelnotldelayedlbylthoselpracticingl
self-care.
Questionl2
Inlorderltolcombatlthelimpersonallnaturelofltechnologylthatlsometimeslinterfereslwithlfamily-
focusedlcare,lthelnurselshouldltakelwhichlactions?
StandardlText:lSelectlalllthatlapply.
1. Advocatelwithinlthelcommunitylforlnaturallchildbirth.
2. Makelchildbirthleducationlclasseslavailable.
3. Belinstrumentallinlprovidinglchangelinlthelbirthlenvironmentlatlwork.
,4. Suggestlthatldoulaslnotlbelallowedltolinterferelwithlthelchildbirthlprocess.
Alnurselislexaminingldifferentlnursinglroles.lWhichlexamplelbestlillustrateslanladvancedlpracticelnursinglrole?
5. Advocatelforlmorelhomelhealthcarelagencies.
CORRECTlANSWER:l1,2,3,5 1. Alregisteredlnurselwholislthelmanagerloflallargelobstetricallunit
Rationalel1:lNaturallchildbirth,liflthelpatientlislable,lislthelsafestlmethodlforlthelbaby.
2. Alregisteredlnurselwholislthelcirculatinglnurselatlsurgicalldeliveriesl(cesareanlsections)
Rationalel2:lItlislappropriatelforlnurses,linlconjunctionlwithldoctorslandlhospitals,ltolprovidelchildbirthlclasseslforlth
elexpectantlfamilies.
3. Alclinicallnurselspecialistlworkinglaslalstafflnurselonlalmotherbabylunit
Rationalel3:lBylworkinglwithlotherlstafflandldoctors,lthelnurselislableltolimplementlchangelaslneededlwithinlthelbirthin
glunit.
4. Alclinicallnurselspecialistlwithlwhomlotherlnurseslconsultlforlherlexpertiselinlcaringlforlhigh-risklinfants
Rationalel4:lDoulaslarelencouragedltolbelpartloflthelbirthinglprocesslaslthelpatientlwishes.lTheylarelmainlyltherelas
lalcoach.
CORRECTlANSWER:l4
Rationalel5:lPatientslarelgoinglhomelsoonerlallltheltime,lsoltherelneedsltolbelmorelfollow-uplinlthelhome.
Questionl3 Rationalel1:lAlregisteredlnurselwholislthelmanagerloflallargelobstetricallunitlislalprofessionallnurselwholhaslgraduate
Thelnurselisltellinglalnewlpatientlhowltechnologylusedlinlmaternal– dlfromlanlaccreditedlprogramlinlnursinglandlcompletedlthellicensurelexamination.
newbornlcarelhaslchangedlthelwaylthelnurselcareslforlherlpatients.lAnlexampleloflthislis:
1. Electivelinductions,lrequestedlcesareans,lepidurallanesthesia,landlfetallmonitoring. Rationalel2:lAlregisteredlnurselwholislalcirculatinglnurselatlsurgicalldeliveriesl(cesareanlsections)lislalprofes
sionallnurselwholhaslgraduatedlfromlanlaccreditedlprogramlinlnursinglandlcompletedlthellicensurelexamin
2. Deliveringlatlhomelwithlalnurse-midwifelandldoula. ation.
3. Havinglthelfatherlpresentlaslthelcoachlandlcutlthelumbilicallcord.
Rationalel3:lAlclinicallnurselspecialistlworkinglaslalstafflnurselonlalmother–
4. Breastfeedingloflthelnewlbabylonltheldeliveryltable.
babylunitlmightlhavelthelqualificationslforlanladvancedlpracticelnursinglstafflbutlislnotlworkinglinlthatlc
CORRECTlANSWER:l1 apacity.
