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TEST6BANK6-6OLDS'6MATERNAL-NEWBORN6NURSING6
&6WOMEN'S6HEALTH6ACROSS6THE6LIFESPAN,611TH6 EDITION6(
DAVIDSON),6
CHAPTERS616-6366|6ALL6CHAPTERS6VERIFIED6
,TABLE6OF6CONT
ENTS
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mail.com
Chapter61
Question616 Ty
pe:6MCSA
The6nurse6is6speaking6to6students6about6changes6in6maternal–newborn6care.6One6change6is6that6self-
care6has6 gained6wide6acceptance6with6patients,6the6healthcare6community,6and6third-
party6payers6due6to6research6findings6 that6suggest6that6it:
1. Shortens6newborn6length6of6stay.
2. Decreases6use6of6home6health6agencies.
3. Reduces6healthcare6costs.
4. Decreases6the6number6of6emergency6department6visits.
CORRECT6ANSWER:63
Rationale61:6Length6of6stay6is6often6determined6by6third-
party6payer6(insurance6company)6policies6as6well6as6 physiologic6stability6of6the6mother6and6newborn.6Hom
e6healthcare6agencies6often6are6involved6in6patient6care6to6 decrease6hospital6stay6time.
Rationale62:6Home6healthcare6agencies6often6are6involved6in6patient6care6to6decrease6hospital6stay6time.
Rationale63:6Research6indicates6self-care6significantly6reduces6healthcare6costs.
Rationale64:6Acute6emergencies6are6addressed6by6emergency6departments,6and6are6not6delayed6by6those6practi
cing6 self-care.
Question62
In6order6to6combat6the6impersonal6nature6of6technology6that6sometimes6interferes6with6family-
focused6care,6the6 nurse6should6take6which6actions?
Standard6Text:6Select6all6that6apply.
1. Advocate6within6the6community6for6natural6childbirth.
2. Make6childbirth6education6classes6available.
3. Be6instrumental6in6providing6change6in6the6birth6environment6at6work.
, 4. Suggest6that6doulas6not6be6allowed6to6interfere6with6the6childbirth6process.
5. Advocate6for6more6home6healthcare6agencies.
CORRECT6ANSWER:61,2,3,5
Rationale61:6Natural6childbirth,6if6the6patient6is6able,6is6the6safest6method6for6the6baby.
Rationale62:6It6is6appropriate6for6nurses,6in6conjunction6with6doctors6and6hospitals,6to6provide6childbirth6cla
sses6 for6the6expectant6families.
Rationale63:6By6working6with6other6staff6and6doctors,6the6nurse6is6able6to6implement6change6as6needed6wit
hin6the6 birthing6unit.
Rationale64:6Doulas6are6encouraged6to6be6part6of6the6birthing6process6as6the6patient6wishes.6They6are6mainl
y6there6 as6a6coach.
Rationale65:6Patients6are6going6home6sooner6all6the6time,6so6there6needs6to6be6more6follow-up6in6the6home.
Question63
The6nurse6is6telling6a6new6patient6how6technology6used6in6maternal–
newborn6care6has6changed6the6way6the6nurse6 cares6for6her6patients.6An6example6of6this6is:
1. Elective6inductions,6requested6cesareans,6epidural6anesthesia,6and6fetal6monitoring.
2. Delivering6at6home6with6a6nurse-midwife6and6doula.
3. Having6the6father6present6as6the6coach6and6cut6the6umbilical6cord.
4. Breastfeeding6of6the6new6baby6on6the6delivery6table.
CORRECT6ANSWER:61
Rationale61:6Elective6inductions,6requested6cesareans,6epidural6anesthesia,6and6fetal6monitoring6are6all6recent6
technologies6that6have6affected6the6care6in6labor6and6delivery6areas.
Rationale62:6A6nurse-midwife6and6a6doula6are6not6examples6of6technological6care.
Rationale63:6Fathers’6being6present6during6labor6and6coaching6their6partners6represents6nontechnological6care6
during6childbirth.
Rationale64:6Breastfeeding6is6not6an6example6of6technology6impacting6care.
Question64
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