Test Bank - Foundations of Maternal-Newborn and Women’s Health Nursing, 8th Ed.
By Murray, McKinney, Holub, Jones, Scheffer
(NCLEX setting | All Chapters | Verified Answers with Rationales)
,Chapter 01: Maternity and Women’s Health Care Today
MULTIPLE CHOICE
1. A nurse educator is teaching a group of nursing students about the history of family-centered maternity
care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-centered care.
c. Demands by physicians for family involvement in childbirth increased the practice of family-centered
care.
d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the
practice of family-centered care.
Answer: D
As research began to identify the benefits of early, extended parent–infant contact, parents began to insist that
the infant remain with them. This gradually developed into the practice of rooming-in and finally to family-
centered maternity care. The Sheppard-Towner Act provided funds for state-managed programs for mothers and
children but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in family-centered
maternity care. Family-centered care was a request by parents, not physicians.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health
Promotion and Maintenance
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the amount of
parent–infant interaction? Which answer should the nurse provide for these parents in order to assist them in
choosing an appropriate birth setting?
a. Birth center
b. Home birth
,c. Traditional hospital birth
d. Labor, birth, and recovery room
Answer: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the infant is
cared for in a separate nursery. Birth centers are set up to allow an increase in parent–infant contact. Home
births allow the greatest amount of parent–infant contact. The labor, birth, recovery, and postpartum room
setting allows for increased parent–infant contact.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health
Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?
a. The family is in a familiar environment.
b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. The woman‘s support system is encouraged to stay until discharge.
Answer: D
Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment to new
parents. An LDRP room is not less expensive than a traditional hospital room. The baby remains with the
mother at all times and is not removed to the nursery for routine care or testing. The father or other designated
members of the mother‘s support system are encouraged to stay at all times.
, DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Health Promotion and Maintenance
4. Which nursing intervention is an independent function of the professional nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the patient perineal care
d. Providing wound care to a surgical incision
Answer: C
Nurses are now responsible for various independent functions, including teaching, counseling, and intervening
in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called
dependent functions. Administrating oral analgesics is a dependent function; it is initiated by a physician and
carried out by a nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a
dependent function; however, the physician prescribes the type of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe
and Effective Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to have a
cesarean birth ?
a. ―Everything will be OK.
b. ―Don‘t worry about it. It will be over soon.
c. ―What concerns you most about a cesarean birth?
d. ―The physician will be in later and you can talk to him.
Answer: C
By Murray, McKinney, Holub, Jones, Scheffer
(NCLEX setting | All Chapters | Verified Answers with Rationales)
,Chapter 01: Maternity and Women’s Health Care Today
MULTIPLE CHOICE
1. A nurse educator is teaching a group of nursing students about the history of family-centered maternity
care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-centered care.
c. Demands by physicians for family involvement in childbirth increased the practice of family-centered
care.
d. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the
practice of family-centered care.
Answer: D
As research began to identify the benefits of early, extended parent–infant contact, parents began to insist that
the infant remain with them. This gradually developed into the practice of rooming-in and finally to family-
centered maternity care. The Sheppard-Towner Act provided funds for state-managed programs for mothers and
children but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in family-centered
maternity care. Family-centered care was a request by parents, not physicians.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health
Promotion and Maintenance
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the amount of
parent–infant interaction? Which answer should the nurse provide for these parents in order to assist them in
choosing an appropriate birth setting?
a. Birth center
b. Home birth
,c. Traditional hospital birth
d. Labor, birth, and recovery room
Answer: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and the infant is
cared for in a separate nursery. Birth centers are set up to allow an increase in parent–infant contact. Home
births allow the greatest amount of parent–infant contact. The labor, birth, recovery, and postpartum room
setting allows for increased parent–infant contact.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health
Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?
a. The family is in a familiar environment.
b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. The woman‘s support system is encouraged to stay until discharge.
Answer: D
Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment to new
parents. An LDRP room is not less expensive than a traditional hospital room. The baby remains with the
mother at all times and is not removed to the nursery for routine care or testing. The father or other designated
members of the mother‘s support system are encouraged to stay at all times.
, DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs:
Health Promotion and Maintenance
4. Which nursing intervention is an independent function of the professional nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the patient perineal care
d. Providing wound care to a surgical incision
Answer: C
Nurses are now responsible for various independent functions, including teaching, counseling, and intervening
in nonmedical problems. Interventions initiated by the physician and carried out by the nurse are called
dependent functions. Administrating oral analgesics is a dependent function; it is initiated by a physician and
carried out by a nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a
dependent function; however, the physician prescribes the type of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe
and Effective Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to have a
cesarean birth ?
a. ―Everything will be OK.
b. ―Don‘t worry about it. It will be over soon.
c. ―What concerns you most about a cesarean birth?
d. ―The physician will be in later and you can talk to him.
Answer: C