Rationalel1:lElectivelinductions,lrequestedlcesareans,lepidurallanesthesia,landlfetallmonitoringlarelalllrecentlte
chnologieslthatlhavelaffectedlthelcarelinllaborlandldeliverylareas. Rationalel4:lAlclinicallnurselspecialistlwithlwhomlotherlnurseslconsultlforlexpertiselinlcaringlforlhigh-
Rationalel2:lAlnurse-midwifelandlaldoulalarelnotlexampleslofltechnologicallcare. risklinfantslislworkinglinlanladvancedlpracticelnursinglrole.lThislnurselhaslspecializedlknowledgelandlcompetencelinl
alspecificlclinicallarea,landlislmaster's-prepared.
Rationalel3:lFathers’lbeinglpresentlduringllaborlandlcoachingltheirlpartnerslrepresentslnontechnologicallcareldurin
glchildbirth.
Questionl5
Rationalel4:lBreastfeedinglislnotlanlexamplelofltechnologylimpactinglcare.
Questionl4 Alnursinglstudentlinvestigatinglpotentiallcareerlgoalslislstronglylconsideringlbecominglalnurselpractitionerl(NP).lThelma
jorlfocusloflthelNPlislon:
1. Leadership.
2. Physicallandlpsychosociallclinicallassessment.
3. Independentlcareloflthelhigh-risk,lpregnantlpatient.
, 4. Tertiarylprevention.
Rationalel3:lNPslcannotlprovidelindependentlcareloflthelhigh-
CORRECTlANSWER:l2 risklpregnantlpatient,lbutlmustlworklunderlalphysician'slsupervision.
Rationalel1:lLeadershiplmightlbelalqualityloflthelNP,lbutlitlislnotlthelmajorlfocus. Rationalel4:lThelNPlcannotldoltertiarylpreventionlaslalmajorlfocus.
Rationalel2:lPhysicallandlpsychosociallclinicallassessmentlislthelmajorlfocusloflthelnurselpractitionerl(NP).
Questionl6
Thelnurselmanagerlislconsultinglwithlalcertifiedlnurse–midwifelaboutlalpatient.lThelroleloflthelCNMlislto:
StandardlText:lSelectlalllthatlapply.
1. Belpreparedltolmanagelindependentlylthelcareloflwomenlatllowlrisklforlcomplicationslduringlpregnancylandlb
irth.
2. Givelprimarylcarelforlhigh-risklpatientslwholarelinlhospitallsettings.
3. Givelprimarylcarelforlhealthylnewborns.
4. Obtainlalphysicianlconsultationlforlanyltechnicallprocedureslatldelivery.
5. Beleducatedlinltwoldisciplinesloflnursing.
CORRECTlANSWER:l1,3,5
Rationalel1:lAlCNMlislpreparedltolmanagelindependentlylthelcareloflwomenlatllowlrisklforlcomplicationslduringlpreg
nancylandlbirthlandlthelcareloflhealthylnewborns.
Rationalel2:lCNMslcannotlgivelprimarylcarelforlhigh-
risklpatientslwholarelinlhospitallsettings.lThelphysicianlprovideslthelprimarylcare.
Rationalel3:lAlCNMlislpreparedltolmanagelindependentlylthelcareloflwomenlatllowlrisklforlcomplicationslduringlpreg
nancylandlbirthlandlthelcareloflhealthylnewborns.
Rationalel4:lThelCNMldoeslnotlneedltolobtainlalphysicianlconsultationlforlanyltechnicallprocedureslatldelivery.
Rationalel5:lThelCNMlisleducatedlinltheldisciplinesloflnursinglandlmidwifery.
Across the Lifespan, 11th Edition (Davidson),
Chapters 1-36/ All Chapters Verified
, Chapterl1
TABLElOFlCONTENTSl Questionl1lType
:lMCSA
Thelnurselislspeakingltolstudentslaboutlchangeslinlmaternal–newbornlcare.lOnelchangelislthatlself-
carelhaslgainedlwidelacceptancelwithlpatients,lthelhealthcarelcommunity,landlthird-
partylpayersldueltolresearchlfindingslthatlsuggestlthatlit:
1. Shortenslnewbornllengthloflstay.
2. Decreasesluseloflhomelhealthlagencies.
3. Reduceslhealthcarelcosts.
4. Decreaseslthelnumberloflemergencyldepartmentlvisits.
CORRECTlANSWER:l3
Rationalel1:lLengthloflstaylisloftenldeterminedlbylthird-
partylpayerl(insurancelcompany)lpolicieslaslwelllaslphysiologiclstabilityloflthelmotherlandlnewborn.lHomelhealth
carelagenciesloftenlarelinvolvedlinlpatientlcareltoldecreaselhospitallstayltime.
