Test Bank
b
Old's Maternal-
b
Newborn Nursing and Women's Health,11e (Davidson/L
b b b b b b
ondon/Ladewig)
Chapter 1 : Contemporary Maternal-Newborn Nursing
b b b b b
1) Thebnursebisbspeakingbtobstudentsbaboutbchangesbinbmaternal-
bnewbornbcare. bOnebchangebisbthatbself-
carebhasbgainedbwidebacceptancebwithbclientsbandbthebhealthca
rebcommunitybduebtobresearchfindingsbthatbsuggestbthatbitbhasb
whichbeffect?
A) Shortensbnewbornblengthbofbstay
B) Decreasesbusebofbhomebhealthbagencies
C) Decreasesbhealthcarebcosts
D) Decreasesbthebnumberbofbemergencybdepartmentbvisitsb
Answer:bCb.
Explanation:bA)bLengthbofbstaybisboftenbdeterminedbbybthird-
partybpayerb(insurancebcompany)bpoliciesbasbwellbasbthebphysiologicbstabilitybofbthebmotherbandbnewborn.
bHomebhealthcarebagenciesboftenbarebinvolvedbinbclientb carebtobdecreasebhospitalbstaybtime.
B) Homebhealthcarebagenciesboftenbarebinvolvedbinbclientbcarebtobdecreasebhospitalbstaybtime.
C) Researchbindicatesbthatbself-carebsignificantlybdecreasesbhealthcarebcosts.
D) Acutebemergenciesbarebaddressedbbybemergencybdepartments,bandbarebnotbdelayedbbybthosebp
racticingbself-care.
PagebRef:b3
CognitivebLevel:b Understanding
ClientbNeed/Sub:b HealthbPromotionbandbMaintenance:bSelf-Care
Standards:bQSENbCompetencies:bI.A.2.bDescribebstrategiesbtobempowerbpatientsborbfamiliesbinballbaspect
sbofbthebhealthcarebprocess.b|bAACNbEssentialsbCompetencies:bIX.7.bProvidebappropriatebpatientbteachin
gbthatbreflectsbdevelopmentalbstage,bage,bculture,bspirituality,bpatientbpreferences,bandbhealthbliteracybcon
siderationsbtobfosterbpatientbengagementbinbtheirbcare.b|bNLNbCompetencies:bContextbandbEnvironment:b
Healthbcarebeconomicbpolicy;breimbursementbstructures;baccreditationbstandards;bstaffingbmodelsbandbpro
ductivity;bsupplybchainbmodelsb|bNursing/IntegratedbConcepts:bNursingbProcess:bPlanning.
LearningbOutcome:b1bDiscussbthebimpactbofbthebself-
carebmovementbonbcontemporarybchildbirth.bMNLbLO:bRecognizebcontemporarybissuesbrelatedbtobcare
bofbthebchildbearingbfamily.
1
,2) Carebdeliveredbbybnurse-
midwivesbcanbbebsafebandbeffectivebandbcanbrepresentbabpositivebresponsebtobthebhealthcarebproviderbshort
age.bNurse-midwivesbtendbtobuseblessbtechnology,bwhichboftenbresultsbinbwhichbofbthebfollowing?
A) Therebisblessbtraumabtobthebmother.
B) Morebchildbirthbeducationbclassesbarebavailable.
C) Theybarebinstrumentalbinbprovidingbchangebinbthebbirthbenvironmentbatbwork.
D) Theybadvocatebforbmorebhomebhealthcarebagencies.b
Answer:bA
Explanation:bA)bNurse-
midwifebmodelsbofbcarebcanbbebonebwaybtobensurebthatbmothersbreceivebexcellentbprenatalbandbintrapart
umbcare.
B) Itbisbappropriatebforbnurse-
midwives,binbconjunctionbwithbdoctorsbandbhospitals,btobprovidebchildbirthbclassesbforbexpectantbfamilies.
C) Bybworkingbwithbotherbstaffbmembersbandbdoctors,bthebnurse-
midwifebisbablebtobimplementbchangesbasbneededb withinbthebbirthingbunit.
