Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
Murray Test
Chapter 01: Maternity and Women’s Health Care Today
ss ss ss ss ss ss ss
NURSINGTB.COM
, Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
Murray Test
Foundations ss of s s Maternal-Newborn ss & s s Women’s s s Health s s Nursing, s s 7th s s Edition
MULTIPLE s s CHOICE
1. A s s nurse s s educator ssis s s teaching s s a s s group s s of s s nursing s s students s s about s s the
s s history s s of s s family- sscentered s s maternity s s care. s s Which s s statement s s should s s the
s s nurse s s include s s in s s the s s teaching sssession?
a. The s s Sheppard-Towner s s Act s s of s s 1921 s s promoted s s family-centered s s care.
b. Changes s s in s s pharmacologic s s management s s of s s labor s s prompted s s family-centered s s care.
c. Demands s s by ssphysicians s s for s s family ssinvolvement s s in s s childbirth
s s increased s s the sspractice s s of s s family-centered s s care.
d. Parental s s requests s s that s s infants s s be s s allowed s s to s s remain s s with
s s them s s rather ssthan s s in s s a s s nursery s s initiated s s the s s practice s s of
s s family-centered s s care.
ANS: D
As s s research s s began s s to s s identify s s the s s benefits s s of s s early, s s extended s s parent–infant
s s contact, ssparents s s began s s to s s insist s s that s s the s s infant s s remain s s with s s them. s s This
s s gradually s s developed s s into ssthe s s practice s s of s s rooming-in s s and s s finally s s to s s family-
centered s s maternity s s care. s s The s s Sheppard- ssTowner s s Act s s provided s s funds s s for
s s state-managed s s programs s s for s s mothers s s and s s children s s but s s did s s not s s promote
family-centered s s care. s s The s s changes s s in s s pharmacologic s s management s s of s s labor s s were
s s not s s a ssfactor s s in s s family-centered s s maternity s s care. s s Family-centered s s care s s was s s a
s s request s s by s s parents, ssnot s s physicians.
DIF: Cognitive s s Level: s s Application OBJ: Nursing s s Process
s s Step: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
2. Expectant parents s s ask s s a s s prenatal ss nurse ss educator, s s ―Which s s setting s s for
NRIGB.CM
ss mm mm
s s childbirth sslimits ssthe ssamount ssof ssparent–infant ssi n t e r ac Ut i o nS? ‖ ssN
WhTich s s a n s wOe r
ssshould ssthe ssnurse ssprovide ssfor ssthese ssparents ssin ssorder ssto ssassist ssthem ssin sschoosing ssan
ssappropriate ssbirth sssetting?
a. Birth s s center
b. Home s s birth
c. Traditional s s hospital s s birth
d. Labor, s s birth, s s and s s recovery s s room
ANS: C
In s s the s s traditional s s hospital s s setting, s s the s s mother s s may s s see s s the s s infant s s for s s only
s s short s s feeding ssperiods, s s and s s the s s infant s s is s s cared s s for s s in s s a s s separate s s nursery.
s s Birth s s centers s s are s s set s s up s s to ssallow s s an s s increase s s in s s parent–infant s s contact.
s s Home s s births s s allow s s the s s greatest s s amount s s of ssparent–infant s s contact. s s The s s labor,
s s birth, s s recovery, s s and s s postpartum s s room s s setting s s allows s s for ssincreased s s parent–
infant s s contact.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing s s Process
s s Step: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
3. Which s s statement s s best s s describes s s the s s advantage s s of s s a s s labor, s s birth,
ss recovery, s s and sspostpartum s s (LDRP) s s room?
a. The s s family s s is s s in s s a s s familiar s s environment.
b. They s s are s s less s s expensive s s than s s traditional s s hospital s s rooms.
c. The s s infant s s is s s removed s s to s s the s s nursery s s to s s allow s s the s s mother s s to s s rest.
d. The s s woman‘s s s support s s system s s is s s encouraged s s to s s stay s s until s s discharge.
NURSINGTB.COM
,Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
ANS: Test
Murray D
NURSINGTB.COM
, Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
Murray Test
Sleeping s s equipment s s is s s provided s s in s s a s s private s s room. s s A s s hospital s s setting s s is
s s never s s a s s familiar ssenvironment s s to s s new s s parents. s s An s s LDRP s s room s s is s s not
s s less s s expensive s s than s s a s s traditional sshospital s s room. s s The s s baby s s remains s s with
s s the s s mother s s at s s all s s times s s and s s is s s not s s removed s s to s s the s s nursery s s for
routine s s care s s or s s testing. s s The s s father s s or s s other s s designated s s members s s of s s the
s s mother‘s s s support sssystem
are s s encouraged s s to s s stay s s at s s all s s times.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing s s Process
s s Step: ssAssessment s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
4. Which s s nursing s s intervention s s is s s an s s independent s s function s s of s s the s s professional s s nurse?
a. Administering s s oral s s analgesics
b. Requesting s s diagnostic s s studies
c. Teaching s s the s s patient s s perineal s s care
d. Providing s s wound s s care s s to s s a s s surgical s s incision
ANS: C
Nurses s s are s s now s s responsible s s for s s various s s independent s s functions, s s including
s s teaching, sscounseling, s s and s s intervening s s in s s nonmedical s s problems. s s Interventions
s s initiated s s by s s the ssphysician s s and s s carried s s out s s by s s the s s nurse s s are s s called
s s dependent s s functions. s s Administrating ssoral s s analgesics s s is s s a s s dependent s s function;
s s it s s is s s initiated s s by s s a s s physician s s and s s carried s s out ssby s s a s s nurse. s s Requesting
s s diagnostic studies s s is s s a s s dependent s s function. s s Providing
s s wound
care s s is s s a s s dependent s s function; s s however, s s the s s physician s s prescribes s s the s s type s s of
s s wound s s care ssthrough s s direct s s orders s s or s s protocol.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing s s Process
s s Step: ssAssessment s s MSC: Patient s s Needs: s s Safe s s and
s s Effective s s Care s s Environment
5. Which s s response s s by s s the s s nurse s s is s s the s s most s s therapeutic s s when s s the s s patient s s states,
ss ―I‘m s s so s s afraid ssto
have s s a NURSINGTB.COM
s s cesarean
ssbirth‖?
