Olds' Maternal-Newborn Nursing &
Women's Health Across the Lifespan,
11e
Olds' Maternal-Newborn Nursing &
Women's Health Across the
Lifespan
Eleventh Edition
Michele Davidson
Marcia London
Patricia Ladewig
,Old’s Maternal-Newborn
Nursing and Women’s Health,
11e (Davidson/London/Ladewig)
Chapter 1 Contemporary Maternal-Newborn Nursing
1) The nurse is speaking to students about changes in maternal-newborn care.
One change is that self-care has gained wide acceptance with clients and the
healthcare community due to research findings that suggest that it has which
effect?
A) Shortens newborn length of stay
B) Decreases use of home health agencies
C) Decreases healthcare costs
D) Decreases the number of emergency department visits
Answer: C
Explanation:
A) Length of stay is often determined by third-party payer (insurance
company) policies as well as the physiologic stability of the mother and
newborn. Home healthcare agencies often are involved in client care to
decrease hospital stay time.
B) Home healthcare agencies often are involved in client care to decrease
hospital stay time.
C) Research indicates that self-care significantly decreases healthcare costs.
D) Acute emergencies are addressed by emergency departments, and are
not delayed by those practicing self-care.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: Ⅰ.A.2. Describe strategies to empower
patients or families in all aspects of the healthcare process. | A ACN Essentials
Competencies: Ⅸ.7. Provide appropriate patient teaching that reflects
developmental stage, age, culture, spirituality, patient preferences, and health
literacy considerations to foster patient engagement in their care. | NLN
Competencies: Context and Environment: Health care economic policy;
reimbursement structures; accreditation standards; staffing models and
productivity; supply chain models | Nursing/Integrated Concepts: Nursing
Process: Planning.
,Learning Outcome: 1 Discuss the impact of the self-care movement on
contemporary childbirth.
MNL LO: Recognize contemporary issues related to care of the childbearing
family.
, 2) Care delivered by nurse-midwives can be safe and effective and can
represent a positive response to the healthcare provider shortage. Nurse-
midwives tend to use less technology, which often results in which of the
following?
A) There is less trauma to the mother.
B) More childbirth education classes are available.
C) They are instrumental in providing change in the birth environment at
work.
D) They advocate for more home healthcare agencies.
Answer: A
Explanation:
A) Nurse-midwife models of care can be one way to ensure that mothers
receive excellent prenatal and intrapartum care.
B) It is appropriate for nurse-midwives, in conjunction with doctors and
hospitals, to provide childbirth classes for expectant families.
C) By working with other staff members and doctors, the nurse-midwife is
able to implement changes as needed within the birthing unit.
D) Clients are increasingly going home sooner, so there needs to be more
follow-up in the home.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health
Promotion/Disease Prevention
Standards: QSEN Competencies: Ⅲ.A.6. Describe how the strength and
relevance of available evidence influences the choice of interventions in provision
of patient-centered care. | AACN Essentials Competencies: Ⅸ. 5. Deliver
compassionate, patient-centered, evidence-based care that respects patient and
family preferences. | NLN Competencies: Context and Environment: Read and
interpret data; apply health promotion/disease prevention strategies; apply health
policy; conduct population-based transcultural health assessments and
interventions. | Nursing/Integrated Concepts: Nursing Process: Planning.
Learning Outcome: 2 Compare the nursing roles available to the maternal-
newborn nurse.
MNL LO: Recognize contemporary issues related to care of the childbearing
family.