Test Bank For Olds' Maternal-Newborn Nursing and Women's Health Across The Lifespan, 10th Edition

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Chapter 1 Current Issues in Maternal-
Newborn Nursing
Olds’ Maternal-Newborn Nursing and Women’s Health, 10e (Davidson)
Chapter 1 Current Issues in Maternal-Newborn Nursing
1) The nurse is speaking to students about changes in maternal-newborn care. One change is that
self-care has gained wide acceptance with clients and the healthcare community due to research
findings that suggest that it has which effect?
1. Shortens newborn length of stay
2. Decreases use of home health agencies
3. Decreases healthcare costs
4. Decreases the number of emergency department visits
Answer: 3
Explanation: 3. Research indicates that self-care significantly decreases healthcare costs.
Page Ref: 4
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Self-Care
Standards: QSEN Competencies: I.A.2. Describe strategies to empower patients or families in all
aspects of the health care process. | AACN Essentials Competencies: IX.7. Provide appropriate
patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences,
and health literacy considerations to foster patient engagement in their care. | NLN
Competencies: Context and Environment: Health care economic policy; reimbursement
structures; accreditation standards; staffing models and productivity; supply chain models |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1 Discuss the impact of the self-care movement on contemporary childbirth.
2) Care delivered by nurse-midwives can be safe and effective and can represent a positive
response to the healthcare provider shortage. Nurse midwives tend to use less technology, which
often results in which of the following?
1. There is less trauma to the mother.
2. More childbirth education classes are available.
3. They are instrumental in providing change in the birth environment at work.
4. They advocate for more home healthcare agencies.
Answer: 1

Explanation: 1. Nurse-midwife models of care can be one way to ensure that mothers receive
excellent prenatal and intrapartum care.
Page Ref: 4
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: III.A. 6. Describe how the strength and relevance of available
evidence influences the choice of interventions in provision of patient-centered care. | AACN
Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care
that respects patient and family preferences. | NLN Competencies: Context and Environment:
Read and interpret data; apply health promotion/disease prevention strategies; apply health
policy; conduct population-based transcultural health assessments and interventions. |
Nursing/Integrated Concepts: Nursing Process: Planning
1
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
3) The nurse is telling a new client how advanced technology has permitted the physician to do
which of the following?
1. Treat the fetus and monitor fetal development.
2. Deliver at home with a nurse-midwife and doula.
3. Have the father present as the coach and cut the umbilical cord.
4. Breastfeed a new baby on the delivery table.
Answer: 1
Explanation: 1. The fetus is increasingly viewed as a patient separate from the mother, although
treatment of the fetus necessarily involves the mother.
Page Ref: 11
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I.B.10. Engage patients or designated surrogates in active
partnerships that promote health, safety and well-being, and self-care management. | AACN
Essentials Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care
that respects patient and family preferences. | NLN Competencies: Teamwork: Scope of practice,

roles, and responsibilities of health care team members, including overlaps | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 6 Evaluate the potential impact of some of the special situations in
contemporary maternity care.
MNL LO: 1.1.3 Relate various factors to their effect on pregnancy outcomes.
4) A nurse is examining different nursing roles. Which example best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetrical unit
2. A registered nurse who is the circulating nurse during surgical deliveries (cesarean sections)
3. A clinical nurse specialist working as a staff nurse on a mother-baby unit
4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-
risk infants
Answer: 4
Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise in caring
for high-risk infants is working in an advanced practice nursing role. This nurse has specialized
knowledge and competence in a specific clinical area, and is master’s prepared.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
members. | AACN Essentials Competencies: VI. 6. 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: Scope of
practice, roles, and
2
responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:
Nursing Process: Assessment
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
3

5) A nursing student investigating potential career goals is strongly considering becoming a
nurse practitioner (NP). The major focus of the NP is on which of the following?
1. Leadership
2. Physical and psychosocial clinical assessment
3. Independent care of the high-risk pregnant client
4. Tertiary prevention
Answer: 2
Explanation: 2. Physical and psychosocial clinical assessment is the major focus of the NP.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
members. | AACN Essentials Competencies: VI. 2. 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: Scope of
practice, roles, and responsibilities of health care team members, including overlaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
6) The nurse manager is consulting with a certified nurse-midwife about a client. What is the role
of the CNM?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Be prepared to manage independently the care of women at low risk for complications during
pregnancy and birth.
2. Give primary care for high-risk clients who are in hospital settings.
3. Give primary care for healthy newborns.
4. Obtain a physician consultation for any technical procedures at delivery.
5. Be educated in two disciplines of nursing.
Answer: 1, 3, 5
Explanation: 1. A 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.

