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 NursingOlds’ Maternal-Newborn Nursing and Women’s Health, 10e(Davidson)Chapter 1 Current Issues in Maternal-Newborn Nursing1) The nurse is speaking to students about changes in maternal-newborn care. Onechange is thatself-care has gained wide acceptance with clients and the healthcare community due to researchfindings that suggest that it has which effect?1. Shortens newborn length of stay2. Decreases use of home health agencies3. Decreases healthcare costs4. Decreases the number of emergency department visitsAnswer: 3Explanation: 3. Research indicates that self-care significantly decreases healthcare costs.Page Ref: 4Cognitive Level: UnderstandingClient Need/Sub: Health Promotion and Maintenance: Self-CareStandards: QSEN Competencies: I.A.2. Describe strategies to empower patients or families in allaspects of the health care process. | AACN Essentials Competencies: IX.7. Provide appropriatepatient teaching that reflects developmental stage, age, culture, spirituality, patient preferences,and health literacy considerations to foster patient engagement in their care. | NLNCompetencies: Context and Environment: Health care economic policy; reimbursementstructures; accreditation standards; staffing models and productivity; supply chain models |Nursing/Integrated Concepts: Nursing Process: PlanningLearning 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 positiveresponse to the healthcare provider shortage. Nurse midwives tend to use less technology, whichoften 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

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Explanation: 1. Nurse-midwife models of care can be one way to ensure that mothers receiveexcellent prenatal and intrapartum care.Page Ref: 4Cognitive Level: UnderstandingClient Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease PreventionStandards: QSEN Competencies: III.A. 6. Describe how the strength and relevance of availableevidenceinfluences the choice of interventions in provision of patient-centered care. | AACNEssentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based carethat respects patient and family preferences. | NLN Competencies: Context andEnvironment:Read and interpret data; apply health promotion/disease prevention strategies; apply healthpolicy; conduct population-based transcultural health assessments and interventions. |Nursing/Integrated Concepts: Nursing Process: Planning1Learning 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 dowhich 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 thedelivery table.Answer: 1Explanation: 1. The fetus is increasingly viewed as a patient separate from the mother, althoughtreatment of the fetus necessarily involves the mother.Page Ref: 11Cognitive Level: UnderstandingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: I.B.10. Engage patients or designated surrogates in activepartnerships that promote health, safety and well-being, and self-care management. | AACNEssentials Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based carethat respects patient and family preferences. | NLN Competencies: Teamwork: Scope of practice,

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roles, and responsibilities of health care team members, including overlaps | Nursing/IntegratedConcepts: Nursing Process: ImplementationLearning Outcome: 6 Evaluate the potential impact of some of the special situations incontemporary 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 advancedpractice nursing role?1. A registered nurse who is the manager of a large obstetrical unit2. 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 unit4. A clinical nurse specialist with whom other nurses consult for her expertise in caring for high-risk infantsAnswer: 4Explanation: 4. A clinical nurse specialist with whom other nurses consult for expertise in caringfor high-risk infants is working in an advanced practice nursing role. This nurse has specializedknowledge and competence in a specific clinical area, and is master’s prepared.Page Ref: 7Cognitive Level: UnderstandingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare teammembers. | AACN Essentials Competencies: VI. 6. Compare/contrast the roles and perspectivesof the nursing profession with other care professionals on the healthcare team (i.e. scope ofdiscipline, education, and licensure requirements) | NLN Competencies: Teamwork: Scope ofpractice, roles, and2responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:Nursing Process: AssessmentLearning 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

