1
,Maternal & Child Nursing Care, 5e (London et al.)
x@ x@ x@ x@ x@ x@ x@ x@
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
x@ x @ x@ x@ x@ x@ x@ x@
1) A nurse is examining different nursing roles. Which statement best illustrates an adv
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
anced practice nursing role?
x@ x@ x@
1. A registered nurse who is the manager of a large obstetric unit
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@caring for high-risk infants
x@ x@ x@
Answer: 4 x @
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in c
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
aring for high- x@ x@
risk infants would illustrate an advanced practice nursing role. This nurse has specialized
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@knowledge and competence in a specific clinical area, and is master's-prepared.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Page Ref: 3 x@ x@
Cognitive Level: Remembering x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practic
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
e as a member of the health care team | AACN Essential Competencies: VI.1. Compare/c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ontrast the roles and perspectives of the nursing profession with other care professionals
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on the healthcare team (i.e. scope of discipline, education and licensure requirements) | N
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
LN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
health care team members, including overlaps | Nursing/Integrated Concepts: Nursing Pro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cess: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-
x@ x@ x@ x @ x@ x@ x@ x@ x@ x@ x@
newborn and pediatric nurses. x@ x@ x@
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2) What is the major focus of the nurse practitioner (NP)?
x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Leadership
2. Tertiary prevention x@
3. Physical and psychosocial clinical assessment
x@ x@ x@ x@
4. Independent care of the high- x@ x@ x@ x@
risk, pregnant client Answer: 3
x@ x@ x@ x @
Explanation: Physical and psychosocial clinical assessment is the major focus of the
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
NP. Page Ref: 3
x@ x@ x@
Cognitive Level: Remembering x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practic
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
e as a member of the health care team | AACN Essential Competencies: VI.1. Compare/c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ontrast the roles and perspectives of the nursing profession with other care professionals
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on the healthcare team (i.e. scope of discipline, education and licensure requirements) | N
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
LN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
health care team members, including overlaps | Nursing/Integrated Concepts: Nursing Pro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cess: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-
x@ x@ x@ x @ x@ x@ x@ x@ x@ x@ x@
newborn and pediatric nurses. x@ x@ x@
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Give primary care for healthy newborns.
x@ x@ x@ x@ x@
2. Be educated in two disciplines of nursing.
x@ x@ x@ x@ x@ x@
3. Give primary care for high-risk clients who are in hospital settings.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. Obtain a physician consultation for all technical procedures at delivery.
x@ x@ x@ x@ x@ x@ x@ x@ x@
5. Be prepared to manage independently the care of women at low risk for complications
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
during pregnancy and birth.
x@ x@ x@
Answer: 1, 2, 5 x @ x@ x@
Explanation: The CNM is prepared to manage independently the care of women at low ri
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sk for complications during pregnancy and birth and the care of healthy newborns.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
The CNM is educated in the disciplines of nursing and midwifery.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
The CNM is prepared to manage independently the care of women at low risk for compli
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cations during pregnancy and birth and the care of healthy newborns.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Page Ref: 3 x@ x@
Cognitive Level: Understanding x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practic
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
e as a member of the health care team | AACN Essential Competencies: VI.1. Compare/c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ontrast the roles and perspectives of the nursing profession with other care professionals
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on the healthcare team (i.e. scope of discipline, education and licensure requirements) | N
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
LN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
health care team members, including overlaps | Nursing/Integrated Concepts: Nursing Pro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cess: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-
x@ x@ x@ x @ x@ x@ x@ x@ x@ x@ x@
newborn and pediatric nurses.
x@ x@ x@
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
3
, 4) During the hospital admission process, a child's parent asks for information about fa
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mily- centered care. What should the nurse explain to this parent?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Mother is the principal caregiver in each family.
x@ x@ x@ x@ x@ x@ x@
2. Father is the leader in each home; thus, all communications should include him.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
3. Family serves as the constant influence and continuing support in the child's life.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. Child's physician is the key person in ensuring the health of a child is main
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
tained. Answer: 3 x@ x @
Explanation: The foundation for the development of trusting relationships and partnerships
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
with families is the recognition that the family is the principal caregiver, knows the uni
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
que nature of each individual child best, plays the vital role of meeting the child's needs,
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@and is responsible for ensuring each child's health.
