Ob Chapter 1 Study Questions

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Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s Health Across the Lifespan 9th Edition Test Bank Chapter 1

Question 1
Type: MCSA
The nurse is speaking to students about changes in maternal–newborn care. One change is that self-care has gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings that suggest that it: 1. Shortens newborn length of stay.

2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.
Correct Answer: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to decrease hospital stay time. Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time. Rationale 3: Research indicates self-care significantly reduces healthcare costs. Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing self-care. Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:
 
Question 2
Type: MCMA
In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the nurse should take which actions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Advocate within the community for natural childbirth.
2. Make childbirth education classes available.
3. Be instrumental in providing change in the birth environment at work. 4. Suggest that doulas not be allowed to interfere with the childbirth process. 5. Advocate for more home healthcare agencies.

Correct Answer: 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby. Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes for the expectant families. Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within the birthing unit. Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly there as a coach. Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home. Global Rationale:

Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome:
 
Question 3
Type: MCSA
The nurse is telling a new patient how technology used in maternal–newborn care has changed the way the nurse cares for her patients. An example of this is: 1. Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring. 2. Delivering at home with a nurse-midwife and doula.

3. Having the father present as the coach and cut the umbilical cord. 4. Breastfeeding of the new baby on the delivery table.
Correct Answer: 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent technologies that have affected the care in labor and delivery areas. Rationale 2: A nurse-midwife and a doula are not examples of technological care. Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnological care during childbirth. Rationale 4: Breastfeeding is not an example of technology impacting care. Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome:
 
Question 4
Type: MCSA
A nurse is examining different nursing roles. Which example best...
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