TEST BANK - Olds' Maternal-Newborn Nursing
& Women's Health Across the Lifespan, 11th Edition (Davidson),
Chapters 1 - 36 | All Chapters Verified
,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.
CORRECT 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. Suggestnthatndoulasnnotnbenallowedntoninterferenwithnthenchildbirthnprocess.
5. Advocatenfornmorenhomenhealthcarenagencies.
CORRECTnANSWER:n1,2,3,5
Rationalen1:nNaturalnchildbirth,n ifnthenpatientn isnable,nisnthensafestn methodnfornthenbaby.
Rationalen2:nItnisnappropriatenfornnurses,n innconjunctionnwithndoctorsnandnhospitals,ntonprovidenchildbirthnclassesn forn
thenexpectantn families.
Rationalen3:nBynworkingnwithnothernstaffnandndoctors,nthennursenisnablentonimplementn changenasnneedednwithinnthen bi
rthingnunit.
Rationalen4:nDoulasnarenencouragedntonbenpartnofnthen birthingnprocessnasnthenpatientn wishes.nTheynarenmainlyntheren as
nancoach.
Rationalen5:nPatientsnarengoingnhomensoonernallnthentime,nsontherenneedsntonbenmorenfollow-upn innthenhome.
Questionn3
Thennursen isntellingnannewnpatientn howntechnologynusedninnmaternal–
newbornncarenhasnchangednthenwaynthennursen caresnfornhernpatients.nAnnexamplen ofnthisn is:
1. Electiveninductions,nrequestedncesareans,nepiduralnanesthesia,nandnfetalnmonitoring.
2. Deliveringnatnhomenwithnannurse-midwifenandndoula.
3. Havingnthenfathernpresentnasnthencoachnandncutnthenumbilicalncord.
4. Breastfeedingnofnthennewnbabynonnthendeliveryntable.
CORRECTnANSWER:n1
Rationalen1:nElectiven inductions,nrequestedncesareans,nepiduralnanesthesia,nandnfetalnmonitoringnarenallnrecentn technol
ogiesnthatn havenaffectednthencaren innlabornandndeliverynareas.
Rationalen2:nAnnurse-midwifenandnandoulanarennotnexamplesnofntechnologicalncare.
Rationalen3:nFathers’nbeingnpresentnduringn labornandncoachingntheirnpartnersnrepresentsnnontechnologicalncaren duringn
childbirth.
Rationalen4:nBreastfeedingn isnnotnannexamplenofntechnologynimpactingncare.
Questionn4
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