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

Maternal & Child Nursing Care, 6e (London et al.) Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing 1) The nurse is examining different nursing roles. Which statement best illustrates an advanced practice 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: 1. A RN who is a nurse manager is not required to be an advanced practice nurse.RNs may have a high level of education but are not considered an advanced practice nurse by the American Nurses Association definition. They are not managing the primary care of a patient.

• The clinical nurse specialist is an advanced practice nurse but is not working in that role when

in the clinical nurse role at the bedside.

• The registered nurse working as a circulating nurse is not required to have an advanced

degree. The role of the circulating nurse is a specialized role but does not require a higher level of education like the advanced practice nurse.

• 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 healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively in different team roles, using principles and values of team dynamics. | NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare 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.1 .Maternal & Child Nursing Care 6e Marcia London, Patricia Ladewig, Michele Davidson, Jane Ball, Ruth Bindler, Kay Cowen (Test Bank All Chapters, 100% Original Verified, A+ Grade) 1 / 4

2) The nurse is investigating opportunities as a nurse practitioner. Which should the nurse identify as the major focus of the nurse practitioner (NP)?

• Leadership
• Tertiary prevention
• Provide ambulatory care services
• Independent care of the high-risk, pregnant client

Answer: 3

Explanation: 1. The role of a nurse practitioner is usually directed toward patient care and not focused on leadership. The Nurse Practitioner can be in a leadership role, but it is not usually the degree that would lead to that type of position in healthcare.

• The role of providing tertiary prevention is not usually something the NP will provide.

Tertiary prevention is usually community-based outreach. This is something an NP can do but does not require an advanced degree and can include other disciplines such as social workers, community activists, public health workers, and mental health workers.

• A nurse practitioner (NP) often provides ambulatory care services to pregnant women,

newborns, children, adolescents, and families. NPs do not necessarily have leadership positions or provide tertiary prevention. Certified nurse-midwives independently manage the care of women at low risk for complications during pregnancy, birth, and the postpartum period.

• The NP may be part of a team caring for a high-risk mother but would not be independently

caring for her. A high risk patient will need to be followed by a physician along with an NP but not independently, NP's must stay within their scope of practice and high risk patients may need care beyond that an NP can provide. Certified nurse-midwives independently manage the care of women at low risk for complications during pregnancy, birth, and the postpartum period.

Page Ref: 2-3

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 healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively in different team roles, using principles and values of team dynamics. | NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare 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.2

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3) The nurse wants to become a certified nurse-midwife. 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: 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.

• The CNM is educated in the disciplines of nursing and midwifery.
• The midwife is not allowed to provide high-risk care per the certification provided by the

American College of Nurse-Midwives. The certification states care of the low risk for complications for women or newborn.

• The CNM is an independent practitioner and is working within the scope and standards of

practice. They do not need an order from a practitioner for technical procedures at delivery. They are allowed to do what they need to do without supervision.

• 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 healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively in different team roles, using principles and values of team dynamics. | NLN Competencies: Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare 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.

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4) During the hospital admission process, a child's parent asks for information about family- centered care. Which information should the nurse provide 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.

Answer: 3

Explanation: 1. The mother is not always the principal caregiver in each family and it is important for the healthcare provided to not make assumptions in the delivery of family-centered care

• The mother is not present in all family units. It is important when providing information on

family-centered care that it allows for all types of family units in the explanation of forming a family-centered approach to the child.

• 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.

• Family-centered care is all about the family working with the healthcare professional to care

for the patient; the physician is not the key person in this equation. The key is the family as a whole.

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 2021 Domains and Competencies: 3.2 Engage in effective partnerships. | 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 Describe the use of community-based nursing care in meeting the needs of childbearing and childrearing families.

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