Rationalel2:lHomelhealthcarelagenciesloftenlarelinvolvedlinlpatientlcareltoldecreaselhospitallstayltime.
Rationalel3:lResearchlindicateslself-carelsignificantlylreduceslhealthcarelcosts.
Rationalel4:lAcutelemergencieslareladdressedlbylemergencyldepartments,landlarelnotldelayedlbylthoselpracticingl
self-care.
Questionl2
Inlorderltolcombatlthelimpersonallnaturelofltechnologylthatlsometimeslinterfereslwithlfamily-
focusedlcare,lthelnurselshouldltakelwhichlactions?
StandardlText:lSelectlalllthatlapply.
1. Advocatelwithinlthelcommunitylforlnaturallchildbirth.
2. Makelchildbirthleducationlclasseslavailable.
3. Belinstrumentallinlprovidinglchangelinlthelbirthlenvironmentlatlwork.
,4. Suggestlthatldoulaslnotlbelallowedltolinterferelwithlthelchildbirthlprocess.
Alnurselislexaminingldifferentlnursinglroles.lWhichlexamplelbestlillustrateslanladvancedlpracticelnursinglrole?
5. Advocatelforlmorelhomelhealthcarelagencies.
CORRECTlANSWER:l1,2,3,5 1. Alregisteredlnurselwholislthelmanagerloflallargelobstetricallunit
Rationalel1:lNaturallchildbirth,liflthelpatientlislable,lislthelsafestlmethodlforlthelbaby.
2. Alregisteredlnurselwholislthelcirculatinglnurselatlsurgicalldeliveriesl(cesareanlsections)
Rationalel2:lItlislappropriatelforlnurses,linlconjunctionlwithldoctorslandlhospitals,ltolprovidelchildbirthlclasseslforlth
elexpectantlfamilies.
3. Alclinicallnurselspecialistlworkinglaslalstafflnurselonlalmotherbabylunit
Rationalel3:lBylworkinglwithlotherlstafflandldoctors,lthelnurselislableltolimplementlchangelaslneededlwithinlthelbirthin
glunit.
4. Alclinicallnurselspecialistlwithlwhomlotherlnurseslconsultlforlherlexpertiselinlcaringlforlhigh-risklinfants
Rationalel4:lDoulaslarelencouragedltolbelpartloflthelbirthinglprocesslaslthelpatientlwishes.lTheylarelmainlyltherelas
lalcoach.
CORRECTlANSWER:l4
Rationalel5:lPatientslarelgoinglhomelsoonerlallltheltime,lsoltherelneedsltolbelmorelfollow-uplinlthelhome.
Questionl3 Rationalel1:lAlregisteredlnurselwholislthelmanagerloflallargelobstetricallunitlislalprofessionallnurselwholhaslgraduate
Thelnurselisltellinglalnewlpatientlhowltechnologylusedlinlmaternal– dlfromlanlaccreditedlprogramlinlnursinglandlcompletedlthellicensurelexamination.
newbornlcarelhaslchangedlthelwaylthelnurselcareslforlherlpatients.lAnlexampleloflthislis:
1. Electivelinductions,lrequestedlcesareans,lepidurallanesthesia,landlfetallmonitoring. Rationalel2:lAlregisteredlnurselwholislalcirculatinglnurselatlsurgicalldeliveriesl(cesareanlsections)lislalprofes
sionallnurselwholhaslgraduatedlfromlanlaccreditedlprogramlinlnursinglandlcompletedlthellicensurelexamin
2. Deliveringlatlhomelwithlalnurse-midwifelandldoula. ation.
3. Havinglthelfatherlpresentlaslthelcoachlandlcutlthelumbilicallcord.
Rationalel3:lAlclinicallnurselspecialistlworkinglaslalstafflnurselonlalmother–
4. Breastfeedingloflthelnewlbabylonltheldeliveryltable.
babylunitlmightlhavelthelqualificationslforlanladvancedlpracticelnursinglstafflbutlislnotlworkinglinlthatlc
CORRECTlANSWER:l1 apacity.
