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TEST BANK For Maternal-Newborn Nursing & Women's Health Across the Lifespan, 12th edition Michele C. Davidson Marcia London Patricia Ladewig

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TEST BANK For Maternal-Newborn Nursing & Women's Health Across the Lifespan, 12th edition Michele C. Davidson Marcia London Patricia Ladewig-1) The nurse is reviewing changes in maternal-newborn care.... Which change is a cost-effective approach with favorable outcomes? A) Home birth B) Use of a doula C) Free-standing birthing center D) Home follow-up nursing care Answer: D Explanation: A) Home birth is a choice for the childbirth experience. B) The use of a doula is an aspect of the childbirth experience. C) Free-standing birthing centers are a choice for the childbirth experience. D) It is likely that home follow-up nursing care will continue to gain acceptance because it is a cost-effective approach with favorable long-term family outcomes. Page Ref: 2 Cognitive Level: Understanding Client/Need Sub: Health Promotion and Maintenance Standards: QSEN Competencies: I. A. 2. Describe strategies to empower patients or families in all aspects of the healthcare process. | AACN Domains and Competencies: 3.3 Consider the socioeconomic impact of the delivery of healthcare. | NLN Competencies: Context and Environment: Healthcare economic policy; reimbursement structures; accreditation standards; staffing models and productivity; supply chain models | Nursing/Integrated Concepts: Nursing Process: Assessment. Learning Outcome: 1.1 Review current issues in contemporary childbirth. MNL LO: Recognize contemporary issues related to care of the childbearing family. 2) The nurse desires to become a certified nurse-midwife. Which information should the nurse consider about earning this credential? A) A graduate degree is required B) A high school diploma is required C) A doctoral degree is needed for research D) Provide ambulatory care service to the expectant family Answer: A Explanation: A) As of 2010, a graduate degree is required for the certified nurse-midwife (CNM) credential. B) A high school diploma is needed for the certified professional midwife (CPM) credential. C) A nurse researcher has a doctoral degree, needed to conduct research. D) A nurse practitioner provides ambulatory care services to the expectant family. Page Ref: 3 Cognitive Level: Applying Client/Need Sub: Health Promotion and Maintenance 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 Domains and Competencies: 6.2 Perform effectively in different team roles, using principles and values of team dynamics. | 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: 1.2 Compare the nursing roles available to the maternal-newborn nurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 3) The nurse is assessing a pregnant client. In which way should the nurse explain how healthcare providers use advanced technology in client care? A) Treat the fetus and monitor fetal development. B) Deliver at home with a nurse-midwife and doula. C) Have the father act as the coach and cut the umbilical cord. D) Breastfeed a new baby on the delivery table. Answer: A Explanation: A) The fetus is increasingly viewed as a client separate from the mother, although treatment of the fetus necessarily involves the mother. B) A nurse-midwife and a doula are not examples of technological care. C) Fathers being present during labor and coaching their partners represents nontechnological care during childbirth. D) Breastfeeding is not an example of technology impacting care. Page Ref: 9 Cognitive Level: Applying 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 Domains and Competencies: 6.2 Perform effectively in different team roles, using principles and values of team dynamics. | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of healthcare team members, including overlaps. | Nursing/Integrated Concepts: Nursing Process: Implementation. Learning Outcome: 1.6 Evaluate the potential impact of selected special situations in contemporary maternity care. MNL LO: Recognize contemporary issues related to care of the childbearing family. 4) The nurse is examining different nursing roles. Which example best illustrates an advanced practice nursing role? A) A registered nurse who is the manager of a large obstetrical unit B) A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections) C) A clinical nurse specialist working as a staff nurse in a family-centered care unit D) A clinical nurse specialist with whom other nurses consults for expertise in caring for high-risk infants Answer: D Explanation: A) 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. B) 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. C) A clinical nurse specialist working as a staff nurse on a family-centered care unit might have the qualifications for an advanced practice nursing staff member but is not working in that capacity. D) 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: 5 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 Domains and Competencies: 6.2 Perform effectively in different team roles, using principles and values of team dynamics. | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of healthcare team members, including overlaps. | Nursing/Integrated Concepts: Nursing Process: Assessment. Learning Outcome: 1.2 Compare the nursing roles available to the maternal-newborn nurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. [Show More]

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