(Test Bank) Olds’ Maternal- Newbornnursing & Women’s Health Across The Lifespan

Davidson,London,Ladewig, 11

Nursing

Test Bank

11th Edition

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Test Bank for Olds’ Maternal- Newbornnursing & Women’s Health Across The Lifespan, The downloadable file consists of 626 pages, and the total size of the file is 4.66 MB. Purchase now only for highly discounted price.

Author(s): Davidson, London, Ladewig

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TEST BANK: OLDS’ MATERNAL - NEWBORNNURSING & WOMEN’S HEALTH ACROSS THE LIFESPAN, 11TH EDITION, MICHELE DAVIDSON, MARCIA LONDON, PATRICIA LADEWIG (All Chapters Covered ) Table of Contents PART I: INTRODUCTION TO MATERNAL -NEWBORN NURSING 1. Contemporary Maternal -Newborn Nursing 2. Families, Cultures, and Complementary Therapies PART II: WOMEN’S HEALTH ACROSS THE LIFESPAN 3. Health Promotion 4. Family Planning 5. Commonly Occurring Infections 6. Women’s Health Problems 7. Social Issues 8. Violence Against Women PART III: HUMAN REPRODUCTION 9. Reproductive Physiology, Conception, and Fetal Development 10. Reproductive Genetics PART IV: PREGNANCY 11. Physical and Psychologic Changes of Pregnancy 12. Antepartum Nursing Assessment 13. The Expectant Family: Needs and Care 14. Maternal Nutrition 15. Pregnancy in Selected Populations 16. Assessment of Fetal Well -Being 17. Pregnancy at Risk: Pregestational Problems 18. Pregnancy at Risk: Gestational Onset PART V: LABOR AND BIRTH 19. Processes and Stages of Labor and Birth 20. Intrapartum Nursing Assessment 21. The Family in Childbirth: Needs and Care 22. Pharmacologic Pain Management 23. Childbirth at Risk: Prelabor Onset Complications 24. Childbirth at Risk: Labor -Related Complications 25. Birth -Related Procedures PART VI: THE NEWBORN 26. Physiologic Responses of the Newborn to Birth 27. Nursing Assessment of the Newborn 28. The Normal Newborn: Needs and Care 29. Newborn Nutrition 30. The Newborn at Risk: Conditions Present at Birth 31. The Newborn at Risk: Birth -Related Stressors PART VII: POSTPARTUM 32. Postpartum Adaptation and Nursing Assessment 33. The Postpartum Family: Needs and Care 34. Home Care of the Postpartum Family 35. The Postpartum Family at Risk 36. Grief and Loss in the Childbearing Family Old’s Maternal -Newborn Nursing and Women’s Health, 11e(Davidson/London/Ladewig) Chapter 1 Contemporary 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 healthcarecommunity due to research findings that suggest that it has which effect? A) Shortens newborn length of stay B) Decreases use of home health agencies C) Decreases healthcare costs D) Decreases the number of emergency department visits Answer: C Explanation: A) Length of stay is often determined by third -party payer (insurance company) policies as well as the physiologic stability of the mother and newborn. Home healthcare agencies often are involved in client care to decrease hospital staytime. B) Home healthcare agencies often are involved in client care to decrease hospitalstay time. C) Research indicates that self-care significantly decreases healthcare costs. D) Acute emergencies are addressed by emergency departments, and are notdelayed by those practicing self -care. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Self-Care Standards: QSEN Competencies: Ⅰ.A.2. Describe strategies to empower patients orfamilies in all aspects of the healthcare 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 careeconomic policy; reimbursement structures; accreditation standards; staffing models and productivit y; supply chain models | Nursing/Integrated Concepts: Nursing Process:Planning. Learning Outcome: 1 Discuss the impact of the self -care movement on contemporary childbirth. MNL LO: Recognize contemporary issues related to care of the childbearing family. 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 useless technology, which often results in which of the following? A) There is less trauma to the mother. B) More childbirth education classes are available. C) They are instrumental in providing change in the birth environment at work. D) They advocate for more home healthcare agencies. Answer: A Explanation: A) Nurse -midwife models of care can be one way to ensure that mothers receive excellent prenatal and intrapartum care. B) It is appropriate for nurse -midwives, in conjunction with doctors and hospitals, to provide childbirth classes for expectant families. C) By working with other staff members and doctors, the nurse -midwife is able to implement changes as needed within the birthing unit. D) Clients are increasingly going home sooner, so there needs to be more follow -upin the home. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Health Promotion/DiseasePrevention Standards: QSEN Competencies: Ⅲ.A.6. Describe how the strength and relevance of available evidence influences the choice of interventions in provision of patient -centeredcare. | 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 -newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 3) The nurse is telling a new client how advanced technology has permitted the physician to do which of the following? 