Rationalel1:lElectivelinductions,lrequestedlcesareans,lepidurallanesthesia,landlfetallmonitoringlarelalllrecentlte
chnologieslthatlhavelaffectedlthelcarelinllaborlandldeliverylareas. Rationalel4:lAlclinicallnurselspecialistlwithlwhomlotherlnurseslconsultlforlexpertiselinlcaringlforlhigh-
Rationalel2:lAlnurse-midwifelandlaldoulalarelnotlexampleslofltechnologicallcare. risklinfantslislworkinglinlanladvancedlpracticelnursinglrole.lThislnurselhaslspecializedlknowledgelandlcompetencelinl
alspecificlclinicallarea,landlislmaster's-prepared.
Rationalel3:lFathers’lbeinglpresentlduringllaborlandlcoachingltheirlpartnerslrepresentslnontechnologicallcareldurin
glchildbirth.
Questionl5
Rationalel4:lBreastfeedinglislnotlanlexamplelofltechnologylimpactinglcare.
Questionl4 Alnursinglstudentlinvestigatinglpotentiallcareerlgoalslislstronglylconsideringlbecominglalnurselpractitionerl(NP).lThelma
jorlfocusloflthelNPlislon:
1. Leadership.
2. Physicallandlpsychosociallclinicallassessment.
3. Independentlcareloflthelhigh-risk,lpregnantlpatient.
, 4. Tertiarylprevention.
Rationalel3:lNPslcannotlprovidelindependentlcareloflthelhigh-
CORRECTlANSWER:l2 risklpregnantlpatient,lbutlmustlworklunderlalphysician'slsupervision.
Rationalel1:lLeadershiplmightlbelalqualityloflthelNP,lbutlitlislnotlthelmajorlfocus. Rationalel4:lThelNPlcannotldoltertiarylpreventionlaslalmajorlfocus.
Rationalel2:lPhysicallandlpsychosociallclinicallassessmentlislthelmajorlfocusloflthelnurselpractitionerl(NP).
Questionl6
Thelnurselmanagerlislconsultinglwithlalcertifiedlnurse–midwifelaboutlalpatient.lThelroleloflthelCNMlislto:
StandardlText:lSelectlalllthatlapply.
1. Belpreparedltolmanagelindependentlylthelcareloflwomenlatllowlrisklforlcomplicationslduringlpregnancylandlb
irth.
2. Givelprimarylcarelforlhigh-risklpatientslwholarelinlhospitallsettings.
3. Givelprimarylcarelforlhealthylnewborns.
4. Obtainlalphysicianlconsultationlforlanyltechnicallprocedureslatldelivery.
5. Beleducatedlinltwoldisciplinesloflnursing.
CORRECTlANSWER:l1,3,5
Rationalel1:lAlCNMlislpreparedltolmanagelindependentlylthelcareloflwomenlatllowlrisklforlcomplicationslduringlpreg
nancylandlbirthlandlthelcareloflhealthylnewborns.
Rationalel2:lCNMslcannotlgivelprimarylcarelforlhigh-
risklpatientslwholarelinlhospitallsettings.lThelphysicianlprovideslthelprimarylcare.
Rationalel3:lAlCNMlislpreparedltolmanagelindependentlylthelcareloflwomenlatllowlrisklforlcomplicationslduringlpreg
nancylandlbirthlandlthelcareloflhealthylnewborns.
Rationalel4:lThelCNMldoeslnotlneedltolobtainlalphysicianlconsultationlforlanyltechnicallprocedureslatldelivery.
Rationalel5:lThelCNMlisleducatedlinltheldisciplinesloflnursinglandlmidwifery.
