1 A nurse is examining different nursing roles. Which statement best illustrates an advanced

Maternal & Child Nursing Care, 5e (London et al.) Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing 1) A nurse is examining different nursing roles. Which statement best illustrates an advanced pra ctice nursing role?

• A registered nurse who is the manager of a large obstetric unit
• A clinical nurse specialist working as a staff nurse on a mother-baby unit
• A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
• A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring

for high-risk infants

Answer: 4

Explanation: 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 LO: 1.1.2. Explore the role of the nurse in maternity care delivery.

2) What is the major focus of the nurse practitioner (NP)?

• Leadership
• Tertiary prevention
• Physical and psychosocial clinical assessment

4.Independent care of the high-risk, pregnant client Answ

er: 3

Explanation: Physical and psychosocial clinical assessment is the major focus of the NP.

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 LO: 1.1.2. Explore the role of the nurse in maternity care delivery.

1 .Maternal & Child Nursing Care, 5e Marcia London, Patricia Ladewig, Michele Davidson, Jane Ball, Ruth Bindler, Kay Cowen (Test Bank All Chapters, 100% Original Verified, A+ Grade) 1 / 4

3) What is the role of the certified nurse—midwife (CNM)? Select all that apply.

• Give primary care for healthy newborns.
• Be educated in two disciplines of nursing.
• Give primary care for high-risk clients who are in hospital settings.
• Obtain a physician consultation for all technical procedures at delivery.
• Be prepared to manage independently the care of women at low risk for complications during

pregnancy and birth.

Answer: 1, 2, 5

Explanation: 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.The CNM is educated in the disciplines of nursing and midwifery.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

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 LO: 1.1.2. Explore the role of the nurse in maternity care delivery.

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4) During the hospital admission process, a child's parent asks for information about family- centered care. What should the nurse explain to this parent?

• Mother is the principal caregiver in each family.
• Father is the leader in each home; thus, all communications should include him.
• Family serves as the constant influence and continuing support in the child's life.
• Child's physician is the key person in ensuring the health of a child is maintained.

Answer: 3

Explanation: The foundation for the development of trusting relationships and partnerships with families is the recognition that the family is the principal caregiver, knows the unique nature of each individual child best, plays the vital role of meeting the child's needs, and is responsible for ensuring each child's health.

Page Ref: 3

Cognitive Level: Applying

Client Need/Sub: Safe and Effective Care Environment/Management of Care

Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect for the diversity of human experience | AACN Essential Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences | NLN Competencies: Relationship Centered Care; Knowledge; The role of family, culture, and community in a person's development | Nursing/Integrated Concepts: Nursing

Process: Planning

Learning Outcome: 1.2 Summarize the use of community-based nursing care in meeting the needs of childbearing and childrearing families.MNL LO: 1.1.1. Relate the effect of culture and family to the childbearing experience.5) A child is not enrolled in the Children's Health Insurance Program (CHIP). What should the nurse do to encourage the family to consider enrolling the child in this program?

• Assessment of the details of the family's income and expenditures
• Case management to limit costly, unnecessary duplication of services
• Advocacy for the child by encouraging the family to investigate its CHIP eligibility
• Education of the family about the need for keeping regular well-child visit appointments

Answer: 3

Explanation: In the role of an advocate, a nurse will advance the interests of another by suggesting the family investigate its CHIP eligibility.

Page Ref: 6

Cognitive Level: Applying

Client Need/Sub: Safe and Effective Care Environment/Management of Care

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: information, communication, and education | AACN Essential Competencies: V.12. Advocate for consumers and the nursing profession | NLN Competencies: Relationship Centered Care; Practice; Communicate information effectively; listen openly and cooperatively | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.3 Summarize the current status of factors related to health insurance and access to health care.MNL LO: 1.1.4. Examine the legal and ethical influences on the delivery of nursing care to the childbearing family.

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6) The nurse is evaluating telephone calls made by the mothers of newborns in a community clinic. Which calls should the nurse make a priority? Select all that apply.

• Mother who is 16 years old
• Mother who is breastfeeding
• Mother who is a single parent
• Mother who gave birth to twins 2 weeks ago
• Mother whose baby was born at 30 weeks' gestation

Answer: 1, 3, 4, 5

Explanation: Infant mortality rates are higher for infants of teen mothers.

Infant mortality rates are higher among unmarried mothers.Infant mortality rates are higher among infants born in multiple births.Infant mortality rates are higher among infants born prematurely.

Page Ref: 8

Cognitive Level: Analyzing

Client Need/Sub: Health Promotion and Maintenance

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care: information, communication, and education | AACN Essential Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions | Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 1.4 Relate the availability of statistical data to the formulation of further research questions.

MNL LO: 1.1.3. Relate various factors to their effect on pregnancy outcomes.

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