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 patient 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: 2—3 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: Ⅰ.B.10. Engage patients or designated surrogatesin active partnerships that promote health, safety and well -being, and sel f-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 careteam 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: Recognize contemporary issues related to care of the childbearing family. 4) A 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 on a mother -baby unit D) A clinical nurse specialist with whom other nurses consult for her expertise incaring for high-risk infants Answer: D Explanation: A) A registered nurse who is the manager of a large obstetrical unit is a professionalnurse 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 programin nursing and completed the licensure examination. C) A clinical nurse specialist working as a staff nurse on a mother -baby unit might have the qualifications for an advanced practice nursing staff member but is notworking in that capacity. D) A clinical nurse specialist with whom other nurses consult for expertise in caringfor 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 Essentials Competencies: Ⅵ. 6. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on thehealthcare 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 -newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 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 thefollowing? A) Leadership B) Physical and psychosocial clinical assessment C) Independent care of the high-risk pregnant client D) Tertiary prevention Answer: B Explanation: A) Leadership might be a quality of the NP, but it is not the major focus. B) Physical and psychosocial clinical assessment is the major focus of the NP. C) NPs cannot provide independent care of the high -risk pregnant client, but mustwork under a physician’s supervision. D) The NP cannot do tertiary prevention as a major focus. 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 Essentials Competencies: Ⅵ. 2. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on thehealthcare 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 -newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 6) The nurse manager is consulting with a certified nurse -midwife about a client. Whatis the role of the CNM? Note: Credit will be given only if all correct choices and no incorrect choices areselected. Select all that apply. A) Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth. B) Give primary care for high-risk clients who are in hospital settings. C) Give primary care for healthy newborns. D) Obtain a physician consultation for any technical procedures at delivery. E) Be educated in two disciplines of nursing. Answer: A, C, E Explanation: A) 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. B) CNMs cannot give primary care for high -risk clients who are in hospital settings.The physician provides the primary care. C) 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. D) The CNM does not need to obtain a physician consultation for any technical procedures at delivery. E) The CNM is educated in the disciplines of nursing and midwifery. 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 Essentials Competencies: Ⅵ. 1. Compare/contrast the roles and perspective s of the nursing profession with other care professionals on thehealthcare team (i.e. scope of discipline, education, and licensure requirements). | NLN Competencies: Teamwork: Scope of practice, roles, and responsibilities of health care team members, inc luding overlaps. | Nursing/Integrated Concepts: Nursing Process: Planning. Learning Outcome: 2 Compare the nursing roles available to the maternal -newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 7) The registered nurse who has completed a master’s degree program and passed a national certification exam has clinic appointments with clients who are pregnant or seeking well - woman care. What is the role of this nurse considered to be? A) Professional nurse B) Certified registered nurse (RNC) C) Clinical nurse specialist D) Nurse practitioner Answer: D Explanation: A) A professional nurse is one who has completed an accredited basic educationalprogram and has passed the NCLEX -RN® exam. B) A certified registered nurse (RNC) has shown expertise in the field and has takena national certification exam. C) A clinical nurse specialist has completed a master’s degree program, has specialized knowledge and competence in a specific clinical area, and often isemployed in hospitals on specialized units. D) A nurse practitioner has completed either a master’s or docto ral degree in nursing and passed a certification exam, and functions as an advanced practicenurse. Ambulatory care settings and the community are common sites for nursepractitioners to provide client care. Page Ref: 5 Cognitive Level: Remembering Client Need/Sub: Health Promotion and Maintenance: Health Promotion/DiseasePrevention 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 thehealthcare 