Test Bank for Davis Advantage for Maternal Child Nursing Care 3rd Edition Scannell | 9781719640985 | | Chapter 1-33 | All Chapters with Answers and Rationals

, Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
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Ruggiero Test Bank s3 s3




Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum
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MULTIPLE CHOICE s3




A patient chooses to have the certified nurse midwife (CNM) provide care
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s3 during her pregnancy. What does the CNMs scope of practice include?
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• Practice independent from medical supervision
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• Comprehensive prenatal care s3 s3




• Attendance at all deliveries s3 s3 s3




• Cesarean sections s3




ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends
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uncomplicated deliveries, and ensures that a backup physician is available in case of
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s3 unforeseen

problems.

REF: Page s3


6
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Which medical pioneer discovered the relationship between the incidence of
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s3 puerperal fever and unwashed hands? s3 s3 s3 s3




• Karl Cred s3




• Ignaz Semmelweis s3




• Louis Pasteur s3




• Joseph List s3




ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by
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the unwashed hands of physicians and medical students.
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A pregnant woman who has recently immigrated to the United States comments
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s3 to the nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die.
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s3 What is the best nursing response reflecting cultural sensitivity?
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• Maternal mortality in the United States is extremely low.
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• Anesthesia is available to relieve pain during labor and childbirth.
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• Tell me why you are afraid of childbirth.
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• Your condition will be monitored during labor and delivery.
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, 2


ANS: C - Asking the patient about her concerns helps promote understanding and
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individualizes patient care.
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• An urban area has been reported to have a high perinatal mortality rate.
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What information does this provide?
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• Maternal and infant deaths per 100,000 live births per year
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• Deaths of fetuses weighing more than 500 g per 10,000 births per year
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• Deaths of infants up to 1 year of age per 1000 live births per year
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• Fetal and neonatal deaths per 1000 live births per year
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ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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• What is the focus of current maternity practice?
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• Hospital births for the majority of women
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• The traditional family unit
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• Separation of labor rooms from delivery rooms s3 s3 s3 s3 s3 s3




• A quality family experience for each patient
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ANS: D - Current maternity practice focuses on a high-quality family experience for all
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s3 families, traditional or otherwise.
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: REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
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• Who advocated the establishment of the Childrens Bureau?
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• Lillian Wald s3




• Florence Nightingale s3




• Florence Kelly s3




• Clara Barton s3




ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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• What was the result of research done in the 1930s by the Childrens Bureau?
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• Children with heart problems are now cared for by pediatric cardiologists.
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• The Child Abuse and Prevention Act was passed.
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• Hot lunch programs were established in many schools.
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• Childrens asylums were founded. s3 s3 s3




ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
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The effects of economic depression on children.
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• What government program was implemented to increase the
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educational exposure of preschool children?
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• WIC

• Title XIX of Medicaids3 s3 s3




• The Childrens Charter
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• Head Start s3




ANS:D - Head Start programs were established to increase educational exposure of preschool children.
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• What guidelines define multidisciplinary patient care in terms of
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expected outcome and timeframe from different areas of care
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s3 provision?

• Clinical pathways s3




• Nursing outcome criteria s3 s3




• Standards of care s3 s3




• Nursing care plan s3 s3




ANS:A - Clinical pathways, also known as critical pathways or care maps, are
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collaborative guidelines that define patient care across disciplines. Expected
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s3 progress within a specified timeline is identified.
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• A nursing student has reviewed a hospitalized pediatric patient chart,
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s3 interviewed her mother, and collected admission data. What is the next step the
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student will take to develop a nursing care plan for this child?
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• Identify measurable outcomes with a timeline.
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• Choose specific nursing interventions for the child.
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• Determine appropriate nursing diagnoses. s3 s3 s3




• State nursing actions related to the childs medical diagnosis.
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ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the
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NANDA-I list. Outcomes and interventions are then developed to address the relevant
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s3 nursing diagnoses. s3




• A nursing student on an obstetric rotation questions the floor nurse
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s3 about the definition of the LVN/LPN scope of practice. What resource can the
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nurse suggest to the student?
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