D) Clientsbarebincreasinglybgoingbhomebsooner,bsobtherebneedsbtobbebmorebfollow-
upbinbthebhome.bPagebRef:b3
CognitivebLevel:b Understanding
ClientbNeed/Sub:bHealthbPromotionbandbMaintenance:bHealthbPromotion/DiseasebPreventionbStanda
rds:bQSENbCompetencies:bIII.A.b6.bDescribebhowbthebstrengthbandbrelevancebofbavailablebevidencebin
fluencesbthebchoicebofbinterventionsbinbprovisionbofbpatient-
centeredbcare.b|bAACNbEssentialsbCompetencies:bIX.b5.bDeliverbcompassionate,bpatient-
centered,bevidence-
basedbcarebthatbrespectsbpatientbandbfamilybpreferences.b|bNLNbCompetencies:bContextbandbEnvironm
ent:bReadbandbinterpretbdata;bapplybhealthbpromotion/diseasebpreventionbstrategies;bapplybhealthbpolic
y;bconductbpopulation-
basedbtransculturalbhealthbassessmentsbandbinterventions.b|bNursing/IntegratedbConcepts:bNursingbPro
cess:bPlanning.
LearningbOutcome:b2bComparebthebnursingbrolesbavailablebtobthebmaternal-
newbornbnurse.bMNLbLO:b Recognizebcontemporarybissuesbrelatedbtobcarebofbthebchildbearin
gbfamily.
2
,3) Thebnursebisbtellingbabnewbclientbhowbadvancedbtechnologybhasbpermittedbthebphysicianbtobdobwhichbo
fbthebfollowing?
A) Treatbthebfetusbandbmonitorbfetalbdevelopment.
B) Deliverbatbhomebwithbabnurse-midwifebandbdoula.
C) Havebthebfatherbactbasbthebcoachbandbcutbthebumbilicalbcord.
D) Breastfeedbabnewbbabybonbthebdeliverybtable.b
Answer:bA
Explanation:bA)bThebfetusbisbincreasinglybviewedbasbabpatientb separatebfrombthebmother,balthoughbtreatment
bofbthebfetus bnecessarilybinvolvesbtheb mother.
B) Abnurse-midwifebandbabdoulabarebnotbexamplesbofbtechnologicalbcare.
C) Fathersbbeingbpresentbduringblaborbandbcoachingbtheirbpartnersbrepresentsbnontechnologicalbcarebd
uringbchildbirth.
D) Breastfeedingbisbnotbanbexamplebofbtechnologybimpactingbcare.b
PagebRef:b2—3
CognitivebLevel:b Understanding
ClientbNeed/Sub:b SafebandbEffectivebCarebEnvironment:bManagementbofbCare
Standards:bQSENbCompetencies:bI.B.10.bEngagebpatientsborbdesignatedbsurrogatesbinbactivebpartnerships
bthatbpromotebhealth,bsafetybandbwell-being,bandbself-
carebmanagement.b|bAACNbEssentialsbCompetencies:bIX.5.bDeliverbcompassionate,bpatient-
centered,bevidence-
basedbcarebthatbrespectsbpatientbandbfamilybpreferences.b|bNLNbCompetencies:bTeamwork:bScopebofbpracti
ce,broles,bandbresponsibilitiesbofbhealthbcarebteambmembers,bincludingboverlaps.b|bNursing/IntegratedbCon
cepts:bNursingbProcess:bImplementation.
LearningbOutcome:b6bEvaluatebthebpotentialbimpactbofbsomebofbthebspecialbsituationsbinbcontemporaryb
maternitybcare.
MNLbLO:b Recognizebcontemporarybissuesbrelatedbtobcarebofbthebchildbearingbfamily.
3
, 4) Abnursebisbexaminingbdifferentbnursingbroles.bWhichbexamplebbestbillustratesbanbadvancedbpracticebn
ursingbrole?
A) Abregisteredbnursebwhobisbthebmanagerbofbablargebobstetricalbunit
B) Abregisteredbnursebwhobisbthebcirculatingbnursebduringbsurgicalbdeliveriesb(cesareanbsections)
C) Abclinicalbnursebspecialistbworkingbasbabstaffbnursebonbabmother-babybunit
D) Abclinicalbnursebspecialistbwithbwhombotherbnursesbconsultbforbherbexpertisebinbcaringbforbhigh-
riskbinfants
Answer:b D
Explanation:bA)bAbregisteredbnursebwhobisbthebmanagerbofbablargebobstetricalbunitbisbabprofessionalbnurs
ebwhobhasbgraduatedbfrombanbaccreditedbprogrambinbnursingbandbcompletedbtheblicensurebexamination
.
