Test Bank for Contemporary Maternal Newborn Nursing 9th Edition Ladewig / All Chapters 1-30 / Full Complete 2022 – 2023

Contemporary Maternal Newborn Nursing
9th Edition Ladewig Test Bank
Contemporary Maternal-Newborn Nursing, 9e (Ladewig et al.)
Chapter 1 Contemporary Maternal-Newborn Care
1) During a prenatal visit, a client 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 client 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.”
   Answer: 2
   Explanation: 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.
5. Primary care includes health promotion and illness prevention, and it features services that are
   best provided in community-based settings.
6. 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.
7. As third-party payers begin to recognize the importance of primary care in containing costs
   and maintaining health, community-based care has increased.
   Page Ref: 3
   Cognitive Level: Application
   Client Need&Sub: Health Promotion and Maintenance
   Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
   Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing
   | Nursing/Integrated Concepts: Nursing Process: Implementation/Health teaching and health
   promotion
   Learning Outcome: LO 1.2-Describe the use of community-based nursing care in meeting the
   needs of childbearing families.
   MNL LO: Overview of maternal-newborn nursing.

2) The labor and delivery nurse and a novice nurse are admitting a client who is in labor. The
client is making groaning guttural sounds during contractions and answers questions with oneword answers. The labor and delivery nurse is quickly setting up the instruments and sterile field
for this delivery while asking admission questions between contractions. The labor and delivery
nurse has not completed a pelvic exam. The novice nurse understands that this is an example of:

1. An expert nurse assessing advanced labor and imminent delivery in the client.
2. The correct order of steps when admitting a who is in labor.
3. Inconsistencies in an individual nurse’s approach to client care.
4. Advanced nurse practice.
   Answer: 1
   Explanation: 1. An expert nurse utilizes multiple aspects of a client’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 who is in labor. The expert nurse has identified that the grunting and guttural
   sounds during contractions are involuntary pushing and that the client is very close to delivery.
5. Although most nurses have a routine when admitting a client, the order of the steps will vary
   according to the situation at hand.
6. 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 client at that point in time.
7. Advanced nurse practice describes educational and certification achievement and is not used
   to describe the continuum from novice to expert.
   Page Ref: 4, 5
   Cognitive Level: Analyzing
   Client Need&Sub: Health Promotion and Maintenance
   Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
   Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Human flourishing
   | Nursing/Integrated Concepts: Nursing Process: Assessment/Coordination of care
   Learning Outcome: LO 1.3-Identify the nursing roles available to the maternal-newborn and
   women’s healthcare nurses.
   MNL LO: Overview of maternal-newborn nursing.

3) Currently, one-third of children under 20 years old come from families of minority
populations. The new nurse is observing her preceptor assess the client’s communication pattern,
religious beliefs, level of education, and support system. The new nurse understands that the best
reason for her preceptor to assess these areas is to increase the:

1. Client’s cooperation with the plan of care.
2. Hospitals compliance with the Joint Commission on Accreditation of Healthcare
   Organizations JCAHO standards.
3. Nurse’s knowledge of cultural beliefs.
4. Client’s satisfaction with her care.
   Answer: 1
   Explanation: 1. Gaining cooperation with the plan of care increases the outcome desired at
   discharge. When a client’s value system is not included in the plan of care, it will decrease
   compliance with the treatment plan and possibly increase the length of stay and decrease the
   desired outcome at discharge.
5. Although compliance with JCAHO standards is very important, it is more important to gain
   client cooperation with the plan of care.
6. The nurse’s knowledge of cultural beliefs increases the ability to care for the client, but
   without the client’s cooperation with the plan of care, the nurse’s knowledge is lost.
7. Client satisfaction with care is important, but the prime reason for the satisfaction is the
   nurse’s taking time to gain patient cooperation with the plan of care.
   Page Ref: 4, 5
   Cognitive Level: Analyzing
   Client Need&Sub: Health Promotion and Maintenance
   Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
   Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Professional
   identity | Nursing/Integrated Concepts: Nursing Process: Planning/Health teaching and health
   promotion
   Learning Outcome: LO 1.3-Identify the nursing roles available to the maternal-newborn and
   women’s healthcare nurses.
   MNL LO: Overview of maternal-newborn nursing.

4) The client at 30 weeks’ gestation expresses a desire for the registered nurse to independently
manage her perinatal care and the birth of her baby. When the nurse explains she is not
credentialed to independently manage the client’s perinatal care and delivery, the nurse is
recognizing principles related to:

1. Standards of care.
2. Scope of practice.
3. Right to privacy.
4. Informed consent.
   Answer: 2
   Explanation: 1. Standards of care pertain to established minimum criteria for competent,
   proficient actions related to delivery of nursing care.
5. Scope of practice is defined as the limits of nursing practice set forth in state statutes.
6. Right to privacy involves the legal right of a person to keep her or his person and property free
   from public scrutiny.
7. Informed consent is a legal concept that protects a client’s right to autonomy and selfdetermination.
   Page Ref: 4, 5
   Cognitive Level: Understanding
   Client Need&Sub: Safe and Effective Care Environment | Management of Care
   Standards: QSEN Competencies: Patient-centered care | AACN Essential Competencies:
   Essential IX: Baccalaureate generalist nursing practice | NLN Competencies: Nursing judgement
   | Nursing/Integrated Concepts: Nursing Process: Evaluation/Coordination of care
   Learning Outcome: LO 1.3-Identify the nursing roles available to the maternal-newborn and
   women’s healthcare nurses.
   MNL LO: Overview of maternal-newborn nursing.