,
,Test Bank
Old's Maternal-Newborn Nursing and Women's Health,
12 Edition (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
researchfindings 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. | AACN 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.
1
, 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.
2
,Test Bank
Old's Maternal-Newborn Nursing and Women's Health,
12 Edition (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
researchfindings 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. | AACN 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.
1
, 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.
2