B) Abregisteredbnursebwhobisbabcirculatingbnursebatbsurgicalbdeliveriesb(cesareanbsections)bisbabpro
fessionalbnursebwhobhasbgraduatedbfrombanbaccreditedbprogrambinbnursingbandbcompletedbtheblicen
surebexamination.
C) Abclinicalbnursebspecialistbworkingbasbabstaffbnursebonbabmother-
babybunitbmightbhavebthebqualificationsbforbanbadvancedbpracticebnursingbstaffbmemberbbutbisbnotb
workingbinbthatbcapacity.
D) Abclinicalbnursebspecialistbwithbwhombotherbnursesbconsultbforbexpertisebinbcaringbforbhigh-
riskbinfantsbisbworkingbinbanbadvancedbpracticebnursingbrole.bThisbnursebhasbspecializedbknowledgeb
andbcompetencebinbabspecificbclinicalbarea,bandbisbmaster'sbprepared.
PagebRef:b5
CognitivebLevel:b Understanding
ClientbNeed/Sub:b SafebandbEffectivebCarebEnvironment:bManagementbofbCare
Standards:bQSENbCompetencies:bII.A.2.bDescribebscopesbofbpracticebandbrolesbofbhealthcarebteambmemb
ers.b|bAACNbEssentialsbCompetencies:bVI.b6.bCompare/contrastbthebrolesbandbperspectivesbofbthebnursingb
professionbwithbotherbcarebprofessionalsbonbthebhealthcarebteamb(i.e.bscopebofbdiscipline,beducation,bandbl
icensurebrequirements).b|bNLNbCompetencies:bTeamwork:bScopebofbpractice,broles,bandbresponsibilitiesbo
fbhealthbcarebteambmembers,bincludingboverlaps.b|bNursing/IntegratedbConcepts:bNursingbProcess:bAsses
sment.
LearningbOutcome:b2bComparebthebnursingbrolesbavailablebtobthebmaternal-
newbornbnurse.bMNLbLO:bRecognizebcontemporarybissuesbrelatedbtobcarebofbthebchildbearing
bfamily.
4
b
Old's Maternal-
b
Newborn Nursing and Women's Health,11e (Davidson/L
b b b b b b
ondon/Ladewig)
Chapter 1 : Contemporary Maternal-Newborn Nursing
b b b b b
1) Thebnursebisbspeakingbtobstudentsbaboutbchangesbinbmaternal-
bnewbornbcare. bOnebchangebisbthatbself-
carebhasbgainedbwidebacceptancebwithbclientsbandbthebhealthca
rebcommunitybduebtobresearchfindingsbthatbsuggestbthatbitbhasb
whichbeffect?
A) Shortensbnewbornblengthbofbstay
B) Decreasesbusebofbhomebhealthbagencies
C) Decreasesbhealthcarebcosts
D) Decreasesbthebnumberbofbemergencybdepartmentbvisitsb
Answer:bCb.
Explanation:bA)bLengthbofbstaybisboftenbdeterminedbbybthird-
partybpayerb(insurancebcompany)bpoliciesbasbwellbasbthebphysiologicbstabilitybofbthebmotherbandbnewborn.
bHomebhealthcarebagenciesboftenbarebinvolvedbinbclientb carebtobdecreasebhospitalbstaybtime.
B) Homebhealthcarebagenciesboftenbarebinvolvedbinbclientbcarebtobdecreasebhospitalbstaybtime.
C) Researchbindicatesbthatbself-carebsignificantlybdecreasesbhealthcarebcosts.
D) Acutebemergenciesbarebaddressedbbybemergencybdepartments,bandbarebnotbdelayedbbybthosebp
racticingbself-care.
PagebRef:b3
CognitivebLevel:b Understanding
ClientbNeed/Sub:b HealthbPromotionbandbMaintenance:bSelf-Care
Standards:bQSENbCompetencies:bI.A.2.bDescribebstrategiesbtobempowerbpatientsborbfamiliesbinballbaspect
sbofbthebhealthcarebprocess.b|bAACNbEssentialsbCompetencies:bIX.7.bProvidebappropriatebpatientbteachin
gbthatbreflectsbdevelopmentalbstage,bage,bculture,bspirituality,bpatientbpreferences,bandbhealthbliteracybcon
siderationsbtobfosterbpatientbengagementbinbtheirbcare.b|bNLNbCompetencies:bContextbandbEnvironment:b
Healthbcarebeconomicbpolicy;breimbursementbstructures;baccreditationbstandards;bstaffingbmodelsbandbpro
ductivity;bsupplybchainbmodelsb|bNursing/IntegratedbConcepts:bNursingbProcess:bPlanning.
