Author Question: Which method would not be used by hospitals to control costs during perinatal health care for ... (Read 74 times)

aabwk4 · **on:** Jun 28, 2018

Which method would not be used by hospitals to control costs during perinatal health care for prospective birth management?

a. Diagnosis-related groups (DRGs)
b. Prospective form of payment
c. Negotiated length of stay (LOS) of 12 hours postbirth
d. Acceptance of capacitation

Question 2

A client at 36 weeks of gestation states, Why can't I have an induction now? My sister delivered at 36 weeks and her baby is fine. Which information about infants born at 34 to 36 weeks should the nurse consider when answering?

a. Birth by induction is low for this gestational age.
b. Infants born at 34 to 36 weeks have mature lungs and do well at birth.
c. The birth of infants between 34 to 36 weeks has declined as more births are going to term or post term.
d. Infants born at 34 to 36 weeks are immature and have more health complications than infants born at term.

xMRAZ · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Diagnosis-related groups, prospective form of payment, and acceptance of capacitation can all be used by hospital facilities with regard to delivery of care within agreed on reimbursement for health care services. DRGs represent fee-based service for diagnosis and treatment. Prospective form of payment may be used as an up-front method to accept fees for anticipated service. Acceptance of capacitation by hospitals in agreement with insurers offers negotiated fees for services. Allowing a postpartum client to go home within 12 hours of birth is not within the standard of care and, as such, may lead to potential problems in the postpartum period. Typical LOS postbirth is 24 to 48 hours.

Answer to Question 2

ANS: D
Late preterm births (34 to 36 completed weeks of gestation) have more health complications and higher death rates than infants born at term because the babies are immature. Birth by induction of labor or cesarean has risen markedly in this group. Infants born at 34 to 36 weeks may not have mature lungs and may need assistance with ventilation after birth. Late preterm births (34 to 36 weeks of gestation) increased 20 from 1990 to 2006.