Olds Maternal-Newborn nursing questions with answers

Document Content and Description Below

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. [Show More]

Last updated: 1 year ago

Preview 1 out of 473 pages