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5) A nursing student investigating potential career goals is strongly considering becoming anurse practitioner (NP). The major focus of the NP is on which of the following?1. Leadership2. Physical and psychosocial clinical assessment3. Independent care of the high-risk pregnant client4. Tertiary preventionAnswer: 2Explanation: 2. Physical and psychosocial clinical assessment is the major focus of the NP.Page Ref: 7Cognitive Level: UnderstandingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare teammembers. | AACN Essentials Competencies: VI. 2. Compare/contrast the roles and perspectivesof the nursing profession with other care professionals on the healthcare team (i.e. scope ofdiscipline, education, and licensure requirements) | NLN Competencies: Teamwork: Scope ofpractice, roles, and responsibilities ofhealth care team members, including overlaps. |Nursing/Integrated Concepts: Nursing Process: AssessmentLearning 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 roleof 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 duringpregnancy 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 anytechnical procedures at delivery.5. Be educated in two disciplines of nursing.Answer: 1, 3, 5Explanation: 1. A CNM is prepared to manage independently the care of women at low risk forcomplications during pregnancy and birth and the care of healthy newborns.

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3. A CNM is prepared to manage independently the care of women at low risk for complicationsduring pregnancy and birth and the care of healthy newborns.5. The CNM is educated in the disciplines of nursing and midwifery.Page Ref: 7Cognitive Level: UnderstandingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: II.A.2. Describe scopes of practice and roles of healthcare teammembers. | AACN Essentials Competencies: VI. 1. Compare/contrast the roles and perspectivesof the nursing profession with other care professionals on the healthcare team (i.e. scope ofdiscipline, education, and licensure requirements) | NLN Competencies: Teamwork: Scope ofpractice, roles, and4responsibilities of health care team members, including overlaps. | Nursing/Integrated Concepts:Nursing Process: PlanningLearning Outcome: 2 Compare the nursing roles available to the maternal-newborn nurse.MNL LO: 1.1.2 Explore the role ofthe nurse in maternity care delivery.7) The registered nurse who has completed a master’s degree program and passed a nationalcertification exam has clinic appointments with clients who are pregnant or seeking well-womancare. What would the role of thisnurse be considered?1. Professional nurse2. Certified registered nurse (RNC)3. Clinical nurse specialist4. Nurse practitionerAnswer: 4Explanation: 4. A nurse practitioner has completed either a master’s or doctoral degree innursing 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 provideclient care.Page Ref: 7Cognitive Level: RememberingClient 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 teammembers. | AACN Essentials Competencies: VI. 6. Compare/contrast the roles and perspectivesof the nursing professionwith other care professionals on the healthcare team (i.e. scope ofdiscipline, education, and licensure requirements) | NLN Competencies: Teamwork: Scope ofpractice, roles, and responsibilities of health care team members, including overlaps. |Nursing/Integrated Concepts: Nursing Process: AssessmentLearning 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.58) Several student nurses are discussing advanced practice, and know that the termadvancedpractice nurseincludes 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 practitioners2. Certified nurse-midwives3. Clinical nurse specialists4. Certified registered nurses5. Professional nursesAnswer: 1, 2, 3Explanation: 1. A nurse practitioner must have additional education and experience to holdadvanced practice status.2. A certified nurse-midwife must have additional education and experience to hold advancedpractice status.3. A clinical nurse specialist must have additional education and experience to hold advancedpractice status.Page Ref: 7CognitiveLevel: UnderstandingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: II.A. 2. Describe scopes of practice and roles of healthcareteam members. | AACN Essentials Competencies: VI. 1. Compare/contrastthe roles andperspectives 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: AssessmentLearning 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.69) While a child is being admitting to the hospital, the parent receives information about thepediatric unit’s goals, including the statement that the unit practices family-centered care. Theparent asks whythat is important. The nurse responds that what communication dynamic ischaracteristic 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 achild 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: 3Explanation: 3. Family-centered care ischaracterized by an emphasis on the family and familyinvolvement throughout the pregnancy, birth, and postpartum period.Page Ref: 3Cognitive Level: UnderstandingClient Need/Sub: Health Promotion and Maintenance: Developmental Stages and TransitionsStandards:QSEN Competencies: I.B.3. Provide patient-centered care with sensitivity and respectfor the diversity of human experience. | AACN Essentials Competencies: IX. 6. Implementholistic, patient-centered care that reflects an understanding of human growth anddevelopment,pathophysiology, pharmacology, medical management and nursing management across thehealth-illness continuum, across lifespan, and in all healthcare settings. | NLN Competencies:Relationship-Centered Care: Promote and accept the patient’s emotions; accept and respond todistress in the patient and self; facilitate hope, trust and faith. | Nursing/Integrated Concepts:Nursing Process: PlanningLearning 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 CareAct has yielded what unexpected benefit?1. Assessment of the details of the family’s income and expenditures2. Case management to limit costly, unnecessary duplication of services3. Many healthcare providers and consumers are becoming more aware of the vitally importantrole nurses play in providing excellent care to clients and families4. Education of the family about the need for keeping regular well-child visit appointmentsAnswer: 3Explanation: 3. Nurses must clearly articulate their role in the changing environment to defineand differentiatepractice roles and the educational preparation required for their new roles.Page Ref: 6Cognitive Level: UnderstandingClient Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease PreventionStandards: QSEN Competencies: I.A. 4. Examine how the safety, quality and cost effectivenessof health care can be improved through the active involvement of patients and families. | AACNEssentials Competencies: VI. 1. Compare/contrast the roles and perspectives of the nursingprofession with other care professionals on the healthcare team (i.e. scope of discipline,education, and licensure requirements) | NLN Competencies: Context and Environment: Readand interpret data; apply health promotion/disease prevention strategies; apply health policy;conduct population-based transcultural health assessments and interventions. | Nursing/IntegratedConcepts: Nursing Process: ImplementationLearning 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.811) For prenatal care, the client is attending a clinic held in a church basement. The client’s careis provided by registered nurses and a certified nurse-midwife. What isthis type of prenatal care?1. Secondary care2. Tertiary care3. Community care4. Unnecessarily costly careAnswer: 3

