Chapter 1 Contemporary Maternal-Newborn Nursing 1) The nurse is reviewing changes in maternal-newborn care. Which change is a cost-effective approach with favorable outcomes? A) Home birth B) Use of a doula C) Free-standing birthing center D) Home follow-up nursing care Answer: D Explanation: A) Home birth is a choice for the childbirth experience. B) The use of a doula is an aspect of the childbirth experience. C) Free-standing birthing centers are a choice for the childbirth experience. D) It is likely that home follow-up nursing care will continue to gain acceptance because it is a cost-effective approach with favorable long-term family outcomes. Page Ref: 2 Cognitive Level: Understanding Client/Need Sub: Health Promotion and Maintenance Standards: QSEN Competencies: I. A. 2. Describe strategies to empower patients or families in all aspects of the healthcare process. | AACN Domains and Competencies: 3.3 Consider the socioeconomic impact of the delivery of healthcare. | NLN Competencies: Context and Environment: Healthcare economic policy; reimbursement structures; accreditation standards; staffing models and productivity; supply chain models | Nursing/Integrated Concepts: Nursing Process: Assessment. Learning Outcome: 1.1 Review current issues in contemporary childbirth. MNL LO: Recognize contemporary issues related to care of the childbearing family. 2) The nurse desires to become a certified nurse-midwife. Which information should the nurse consider about earning this credential? A) A graduate degree is required B) A high school diploma is required C) A doctoral degree is needed for research D) Provide ambulatory care service to the expectant family Answer: A Explanation: A) As of 2010, a graduate degree is required for the certified nurse-midwife (CNM) credential. B) A high school diploma is needed for the certified professional midwife (CPM) credential. C) A nurse researcher has a doctoral degree, needed to conduct research. D) A nurse practitioner provides ambulatory care services to the expectant family. Page Ref: 3 Cognitive Level: Applying Client/Need Sub: Health Promotion and Maintenance