LearningbOutcome:b1bDiscussbthebimpactbofbthebself-
carebmovementbonbcontemporarybchildbirth.bMNLbLO:bRecognizebcontemporarybissuesbrelatedbtobcare
bofbthebchildbearingbfamily.
1
,2) Carebdeliveredbbybnurse-
midwivesbcanbbebsafebandbeffectivebandbcanbrepresentbabpositivebresponsebtobthebhealthcarebproviderbshort
age.bNurse-midwivesbtendbtobuseblessbtechnology,bwhichboftenbresultsbinbwhichbofbthebfollowing?
A) Therebisblessbtraumabtobthebmother.
B) Morebchildbirthbeducationbclassesbarebavailable.
C) Theybarebinstrumentalbinbprovidingbchangebinbthebbirthbenvironmentbatbwork.
D) Theybadvocatebforbmorebhomebhealthcarebagencies.b
Answer:bA
Explanation:bA)bNurse-
midwifebmodelsbofbcarebcanbbebonebwaybtobensurebthatbmothersbreceivebexcellentbprenatalbandbintrapart
umbcare.
B) Itbisbappropriatebforbnurse-
midwives,binbconjunctionbwithbdoctorsbandbhospitals,btobprovidebchildbirthbclassesbforbexpectantbfamilies.
C) Bybworkingbwithbotherbstaffbmembersbandbdoctors,bthebnurse-
midwifebisbablebtobimplementbchangesbasbneededb withinbthebbirthingbunit.
D) Clientsbarebincreasinglybgoingbhomebsooner,bsobtherebneedsbtobbebmorebfollow-
upbinbthebhome.bPagebRef:b3
CognitivebLevel:b Understanding
ClientbNeed/Sub:bHealthbPromotionbandbMaintenance:bHealthbPromotion/DiseasebPreventionbStanda
rds:bQSENbCompetencies:bIII.A.b6.bDescribebhowbthebstrengthbandbrelevancebofbavailablebevidencebin
fluencesbthebchoicebofbinterventionsbinbprovisionbofbpatient-
centeredbcare.b|bAACNbEssentialsbCompetencies:bIX.b5.bDeliverbcompassionate,bpatient-
centered,bevidence-
basedbcarebthatbrespectsbpatientbandbfamilybpreferences.b|bNLNbCompetencies:bContextbandbEnvironm
ent:bReadbandbinterpretbdata;bapplybhealthbpromotion/diseasebpreventionbstrategies;bapplybhealthbpolic
y;bconductbpopulation-
basedbtransculturalbhealthbassessmentsbandbinterventions.b|bNursing/IntegratedbConcepts:bNursingbPro
cess:bPlanning.
LearningbOutcome:b2bComparebthebnursingbrolesbavailablebtobthebmaternal-
newbornbnurse.bMNLbLO:b Recognizebcontemporarybissuesbrelatedbtobcarebofbthebchildbearin
gbfamily.
2
,3) Thebnursebisbtellingbabnewbclientbhowbadvancedbtechnologybhasbpermittedbthebphysicianbtobdobwhichbo
fbthebfollowing?
A) Treatbthebfetusbandbmonitorbfetalbdevelopment.
B) Deliverbatbhomebwithbabnurse-midwifebandbdoula.
C) Havebthebfatherbactbasbthebcoachbandbcutbthebumbilicalbcord.
D) Breastfeedbabnewbbabybonbthebdeliverybtable.b
Answer:bA
Explanation:bA)bThebfetusbisbincreasinglybviewedbasbabpatientb separatebfrombthebmother,balthoughbtreatment
bofbthebfetus bnecessarilybinvolvesbtheb mother.
B) Abnurse-midwifebandbabdoulabarebnotbexamplesbofbtechnologicalbcare.
C) Fathersbbeingbpresentbduringblaborbandbcoachingbtheirbpartnersbrepresentsbnontechnologicalbcarebd
uringbchildbirth.
