h h h h h h h h h h
n Ladewig h
ContemporaryhMaternal-
NewbornhNursing,h9eh(Ladewighethal.)hChapterh1h ContemporaryhMate
rnal-NewbornhCare
1) Duringhahprenatalhvisit,hahclienthexpresseshinteresthinhaccessinghcommunity-
basedhcarehandhservices.hWhichhresponsehallowshthehregisteredhnursehtohbesthdescribehserviceshthath
arehofferedhbyhwayhofhcommunity-basedhcare?
1. "Mosthhealthcarehserviceshprovidedhtohchildbearinghwomenhandhtheirhfamilieshtakehplacehinhahh
ospitalhsetting."
2. "Community-basedhcarehcanhprovidehahclienthwithhcertainhprimaryhcarehservices."
3. "Nursesharehthehsolehprovidershofhserviceshrelatedhtohhomehcare."
4. "Duehtohlackhofhsupporthfromhthird-partyhpayers,hcommunity-
basedhcarehhashdecreased."hAnswer:h 2
Explanation:h 1.hThehmajorityhofhhealthhcarehprovidedhtohchildbearinghwomenhandhtheirhfamilieshtak
eshplacehoutsidehofhhospitalhinhclinics,hoffices,hcommunity-basedhorganizations,handhprivatehhomes.
2. Primaryhcarehincludeshhealthhpromotionhandhillnesshprevention,handhithfeatureshserviceshthatharehb
esthprovidedhinhcommunity-basedhsettings.
3. Whilehnursesharehthehmajorhprovidershofhhomehcarehservices,hhealthcarehprovidershinhvariousho
therhfields,hsuchhashphysicalhtherapy,halsohofferhhomehcarehservices.
4. Ashthird-
partyhpayershbeginhtohrecognizehthehimportancehofhprimaryhcarehinhcontaininghcostshandhmaintai
ninghhealth,hcommunity-basedhcarehhashincreased.
PagehRef:h3
CognitivehLevel:h Application
ClienthNeed&Sub:h HealthhPromotionhandhMaintenance
Standards:h QSENhCompetencies:hPatient-
centeredhcareh|hAACNhEssentialhCompetencies:hEssentialhIX:hBaccalaureatehgeneralisthnursinghpra
cticeh|hNLNhCompetencies:hHumanhflourishing
|hNursing/IntegratedhConcepts:hNursinghProcess:hImplementation/Healthhteachinghandhhealthhprom
otion
LearninghOutcome:h LOh1.2-Describehthehusehofhcommunity-
basedhnursinghcarehinhmeetinghthehneedshofhchildbearinghfamilies.
MNLhLO:h Overviewhofhmaternal-newbornhnursing.
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h h h h h h h h h h
n Ladewig h
2) Thehlaborhandhdeliveryhnursehandhahnovicehnurseharehadmittinghahclienthwhohishinhlabor.hThehclie
nthishmakinghgroaninghgutturalhsoundshduringhcontractionshandhanswershquestionshwithhone-
hwordhanswers.hThehlaborhandhdeliveryhnursehishquicklyhsettinghuphthehinstrumentshandhsterilehfieldhf
orhthishdeliveryhwhilehaskinghadmissionhquestionshbetweenhcontractions.hThehlaborhandhdeliveryhn
ursehhashnothcompletedhahpelvichexam.hThehnovicehnursehunderstandshthaththishishanhexamplehof:
1. Anhexperthnursehassessinghadvancedhlaborhandhimminenthdeliveryhinhthehclient.
2. Thehcorrecthorderhofhstepshwhenhadmittinghahwhohishinhlabor.
3. Inconsistencieshinhanhindividualhnurse'shapproachhtohclienthcare.
4. Advancedhnursehpractice.h
Answer:h 1
Explanation:h 1.hAnhexperthnursehutilizeshmultiplehaspectshofhahclient'shbehaviorh(includinghthehlengt
hhofheachhresponsehtohahquestionhandhsoundshthehpatienthproduceshduringhcontractions)hinhadditionht
ohthehmorehobjectivehfindingshofhthehpelvichexamh(includinghdilationhofhthehcervix)hinhthehassessmen
thofhahwhohishinhlabor.hThehexperthnursehhashidentifiedhthaththehgruntinghandhgutturalhsoundshduringhc
ontractionsharehinvoluntaryhpushinghandhthaththehclienthishveryhclosehtohdelivery.
