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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 healthcar e 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 Maintenanc e: 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, a ge, 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; staf fing 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 effe ctive 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 avai lable. 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 receive excellent prenata l 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 ha s 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 Effect ive 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. Deliv er compassionate, patient - centered, evidence - based care that 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/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

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    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 Cogn itive 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/contr ast 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 de livery. 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 ma nage 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 new borns.

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    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 rol es 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 cer tification 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 Mainten ance: 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/I ntegrated 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) Sev eral 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 appl y. 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 pr actice 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 heal th 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 delive ry. 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 charact erized 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 em otions; 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. As sessment 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 providin g 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 ho w 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 car e 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; conduc t 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 t he 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’ acces s 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 under standing 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 syste ms; 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 Explor e 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 nu rse? 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 fam ily 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 R ef: 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 v alues. | 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 unce rtain 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 Con cepts: 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 c ommon 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 ident ifying 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 soci al 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 En vironment: 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 pat ient 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 chi ldbearing 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 s elected. 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 f or 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 nee d 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 de signed 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 abou t 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); regu latory 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, pati ent 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’ conse nt 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 Ef fective 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, re gulatory 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 Soc ial 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/Integrat ed 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 nurs ing 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 pre gnancy. 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; I nternational 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 complic ation 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 l abor 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 nur sing 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 Cli ent 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 knowledg e 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 influ ence 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 client s 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 delivere d by cesarean birth yesterday received oral narcotics. 4. A primiparous client who delivered today is requesting discharge within 24 hours.

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