Test Bank For Contemporary Maternal Newborn Nursing Care Nurse Family 8th Edition

Test Bank For Contemporary Maternal Newborn Nursing Care Nurse Family 8th Edition

Test Bank For Contemporary Maternal Newborn Nursing Care Nurse Family 8th Edition
Test Bank For Contemporary Maternal Newborn Nursing Care Nurse Family 8th Edition
Test Bank For Contemporary Maternal Newborn Nursing Care Nurse Family 8th Edition

Chapter 01

Question 1

Type: MCSA

During a prenatal visit, a patient expresses interest in accessing community-based care and services. Which response allows the registered nurse to best describe services that are offered by way of community-based care?

1. “Most healthcare services provided to childbearing women and their families take place in a hospital setting.”
2. “Community-based care can provide a patient with certain primary care services.”
3. “Nurses are the sole providers of services related to home care.”
4. “Due to lack of support from third-party payers, community-based care has decreased.”

Correct Answer: 2

Rationale 1: The majority of health care provided to childbearing women and their families takes place outside of hospital in clinics, offices, community-based organizations, and private homes.

Rationale 2: Primary care includes health promotion and illness prevention, and it features services that are best provided in community-based settings.

Rationale 3: While nurses are the major providers of home care services, healthcare providers in various other fields, such as physical therapy, also offer home care services.

Rationale 4: As third-party payers begin to recognize the importance of primary care in containing costs and maintaining health, community-based care has increased.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO01 – Describe the use of community-based nursing care in meeting the needs of childbearing families.

Question 2

Type: MCSA

The labor and delivery nurse and a nurse new to the labor and delivery unit are admitting a laboring patient. The patient is making groaning guttural sounds during contractions and answering questions with one-word answers. The labor and delivery nurse simultaneously is quickly setting up the instruments and sterile field for this delivery while asking the admission questions between contractions. The experienced labor and delivery nurse has not yet completed a pelvic exam. The nurse new to labor and delivery understands that this is an example of:

1. An expert nurse assessing advanced labor and imminent delivery in the patient.
2. The correct order of steps when admitting a laboring patient.
3. Inconsistencies in an individual nurse’s approach to patient care.
4. Advanced nurse practice.

Correct Answer: 1

Rationale 1: An expert nurse utilizes multiple aspects of a patient’s behavior (including the length of each response to a question and sounds the patient produces during contractions) in addition to the more objective findings of the pelvic exam (including dilation of the cervix) in the assessment of a laboring patient. The expert nurse has identified that the grunting and guttural sounds during contractions are involuntary pushing and that the patient is very close to delivery.

Rationale 2: Although most nurses have a routine when admitting a patient, the order of the steps will vary according to the situation at hand.

Rationale 3: Changing the order of the steps of admission is not being inconsistent; changing the order of the steps of admission is responsive to the needs of the patient at that point in time.

Rationale 4: Advanced nurse practice describes educational and certification achievement and is not used to describe the continuum from novice to expert.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO02 – Distinguish among the education, qualifications, and scopes of practice in nurses caring for childbearing families.