Test Bank For Olds Maternal-Newborn Nursing & Womens Health Across the Lifespan, 11th Edition (Davidson), Chapter 1-36

Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s

Health Across the Lifespan 11th Edition Test Bank

PART I: INTRODUCTION TO MATERNAL-NEWBORN NURSING
1. Contemporary Maternal-Newborn Nursing
2. Families, Cultures, and Complementary Therapies

PART II: WOMEN'S HEALTH ACROSS THE LIFESPAN
3. Health Promotion
4. Family Planning
5. Commonly Occurring Infections
6. Women's Health Problems
7. Social Issues
8. Violence Against Women

PART III: HUMAN REPRODUCTION
9. Reproductive Physiology, Conception, and Fetal Development
10. Reproductive Genetics

PART IV: PREGNANCY
11. Physical and Psychologic Changes of Pregnancy
12. Antepartum Nursing Assessment
13. The Expectant Family: Needs and Care
14. Maternal Nutrition
15. Pregnancy in Selected Populations
16. Assessment of Fetal Well-Being
17. Pregnancy at Risk: Pregestational Problems
18. Pregnancy at Risk: Gestational Onset

PART V: LABOR AND BIRTH
19. Processes and Stages of Labor and Birth
20. Intrapartum Nursing Assessment
21. The Family in Childbirth: Needs and Care
22. Pharmacologic Pain Management
23. Childbirth at Risk: Prelabor Onset Complications
24. Childbirth at Risk: Labor-Related Complications
25. Birth-Related Procedures

PART VI: THE NEWBORN
26. Physiologic Responses of the Newborn to Birth
27. Nursing Assessment of the Newborn
28. The Normal Newborn: Needs and Care
29. Newborn Nutrition
30. The Newborn at Risk: Conditions Present at Birth
31. The Newborn at Risk: Birth-Related Stressors

PART VII: POSTPARTUM
32. Postpartum Adaptation and Nursing Assessment
33. The Postpartum Family: Needs and Care
34. Home Care of the Postpartum Family
35. The Postpartum Family at Risk
36. Grief and Loss in the Childbearing Family

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.

Question 2

In order to combat the impersonal nature of technology that sometimes interferes with family-focused care, the

nurse should take which actions?

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.

Question 3

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.

Question 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 at surgical deliveries (cesarean sections)

3. A clinical nurse specialist working as a staff nurse on a motherbaby unit

4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants

Correct Answer: 4

Rationale 1: A registered nurse who is the manager of a large obstetrical unit is a professional nurse who has

graduated from an accredited program in nursing and completed the licensure examination.

Rationale 2: A registered nurse who is a circulating nurse at surgical deliveries (cesarean sections) is a

professional nurse who has graduated from an accredited program in nursing and completed the licensure

examination.

Rationale 3: A clinical nurse specialist working as a staff nurse on a mother–baby unit might have the

qualifications for an advanced practice nursing staff but is not working in that capacity.

Rationale 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 master's-prepared.

Question 5

A nursing student investigating potential career goals is strongly considering becoming a nurse practitioner (NP).

The major focus of the NP is on:

1. Leadership.

2. Physical and psychosocial clinical assessment.

3. Independent care of the high-risk, pregnant patient.

4. Tertiary prevention.

Correct Answer: 2

Rationale 1: Leadership might be a quality of the NP, but it is not the major focus.

Rationale 2: Physical and psychosocial clinical assessment is the major focus of the nurse practitioner (NP).

Rationale 3: NPs cannot provide independent care of the high-risk pregnant patient, but must work under a

physician's supervision.

Rationale 4: The NP cannot do tertiary prevention as a major focus.

Question 6

The nurse manager is consulting with a certified nurse–midwife about a patient. The role of the CNM is to:

Standard Text: Select all that apply.

1. Be prepared to manage independently the care of women at low risk for complications during pregnancy and

birth.

2. Give primary care for high-risk patients who are in hospital settings.

3. Give primary care for healthy newborns.

4. Obtain a physician consultation for any technical procedures at delivery.

5. Be educated in two disciplines of nursing.

Correct Answer: 1,3,5

Rationale 1: A CNM is prepared to manage independently the care of women at low risk for complications during

pregnancy and birth and the care of healthy newborns.

Rationale 2: CNMs cannot give primary care for high-risk patients who are in hospital settings. The physician

provides the primary care.

Rationale 3: A CNM is prepared to manage independently the care of women at low risk for complications during

pregnancy and birth and the care of healthy newborns.

Rationale 4: The CNM does not need to obtain a physician consultation for any technical procedures at delivery.

Rationale 5: The CNM is educated in the disciplines of nursing and midwifery.