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Explanation: 3. Prenatal care is primary care. Community care is often provided at clinics inneighborhoods to facilitate clients’ access to primary care, including prenatal care and preventionof illness.Page Ref: 8Cognitive Level: UnderstandingClient Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn CareStandards: QSEN Competencies: I.A. 1. Integrate understanding of multiple dimensions ofpatient-centered care. | AACN Essentials Competencies: VI. 1. Compare/contrast the roles andperspectives of the nursing profession with other care professionals on the healthcare team (i.e.scope of discipline, education, and licensure requirements) | NLN Competencies: Context andEnvironment: Environmental health; health promotion/disease prevention (e.g. transmission ofdisease, disease patterns, epidemiological principles); chronic disease management; health caresystems; transcultural approaches to health; family dynamics. | Nursing/Integrated Concepts:Nursing Process: ImplementationLearning Outcome: 3 Describe the use of community-based nursing care in meeting the needs ofchildbearing families.MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.912) 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 toobtain permission, the parent states in clearly understandable English that permission cannot begiven because the grandmother is out of town for 2 more weeks. Which cultural element iscontributing to the dilemma that faces the nurse?1. Permissible physical contact with strangers2. Beliefs about the concepts of health and illness3. Religion and social beliefs4. Presence and influence of the extended familyAnswer: 4Explanation: 4. The presence and influence of the extended family is contributing to the situationthe nurse faces. In many cultures, a family elder is a primary decision maker when it comes tohealth care. In this case, the parent cannot grant permission to the nurse until the parent consultsthe grandmother.

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Page Ref: 6Cognitive Level: ApplyingClient Need/Sub: Health Promotion and Maintenance: Health ScreeningStandards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic, and socialbackgrounds function as sources of patient, family, and community values. | AACN EssentialsCompetencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respectspatient and family preferences. | NLN Competencies: Context and Environment: Analyze ethicalchallenges presented by ambiguous and uncertain clinical situations; self-assess one’s owntolerance for ambiguity and uncertainty; accept the possibility of multiple “right” answers (ratherthan one-right answer thinking) in patient care and other professional situations. |Nursing/Integrated Concepts: Nursing Process: PlanningLearning 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.1013)The nurse working in a community clinic is aware that differences in beliefs betweenfamilies 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 behaviors2. Pregnancy and childbirth practices3. Causes of disease or illness4. What defines a community5. Educational levelAnswer: 1, 2, 3Explanation: 1. Specific differences in beliefs between families and healthcare providers arecommon in help-seeking behaviors.2. Specific differences in beliefs between families and healthcare providers are common inpregnancy and childbirth practices.3. Specific differences in beliefs between families and healthcare providers are common inidentifying causes of diseases or illnesses.Page Ref: 6Cognitive Level: Understanding

