Expectant parents ask a prenatal nurse educator, 'Which setting for childbirth limits the amount of parent-infant interaction?'

Correct Answer: C

Rationale: The correct answer is C) Traditional hospital birth. In a traditional hospital birth setting, the separation of parent and infant can occur due to various hospital protocols and procedures. For example, in some hospitals, the baby may be taken to a nursery for monitoring or care after birth, limiting immediate parent-infant interaction. This separation can impact early bonding, breastfeeding initiation, and overall parental involvement in newborn care. Option A) Birth center and Option B) Home birth typically promote increased parent-infant interaction as they often emphasize family-centered care and encourage parents to be actively involved in the birthing process. Birth centers and home births usually support immediate skin-to-skin contact, early breastfeeding, and rooming-in practices, all of which enhance parent-infant bonding. Option D) Labor, birth, and recovery room is not the correct answer as this setting is designed to promote family-centered care and encourage parent-infant interaction. In this setting, parents are typically encouraged to stay together with their newborn to facilitate bonding and care continuity. In an educational context, it is important for prenatal nurse educators to understand the different childbirth settings and their impact on parent-infant interaction. By discussing these options with expectant parents, educators can help them make informed decisions about where they would like to give birth based on their preferences for parent-infant bonding and involvement in the early postpartum period.

Correct Answer: A

Rationale: In the nursing process, the correct step for determining appropriate interventions for identified nursing diagnoses is Planning, which is option A. Planning occurs after the nurse has completed the assessment and analysis of the client's data to establish nursing diagnoses. In this phase, the nurse collaborates with the client to set goals, prioritize nursing interventions, and develop a comprehensive plan of care tailored to the individual's specific needs. Option B, Evaluation, is incorrect because evaluation is about assessing the outcomes of the interventions to determine if they have been effective in meeting the desired goals. Option C, Assessment, is also incorrect as assessment is the initial phase of the nursing process where data is collected to identify health issues. Option D, Intervention, is not the correct answer as interventions are implemented after the planning phase to address the identified nursing diagnoses based on the formulated care plan. Understanding the nursing process is essential for nurses as it provides a systematic framework to deliver individualized care, promote critical thinking, and improve patient outcomes. By correctly identifying the planning phase as the step for determining interventions, nurses can ensure that their care is evidence-based, holistic, and meets the unique needs of maternal and reproductive health clients.

Correct Answer: D

Rationale: The correct answer is option D: Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM. Rationale: - This intervention promotes maternal well-being by preventing complications like blood clots and enhancing circulation postpartum. - Early ambulation aids in restoring muscle tone, preventing postpartum complications, and promoting overall recovery. - Scheduled ambulation supports a gradual increase in physical activity, which is crucial for postpartum recovery without causing excessive fatigue. Why others are wrong: - Option A (Force fluids as necessary) lacks specificity and may not be appropriate for all maternal clients, as individual fluid needs vary. - Option B (Observe interaction with the infant) is important but not as immediate or crucial for promoting physical recovery postpartum as ambulation. - Option C (Encourage turning, coughing, and deep breathing) is a general nursing intervention but does not specifically address the need for physical activity and mobilization post-delivery. Educational context: Understanding the importance of early ambulation postpartum is vital for nursing students caring for maternal and reproductive health clients. This intervention helps prevent complications, promotes physical recovery, and enhances overall well-being. By implementing scheduled ambulation, nurses can support maternal clients in their postpartum recovery journey effectively.

Correct Answer: D

Rationale: The correct answer is option D) Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic. This expected outcome is appropriate because it reflects a realistic and specific goal for pain management after a vaginal birth. The goal of pain management is to reduce pain to a manageable level, typically around 2 on a scale of 10, which allows the patient to function while still experiencing some discomfort. Option A is incorrect because it sets the goal too low and does not aim for adequate pain relief. Option B is incorrect because it focuses solely on the administration of analgesics without specifying the desired pain level. Option C is incorrect because it assumes complete pain relief within a specific time frame, which may not be realistic or achievable for all patients. In an educational context, understanding how to set appropriate and realistic expected outcomes is crucial for nurses to provide effective care and evaluate the effectiveness of interventions. Setting specific, measurable, achievable, relevant, and time-bound (SMART) goals helps guide patient care and promotes optimal outcomes.

Correct Answer: C

Rationale: The correct answer is C) Neonatal nurse practitioners provide emergency care in the post-birth setting to high-risk infants. This statement accurately reflects the role of neonatal nurse practitioners who are advanced practice nurses specializing in providing care to newborns, especially those who are high-risk or require specialized medical attention after birth. Option A is incorrect because family nurse practitioners typically focus on primary care across the lifespan and do not primarily assist with childbirth care in the hospital setting. Option B is incorrect as clinical nurse specialists typically provide expert clinical practice, education, research, and leadership in a specialized area of nursing practice, but they do not typically provide primary care to obstetric patients. Option D is incorrect because a certified nurse midwife (CNM) is indeed considered an advanced practice nurse who specializes in providing care to women throughout their reproductive lifespan, including prenatal, childbirth, and postpartum care. CNMs are trained to provide a wide range of women's health services and are integral members of the healthcare team in maternal and reproductive health settings. Understanding the advanced roles of nursing in maternal and reproductive health is crucial for nursing students and healthcare professionals to ensure appropriate care and support for individuals during these critical life stages. This knowledge helps optimize outcomes for both mothers and newborns and highlights the diverse contributions that advanced practice nurses make in specialized areas of healthcare.