Chapter 1 Contemporary Maternal, Newborn, and Child Health Nursing
1) The nurse is examining different nursing roles. Which statement best illustrates an advanced
practice nursing role?
1. A registered nurse who is the manager of a large obstetric unit
2. A clinical nurse specialist working as a staff nurse on a mother-baby unit
3. A registered nurse who is the circulating nurse at surgical deliveries (cesarean sections)
4. A clinical nurse specialist with whom other nurses consult for this nurse's expertise in caring for
high-risk infants
Answer: 4
Explanation: 1. A RN who is a nurse manager is not required to be an advanced practice nurse.
RNs may have a high level of education but are not considered an advanced practice nurse by the
American Nurses Association definition. They are not managing the primary care of a patient.
2. The clinical nurse specialist is an advanced practice nurse but is not working in that role when in
the clinical nurse role at the bedside.
3. The registered nurse working as a circulating nurse is not required to have an advanced degree.
The role of the circulating nurse is a specialized role but does not require a higher level of
education like the advanced practice nurse.
4. A clinical nurse specialist with whom other nurses consult for expertise in caring for high-risk
infants would illustrate an advanced practice nursing role. This nurse has specialized knowledge
and competence in a specific clinical area, and is master's-prepared.
Page Ref: 3
Cognitive Level: Remembering
Client Need/Sub: Safe and Effective Care Environment / Management of Care
Standards: QSEN Competencies: II.B.4. Function competently within own scope of practice as a
member of the healthcare team | AACN 2021 Domains and Competencies: 6.2 Perform effectively
in different team roles, using principles and values of team dynamics. | NLN Competencies:
Teamwork; Knowledge; Scope of practice, roles, and responsibilities of healthcare team members,
including overlaps | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.1 Identify the nursing roles available to maternal-newborn and pediatric
nurses.
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