NUR 346 Exam 1 questions with verified
solutions graded A+
Goal of maternal newborn nursing - correct answer ✔✔A safe and satisfying experience for the mother,
her family, and baby
RN roles - correct answer ✔✔work as labor nurses, mother-baby nurses, lactation consultants, clinic
nurses, newborn nursery nurses, home health nurses, NICU nurses and gynecology nurses
RNCs - correct answer ✔✔RNs who have demonstrated clinical expertise in a field and are certified by a
national organization
Nurse Practitioners - correct answer ✔✔are usually Master's prepared nurses who function as advanced
practice nurses. NPs usually focus on ambulatory nursing. Women's Health NPs or Family NPs are
examples. Neonatal NPs work in newborn nurseries and NICUs. NPs perform H&Ps, order diagnostic tests
and procedures
Certified Nurse Midwives - correct answer ✔✔function similarly to NPs but also perform deliveries and
care for newborns
Clinical Nurse Specialists - correct answer ✔✔have Master's degrees and specialized knowledge and
competence in a specific clinical area
Family centered childbirth - correct answer ✔✔Provision of safe, quality nursing care that recognizes,
focuses on and adapts to the physical and psychosocial needs of the pregnant woman, her family and
her newborn.
Fosters family unity and promotes and protects the physiologic well-being of the mother and newborn.
Fathers, siblings, grandparents, friends encouraged to participate in the birth process
Families make choices based on their desires. These may include having a physician or midwife attend
their births or whether to deliver in a hospital, birth center or at home
Hospitals now have both Labor & Delivery (L&D) rooms but also Labor, Delivery, Postpartum (LDRP)suites
,Philosophy of family-centered maternal/newborn nursingF - correct answer ✔✔Pregnancy and childbirth
are usually normal healthy events within the family.
Childbirth affects the whole family and marks the beginning of a new set of important relationships.
Families are able to make decisions about care if given the proper information.
A maternal/newborn nurse serves as an advocate for the rights of all family members, including the
fetus.
Personal, cultural, and religious attitudes influence the meaning of pregnancy and birth within the
family.
Promoting health through role modeling, teaching, and counseling is important to the future health of
the community in which the family lives
Important features of Family centered MNN - correct answer ✔✔Prenatal and parent education classes.
Family participation in all aspects of pregnancy & birth.
Presence of support person for complicated births or cesarean sections
Use of homelike birth settings.
Flexible policies regarding routine procedures.
Flexible rooming in policies.
Early extended parent-newborn contact.
Family involvement in care of the mother and newborn.
Early post birth discharge with close follow up.
Nontraditional labor and birth settings
Single room maternity systems which may be called
LDR or LDRP.
Culturally competent care - correct answer ✔✔Religion/social beliefs
Presence of extended family
Communication patterns
Beliefs and understanding about concepts of health and illness
Beliefs about propriety of physical contact with strangers
,Education
Legal considerations - correct answer ✔✔Scope of practice defined as limits of nursing practice as set
forth in state statutes
Health maintenance and disease prevention
Expanded practice roles include planning care, diagnosis, prescription privileges
Standards of nursing care - correct answer ✔✔Establish minimum criteria for competent, proficient
delivery of nursing care
Designed to protect the public and used to judge quality of care provided
Legal interpretation of actions within standard of care is based on what a reasonably prudent nurse with
similar education and experience would do in similar circumstances
ANA, AWHONN help define
Nurse who fails to meet appropriate standards of care may be subject to allegations of negligence or
malpractice
AWHONN Standards of care - correct answer ✔✔Comprehensive nursing care of women and their
infants focuses on assisting individuals and families to achieve their optimal health.
Health education is an integral aspect of comprehensive nursing care, Health teaching focuses on health
promotion, maintenance, and restoration.
The qualifications of personnel authorized to provide care are delineated. The scope of practice is
clarified in written policies, procedures, and protocols.
The nurse must be clinically competent to provide comprehensive care for the mother and newborn. The
nurse is legally accountable and responsible for the care given.
Practice settings must have sufficient numbers of qualified nursing personnel to meet patient care needs.
Ethical principles guide the clinical judgment of nurses caring for mothers and infants.
Research and research findings are used to improve client outcomes.
Systematic evaluation using specific clinical indicators is done to ensure quality of care
Informed Consent - correct answer ✔✔Protects patient right to autonomy and self-determination
No action may be taken without that person's consent
Usually consent obtained by physician or midwife; RNs may witness client's signature giving consent
, If nurse determines that patient doesn't understand procedure or risk, RN must notify MD
In most states, pregnant teenagers are considered emancipated and may give consent for herself
Refusal of treatment, medication, procedure requires signed form releasing provider and hospital from
liability. Jehovah's Witness patient may refuse blood transfusions or Rhogam
Right to Privacy - correct answer ✔✔Right of person to keep person and property free from public
scrutiny
Avoid unnecessary exposure of women's body
Avoid discussing her care with people not involved in her care
Special ethical issues in maternity care - correct answer ✔✔Maternal-Fetal conflict
Abortion
Intrauterine fetal surgery
Reproductive Assistance
Embryonic Stem Cell Research
Surrogate Childbearing
Genetically designed babies
Cord Blood Banking
Micropreemies
Drug addiction
History of childbirth - correct answer ✔✔The process of labor and birth unchanged over thousands of
years
Traditionally births have been domain of women
Family members, birth attendants, midwives
During Middle Ages and Renaissance, physicians claimed responsibility for childbirth and moved births to
asylums and hospitals; forceps developed
Poor sanitation and poor hand washing led to increase in childbed fever
During 1800s many women in US and Europe still preferred home births
Use of Chloroform and Twilight sleep (narcotics, amnesiacs) brought women into hospitals
solutions graded A+
Goal of maternal newborn nursing - correct answer ✔✔A safe and satisfying experience for the mother,
her family, and baby
RN roles - correct answer ✔✔work as labor nurses, mother-baby nurses, lactation consultants, clinic
nurses, newborn nursery nurses, home health nurses, NICU nurses and gynecology nurses
RNCs - correct answer ✔✔RNs who have demonstrated clinical expertise in a field and are certified by a
national organization
Nurse Practitioners - correct answer ✔✔are usually Master's prepared nurses who function as advanced
practice nurses. NPs usually focus on ambulatory nursing. Women's Health NPs or Family NPs are
examples. Neonatal NPs work in newborn nurseries and NICUs. NPs perform H&Ps, order diagnostic tests
and procedures
Certified Nurse Midwives - correct answer ✔✔function similarly to NPs but also perform deliveries and
care for newborns
Clinical Nurse Specialists - correct answer ✔✔have Master's degrees and specialized knowledge and
competence in a specific clinical area
Family centered childbirth - correct answer ✔✔Provision of safe, quality nursing care that recognizes,
focuses on and adapts to the physical and psychosocial needs of the pregnant woman, her family and
her newborn.
