davidson london ladewig olds’ maternal newborn nursing and women’s health across the lifespan 9th edition test bank
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Davidson/London/Ladewig, Olds’ Maternal–Newborn Nursing and Women’s
Health Across the Lifespan 9th Edition Test Bank
Chapter 1
Question 1
Type: MCSA
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.
Correct Answer: 3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as
physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to
decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing
self-care.
Question 2
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.
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4. Suggest that doulas not be allowed to interfere with the childbirth process.
5. Advocate for more home healthcare agencies.
Correct Answer: 1,2,3,5
Rationale 1: Natural childbirth, if the patient is able, is the safest method for the baby.
Rationale 2: It is appropriate for nurses, in conjunction with doctors and hospitals, to provide childbirth classes
for the expectant families.
Rationale 3: By working with other staff and doctors, the nurse is able to implement change as needed within the
birthing unit.
Rationale 4: Doulas are encouraged to be part of the birthing process as the patient wishes. They are mainly there
as a coach.
Rationale 5: Patients are going home sooner all the time, so there needs to be more follow-up in the home.
Question 3
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.
Correct Answer: 1
Rationale 1: Elective inductions, requested cesareans, epidural anesthesia, and fetal monitoring are all recent
technologies that have affected the care in labor and delivery areas.
Rationale 2: A nurse-midwife and a doula are not examples of technological care.
Rationale 3: Fathers’ being present during labor and coaching their partners represents nontechnological care
during childbirth.
Rationale 4: Breastfeeding is not an example of technology impacting care.
Question 4
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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 motherbaby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infants
Correct Answer: 4
Rationale 1: 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.
Rationale 2: 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.
Rationale 3: A clinical nurse specialist working as a staff nurse on a mother–baby unit might have the
qualifications for an advanced practice nursing staff but is not working in that capacity.
Rationale 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 master's-prepared.
Question 5
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.
Correct Answer: 2
Rationale 1: Leadership might be a quality of the NP, but it is not the major focus.
Rationale 2: Physical and psychosocial clinical assessment is the major focus of the nurse practitioner (NP).
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Rationale 3: NPs cannot provide independent care of the high-risk pregnant patient, but must work under a
physician's supervision.
Rationale 4: The NP cannot do tertiary prevention as a major focus.
Question 6
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.
Correct Answer: 1,3,5
Rationale 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.
Rationale 2: CNMs cannot give primary care for high-risk patients who are in hospital settings. The physician
provides the primary care.
Rationale 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.
Rationale 4: The CNM does not need to obtain a physician consultation for any technical procedures at delivery.
Rationale 5: The CNM is educated in the disciplines of nursing and midwifery.
Question 7
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.
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