(Test Bank) Olds Maternal-Newborn Nursing & Womens Health Across The Lifespan

Davidson,London,Ladewig, 10

Nursing

Test Bank

10th Edition

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Test Bank for Olds Maternal-Newborn Nursing & Womens Health Across The Lifespan, The downloadable file consists of 1254 pages, and the total size of the file is 3.87 MB. Purchase now only for highly discounted price.

Author(s): Davidson, London, Ladewig

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Olds Maternal-Newborn Nursing & Womens Health Across the Lifespan (10th Edition) Test Bank Chapter 1 Current Issues in Maternal-Newborn Nursing My Nursing Test Banks Chapter 2 Family, Culture, and Complementary Therapies My Nursing Test Banks Chapter 3 Health Promotion of Women Across the Lifespan My Nursing Test Banks Chapter 4 Womens Health: Family Planning My Nursing Test Banks Chapter 5 Womens Health: Commonly Occurring Infections My Nursing Test Banks Chapter 6 Womens Health Problems My Nursing Test Banks Chapter 7 Womens Care: Social Issues My Nursing Test Banks Chapter 8 Violence Against Women My Nursing Test Banks Chapter 9 The Reproductive System My Nursing Test Banks Chapter 10 Conception and Fetal Development My Nursing Test Banks Chapter 11 Special Reproductive Concerns: Infertility and Genetics My Nursing Test Banks Chapter 12 Physical and Psychologic Changes of Pregnancy My Nursing Test Banks Chapter 13 Antepartum Nursing Assessment My Nursing Test Banks Chapter 14 The Expectant Family: Needs and Care My Nursing Test Banks Chapter 15 Adolescent Pregnancy My Nursing Test Banks Chapter 16 Maternal Nutrition My Nursing Test Banks Chapter 17 Pregnancy at Risk: Pregestational Problems My Nursing Test Banks Chapter 18 Pregnancy at Risk: Gestational Onset My Nursing Test Banks Chapter 19 Assessment of Fetal Well-Being My Nursing Test Banks Chapter 20 Processes and Stages of Labor and Birth My Nursing Test Banks Chapter 21 Intrapartum Nursing Assessment My Nursing Test Banks Chapter 22 The Family in Childbirth: Needs and Care My Nursing TestBanks Chapter 23 Pharmacologic Pain Management My Nursing Test Banks Chapter 24 Childbirth at Risk: Prelabor and Intrapartum Complications My Nursing Test Banks Chapter 25 Childbirth at Risk: Labor-Related Complications My Nursing Test Banks Chapter 26 Birth-Related Procedures My Nursing Test Banks Chapter 27 Physiologic Responses of the Newborn to Birth My Nursing Test Banks Chapter 28 Nursing Assessment of the Newborn My Nursing Test Banks Chapter 29 The Normal Newborn: Needs and Care My Nursing Test Banks Chapter 30 Newborn Nutrition My Nursing Test Banks Chapter 31 The Newborn at Risk: Conditions Present at Birth My Nursing Test Banks Chapter 32 The Newborn at Risk: Birth-Related Stressors My Nursing Test Banks Chapter 33 Postpartum Family Adaptation and Nursing Assessment My Nursing Test Banks Chapter 34 The Postpartum Family: Needs and Care My Nursing Test Banks Chapter 35 Home Care of the Postpartum Family My Nursing Test Banks Chapter 36 Grief and Loss in the Childbearing Family My Nursing Test Banks Chapter 37 The Postpartum Family at Risk My Nursing Test BanksChapter 1 Current Issues in Maternal-Newborn Nursing My Nursing Test Banks Chapter 1 Current Issues in Maternal-Newborn Nursing 1) The nurse is speaking to students about changes in maternal-newborn care. One change is that 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 1 Copyright 2016 Pearson Education, Inc. 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 masters prepared. Page Ref: 7 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of CareStandards: 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 2 Copyright 2016 Pearson Education, Inc. 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. 3 Copyright 2016 Pearson Education, Inc. 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 withother 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. 6) 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. Answer: 1, 3, 5 Explanation: 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. 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. 5. The CNM is educated in the disciplines of nursing and midwifery. 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 androles of healthcare team members. | AACN Essentials Competencies: VI. 1. 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 4 Copyright 2016 Pearson Education, Inc. responsibilities of health care team members, including overlaps. | 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. 7) The registered nurse who has completed a masters degree program and passed a national certification exam has clinic appointments with clients who are pregnant or seeking well-woman care. What would the role of this nurse be considered? 1. Professional nurse 2. Certified registered nurse (RNC) 3. Clinical nurse specialist 4. Nurse practitioner Answer: 4 Explanation: 4. A nurse practitioner has completed either a masters 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. Page Ref: 7 Cognitive Level: Remembering Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention 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 withother 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 Copyright 2016 Pearson Education, Inc. 8) Several student nurses are discussing advanced practice, and know that the term advanced practice nurse includes which of the following types of nurses? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Nurse practitioners 2. Certified nurse-midwives 3. Clinical nurse specialists 4. Certified registered nurses 5. Professional nurses Answer: 1, 2, 3 Explanation: 1. A nurse practitioner must have additional education and experience to hold advanced practice status. 2. A certified nurse-midwife must have additional education and experience to hold advanced practice status. 3. A clinical nurse specialist must have additional education and experience to hold advanced practice status. Page Ref: 7 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: II.A. 2. Describe scopes of practice and roles of healthcare team members. | AACN Essentials Competencies: VI. 1. 