Fosters family unity and promotes and protects the physiologic well-being of the mother and newborn.
Fathers, siblings, grandparents, friends encouraged to participate in the birth process
Families make choices based on their desires. These may include having a physician or midwife attend
their births or whether to deliver in a hospital, birth center or at home
Hospitals now have both Labor & Delivery (L&D) rooms but also Labor, Delivery, Postpartum (LDRP)suites
,Philosophy of family-centered maternal/newborn nursingF - correct answer ✔✔Pregnancy and childbirth
are usually normal healthy events within the family.
Childbirth affects the whole family and marks the beginning of a new set of important relationships.
Families are able to make decisions about care if given the proper information.
A maternal/newborn nurse serves as an advocate for the rights of all family members, including the
fetus.
Personal, cultural, and religious attitudes influence the meaning of pregnancy and birth within the
family.
Promoting health through role modeling, teaching, and counseling is important to the future health of
the community in which the family lives
Important features of Family centered MNN - correct answer ✔✔Prenatal and parent education classes.
Family participation in all aspects of pregnancy & birth.
Presence of support person for complicated births or cesarean sections
Use of homelike birth settings.
Flexible policies regarding routine procedures.
Flexible rooming in policies.
Early extended parent-newborn contact.
Family involvement in care of the mother and newborn.
Early post birth discharge with close follow up.
Nontraditional labor and birth settings
Single room maternity systems which may be called
LDR or LDRP.
Culturally competent care - correct answer ✔✔Religion/social beliefs
Presence of extended family
Communication patterns
Beliefs and understanding about concepts of health and illness
Beliefs about propriety of physical contact with strangers
,Education
Legal considerations - correct answer ✔✔Scope of practice defined as limits of nursing practice as set
forth in state statutes
Health maintenance and disease prevention
Expanded practice roles include planning care, diagnosis, prescription privileges
Standards of nursing care - correct answer ✔✔Establish minimum criteria for competent, proficient
delivery of nursing care
Designed to protect the public and used to judge quality of care provided
Legal interpretation of actions within standard of care is based on what a reasonably prudent nurse with
similar education and experience would do in similar circumstances
ANA, AWHONN help define
Nurse who fails to meet appropriate standards of care may be subject to allegations of negligence or
malpractice
AWHONN Standards of care - correct answer ✔✔Comprehensive nursing care of women and their
infants focuses on assisting individuals and families to achieve their optimal health.
Health education is an integral aspect of comprehensive nursing care, Health teaching focuses on health
promotion, maintenance, and restoration.
The qualifications of personnel authorized to provide care are delineated. The scope of practice is
clarified in written policies, procedures, and protocols.
The nurse must be clinically competent to provide comprehensive care for the mother and newborn. The
nurse is legally accountable and responsible for the care given.
Practice settings must have sufficient numbers of qualified nursing personnel to meet patient care needs.
Ethical principles guide the clinical judgment of nurses caring for mothers and infants.
Research and research findings are used to improve client outcomes.
Systematic evaluation using specific clinical indicators is done to ensure quality of care
Informed Consent - correct answer ✔✔Protects patient right to autonomy and self-determination
No action may be taken without that person's consent
Usually consent obtained by physician or midwife; RNs may witness client's signature giving consent
, If nurse determines that patient doesn't understand procedure or risk, RN must notify MD
In most states, pregnant teenagers are considered emancipated and may give consent for herself
Refusal of treatment, medication, procedure requires signed form releasing provider and hospital from
liability. Jehovah's Witness patient may refuse blood transfusions or Rhogam
Right to Privacy - correct answer ✔✔Right of person to keep person and property free from public
scrutiny
Avoid unnecessary exposure of women's body
Avoid discussing her care with people not involved in her care
Special ethical issues in maternity care - correct answer ✔✔Maternal-Fetal conflict
Abortion
Intrauterine fetal surgery
Reproductive Assistance
Embryonic Stem Cell Research
Surrogate Childbearing
Genetically designed babies
Cord Blood Banking
Micropreemies
Drug addiction
History of childbirth - correct answer ✔✔The process of labor and birth unchanged over thousands of
years
Traditionally births have been domain of women
Family members, birth attendants, midwives
During Middle Ages and Renaissance, physicians claimed responsibility for childbirth and moved births to
asylums and hospitals; forceps developed
Poor sanitation and poor hand washing led to increase in childbed fever
During 1800s many women in US and Europe still preferred home births
Use of Chloroform and Twilight sleep (narcotics, amnesiacs) brought women into hospitals
