Solution Manual for Introduction to Maternity and Pediatric Nursing, 6th Edition

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Study Guide Answer KeyChapter 11Study Guide Answer Key1chapter1Learning Activities1.c, h, d, i, j, b, g, f, e, a2.a.Obstetriciansb.Family practice physiciansc.Certified nurse-midwives3.f, d, i, e, g, b, j, a, h, c4.a.American College of Nurse-Midwivesb.Association of Women’s Health, Obstetric,and Neonatal Nursesc.Division of Maternal Nursing within theAmerican Nurses Association5.a.Provides funds for maternity careb.Increases access to health care for under-privileged womenc.Designed to improve education of pre-school childrend.Provides contraceptive informatione.Provides supplemental food and educationfor the poorf.Enables employees to take 12 weeks ofunpaid leave but retain benefits and paystatus for newborns or ill family membersg.Establishes minimum working ages andled to national minimum standards forchild labor and enforcement of thesestandardsh.Provides support and public education ofhandicapped childreni.Provides a national clearinghouse for miss-ing children6.Hospital stays for births in the 1950s were usu-ally one week. Today, an uncomplicated caserequires only 2 days. Follow-up of the wellnewborn occurs within 2 weeks and a nursemay make visits to the home if a dischargedmother or infant is at high risk. Implicationsfor nurses might include the need for goodorganization of care based on research ratherthan tradition, identification of risk factors thatmay lengthen the stay for the mother and/orinfant, and teaching early after birth to helpparents best care for themselves and theirinfant. Teaching often involves other familymembers such as grandparents or siblings aswell. (Student should describe their thoughtshow these changes are likely to affect nurses.)7.Natural childbirth movement made parentsaware of their need to become educated andinvolved. Preparation for childbirth such asLamaze classes and La Leche League becameaccepted. Parents questioned routine useof anesthesia and restrictive policies suchas exclusion of fathers from birth. Today, afather’s attendance at birth, open visiting forother children and family, and extended con-tact with the newborn are encouraged.8.Technological advances and emergence ofpediatric specialties enable survival of manyinfants and children who would not have sur-vived in the past. Specialized care for prema-ture infants, specialized pediatric cardiologycare, and pediatric specialties such as pediatricsurgery and pediatric psychiatry are nowavailable. Laboratories are equipped to testpediatric specimens to identify biochemicalor chromosomal abnormalities. Identificationof genetic risk and related counseling is moreimportant.9.The number of chronically ill and disabledchildren is growing. Some are dependenton specialized equipment such as monitorsor ventilators. Parents must be educated inperforming technical skills once reserved forthe hospital, such as tracheotomy or centralvenous line care. The need for respite care forparents grows as the number of these childrenincreases.10.See Box 1-4 on p. 11 in the textbook.11.a.Assessmentb.Diagnosisc.Outcomes identificationd.Planninge.Implementationf.Evaluation12.NIC and NOC consist of standardized lan-guage for nursing interventions and outcomes.Standardization helps improve quality of care,reduce costs, enable research, and promote

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