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. 6 Copyright 2016 Pearson Education, Inc. 9) While a child is being admitting to the hospital, the parent receives information about the pediatric units goals, including the statement that the unit practices family-centered care. The parent asks why that is important. The nurse responds that what communication dynamic is characteristic of the family-centered care paradigm? 1. The mother is the principal caregiver in each family. 2. The childs physician is the key person in ensuring the health of a child is maintained. 3. The family serves as the constant influence and continuing support in the childs life. 4. The father is the leader in each home; thus, all communications should include him. Answer: 3 Explanation: 3. Family-centered care is characterized by an emphasis on the family and family involvement throughout the pregnancy, birth, and postpartum period. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Developmental Stages and TransitionsStandards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect for the diversity of human experience. | AACN Essentials Competencies: IX. 6. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies: Relationship-Centered Care: Promote and accept the patients emotions; accept and respond to distress in the patient and self; facilitate hope, trust and faith. | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 4 Identify specific factors that contribute to a familys value system. MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing experience. 7 Copyright 2016 Pearson Education, Inc. 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 Answer: 3 Explanation: 3. Nurses must clearly articulate their role in the changing environment to define and differentiate practice roles and the educational preparation required for their new roles. Page Ref: 6 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease PreventionStandards: QSEN Competencies: I.A. 4. Examine how the safety, quality and cost effectiveness of health care can be improved through the active involvement of patients and families. | AACN Essentials Competencies: VI. 1. 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: 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: Implementation 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. 8 Copyright 2016 Pearson Education, Inc. 11) For prenatal care, the client is attending a clinic held in a church basement. The clients care is provided by registered nurses and a certified nurse-midwife. What is this type of prenatal care? 1. Secondary care 2. Tertiary care 3. Community care 4. Unnecessarily costly care Answer: 3 Explanation: 3. Prenatal care is primary care. Community care is often provided at clinics in neighborhoods to facilitate clients access to primary care, including prenatal care and prevention of illness. Page Ref: 8 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care Standards: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of patient-centered care. | AACN Essentials Competencies: VI. 1.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: Context and Environment: Environmental health; health promotion/disease prevention (e.g. transmission of disease, disease patterns, epidemiological principles); chronic disease management; health care systems; transcultural approaches to health; family dynamics. | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 3 Describe the use of community-based nursing care in meeting the needs of childbearing families. MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery. 9 Copyright 2016 Pearson Education, Inc. 12) The nurse at an elementary school is performing TB screenings on all of the students. Permission slips were returned for all but the children of one family. When the nurse phones to obtain permission, the parent states in clearly understandable English that permission cannot be given because the grandmother is out of town for 2 more weeks. Which cultural element is contributing to the dilemma that faces the nurse? 1. Permissible physical contact with strangers 2. Beliefs about the concepts of health and illness 3. Religion and social beliefs 4. Presence and influence of the extended family Answer: 4 Explanation: 4. The presence and influence of the extended family is contributing to the situation the nurse faces. In many cultures, a family elder is a primary decision maker when it comes to health care. In this case, the parent cannot grant permission to the nurse until the parent consults the grandmother. Page Ref: 6 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance: Health ScreeningStandards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic, and social backgrounds function as sources of patient, family, and community values. | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Context and Environment: Analyze ethical challenges presented by ambiguous and uncertain clinical situations; self-assess ones own tolerance for ambiguity and uncertainty; accept the possibility of multiple right answers (rather than one-right answer thinking) in patient care and other professional situations. | Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 4 Identify specific factors that contribute to a familys value system. MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing experience. 10 Copyright 2016 Pearson Education, Inc. 13) The nurse working in a community clinic is aware that differences in beliefs between families and healthcare providers are common in which areas? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Help-seeking behaviors 2. Pregnancy and childbirth practices 3. Causes of disease or illness 4. What defines a community 5. Educational level Answer: 1, 2, 3 Explanation: 1. Specific differences in beliefs between families and healthcare providers are common in help-seeking behaviors. 2. Specific differences in beliefs between families and healthcare providers are common in pregnancy and childbirth practices.