x@ x@ x@ x@ x@ x@ x@
Page Ref: 3 x@ x@
Cognitive Level: Applying x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: I.B.3. Provide patient-
x @ x@ x@ x@ x@
centered care with sensitivity and respect for the diversity of human experience | AACN
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Essential Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
x@ x@ x@ x@ x@ x@
based care that respects patient and family preferences | NLN Competencies: Relationship
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Centered Care; Knowledge; The role of family, culture, and community in a person's dev
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
elopment | Nursing/Integrated Concepts: Nursing Process: Planning
x@ x@ x@ x@ x@ x@
Learning Outcome: 1.2 Summarize the use of community-
x@ x @ x@ x@ x@ x@ x@
based nursing care in meeting the needs of childbearing and childrearing families.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What sho
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
uld the nurse do to encourage the family to consider enrolling the child in this progra
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m?
1. Assessment of the details of the family's income and expenditures
x@ x@ x@ x@ x@ x@ x@ x@ x@
2. Case management to limit costly, unnecessary duplication of services
x@ x@ x@ x@ x@ x@ x@ x@
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. Education of the family about the need for keeping regular well-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
child visit appointments Answer: 3
x@ x@ x@ x @
Explanation: In the role of an advocate, a nurse will advance the interests of another by
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
suggesting the family investigate its CHIP eligibility.
x@ x@ x@ x@ x@ x@
Page Ref: 6 x@ x@
Cognitive Level: Applying x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
x @ x@ x@ x@ x@ x@ x@ x@ x@
x@patient centered care: information, communication, and education | AACN Essential Co
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mpetencies: V.12. Advocate for consumers and the nursing profession | NLN Competencie
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
s: Relationship Centered Care; Practice; Communicate information effectively; listen open
x@ x@ x@ x@ x@ x@ x@ x@ x@
ly and cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation
x@ x@ x@ x@ x@ x@ x@ x@
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x@and access to health care.
x@ x@ x@ x@
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@to the childbearing family.
x@ x@ x@
4
,Maternal & Child Nursing Care, 5e (London et al.)
x@ x@ x@ x@ x@ x@ x@ x@
Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
x@ x @ x@ x@ x@ x@ x@ x@
1) A nurse is examining different nursing roles. Which statement best illustrates an adv
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
anced practice nursing role?
x@ x@ x@
1. A registered nurse who is the manager of a large obstetric unit
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@caring for high-risk infants
x@ x@ x@
Answer: 4 x @
Explanation: A clinical nurse specialist with whom other nurses consult for expertise in c
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
aring for high- x@ x@
risk infants would illustrate an advanced practice nursing role. This nurse has specialized
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@knowledge and competence in a specific clinical area, and is master's-prepared.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Page Ref: 3 x@ x@
Cognitive Level: Remembering x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practic
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
e as a member of the health care team | AACN Essential Competencies: VI.1. Compare/c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ontrast the roles and perspectives of the nursing profession with other care professionals
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on the healthcare team (i.e. scope of discipline, education and licensure requirements) | N
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
LN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
health care team members, including overlaps | Nursing/Integrated Concepts: Nursing Pro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cess: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-
x@ x@ x@ x @ x@ x@ x@ x@ x@ x@ x@
newborn and pediatric nurses. x@ x@ x@
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2) What is the major focus of the nurse practitioner (NP)?
x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Leadership
2. Tertiary prevention x@
3. Physical and psychosocial clinical assessment
x@ x@ x@ x@
4. Independent care of the high- x@ x@ x@ x@
risk, pregnant client Answer: 3
x@ x@ x@ x @
Explanation: Physical and psychosocial clinical assessment is the major focus of the
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
NP. Page Ref: 3
x@ x@ x@
Cognitive Level: Remembering x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practic
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
e as a member of the health care team | AACN Essential Competencies: VI.1. Compare/c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ontrast the roles and perspectives of the nursing profession with other care professionals
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on the healthcare team (i.e. scope of discipline, education and licensure requirements) | N
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
LN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
health care team members, including overlaps | Nursing/Integrated Concepts: Nursing Pro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cess: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-
x@ x@ x@ x @ x@ x@ x@ x@ x@ x@ x@
newborn and pediatric nurses. x@ x@ x@
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
2
,3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Give primary care for healthy newborns.
x@ x@ x@ x@ x@
2. Be educated in two disciplines of nursing.
x@ x@ x@ x@ x@ x@
3. Give primary care for high-risk clients who are in hospital settings.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. Obtain a physician consultation for all technical procedures at delivery.
