Author Question: The nurse is speaking to students about changes in maternalnewborn care. One change is that ... (Read 126 times)

Chelseaamend · **on:** Jun 27, 2018

The nurse is speaking to students about changes in maternalnewborn care. One change is that self-care has gained wide acceptance with patients, the healthcare community, and third-party payers due to research findings that suggest that it:

1. Shortens newborn length of stay.
2. Decreases use of home health agencies.
3. Reduces healthcare costs.
4. Decreases the number of emergency department visits.

Question 2

A nursing history on a 16-year-old female reveals that the adolescent takes a multivitamin with 0.5 mg of fluoride each day and one 0.4 mg of folic acid each day.

What concern should the nurse bring to the attention of the physician?
1. The presence of fluoride in the multivitaminThe amount of fluoride in themultivitamin;it should be increased to 1.0 mg each day
3. The intake of folic acid
4. The need for a daily iron tablet

durant1234 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: Length of stay is often determined by third-party payer (insurance company) policies as well as physiologic stability of the mother and newborn. Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 2: Home healthcare agencies often are involved in patient care to decrease hospital stay time.
Rationale 3: Research indicates self-care significantly reduces healthcare costs.
Rationale 4: Acute emergencies are addressed by emergency departments, and are not delayed by those practicing self-care.

Answer to Question 2

Answer:1
Rationale:Fluoride supplementation is not recommended for teenagers.Fluoride supplementation should be stopped at the age of 12. There is no data to support iron recommendations for the client in this scenario.Folic acid is recommended for all women of childbearing age to prevent neural-tube defects.