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Olds' Maternal-Newborn Nursing & Women's Health
Across the Lifespan 11th Edition by Michele Davidson,
Marcia London Test Bank
ALL CHAPTERS 1-36 WITH RATIONALES| A+ PASS
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TABLE OF CONTENTS
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Chapter 1
Question 1 Type: MCSA
The nurse is speaking to students about changes 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 findings that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Answer: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company)
policies as well as physiologic stability of the mother and newborn. Home healthcare agencies
often are involved in patient care to decrease 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 not delayed by
those practicing self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-
focused care, the nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community 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.
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5. Advocate for more home healthcare agencies.
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Answer: 1,2,3,5
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 for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as
needed within the birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They
are mainly there as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in
the home.
Question 3
The nurse is telling a new patient how technology used in maternal–newborn care has changed
the way the nurse cares for her patients. An example of this is:
1. Elective inductions, 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. Breastfeeding of the new baby on the delivery table.
Answer: 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring
are all recent technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers’ being present during labor and coaching their partners represents
nontechnological care during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
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1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
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3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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Olds' Maternal-Newborn Nursing & Women's Health
Across the Lifespan 11th Edition by Michele Davidson,
Marcia London Test Bank
ALL CHAPTERS 1-36 WITH RATIONALES| A+ PASS
Co
nfi
de
n
al
, 2|Page
TABLE OF CONTENTS
Co
nfi
de
n
al
, 3|Page
Chapter 1
Question 1 Type: MCSA
The nurse is speaking to students about changes 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 findings that suggest that it:
1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Answer: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company)
policies as well as physiologic stability of the mother and newborn. Home healthcare agencies
often are involved in patient care to decrease 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 not delayed by
those practicing self-care.
Question 2
In order to combat the impersonal nature of technology that sometimes interferes with family-
focused care, the nurse should take which actions?
Standard Text: Select all that apply.
1. Advocate within the community 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.
Co
5. Advocate for more home healthcare agencies.
nfi
Answer: 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
de
n
al
, 4|Page
Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide
childbirth classes for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as
needed within the birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They
are mainly there as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in
the home.
Question 3
The nurse is telling a new patient how technology used in maternal–newborn care has changed
the way the nurse cares for her patients. An example of this is:
1. Elective inductions, 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. Breastfeeding of the new baby on the delivery table.
Answer: 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring
are all recent technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers’ being present during labor and coaching their partners represents
nontechnological care during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
Co
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
nfi
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
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n
al
