Chapter 1 Current Issues in Maternal-Newborn Nursing

Chapter 1   Current Issues in Maternal-Newborn Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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

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 master’s 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 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.

 

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 other care professionals on the healthcare team (i.e. scope of discipline, education, and licensure requirements) | NLN Competencies: Teamwork: Scope of practice, roles, and 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.