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 -newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 8) While a child is being admitting to the hospital, the parent receives information aboutthe 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 whatcommunication dynamic is characteristic of the family -centered care paradigm? A) The mother is the principal caregiver in each family. B) The child’s physician is the key person in ensuring that the health of a child is maintained. C) The family serves as the constant influence and continuing support in the child’slife. D) The father is the leader in each home; thus, all communications should includehim. Answer: C Explanation: A) Culturally competent care recognizes that both matriarchal and patriarchal households exist. B) The physician is not present during the day-to-day routines in a child’s life. C) Family -centered care is characterized by an emphasis on the family and family involvement throughout the pregnancy, birth, and postpartum period. D) Culturally competent care recognizes that both matriarchal and patriarchal households exist. Page Ref: 2 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Developmental Stages andTransitions Standards: QSEN Competencies: Ⅰ.B.3. Provide patient -centered care with sensitivityand 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 the lifespan, and in allheal thcare settings. | NLN Competencies: Relationship -Centered Care: Promote and accept the patient’s 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 family’s value system. MNL LO: Recognize contemporary issues related to care of the childbearing family. 9) The current emphasis on federal healthcare reform has yielded what unexpectedbenefit? A) Assessment of the details of the family’s income and expenditures B) Case management to limit costly, unnecessary duplication of services C) Many healthcare providers and consumers are becoming more aware of the vitally important role nurses play in providing excellent care to clients and families D) Education of the family about the need for keeping regular well -child visit appointments Answer: C Explanation: A) Financial assessment is more commonly the function of a social worker. The social worker is part of the interdisciplinary team working with clients, and this professional’s expertise is helping clients get into the appropriate programs. B) The case management activity mentioned will not provide a source of funding. C) Nurses must clearly articulate their role in the changing environment to define and differentiate practice roles and the educational preparation required for theirnew roles. D) The education of the family will not provide a source of funding. Page Ref: 4 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Health Promotion/DiseasePrevention Standards: QSEN Competencies: Ⅰ.A.4. Examine how the safety, quality and cost effectiveness of health care can be improved through the active involvement of patientsand families. | AACN Essentials Competencies: Ⅵ. 1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healt hcare 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 -basedtranscult ural health assessments and interventions. | Nursing/Integrated Concepts: Nursing Process: Implementation. Learning Outcome: 2 Compare the nursing roles available to the maternal -newbornnurse. MNL LO: Recognize contemporary issues related to care of the childbearing family. 10) For prenatal care, the client is attending a clinic held in a church basement. The client’s care is provided by registered nurses and a certified nurse -midwife. What isthis type of prenatal care? A) Secondary care B) Tertiary care C) Community care D) Unnecessarily costly care Answer: C Explanation: A) Secondary care is specialized care; an example is checking the hemoglobin A1Cof a diabetic client at an endocrine clinic. B) Tertiary care is very specialized, and includes trauma units and neonatal intensive care units. C) Prenatal care is primary care. Community care is often provided at clinics in neighborhoods to facilitate clients’ access to primary care, including prenatal careand prevention of illness. D) Community care decreases costs while improving client outcomes, and is not unnecessarily expensive. Page Ref: 3 Cognitive Level: Understanding Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum andNewborn 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 careprofessionals on the healthcare te am (i.e. scope of discipline, education, and licensurerequirements). | 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 meetingthe needs of child bearing families. MNL LO: Recognize contemporary issues related to care of the childbearing family. 