D) Breastfeedingbisbnotbanbexamplebofbtechnologybimpactingbcare.b
PagebRef:b2—3
CognitivebLevel:b Understanding
ClientbNeed/Sub:b SafebandbEffectivebCarebEnvironment:bManagementbofbCare
Standards:bQSENbCompetencies:bI.B.10.bEngagebpatientsborbdesignatedbsurrogatesbinbactivebpartnerships
bthatbpromotebhealth,bsafetybandbwell-being,bandbself-
carebmanagement.b|bAACNbEssentialsbCompetencies:bIX.5.bDeliverbcompassionate,bpatient-
centered,bevidence-
basedbcarebthatbrespectsbpatientbandbfamilybpreferences.b|bNLNbCompetencies:bTeamwork:bScopebofbpracti
ce,broles,bandbresponsibilitiesbofbhealthbcarebteambmembers,bincludingboverlaps.b|bNursing/IntegratedbCon
cepts:bNursingbProcess:bImplementation.
LearningbOutcome:b6bEvaluatebthebpotentialbimpactbofbsomebofbthebspecialbsituationsbinbcontemporaryb
maternitybcare.
MNLbLO:b Recognizebcontemporarybissuesbrelatedbtobcarebofbthebchildbearingbfamily.
3
, 4) Abnursebisbexaminingbdifferentbnursingbroles.bWhichbexamplebbestbillustratesbanbadvancedbpracticebn
ursingbrole?
A) Abregisteredbnursebwhobisbthebmanagerbofbablargebobstetricalbunit
B) Abregisteredbnursebwhobisbthebcirculatingbnursebduringbsurgicalbdeliveriesb(cesareanbsections)
C) Abclinicalbnursebspecialistbworkingbasbabstaffbnursebonbabmother-babybunit
D) Abclinicalbnursebspecialistbwithbwhombotherbnursesbconsultbforbherbexpertisebinbcaringbforbhigh-
riskbinfants
Answer:b D
Explanation:bA)bAbregisteredbnursebwhobisbthebmanagerbofbablargebobstetricalbunitbisbabprofessionalbnurs
ebwhobhasbgraduatedbfrombanbaccreditedbprogrambinbnursingbandbcompletedbtheblicensurebexamination
.
B) Abregisteredbnursebwhobisbabcirculatingbnursebatbsurgicalbdeliveriesb(cesareanbsections)bisbabpro
fessionalbnursebwhobhasbgraduatedbfrombanbaccreditedbprogrambinbnursingbandbcompletedbtheblicen
surebexamination.
C) Abclinicalbnursebspecialistbworkingbasbabstaffbnursebonbabmother-
babybunitbmightbhavebthebqualificationsbforbanbadvancedbpracticebnursingbstaffbmemberbbutbisbnotb
workingbinbthatbcapacity.
D) Abclinicalbnursebspecialistbwithbwhombotherbnursesbconsultbforbexpertisebinbcaringbforbhigh-
riskbinfantsbisbworkingbinbanbadvancedbpracticebnursingbrole.bThisbnursebhasbspecializedbknowledgeb
andbcompetencebinbabspecificbclinicalbarea,bandbisbmaster'sbprepared.
PagebRef:b5
CognitivebLevel:b Understanding
ClientbNeed/Sub:b SafebandbEffectivebCarebEnvironment:bManagementbofbCare
Standards:bQSENbCompetencies:bII.A.2.bDescribebscopesbofbpracticebandbrolesbofbhealthcarebteambmemb
ers.b|bAACNbEssentialsbCompetencies:bVI.b6.bCompare/contrastbthebrolesbandbperspectivesbofbthebnursingb
professionbwithbotherbcarebprofessionalsbonbthebhealthcarebteamb(i.e.bscopebofbdiscipline,beducation,bandbl
icensurebrequirements).b|bNLNbCompetencies:bTeamwork:bScopebofbpractice,broles,bandbresponsibilitiesbo
fbhealthbcarebteambmembers,bincludingboverlaps.b|bNursing/IntegratedbConcepts:bNursingbProcess:bAsses
sment.
LearningbOutcome:b2bComparebthebnursingbrolesbavailablebtobthebmaternal-
newbornbnurse.bMNLbLO:bRecognizebcontemporarybissuesbrelatedbtobcarebofbthebchildbearing
bfamily.
4
