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
...
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.
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.
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?
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.
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.
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.
Question 4
Type: MCSA
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 mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants
Question 5
Type: MCSA
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.
Question 6
Type: MCMA
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.
The nurse manager is consulting with a certified nurse-midwife about a client. What is the role
of the CNM?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
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 clients 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.
Question 7
Type: MCSA
The registered nurse who has completed a master's degree program and passed a national certification exam has
clinic appointments with patients 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.
Question 8
Type: MCMA
Several student nurses are discussing advanced practice, and know that the term advanced practice nurse includes
nurses who are:
Standard Text: Select all that apply.
1. Nurse practitioners.
2. Certified nurse-midwives.
3. Clinical nurse specialists.
4. Certified registered nurses.
5. Professional nurses.
Question 9
Type: MCSA
While a child is being admitting to the hospital, the parent receives information about the pediatric unit's goals,
including the statement that the unit practices family-centered care. The parent asks why that is important. The
nurse responds that in the family-centered care paradigm, the:
1. Mother is the principal caregiver in each family.
2. Child's physician is the key person in ensuring the health of a child is maintained.
3. Family serves as the constant influence and continuing support in the child's life.
4. Father is the leader in each home; thus, all communications should include him.
Question 10
Type: MCSA
Despite the availability of Children's Health Insurance Programs (CHIPs), the nurse in a pediatric clinic knows
that many eligible children are not enrolled. The nursing intervention that can best help eligible children become
enrolled is:
1. Assessment of the details of the family's income and expenditures.
2. Case management to limit costly, unnecessary duplication of services.
3. Advocacy for the child by encouraging the family to investigate its CHIP eligibility.
4. Education of the family about the need for keeping regular well-child visit appointments.
10) The current emphasis on healthcare reform and the implementation of the Affordable Care
Act has yielded what unexpected benefit?
1. Assessment of the details of the familys income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Many healthcare providers and consumers are becoming more aware of the vitally
important role nurses play in providing excellent care to clients and families
4. Education of the family about the need for keeping regular well-child visit appointments
Question 11
Type: MCSA
For prenatal care, the patient is attending a clinic held in a church basement. The patient'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.
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