3. A 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.
5. The CNM is educated in the disciplines of nursing and midwifery.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
members. | AACN Essentials 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: Scope of
practice, roles, and
4
responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
7) The registered nurse who has completed a master’s degree program and passed a national
certification exam has clinic appointments with clients who are pregnant or seeking well-woman
care. What would the role of this nurse be considered?
1. Professional nurse
2. Certified registered nurse (RNC)
3. Clinical nurse specialist
4. Nurse practitioner
Answer: 4
Explanation: 4. A nurse practitioner has completed either a master’s or doctoral degree in
nursing and passed a certification exam, and functions as an advanced practice nurse.
Ambulatory care settings and the community are common sites for nurse practitioners to provide
client care.
Page Ref: 7
Cognitive Level: Remembering
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

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Standards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare team
members. | AACN Essentials Competencies: VI. 6. 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: Scope of
practice, roles, and responsibilities of health care team members, including overlaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
5
8) Several student nurses are discussing advanced practice, and know that the term advanced
practice nurse includes which of the following types of nurses?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Nurse practitioners
2. Certified nurse-midwives
3. Clinical nurse specialists
4. Certified registered nurses
5. Professional nurses
Answer: 1, 2, 3
Explanation: 1. A nurse practitioner must have additional education and experience to hold
advanced practice status.
2. A certified nurse-midwife must have additional education and experience to hold advanced
practice status.
3. A clinical nurse specialist must have additional education and experience to hold advanced
practice status.
Page Ref: 7
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: II.A. 2. Describe scopes of practice and roles of healthcare
team members. | AACN Essentials 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:

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Scope of practice, roles, and responsibilities of health care team members, including overlaps. |
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
6
9) While a child is being admitting to the hospital, the parent receives information about the
pediatric unit’s goals, including the statement that the unit practices family-centered care. The
parent asks why that is important. The nurse responds that what communication dynamic is
characteristic of the family-centered care paradigm?
1. The mother is the principal caregiver in each family.
2. The child’s physician is the key person in ensuring the health of a child is maintained.
3. The family serves as the constant influence and continuing support in the child’s life.
4. The father is the leader in each home; thus, all communications should include him.
Answer: 3
Explanation: 3. Family-centered care is characterized by an emphasis on the family and family
involvement throughout the pregnancy, birth, and postpartum period.
Page Ref: 3
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Developmental Stages and Transitions
Standards: QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respect
for the diversity of human experience. | AACN Essentials Competencies: IX. 6. Implement
holistic, patient-centered care that reflects an understanding of human growth and development,
pathophysiology, pharmacology, medical management and nursing management across the
health-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies:
Relationship-Centered Care: Promote and accept the patient’s emotions; accept and respond to
distress in the patient and self; facilitate hope, trust and faith. | Nursing/Integrated Concepts:
Nursing Process: Planning
Learning Outcome: 4 Identify specific factors that contribute to a family’s value system.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing experience.
7

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10) The current emphasis on healthcare reform and the implementation of the Affordable Care
Act has yielded what unexpected benefit?
1. Assessment of the details of the family’s income and expenditures
2. Case management to limit costly, unnecessary duplication of services
3. Many healthcare providers and consumers are becoming more aware of the vitally important
role nurses play in providing excellent care to clients and families
4. Education of the family about the need for keeping regular well-child visit appointments
Answer: 3
Explanation: 3. Nurses must clearly articulate their role in the changing environment to define
and differentiate practice roles and the educational preparation required for their new roles.
Page Ref: 6
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A. 4. Examine how the safety, quality and cost effectiveness
of health care can be improved through the active involvement of patients and families. | AACN
Essentials 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: Context and Environment: Read
and interpret data; apply health promotion/disease prevention strategies; apply health policy;
conduct population-based transcultural health assessments and interventions. | Nursing/Integrated
Concepts: Nursing Process: Implementation
Learning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
8
11) For prenatal care, the client is attending a clinic held in a church basement. The client’s care
is provided by registered nurses and a certified nurse-midwife. What is this type of prenatal care?
1. Secondary care
2. Tertiary care
3. Community care
4. Unnecessarily costly care
Answer: 3

