When a nulliparous woman telephones the hospital to report that ...

[MirandaLo]

When a nulliparous woman telephones the hospital to report that she is in labor, the nurse should initially:
 
  1. tell the woman to stay home until her membranes rupture.
  2. emphasize that food and fluid intake should stop.
  3. arrange for the woman to come to the hospital for labor evaluation.
  4. ask the woman to describe why she believes that she is in labor.

Question 2

The nurses working at a newly established birthing center have begun to compare their performances in providing maternal-newborn care with the performances of nurses working in similar settings.
 
  This comparison process, designed to improve the quality of patient care, is called: 1. best practices network.
  2. clinical benchmarking.
  3. outcomes-oriented care.
  4. evidence-based practice.

[EAN94]

Answer to Question 1

4
1. Incorrect. The initial nursing activity should be to gather data regarding the women's status. The amniotic membranes may or may not spontaneously rupture during labor. The client may be instructed to stay at home until the uterine contractions become strong and reg-ular.
2. Incorrect. The initial nursing activity should be to gather data regarding the women's status. After this assessment has been made, the nurse may want to discuss appropriate oral intake for early labor, such as light foods or clear liquids, depending on the preference of the client or her primary health care provider.
3. Incorrect. Before instructing the woman to come to the hospital, the nurse should initiate her assessment during the telephone interview.
4. Correct. Assessment begins at the first contact with the woman, whether by telephone or in person. By asking the woman to describe her signs and symptoms, the nurse can begin her assessment and gather data.

Answer to Question 2

2
1. Incorrect. Best practices refers to a program or service that has been recognized for ex-cellence.
2. Correct. Clinical benchmarking is a process used to compare one's own performance against the performance of the best in an area of service.
3. Incorrect. Outcomes-oriented care measures effectiveness of interventions and quality of care.
4. Incorrect. Evidence-based practice refers to providing care based on evidence gained through research and clinical trials.

[MirandaLo]

Excellent

[Dinolord]

TYSM