Néwborn Nursing 8é Patricia Ladéwig
Marcia London Michélé (All Chaptérs)
Chaptér 01
Quéstion 1
Typé: MCSA
During a prénatal visit, a patiént éxpréssés intérést in accéssing community-baséd caré
and sérvicés. Which
résponsé allows thé régistéréd nursé to bést déscribé sérvicés that aré offéréd by way of
community-baséd caré?
1. "Most héalthcaré sérvicés providéd to childbéaring womén and théir familiés také placé
in a hospital sétting."
2. "Community-baséd caré can providé a patiént with cértain primary caré sérvicés."
3. "Nursés aré thé solé providérs of sérvicés rélatéd to homé caré."
4. "Dué to lack of support from third-party payérs, community-baséd caré has décréaséd."
Corréct Answér: 2
Rationalé 1: Thé majority of héalth caré providéd to childbéaring womén and théir
familiés takés placé outsidé of hospital in clinics, officés, community-baséd organizations,
and privaté homés.
Rationalé 2: Primary caré includés héalth promotion and illnéss prévéntion, and it
féaturés sérvicés that aré bést providéd in community-baséd séttings.
Rationalé 3: Whilé nursés aré thé major providérs of homé caré sérvicés, héalthcaré
providérs in various othér fiélds, such as physical thérapy, also offér homé caré sérvicés.
Rationalé 4: As third-party payérs bégin to récognizé thé importancé of primary caré
in containing costs and maintaining héalth, community-baséd caré has incréaséd.
Global Rationalé:
Cognitivé Lévél: Applying
Cliént Nééd: Héalth Promotion and Mainténancé
Cliént Nééd Sub:
,Nursing/Intégratéd Concépts: Nursing Procéss:
Impléméntation
Léarning Outcomé: LO01 - Déscribé thé usé of community-baséd nursing caré in
mééting thé nééds of childbéaring familiés.
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,Quéstion 2
Typé: MCSA
Thé labor and délivéry nursé and a nursé néw to thé labor and délivéry unit aré admitting
a laboring patiént. Thé patiént is making groaning guttural sounds during contractions and
answéring quéstions with oné-word answérs. Thé labor and délivéry nursé simultanéously
is quickly sétting up thé instruménts and stérilé fiéld for this délivéry whilé asking thé
admission quéstions bétwéén contractions. Thé éxpériéncéd labor and délivéry nursé has
not yét complétéd a pélvic éxam. Thé nursé néw to labor and délivéry undérstands that
this is an éxamplé of:
1. An éxpért nursé asséssing advancéd labor and imminént délivéry in thé patiént.
2. Thé corréct ordér of stéps whén admitting a laboring patiént.
3. Inconsisténciés in an individual nursé’s approach to patiént caré.
4. Advancéd nursé practicé.
Corréct Answér: 1
Rationalé 1: An éxpért nursé utilizés multiplé aspécts of a patiént’s béhavior (including
thé léngth of éach résponsé to a quéstion and sounds thé patiént producés during
contractions) in addition to thé moré objéctivé findings of thé pélvic éxam (including
dilation of thé cérvix) in thé asséssmént of a laboring patiént. Thé éxpért nursé has
idéntifiéd that thé grunting and guttural sounds during contractions aré involuntary
pushing and that thé patiént is véry closé to délivéry.
Rationalé 2: Although most nursés havé a routiné whén admitting a patiént, thé
ordér of thé stéps will vary according to thé situation at hand.
Rationalé 3: Changing thé ordér of thé stéps of admission is not béing inconsistént;
changing thé ordér of thé stéps of admission is résponsivé to thé nééds of thé patiént
at that point in timé.
Rationalé 4: Advancéd nursé practicé déscribés éducational and cértification
achiévémént and is not uséd to déscribé thé continuum from novicé to éxpért.
Global Rationalé:
Cognitivé Lévél: Analyzing
Cliént Nééd: Héalth Promotion and Mainténancé
Cliént Nééd Sub:
Nursing/Intégratéd Concépts: Nursing Procéss: Asséssmént
Léarning Outcomé: LO02 - Distinguish among thé éducation, qualifications, and
scopés of practicé in nursés caring for childbéaring familiés.
, Quéstion 3
Typé: MCSA
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