Author Question: Based on research comparing home and hospital births, the nurse understands that questions remain to ... (Read 43 times)

jwb375 · **on:** Jun 27, 2018

Based on research comparing home and hospital births, the nurse understands that questions remain to be answered about outcomes, such as: Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply. 1. Does nutrition affect home birth outcomes?
2. Does exercise affect home birth outcomes?
3. Do mortality and morbidity rates differ for home versus hospital births?
4. Do multiparous women have more problems than first-time mothers?
5. Do high-risk births cause fewer complications with a home birth?

Question 2

At birth, an infant weighed 8 pounds 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds 15 ounces. The nurse explains that the change in the newborn's weight is:

1. Excessive.
2. Within normal limits.
3. Less than expected.
4. Unusual.

tjayeee · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,2,3
Rationale 1: Questions remain to be answered about the characteristics of women who choose home birth that influence outcomes, such as nutritional choices .
Rationale 2: Questions remain to be answered about the characteristics of women who choose home birth that influence outcomes, such as the amount of exercise they do.
Rationale 3: Questions remain to be answered about the characteristics of women who choose home birth that influence outcomes, such as whether mortality and morbidity rates differ for home births and hospital births
Rationale 4: The question of whether nulliparas are more likely to require transport than multiparas, most commonly due to failure to progress, was answered in a Canadian study. Multiparous women tend to have fewer problems during home births than do nulliparas.
Rationale 5: When the provider is experienced, and establishes a trusting relationship with the mother, planned home birth can be a viable alternative for the mother with a low-risk pregnancy.

Answer to Question 2

2
Rationale 1: This is not an excessive weight loss.
Rationale 2: This newborn's weight loss is within normal limits. During the first 510 days of life, caloric intake is often insufficient for weight gain. Therefore, there can be a weight loss of 5 to 10 in term newborns.
Rationale 3: This is not a less-than-expected amount of weight loss.
Rationale 4: This weight loss is not unusual.