Chapter 01 Contemporary Maternal Newborn Nursing 7th Edition

Chapter 01 Contemporary Maternal Newborn Nursing 7th Edition

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Chapter 01_LO 01_Q01

The Labor and Delivery nurse and a nurse new to the Labor and Delivery unit are admitting a laboring client. The client is making groaning guttural sounds during contractions, and answering questions with one-word answers. The Labor and Delivery nurse simultaneously is quickly setting up the instruments and sterile field for this delivery while asking the admission questions between contractions. The experienced Labor and Delivery nurse has not yet completed a pelvic exam. The nurse new to Labor and Delivery understands that this is an example of:

1. An expert nurse assessing advanced labor and imminent delivery in the client.
2. The correct order of steps when admitting laboring clients.
3. Inconsistencies in an individual nurse’s approach to client care.
4. Advanced nurse practice.

Correct answer: 1

Rationale:

1. An expert nurse utilizes multiple aspects of a client’s behavior (including the length of each response to a question, and sounds the patient produces during contractions) in addition to the more objective findings of the pelvic exam (including dilation of the cervix) in the assessment of a laboring client. The expert nurse has identified that the grunting and guttural sounds during contractions are involuntary pushing, and that the client is very close to delivery.
2. Although most nurses have a routine when admitting a client, the order of the steps will vary according to the situation at hand.
3. Changing the order of the steps of admission is not being inconsistent; changing the order of the steps of admission is responsive to the needs of the client at that point in time.
4. Advanced nurse practice describes educational and certification achievement, and is not used to describe the continuum from novice to expert.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 1.1 Distinguish between the education, qualifications, and scope of practice in nurses caring for childbearing families.

Chapter 01 LO01 Q02

Currently, one-third of children under 20 years old come from families of minority populations. The new nurse is observing her preceptor assess the patient’s communication pattern, religious beliefs, level of education, and support system. The new nurse understands that the best reason for her preceptor to assess these areas is to increase the:

1. Patient’s cooperation with the plan of care.
2. Hospital’s compliance with JCAHO standards.
3. Nurse’s knowledge of cultural beliefs.
4. Patient’s satisfaction with her care.

Correct answer: 1

Rationale:

1. Gaining cooperation with the plan of care increases the outcome desired at discharge. When a patient’s value system is not included in the plan of care, it will decrease compliance with the treatment plan and possibly increase the length of stay, and decrease the desired outcome at discharge.
2. Although compliance with JCAHO standards is very important, it is more important to gain patient cooperation with the plan of care.
3. The nurse’s knowledge of cultural beliefs increases the ability to care for the patient, but without patient cooperation with the plan of care, the nurse’s knowledge is lost.
4. Patient satisfaction with care is important, but the prime reason for the satisfaction is the nurse’s taking time to gain patient cooperation with the plan of care.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning

Learning Outcome: 1.1 Distinguish between the education, qualifications, and scope of practice in nurses caring for childbearing families.

Chapter 01_LO2 _Q03

The client is attending a clinic held in a church basement for her prenatal care. The client’s care is provided by registered nurses and a certified nurse-midwife. This type of prenatal care is an example of:

1. Secondary care.
2. Tertiary care.
3. Community care.
4. Unnecessarily costly care.

Correct Answer: 3

Rationale:

1. Secondary care is specialized care; an example is checking the hemoglobin A1C of a diabetic at an endocrine clinic.
2. Tertiary care is very specialized, and includes trauma units and neonatal intensive care units.
3. Prenatal care is primary care. Community care is often provided at clinics in neighborhoods to facilitate access by clients to primary care, including prenatal care and prevention of illness.
4. Community care decreases costs while improving client outcomes, and is not unnecessarily expensive.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Implementation

Learning Outcome: 1.2 Describe the use of community-based nursing care in meeting the needs of childbearing families.

Chapter 01_LO03 _Q04

The registered nurse has completed a master’s degree program and passed a national certification exam. The nurse has clinic appointments with clients who are pregnant or seeking well-woman care. The role of this nurse would be considered:

1. Professional nurse.
2. Certified registered nurse (RNC).
3. Clinical nurse specialist.
4. Nurse practitioner.

Correct Answer: 4

Rationale:

1. A professional nurse is one who has completed an accredited basic educational program and has passed NCLEX.
2. A certified registered nurse (RNC) has shown expertise in the field and has taken a national certification exam.
3. A clinical nurse specialist has completed a master’s degree program, and has specialized knowledge and competence in a specific clinical area, and often is employed in the hospital on specialized units.
4. A nurse practitioner has completed either a master’s or doctoral degree in nursing and passed a certification exam, and functions as an advanced practice nurse. Ambulatory care settings and the community are common sites for nurse practitioners to provide client care.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 1.3 Identify the nursing roles available to the maternal–newborn nurse.