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?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits
Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases
healthcare costs.
Page Ref: 4
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 health care 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.
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?
1. There is less trauma to the mother.
,2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at
work.
4. They advocate for more home healthcare agencies.
Answer: 1
Explanation: 1. Nurse-midwife models of care can be one way to ensure that
mothers receive excellent prenatal and intrapartum care.
Page Ref: 4
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
1
Copyright 2016 Pearson Education, Inc.
Learning Outcome: 2 Compare the nursing roles available to the maternal-
newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
3) The nurse is telling a new client how advanced technology has permitted
the physician to do which of the following?
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table.
,Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from
the mother, although treatment of the fetus necessarily involves the mother.
Page Ref: 11
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: 1.1.3 Relate various factors to their effect on pregnancy outcomes.
4) A nurse is examining different nursing roles. Which example best
illustrates an advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries
(cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise
in caring for high-risk infants
Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for
expertise in caring for high-risk infants is working in an advanced practice
nursing role. This nurse has specialized knowledge and competence in a
specific clinical area, and is masters prepared.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
, Standards: QSEN Competencies: II.A.2. Describe scopes of practice and
roles of healthcare team members. | AACN Essentials Competencies: VI. 6.
Compare/contrast the roles and perspectives of the nursing profession with
other care professionals on the healthcare team (i.e. scope of discipline,
education, and licensure requirements) | NLN Competencies: Teamwork: Scope
of practice, roles, and
2
Copyright 2016 Pearson Education, Inc.
responsibilities of health care team members, including overlaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2 Compare the nursing roles available to the maternal-
newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
3
Copyright 2016 Pearson Education, Inc.
5) A nursing student investigating potential career goals is strongly considering
becoming a nurse practitioner (NP). The major focus of the NP is on which of
the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention
Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major
focus of the NP.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and
roles of healthcare team members. | AACN Essentials Competencies: VI. 2.
Compare/contrast the roles and perspectives of the nursing profession with
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?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits
Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases
healthcare costs.
Page Ref: 4
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 health care 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.
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?
1. There is less trauma to the mother.
,2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at
work.
4. They advocate for more home healthcare agencies.
Answer: 1
Explanation: 1. Nurse-midwife models of care can be one way to ensure that
mothers receive excellent prenatal and intrapartum care.
Page Ref: 4
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
1
Copyright 2016 Pearson Education, Inc.
Learning Outcome: 2 Compare the nursing roles available to the maternal-
newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
3) The nurse is telling a new client how advanced technology has permitted
the physician to do which of the following?
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table.
,Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from
the mother, although treatment of the fetus necessarily involves the mother.
Page Ref: 11
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: 1.1.3 Relate various factors to their effect on pregnancy outcomes.
4) A nurse is examining different nursing roles. Which example best
illustrates an advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries
(cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise
in caring for high-risk infants
Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for
expertise in caring for high-risk infants is working in an advanced practice
nursing role. This nurse has specialized knowledge and competence in a
specific clinical area, and is masters prepared.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
, Standards: QSEN Competencies: II.A.2. Describe scopes of practice and
roles of healthcare team members. | AACN Essentials Competencies: VI. 6.
Compare/contrast the roles and perspectives of the nursing profession with
other care professionals on the healthcare team (i.e. scope of discipline,
education, and licensure requirements) | NLN Competencies: Teamwork: Scope
of practice, roles, and
2
Copyright 2016 Pearson Education, Inc.
responsibilities of health care team members, including overlaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2 Compare the nursing roles available to the maternal-
newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
3
Copyright 2016 Pearson Education, Inc.
5) A nursing student investigating potential career goals is strongly considering
becoming a nurse practitioner (NP). The major focus of the NP is on which of
the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention
Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major
focus of the NP.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and
roles of healthcare team members. | AACN Essentials Competencies: VI. 2.
Compare/contrast the roles and perspectives of the nursing profession with