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Client Need/Sub: Health Promotion and Maintenance: Health Promotion/Disease PreventionStandards: QSEN Competencies: I. A. 2. Describe how diverse cultural, ethnic, and socialbackgrounds function as sources of patient, family, and community values. | AACN EssentialCompetencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respectspatient and family preferences. | NLN Competencies: Context and Environment: Analyze ethicalchallenges presented by ambiguous and uncertain clinical situations; self-assess one’s owntolerance for ambiguity and uncertainty; accept the possibility of multiple “right” answers (ratherthan one-right answer thinking) in patient care and other professional situations. |Nursing/Integrated Concepts: Nursing Process: PlanningLearning 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.1114) The maternal-child nurse stresses to the recently graduated nurse that primary care focuseson which aspect?Note: Credit will be given only if all correct and no incorrect choices are selected.Select all that apply.1. Health promotion2. Illness prevention3. Hospital care4. Skilled nursing care5. Curing diseaseAnswer: 1, 2Explanation: 1. Healthcare providers can help foster self-care by focusing on health promotioneducationduring every client encounter.2. By fostering health-promoting behaviors, many illnesses can be prevented.Page Ref: 4Cognitive Level: UnderstandingClient Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn CareStandards: QSENCompetencies: I. B. 10. Engage patients or designated surrogates in activepartnerships that promote health, safety and well-being, and self-care management. | AACNEssentials Competencies: II. 8. Promote achievement of safe and quality outcomes of care fordiverse 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: AssessmentLearningOutcome: 3 Describe the use of community-based nursing care in meeting the needs ofchildbearing families.MNL LO: 1.1.2 Explore the role of the nurse in maternity care delivery.1215) A maternity client is in need of surgery. Which healthcare member is legally responsible forobtaining informed consent for an invasive procedure?1. The nurse2. The physician3. The unit secretary4. The social workerAnswer: 2Explanation: 2. Informed consent is a legal concept designed to allow clients to make intelligentdecisions regarding their own health care. Informed consent means that a client, or a legallydesignated decision maker, has granted permission for a specific treatment or procedure based onfull information about that specific treatment or procedure as it relates to that client under thespecific circumstances of the permission. The individual who is ultimately responsible for thetreatment or procedure should provide the information necessary to obtain informedconsent. Inmost instances, this is a physician.Page Ref: 10Cognitive Level: RememberingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: I. B. 12. Facilitate informed patient consent for care. | AACNEssentials Competencies: VIII. 1. Demonstrate the professional standards of moral, ethical, andlegal conduct. | NLN Competencies: Context and Environment: Code of ethics (e.g. AmericanNurses Association 2005; International Council of Nurses, 2006); regulatory and professionalstandards (ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portabilityand Accountability Act]); ethical decision making modes; scope of practice considerations;principles of informed consent, confidentiality, patient self-determination. | Nursing/IntegratedConcepts: Nursing Process: Planning

