Many communities now offer the availability of free-standing ...

[Capo]

Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum.
 
  When counseling the newly pregnant woman regarding this option, the nurse should be aware that this type of care setting includes which advantages? Select all that apply. a. Less expensive than acute-care hospitals
  b. Access to follow-up care for 6 weeks postpartum
  c. Equipped for obstetric emergencies
  d. Safe, home-like births in a familiar setting
  e. Staffing by lay midwives

Question 2

A pregnant client at 35 weeks' gestation makes this statement to the nurse: My baby has been very active up until yesterday when I hardly remember him moving. The nurse should
 
  a. bring the information to the attention of the physician or certified nurse midwife
  b. listen to the fetal heart tones and reassure the client
  c. send the client home with instructions to monitor fetal movement
  d. tell the client that babies often quit movement close to term

[swimkari]

Answer to Question 1

A, B, D
Feedback
Correct Women who are at low risk and desire a safe, home-like birth are very
satisfied with this type of care setting. The new mother may return to the
birth center for postpartum follow-up care, breastfeeding assistance, and
family planning information for 6 weeks postpartum. Because birth centers
do not incorporate advanced technologies into their services, costs are
significantly less than those for a hospital setting.
Incorrect The major disadvantage of this care setting is that these facilities are not
equipped to handle obstetric emergencies. Should unforeseen difficulties
occur, the woman must be transported by ambulance to the nearest
hospital. Birth centers are usually staffed by certified nurse-midwives
(CNMs); however, in some states lay midwives may provide this service.

Answer to Question 2

A
A dramatic decrease or complete lack of fetal movement needs to be reported immediately to the health care provider for follow-up, as it may signal a serious fetal problem. Listening to the fetal heart tones and reassuring the client are appropriate, but they are not the most significant. Sending the client home with instructions to monitor fetal movement is an inappropriate and irresponsible nursing intervention in this situation. Telling the client that babies often quit movement close to term is a false and irresponsible action.

[Capo]

Excellent

[alvinum]

TYSM