A COMPLETE A+ GRADE TEST BANK for Davis Advantage for Maternal-Child Nursing Care 3rd Edition by Scannell & Ruggiero, NCLEX RATIONALE INCLUDED, ISBN 13: 978-1719640985

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Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum MULTIPLE CHOICES • A patient chooses to have the certified nurse midwife • (CNM) provide care during her ... pregnancy. • What does the CNMs scope of practice include? • Practice independent from medical supervision • Comprehensive prenatal care • Attendance at all deliveries • Cesar ean sectio ns ANS: B The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures that a backup physician is available in case of unforeseen problems. DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12 TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease • Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed hands? • Karl Cred • Ignaz Semmelweis • Louis Pasteur • J o s e p h L i s t e r A N S : B Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands of physicians and medical students. DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control • A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural sensitivity? • Maternal mortality in the United States is extremely low. • Anesthesia is available to relieve pain during labor and childbirth. • Tell me why you are afraid of childbirth. • Your condition will be monitored during labor and delivery. ANS: C Asking the patient about her concerns helps promote understanding and individualizes patient care. DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8 TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation • An urban area has been reported to have a high perinatal mortality rate. What information does this provide? • Maternal and infant deaths per 100,000 live births per year • Deaths of fetuses weighing more than 500 g per 10,000 births per year • Deaths of infants up to 1 year of age per 1000 live births per year • Fetal and neonatal deaths per 1000 live births per year ANS: D The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6 OBJ: 9 TOP: The Present-Child Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care • What is the focus of current maternity practice? • Hospital births for the majority of women • The traditional family unit • Separation of labor rooms from delivery rooms • A quality family experience for each patient ANS: D Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise. DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7 TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance • Who advocated the establishment of the Children’s Bureau? • Lillian Wald • Florence Nightingale • Florence Kelly • C l a r a B a r t o n A N S : A Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau. DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TOP: The Past KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development • What was the result of research done in the 1930s by the Childrens Bureau? • Children with heart problems are now cared for by pediatric cardiologists. • The Child Abuse and Prevention Act was passed. • Hot lunch programs were established in many schools. • Childrens asylums were founded. ANS: C School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of economic depression on children. DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3 TOP: The Past KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care • What government program was implemented to increase the educational exposure of preschool children? • WIC • Title XIX of Medicaid • The Children’s Charter • H e a d S t a r t A N S : D Head Start programs were established to increase educational exposure of preschool children. DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5 TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development • What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from different areas of care provision? • Clinical pathways • Nursing outcome criteria • Standards of care • Nursi ng care plan ANS: A Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define patient care across disciplines. Expected progress within a specified timeline is identified. DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14 TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care • A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected admission data. What is the next step the student will take to develop a nursing care plan for this child? • Identify measurable outcomes with a timeline. • Choose specific nursing interventions for the child. • Determine appropriate nursing diagnoses. • State nursing actions related to the child’s medical diagnosis. ANS: C The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and interventions are then developed to address the relevant nursing diagnoses. DIF: Cognitive Level: Application REF: Page 11 OBJ: 13 TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care [Show More]

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