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Explanation: 3. Prenatal care is primary care. Community care is often provided at clinics in
neighborhoods to facilitate clients’ access to primary care, including prenatal care and prevention
of illness.
Page Ref: 8
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care
Standards: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions of
patient-centered care. | AACN Essentials 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: Context and
Environment: Environmental health; health promotion/disease prevention (e.g. transmission of
disease, disease patterns, epidemiological principles); chronic disease management; health care
systems; transcultural approaches to health; family dynamics. | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 3 Describe the use of community-based nursing care in meeting the needs of
childbearing families.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
9
12) The nurse at an elementary school is performing TB screenings on all of the students.
Permission slips were returned for all but the children of one family. When the nurse phones to
obtain permission, the parent states in clearly understandable English that permission cannot be
given because the grandmother is out of town for 2 more weeks. Which cultural element is
contributing to the dilemma that faces the nurse?
1. Permissible physical contact with strangers
2. Beliefs about the concepts of health and illness
3. Religion and social beliefs
4. Presence and influence of the extended family
Answer: 4
Explanation: 4. The presence and influence of the extended family is contributing to the situation
the nurse faces. In many cultures, a family elder is a primary decision maker when it comes to
health care. In this case, the parent cannot grant permission to the nurse until the parent consults
the grandmother.

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Page Ref: 6
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Health Screening
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic, and social
backgrounds function as sources of patient, family, and community values. | AACN Essentials
Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects
patient and family preferences. | NLN Competencies: Context and Environment: Analyze ethical
challenges presented by ambiguous and uncertain clinical situations; self-assess one’s own
tolerance for ambiguity and uncertainty; accept the possibility of multiple “right” answers (rather
than one-right answer thinking) in patient care and other professional situations. |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 4 Identify specific factors that contribute to a family’s value system.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing experience.
10
13) The nurse working in a community clinic is aware that differences in beliefs between
families and healthcare providers are common in which areas?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Help-seeking behaviors
2. Pregnancy and childbirth practices
3. Causes of disease or illness
4. What defines a community
5. Educational level
Answer: 1, 2, 3
Explanation: 1. Specific differences in beliefs between families and healthcare providers are
common in help-seeking behaviors.
2. Specific differences in beliefs between families and healthcare providers are common in
pregnancy and childbirth practices.
3. Specific differences in beliefs between families and healthcare providers are common in
identifying causes of diseases or illnesses.
Page Ref: 6
Cognitive Level: Understanding

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Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic, and social
backgrounds function as sources of patient, family, and community values. | AACN Essential
Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects
patient and family preferences. | NLN Competencies: Context and Environment: Analyze ethical
challenges presented by ambiguous and uncertain clinical situations; self-assess one’s own
tolerance for ambiguity and uncertainty; accept the possibility of multiple “right” answers (rather
than one-right answer thinking) in patient care and other professional situations. |
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 4 Identify specific factors that contribute to a family’s value system.
MNL LO: 1.1.1 Relate the effect of culture and family to the childbearing experience.
11
14) The maternal-child nurse stresses to the recently graduated nurse that primary care focuses
on which aspect?
Note: Credit will be given only if all correct and no incorrect choices are selected.
Select all that apply.
1. Health promotion
2. Illness prevention
3. Hospital care
4. Skilled nursing care
5. Curing disease
Answer: 1, 2
Explanation: 1. Healthcare providers can help foster self-care by focusing on health promotion
education during every client encounter.
2. By fostering health-promoting behaviors, many illnesses can be prevented.
Page Ref: 4
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated surrogates in active
partnerships that promote health, safety and well-being, and self-care management. | AACN
Essentials Competencies: II. 8. Promote achievement of safe and quality outcomes of care for
diverse populations. | NLN Competencies: Teamwork: Function competently within one’s own

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scope of practice as leader or member of the health care team and manage delegation effectively.
| Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 3 Describe the use of community-based nursing care in meeting the needs of
childbearing families.
MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.
12
15) A maternity client is in need of surgery. Which healthcare member is legally responsible for
obtaining informed consent for an invasive procedure?
1. The nurse
2. The physician
3. The unit secretary
4. The social worker
Answer: 2
Explanation: 2. Informed consent is a legal concept designed to allow clients to make intelligent
decisions regarding their own health care. Informed consent means that a client, or a legally
designated decision maker, has granted permission for a specific treatment or procedure based on
full information about that specific treatment or procedure as it relates to that client under the
specific circumstances of the permission. The individual who is ultimately responsible for the
treatment or procedure should provide the information necessary to obtain informed consent. In
most instances, this is a physician.
Page Ref: 10
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: I. B. 12. Facilitate informed patient consent for care. | AACN
Essentials Competencies: VIII. 1. Demonstrate the professional standards of moral, ethical, and
legal conduct. | NLN Competencies: Context and Environment: Code of ethics (e.g. American
Nurses Association 2005; International Council of Nurses, 2006); regulatory and professional
standards (ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portability
and Accountability Act]); ethical decision making modes; scope of practice considerations;
principles of informed consent, confidentiality, patient self-determination. | Nursing/Integrated
Concepts: Nursing Process: Planning