2. Althoughhmosthnurseshhavehahroutinehwhenhadmittinghahclient,hthehorderhofhthehstepshwillhvaryha
ccordinghtohthehsituationhathhand.
3. Changinghthehorderhofhthehstepshofhadmissionhishnothbeinghinconsistent;hchanginghthehorderhofht
hehstepshofhadmissionhishresponsivehtohthehneedshofhthehclienthaththathpointhinhtime.
4. Advancedhnursehpracticehdescribesheducationalhandhcertificationhachievementhandhishnothusedht
ohdescribehthehcontinuumhfromhnovicehtohexpert.
PagehRef:h4,h5
CognitivehLevel:h Analyzing
ClienthNeed&Sub:h HealthhPromotionhandhMaintenance
Standards:h QSENhCompetencies:hPatient-
centeredhcareh|hAACNhEssentialhCompetencies:hEssentialhIX:hBaccalaureatehgeneralisthnursinghpra
cticeh|hNLNhCompetencies:hHumanhflourishing
|hNursing/IntegratedhConcepts:hNursinghProcess:hAssessment/Coordinationhofhcare
LearninghOutcome:h LOh1.3-Identifyhthehnursinghroleshavailablehtohthehmaternal-
newbornhandhwomen'shhealthcarehnurses.
MNLhLO:h Overviewhofhmaternal-newbornhnursing.
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n Ladewig h
3) Currently,hone-
thirdhofhchildrenhunderh20hyearsholdhcomehfromhfamilieshofhminorityhpopulations.hThehnewhnursehish
observinghherhpreceptorhassesshthehclient'shcommunicationhpattern,hreligioushbeliefs,hlevelhofheduca
tion,handhsupporthsystem.hThehnewhnursehunderstandshthaththehbesthreasonhforhherhpreceptorhtohasses
shthesehareashishtohincreasehthe:
1. Client'shcooperationhwithhthehplanhofhcare.
2. HospitalshcompliancehwithhthehJointhCommissionhonhAccreditationhofhHealthcareh
OrganizationshJCAHOhstandards.
3. Nurse'shknowledgehofhculturalhbeliefs.
4. Client'shsatisfactionhwithhherhcare.h
Answer:h 1
Explanation:h 1.hGaininghcooperationhwithhthehplanhofhcarehincreaseshthehoutcomehdesiredhathdischar
ge.hWhenhahclient'shvaluehsystemhishnothincludedhinhthehplanhofhcare,hithwillhdecreasehcompliancehwit
hhthehtreatmenthplanhandhpossiblyhincreasehthehlengthhofhstayhandhdecreasehthehdesiredhoutcomehathdi
scharge.
2. AlthoughhcompliancehwithhJCAHOhstandardshishveryhimportant,hithishmorehimportanthtohgainhc
lienthcooperationhwithhthehplanhofhcare.
3. Thehnurse'shknowledgehofhculturalhbeliefshincreaseshthehabilityhtohcarehforhthehclient,hbuth
withouththehclient'shcooperationhwithhthehplanhofhcare,hthehnurse'shknowledgehishlost.
4. Clienthsatisfactionhwithhcarehishimportant,hbuththehprimehreasonhforhthehsatisfactionhishthehn
urse'shtakinghtimehtohgainhpatienthcooperationhwithhthehplanhofhcare.
PagehRef:h4,h5
CognitivehLevel:h Analyzing
ClienthNeed&Sub:h HealthhPromotionhandhMaintenance
Standards:h QSENhCompetencies:hPatient-
centeredhcareh|hAACNhEssentialhCompetencies:hEssentialhIX:hBaccalaureatehgeneralisthnursinghpra
cticeh|hNLNhCompetencies:hProfessionalhidentityh|hNursing/IntegratedhConcepts:hNursinghProcess:h
Planning/Healthhteachinghandhhealthhpromotion
LearninghOutcome:h LOh1.3-Identifyhthehnursinghroleshavailablehtohthehmaternal-
newbornhandhwomen'shhealthcarehnurses.
MNLhLO:h Overviewhofhmaternal-newbornhnursing.
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