Test Bank For Contemporary Maternal Newborn Nursing 7th Edition By Patricia W. Ladewig

Test Bank For Contemporary Maternal Newborn Nursing 7th Edition By Patricia W. Ladewig

ISBN-10: 0135025850, ISBN-13: 9780135025857

Chapter 01_LO 01_Q01

The Labor and Delivery nurse and a nurse new to the Labor and Delivery unit are admitting a laboring client. The client is making groaning guttural sounds during contractions, and answering questions with one-word answers. The Labor and Delivery nurse simultaneously is quickly setting up the instruments and sterile field for this delivery while asking the admission questions between contractions. The experienced Labor and Delivery nurse has not yet completed a pelvic exam. The nurse new to Labor and Delivery 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 laboring clients.
3. Inconsistencies in an individual nurse’s approach to client care.
4. Advanced nurse practice.

Correct answer: 1

Rationale:

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 laboring client. 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.
2. Although most nurses have a routine when admitting a client, the order of the steps will vary according to the situation at hand.
3. 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.
4. Advanced nurse practice describes educational and certification achievement, and is not used to describe the continuum from novice to expert.

Cognitive level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Assessment

Learning Outcome: 1.1 Distinguish between the education, qualifications, and scope of practice in nurses caring for childbearing families.

Chapter 01 LO01 Q02

Currently, one-third of children under 20 years old come from families of minority populations. The new nurse is observing her preceptor assess the patient’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. Patient’s cooperation with the plan of care.
2. Hospital’s compliance with JCAHO standards.
3. Nurse’s knowledge of cultural beliefs.
4. Patient’s satisfaction with her care.

Correct answer: 1

Rationale:

1. Gaining cooperation with the plan of care increases the outcome desired at discharge. When a patient’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.
2. Although compliance with JCAHO standards is very important, it is more important to gain patient cooperation with the plan of care.
3. The nurse’s knowledge of cultural beliefs increases the ability to care for the patient, but without patient cooperation with the plan of care, the nurse’s knowledge is lost.
4. Patient 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.

Cognitive Level: Application

Category of Client Need: Health Promotion and Maintenance

Nursing Process: Planning