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Learning Outcome: 5 Delineate significant legal and ethical issues that influence the practice of
nursing for childbearing families.
MNL LO: 1.1.4 Examine the legal and ethical influences on the delivery of nursing care to the
childbearing family.
13
16) A nurse who tells family members the sex of a newborn baby without first consulting the
parents would have committed which of the following?
1. A breach of privacy
2. Negligence
3. Malpractice
4. A breach of ethics
Answer: 1
Explanation: 1. A breach of privacy would have been committed in this situation, because
informing other family members of the gender without the parents’ consent violates the parents’
right to privacy. The right to privacy is the right of a person to keep his person and property free
from public scrutiny (or even from other family members).
Page Ref: 10
Cognitive Level: Understanding
Client Need/Sub: Safe and Effective Care Environment: Ethical Practice
Standards: QSEN Competencies: I. B. 13. Assess own level of communication skill in
encounters with patient and families. | AACN Essentials Competencies: IV. 8. Uphold ethical
standards related to data security, regulatory requirements, confidentiality and clients’ right to
privacy. | NLN Competencies: Context and Environment: Code of ethics (e.g. American Nurses
Association 2005; International Council of Nurses, 2006); regulatory and professional standards
(ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portability and
Accountability Act]); ethical decision making modes; scope of practice considerations; principles
of informed consent, confidentiality, patient self-determination. | Nursing/Integrated Concepts:
Nursing Process: Implementation
Learning Outcome: 5 Delineate significant legal and ethical issues that influence the practice of
nursing for childbearing families.
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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14
17) The nursing instructor explains to the class that according to the 1973 Supreme Court
decision in Roe v. Wade, abortion is legal if induced:
1. Before the 30th week of pregnancy.
2. Before the period of viability.
3. To provide tissue for therapeutic research.
4. Can be done any time if mother, doctor, and hospital all agree.
Answer: 2
Explanation: 2. Abortion can be performed legally until the period of viability.
Page Ref: 11
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment: Ethical Practice
Standards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity and
respect for the diversity of human experience. | AACN Essentials Competencies: IV. 8. Uphold
ethical standards related to data security, regulatory requirements, confidentiality and client’s
right to privacy. | NLN Competencies: Context and Environment: Code of ethics (e.g. American
Nurses Association 2005; International Council of Nurses, 2006); regulatory and professional
standards (ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portability
and Accountability Act]); ethical decision making modes; scope of practice considerations;
principles of informed consent, confidentiality, patient self-determination. | Nursing/Integrated
Concepts: Nursing Process: Planning
Learning Outcome: 5 Delineate significant legal and ethical issues that influence the practice of
nursing for childbearing families.
MNL LO: 1.1.4 Examine the legal and ethical influences on the delivery of nursing care to the
childbearing family.
15
18) The nurse reviewing charts for quality improvement notes that a client experienced a
complication during labor. The nurse is uncertain whether the labor nurse took the appropriate
action during the situation. What is the best method for the nurse to take to determine what the
appropriate action should have been?
1. Call the nurse manager of the labor and delivery unit and ask what the nurse should have done.

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2. Ask the departmental chair of the obstetrical physicians what the best nursing action should
have been.
3. Examine other charts to find cases of the same complication, and determine how it was
handled in those situations.
4. Look in the policy and procedure book, and examine the practice guidelines published by a
professional nursing organization.
Answer: 4
Explanation: 4. Agency policies, procedures, and protocols contain guidelines for nursing action
in specific situations. Professional organizations such as the Association of Women’s Health,
Obstetrical, and Neonatal Nurses (AWHONN) also publish standards of practice that should
guide nursing care.
Page Ref: 9
Cognitive Level: Applying
Client Need/Sub: Safe and Effective Care Environment: Management of Care
Standards: QSEN Competencies: IV. A. 4. Explain the importance of variation and measurement
in assessing quality of care. | AACN Essentials Competencies: V. 1. Demonstrate basic
knowledge of healthcare policy, finance, and regulatory environments; including local, state,
national, and global healthcare trends. | NLN Competencies: Knowledge and Science: Retrieve
research findings and other sources of information; critique research to judge its value and
usefulness; evaluate the strength of evidence for application of research findings to clinical
practice. | Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 5 Delineate significant legal and ethical issues that influence the practice of
nursing for childbearing families.
MNL LO: 1.1.4 Examine the legal and ethical influences on the delivery of nursing care to the
childbearing family.
16
19) The nurse is reviewing care of clients on a mother-baby unit. Which situation should be
reported to the supervisor?
1. A 2-day-old infant has breastfed every 3 hours and voided four times.
2. An infant was placed in the wrong crib after examination by the physician.
3. The client who delivered by cesarean birth yesterday received oral narcotics.
4. A primiparous client who delivered today is requesting discharge within 24 hours.

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