Old's Maternal-Newborn Nursing and
Women's Health, 11e
(Davidson/London/Ladewig)
1
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Old's Maternal-Newborn Nursing and Women's
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Health,11e (Davidson/London/Ladewig)
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Chapter 1 : Contemporary Maternal-Newborn Nursing
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1) The nurse is speaking to students about changes in
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maternal-newborn care. One change is that self-care has
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gained wide acceptance with clients and the healthcare
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community due toresearchfindings that suggest that it has
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which effect? kr kr
A) Shortens newborn length of stay kr kr kr kr
B) Decreases use of home health agencies kr kr kr kr kr
C) Decreases healthcare costs kr kr
D) Decreases the number of emergency department kr kr kr kr kr
kr visitsAnswer: C .
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Explanation: A) Length of stay is often determined by third-party payer (insurance company)
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policiesas well as the physiologic stability of the mother and newborn. Home healthcare agencies
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often are involved in client care to decrease hospital stay time.
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B) Home healthcare agencies often are involved in client care to decrease hospital stay time.
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C) Research indicates that self-care significantly decreases healthcare costs.
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D) Acute emergencies are addressed by emergency departments, and are not delayed by
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thosepracticing self-care.
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Page Ref: 3
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Cognitive Level: Understanding kr k r
Client Need/Sub: Health Promotion and Maintenance: Self-Care
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Standards: QSEN Competencies: I.A.2. Describe strategies to empower patients or families in all
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,aspects of the healthcare process. | AACN Essentials Competencies: IX.7. Provide appropriate
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patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and
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health literacy considerations to foster patient engagement in their care. | NLN Competencies:
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Context and Environment: Health care economic policy; reimbursement structures; accreditation
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standards; staffingmodels and productivity; supply chain models | Nursing/Integrated Concepts:
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Nursing Process: Planning.
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Learning Outcome: 1 Discuss the impact of the self-care movement on contemporary
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childbirth.MNL LO: Recognize contemporary issues related to care of the childbearing family.
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, 2) Care delivered by nurse-midwives can be safe and effective and can represent a positive response
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tothe healthcare provider shortage. Nurse-midwives tend to use less technology, which often results
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in which of the following?
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A) There is less trauma to the mother. kr kr kr kr kr kr
B) More childbirth education classes are available.
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C) They are instrumental in providing change in the birth environment at work.
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D) They advocate for more home healthcare kr kr kr kr kr
agencies.Answer: A
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Explanation: A) Nurse-midwife models of care can be one way to ensure that mothers kr kr kr kr kr kr kr kr kr kr kr kr kr
receiveexcellent prenatal and intrapartum care.
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B) It is appropriate for nurse-midwives, in conjunction with doctors and hospitals, to provide
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childbirthclasses for expectant families.
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C) By working with other staff members and doctors, the nurse-midwife is able to implement
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changesas needed within the birthing unit.
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D) Clients are increasingly going home sooner, so there needs to be more follow-up in the
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home.Page Ref: 3
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Cognitive Level: Understanding kr k r
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
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Standards: QSEN Competencies: III.A. 6. Describe how the strength and relevance of available
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evidence influences the choice of interventions in provision of patient-centered care. | AACN
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Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that
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respects patient and family preferences. | NLN Competencies: Context and Environment: Read
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andinterpret data; apply health promotion/disease prevention strategies; apply health policy;
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conduct population-based transcultural health assessments and interventions. | Nursing/Integrated
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Concepts:Nursing Process: Planning.
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Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn
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nurse.MNL LO: Recognize contemporary issues related to care of the childbearing
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family.
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