Olds Maternal-Newborn Nursing & Women’s Health
Across the Lifespan 11th Edition Test Bank
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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. | 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
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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
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3) The nurse is telling a new client how advanced technology has permitted the
physician to do which of the following?
A) Treat the fetus and monitor fetal development.
B) Deliver at home with a nurse-midwife and doula.
C) Have the father act as the coach and cut the umbilical cord.
D) Breastfeed a new baby on the delivery table.
Answer:A
Explanation:
A) The fetus is increasingly viewed as a patient separate from the mother, although
treatment of the fetus necessarily involves the mother.
B) A nurse-midwife and a doula are not examples of technological care.
C) Fathers being present during labor and coaching their partners represents
nontechnological care during childbirth.
D) Breastfeeding is not an example of technology impacting care.
Page Ref: 2—3
Cognitive Level:Understanding
Client Need/Sub:Safe and Effective Care Environment: Management of Care
Standards:QSEN Competencies: Ⅰ.B.10. Engage patients or designated surrogates in
active partnerships that promote health, safety and well-being, and self-care
management. | AACN Essentials Competencies: Ⅸ.5. Deliver compassionate, patient-
centered, evidence-based care that respects patient and family preferences. | NLN
Competencies: Teamwork: Scope of practice, roles, and responsibilities of health care
team members, including overlaps. | Nursing/Integrated Concepts: Nursing Process:
Implementation.
Learning Outcome:6 Evaluate the potential impact of some of the special situations in
contemporary maternity care.
MNL LO:Recognize contemporary issues related to care of the childbearing family.
3
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