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Learning Outcome: 5 Delineate significant legal and ethical issues that influence the practice ofnursing for childbearing families.MNL LO: 1.1.4 Examine the legal andethical influences on the delivery of nursing care to thechildbearing family.1316) A nurse who tells family members the sex of a newborn baby without first consulting theparents would have committed which of thefollowing?1. A breach of privacy2. Negligence3. Malpractice4. A breach of ethicsAnswer: 1Explanation: 1. A breach of privacy would have been committed in this situation, becauseinforming 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 freefrom public scrutiny (or even from other family members).Page Ref: 10Cognitive Level: UnderstandingClient Need/Sub: Safe and Effective Care Environment: Ethical PracticeStandards: QSEN Competencies: I. B. 13. Assess own level of communication skill inencounters with patient and families. | AACN Essentials Competencies: IV. 8. Uphold ethicalstandards related to data security, regulatory requirements, confidentiality and clients’ right toprivacy. | NLN Competencies: Context and Environment: Code of ethics (e.g. American NursesAssociation 2005; International Council of Nurses, 2006); regulatory and professional standards(ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portability andAccountability Act]); ethical decision making modes; scope of practice considerations; principlesof informed consent, confidentiality, patient self-determination. | Nursing/Integrated Concepts:Nursing Process: ImplementationLearning Outcome: 5 Delineate significant legal and ethical issues that influence the practice ofnursing for childbearing families.MNL LO: 1.1.4 Examine the legal and ethical influences on the delivery of nursing care to thechildbearing family.

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1417) The nursing instructor explains to the class that according to the 1973 Supreme Courtdecision inRoe 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: 2Explanation: 2. Abortion can be performed legally until the period of viability.Page Ref: 11Cognitive Level: RememberingClient Need/Sub: Safe and Effective Care Environment: Ethical PracticeStandards: QSEN Competencies: I. B. 3. Provide patient-centered care with sensitivity andrespect for the diversity of human experience. | AACNEssentials Competencies: IV. 8. Upholdethical standards related to data security, regulatory requirements, confidentiality and client’sright to privacy. | NLN Competencies: Context and Environment: Code of ethics (e.g. AmericanNurses Association 2005; International Council of Nurses, 2006); regulatory and professionalstandards (ANA Social Policy Statement [ANA, 2003]; HIPAA [Health Insurance Portabilityand Accountability Act]); ethical decision making modes; scope of practice considerations;principlesof informed consent, confidentiality, patient self-determination. | Nursing/IntegratedConcepts: Nursing Process: PlanningLearning Outcome: 5 Delineate significant legal and ethical issues that influence the practice ofnursing for childbearing families.MNL LO: 1.1.4 Examine the legal and ethical influences on the delivery of nursing care to thechildbearing family.1518) The nurse reviewing charts for quality improvement notes that a client experienced acomplication during labor. The nurse is uncertain whether the labor nurse took the appropriateaction during the situation. What is the best method for the nurse to take to determine what theappropriate 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 shouldhave been.3. Examine other charts to find cases of the same complication, and determine how itwashandled in those situations.4. Look in the policy and procedure book, and examine the practice guidelines published by aprofessional nursing organization.Answer: 4Explanation: 4. Agency policies, procedures, and protocols contain guidelines for nursing actionin specific situations. Professional organizations such as the Association of Women’s Health,Obstetrical, and Neonatal Nurses (AWHONN) also publish standards of practice that shouldguide nursing care.Page Ref: 9Cognitive Level: ApplyingClient Need/Sub: Safe and Effective Care Environment: Management of CareStandards: QSEN Competencies: IV. A. 4. Explain the importance of variation and measurementin assessing quality of care. | AACN Essentials Competencies: V. 1. Demonstrate basicknowledge of healthcare policy, finance, and regulatory environments; including local, state,national, and global healthcare trends. | NLN Competencies: Knowledge and Science: Retrieveresearch findings and other sources of information; critique research to judgeits value andusefulness; evaluate the strength of evidence for application of research findings to clinicalpractice. | Nursing/Integrated Concepts: Nursing Process: EvaluationLearning Outcome: 5 Delineate significant legal and ethical issues that influence the practice ofnursing for childbearing families.MNL LO: 1.1.4 Examine the legal and ethical influences on the delivery of nursing care to thechildbearing family.1619) The nurse is reviewing care of clients on a mother-baby unit. Which situation should bereported 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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