Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum MULTIPLE CHOICE • A patient chooses to have the certified nurse
... [Show More] 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 te 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: ImplementationMSC: 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. [Show Less]