11) 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. Whenthe nurse phones to obtain permission, the parent states in clearly understandable English that permission cannot be given because the grandmother is out of town for2 more weeks. Which cultural element is contributing to the dil emma that faces the nurse? A) Permissible physical contact with strangers B) Beliefs about the concepts of health and illness C) Religion and social beliefs D) Presence and influence of the extended family Answer: D Explanation: A) The situation the nurse faces is not being caused by permissible contact with strangers. B) The situation the nurse faces is not caused by beliefs about the concepts ofhealth and illness. C) The situation the nurse faces is not caused by religion and social beliefs. D) The presence and influence of the extended family is contributing to the situationthe nurse faces. In many cultures, a family elder is the primary decision maker when it comes to health care. In this case, the parent cannot grant permission tothe nurse until the parent consults the grandmother. Page Ref: 4 Cognitive Level: Applying Client Need/Sub: Health Promotion and Maintenance: Health Screening Standards: 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 r espects patient and family preferences. | NLN Competencies: Context and Environment: Analyze ethical challenges presented by ambiguous and uncertain clinical situations; self -assess one’s own tolerance for ambiguity and uncertainty; acceptthe possibility o f 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 family’s value system. MNL LO: Recognize contemporary issues related to care of the childbearing family. 12) A maternity client is in need of surgery. Which healthcare member is legally responsible for obtaining informed consent for an invasive procedure? A) The nurse B) The physician C) The unit secretary D) The social worker Answer: B Explanation: A) It is not the nurse’s legal responsibility to obtain informed consent. B) Informed consent is a legal concept designed to allow clients to make intelligent decisions regarding their own health care. Informed consent means that a client,or a legally designated decision maker, has granted permission for a specific treatment or procedure based on full information about that specific treatment orprocedure as it relates to that client under the specific circumstances of the permission. The individual who is ultimately responsible for the treatment or procedure should provide the infor mation necessary to obtain informed consent.In most instances, this is a physician. C) Unit secretaries are not responsible for obtaining informed consent. D) It is not within a social worker’s scope of practice to obtain informed consent. Page Ref: 7—8 Cognitive Level: Remembering Client Need/Sub: Safe and Effective Care Environment: Management of Care Standards: QSEN Competencies: I.B.12. Facilitate informed patient consent for care. | AACN Essentials Competencies: Ⅷ. 1. Demonstrate the professional standards of moral, ethical, and legal conduct. | NLN Competencies: Context and Environment: Codeof ethics (e.g. Ame rican Nurses Association 2005; International Council of Nurses, 2006); regulatory and professional standards (ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portability and Accountability Act]); ethical decision making modes; scope of pra ctice considerations; principles of informed consent, confidentiality, patient self -determination. | Nursing/Integrated Concepts: Nursing Process: Planning. Learning Outcome: 5 Delineate significant legal and ethical issues that influence thepractice of nursing for childbearing families. MNL LO: Recognize contemporary issues related to care of the childbearing family. 13) A nurse who tells family members the sex of a newborn baby without first consultingthe parents would have committed which of the following? A) A breach of privacy B) Negligence C) Malpractice D) A breach of ethics Answer: A Explanation: A) A breach of privacy would have been committed in this situation, because informing other family members of the child’s sex without the parents’ consent violates the parents’ right to privacy. The right to privacy is the right of a person tokeep his person and property free from public scrutiny (or even from other family members). B) Negligence is a punishable legal offense, and is more serious. C) Malpractice is a punishable legal offense, and is more serious. D) No breach of ethics has been committed in this situation. Page Ref: 8 Cognitive Level: Understanding Client Need/Sub: Safe and Effective Care Environment: Ethical Practice Standards: QSEN Competencies: Ⅰ.B.13. Assess own level of communication skill in encounters with patient and families. | AACN Essentials Competencies: Ⅳ. 8. Uphold ethical standards related to data security, regulatory requirements, confidentiality and clients’ right to privacy. | NLN Competencies: Context and Environment: Code of ethics (e.g. American Nurses Association 2005; International Council of Nurses, 2006); regulatory and professional standards (ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portability and Accountability Act]); ethical decision making modes;scope of practice considerations; principles of informed consent, confidentiality, patient self -determination. | Nursing/Integrated Concepts: Nursing Process: Implementation. Learning Outcome: 5 Delineate significant legal and ethical issues that influence thepractice of nursing for childbearing families. MNL LO: Recognize contemporary issues related to care of the childbearing family.