Name: DIF Cognitive Level Understanding OBJ Nursing Process Step Analysis MSC Patient
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DIF:Cognitive Level: UnderstandingOBJ: Nursing Process Step: AnalysisMSC: Patient Needs: Health Promotion and Maintenance19.When reviewing a newpatient’sbirth plan, the nurse notices that the patient will be bringing adoula to the hospital during labor. What does the nurse think that this means?a.The patient will have her grandmother as a support person.b.The patient will bring a paid, trained labor support person with her during labor.c.The patient will have a special video she will play during labor to assist withrelaxation.d.The patient will have a bag that contains all the approved equipment that may helpwith the labor process.ANS: BA doula is a trained labor support person who is employed by the mother to provide laborsupport. She gives physical support such as massage, helps with relaxation, and providesemotional support and advocacy throughout labor. A doula is usually not a relative of thewoman. A doula is a trained labor support person.

DIF:Cognitive Level: UnderstandingOBJ: Nursing Process Step: AssessmentMSC: Patient Needs: Health Promotion and MaintenanceMULTIPLE RESPONSE1.In consideration of the historic evolution of maternity care, which treatment options were usedover the past century? (Select all that apply.)

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b.Granny midwives received their training through a period of apprenticeship.c.The recognition of improved obstetric outcomes was related to increased usage ofhygienic practices.d.A shift to hospital-based births occurred as a result of medical equipment designedto facilitate birth.e.The use of chloroform by midwives led to decreased pain during birth.ANS: B, C, DTraining of granny midwives was done by apprenticeship as opposed to formal medicalschool training. With the advent of usage of hygienic practices, improved health outcomeswere seen with regard to a decrease in sepsis. New equipment such as forceps enabled easierbirth. Women of privilege in the nineteenth century delivered at home, attended by a midwife.Chloroform was used by physicians and was not available to midwives.DIF:Cognitive Level: AnalysisOBJ: Nursing Process Step: ImplementationMSC: Patient Needs: Health Promotion and Maintenance

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