Test Bank Maternal and Child Nursing Care, 5th Edition, by LondonChapter 1
Contemporary Maternal, Newborn, and Child Health Nursing
1) A nurse is
... [Show More] examining different nursing roles. Which statement best illustrates an advanced practice nursing role?
1. A registered nurse who is the manager of a large obstetric unit
2. A clinical nurse specialist working as a staff nurse on a mother–baby unit
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
4. A clinical nurse specialist with whom other nurses consult for this nurse’s expertise in caring for high-risk infants
Answer: 4 Explanation:
1. A registered nurse who is the manager of a large obstetric unit or one who is a circulating
nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has graduated from an accredited program in nursing and completed the licensure examination.
2. A clinical nurse specialist working as a staff nurse on a mother–baby unit might have the qualifications for an advanced practice nursing staff but is not working in that capacity.
3. A registered nurse who is the manager of a large obstetric unit or one who is a circulating nurse at surgical deliveries (cesarean sections) is defined as a professional nurse, and has graduated from an accredited program in nursing and completed the licensure examination.
4. A clinical nurse specialist with whom other nurses consult for expertise in caring for high- risk infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge and competence in a specific clinical area, and is master’s-prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e. scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery.
2) What is the major focus of the nurse practitioner (NP)?
1. Leadership
2. Tertiary prevention
3. Physical and psychosocial clinical assessment
4. Independent care of the high-risk, pregnant client Answer: 3
Explanation:
1. Leadership might be a quality of the NP, but it is not the major focus.
2. The NP cannot do tertiary prevention as a major focus.
3. Physical and psychosocial clinical assessment is the major focus of the NP.
4. NPs cannot provide independent care of the high-risk pregnant client, but must work under a physician’s supervision.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment/Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a member of the health care team │AACN Essential Competencies: VI.1. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e. scope of discipline, education and licensure requirements) │NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of health care team members, including overlaps │Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric nurses.
MNL Learning Outcome: 1.1.2. Explore the role of the nurse in maternity care delivery.
3) What is the role of the certified nurse–midwife (CNM)? Select all that apply.
1. Give primary care for healthy newborns.
2. Be educated in two disciplines of nursing.
3. Give primary care for high-risk clients who are in hospital settings.
4. Obtain a physician consultation for all technical procedures at delivery.
5. Be prepared to manage independently the care of women at low risk for complications during pregnancy and birth.
Answer: 1, 2, 5
Explanation:
1. The CNM is prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns.
2. The CNM is educated in the disciplines of nursing and midwifery.
3. CNMs cannot give primary care for high-risk clients who are in hospital settings. The physician provides the primary care.
4. The CNM does not need to obtain a physician consultation for all technical procedures at delivery. Situations in which the client is at risk, such as for a 4th-degree laceration or forceps delivery, would need physician consultation.
5. The CNM is prepared to manage independently the care of women at low risk for complications during pregnancy and birth and the care of healthy newborns.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment/Management of Care [Show Less]