x@ x@ x@ x@ x@ x@ x@ x@ x@
5. Be prepared to manage independently the care of women at low risk for complications
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
during pregnancy and birth.
x@ x@ x@
Answer: 1, 2, 5 x @ x@ x@
Explanation: The CNM is prepared to manage independently the care of women at low ri
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sk for complications during pregnancy and birth and the care of healthy newborns.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
The CNM is educated in the disciplines of nursing and midwifery.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
The CNM is prepared to manage independently the care of women at low risk for compli
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cations during pregnancy and birth and the care of healthy newborns.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
Page Ref: 3 x@ x@
Cognitive Level: Understanding x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practic
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
e as a member of the health care team | AACN Essential Competencies: VI.1. Compare/c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ontrast the roles and perspectives of the nursing profession with other care professionals
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on the healthcare team (i.e. scope of discipline, education and licensure requirements) | N
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
LN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
health care team members, including overlaps | Nursing/Integrated Concepts: Nursing Pro
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
cess: Assessment Learning Outcome: 1.1 Identify the nursing roles available to maternal-
x@ x@ x@ x @ x@ x@ x@ x@ x@ x@ x@
newborn and pediatric nurses.
x@ x@ x@
MNL LO: 1.1.2. Explore the role of the nurse in maternity care delivery.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
3
, 4) During the hospital admission process, a child's parent asks for information about fa
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mily- centered care. What should the nurse explain to this parent?
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
1. Mother is the principal caregiver in each family.
x@ x@ x@ x@ x@ x@ x@
2. Father is the leader in each home; thus, all communications should include him.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
3. Family serves as the constant influence and continuing support in the child's life.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. Child's physician is the key person in ensuring the health of a child is main
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
tained. Answer: 3 x@ x @
Explanation: The foundation for the development of trusting relationships and partnerships
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@
with families is the recognition that the family is the principal caregiver, knows the uni
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
que nature of each individual child best, plays the vital role of meeting the child's needs,
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@and is responsible for ensuring each child's health.
x@ x@ x@ x@ x@ x@ x@
Page Ref: 3 x@ x@
Cognitive Level: Applying x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: I.B.3. Provide patient-
x @ x@ x@ x@ x@
centered care with sensitivity and respect for the diversity of human experience | AACN
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Essential Competencies: IX.5. Deliver compassionate, patient-centered, evidence-
x@ x@ x@ x@ x@ x@
based care that respects patient and family preferences | NLN Competencies: Relationship
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@Centered Care; Knowledge; The role of family, culture, and community in a person's dev
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
elopment | Nursing/Integrated Concepts: Nursing Process: Planning
x@ x@ x@ x@ x@ x@
Learning Outcome: 1.2 Summarize the use of community-
x@ x @ x@ x@ x@ x@ x@
based nursing care in meeting the needs of childbearing and childrearing families.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What sho
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
uld the nurse do to encourage the family to consider enrolling the child in this progra
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
m?
1. Assessment of the details of the family's income and expenditures
x@ x@ x@ x@ x@ x@ x@ x@ x@
2. Case management to limit costly, unnecessary duplication of services
x@ x@ x@ x@ x@ x@ x@ x@
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
4. Education of the family about the need for keeping regular well-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
child visit appointments Answer: 3
x@ x@ x@ x @
Explanation: In the role of an advocate, a nurse will advance the interests of another by
x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
suggesting the family investigate its CHIP eligibility.
x@ x@ x@ x@ x@ x@
Page Ref: 6 x@ x@
Cognitive Level: Applying x@ x @
Client Need/Sub: Safe and Effective Care Environment/Management of Care
x@ x @ x@ x@ x@ x@ x@ x@
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of
x @ x@ x@ x@ x@ x@ x@ x@ x@
x@patient centered care: information, communication, and education | AACN Essential Co
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mpetencies: V.12. Advocate for consumers and the nursing profession | NLN Competencie
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
s: Relationship Centered Care; Practice; Communicate information effectively; listen open
x@ x@ x@ x@ x@ x@ x@ x@ x@
ly and cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation
x@ x@ x@ x@ x@ x@ x@ x@
Learning Outcome: 1.3 Summarize the current status of factors related to health insurance
x@ x @ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x@and access to health care.
x@ x@ x@ x@
MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care
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@to the childbearing family.
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4