a. ―Everything sswill s s be ss OK.‖
b. ―Don‘t s s worry s s about s s it. s s It s s will s s be s s over s s soon.‖
c. ―What s s concerns s s you s s most s s about s s a s s cesarean s s birth?‖
d. ―The s s physician s s will s s be s s in s s later s s and s s you s s can s s talk s s to s s him.‖
ANS: C
The s s response, s s ―What s s concerns s s you s s most s s about s s a s s cesarean s s birth‖ s s focuses s s on
s s what s s the s s patient ssis
saying s s and s s asks s s for s s clarification, s s which s s is s s the s s most s s therapeutic s s response. s s The
s s response,
―Everything s s will s s be s s ok‖ ssis s s belittling s s the s s patient‘s s s feelings. s s The s s response,
s s ―Don‘t s s worry ssabout s s it. s s It s s will s s be s s over s s soon‖ s s will s s indicate s s that s s the
s s patient‘s s s feelings s s are s s not ssimportant. s s The
response, s s ―The s s physician s s will s s be s s in s s later s s and s s you s s can s s talk s s to s s him‖ s s does
s s not s s allow s s the sspatient s s to s s verbalize s s her s s feelings s s when s s she s s wishes s s to s s do
s s that.
NURSINGTB.COM
Murray Test
Chapter 01: Maternity and Women’s Health Care Today
ss ss ss ss ss ss ss
NURSINGTB.COM
, Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
Murray Test
Foundations ss of s s Maternal-Newborn ss & s s Women’s s s Health s s Nursing, s s 7th s s Edition
MULTIPLE s s CHOICE
1. A s s nurse s s educator ssis s s teaching s s a s s group s s of s s nursing s s students s s about s s the
s s history s s of s s family- sscentered s s maternity s s care. s s Which s s statement s s should s s the
s s nurse s s include s s in s s the s s teaching sssession?
a. The s s Sheppard-Towner s s Act s s of s s 1921 s s promoted s s family-centered s s care.
b. Changes s s in s s pharmacologic s s management s s of s s labor s s prompted s s family-centered s s care.
c. Demands s s by ssphysicians s s for s s family ssinvolvement s s in s s childbirth
s s increased s s the sspractice s s of s s family-centered s s care.
d. Parental s s requests s s that s s infants s s be s s allowed s s to s s remain s s with
s s them s s rather ssthan s s in s s a s s nursery s s initiated s s the s s practice s s of
s s family-centered s s care.
ANS: D
As s s research s s began s s to s s identify s s the s s benefits s s of s s early, s s extended s s parent–infant
s s contact, ssparents s s began s s to s s insist s s that s s the s s infant s s remain s s with s s them. s s This
s s gradually s s developed s s into ssthe s s practice s s of s s rooming-in s s and s s finally s s to s s family-
centered s s maternity s s care. s s The s s Sheppard- ssTowner s s Act s s provided s s funds s s for
s s state-managed s s programs s s for s s mothers s s and s s children s s but s s did s s not s s promote
family-centered s s care. s s The s s changes s s in s s pharmacologic s s management s s of s s labor s s were
s s not s s a ssfactor s s in s s family-centered s s maternity s s care. s s Family-centered s s care s s was s s a
s s request s s by s s parents, ssnot s s physicians.
DIF: Cognitive s s Level: s s Application OBJ: Nursing s s Process
s s Step: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
2. Expectant parents s s ask s s a s s prenatal ss nurse ss educator, s s ―Which s s setting s s for
NRIGB.CM
ss mm mm
s s childbirth sslimits ssthe ssamount ssof ssparent–infant ssi n t e r ac Ut i o nS? ‖ ssN
WhTich s s a n s wOe r
ssshould ssthe ssnurse ssprovide ssfor ssthese ssparents ssin ssorder ssto ssassist ssthem ssin sschoosing ssan
ssappropriate ssbirth sssetting?
a. Birth s s center
b. Home s s birth
c. Traditional s s hospital s s birth
d. Labor, s s birth, s s and s s recovery s s room
ANS: C
In s s the s s traditional s s hospital s s setting, s s the s s mother s s may s s see s s the s s infant s s for s s only
s s short s s feeding ssperiods, s s and s s the s s infant s s is s s cared s s for s s in s s a s s separate s s nursery.
s s Birth s s centers s s are s s set s s up s s to ssallow s s an s s increase s s in s s parent–infant s s contact.
s s Home s s births s s allow s s the s s greatest s s amount s s of ssparent–infant s s contact. s s The s s labor,
s s birth, s s recovery, s s and s s postpartum s s room s s setting s s allows s s for ssincreased s s parent–
infant s s contact.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing s s Process
s s Step: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
3. Which s s statement s s best s s describes s s the s s advantage s s of s s a s s labor, s s birth,
ss recovery, s s and sspostpartum s s (LDRP) s s room?
a. The s s family s s is s s in s s a s s familiar s s environment.
b. They s s are s s less s s expensive s s than s s traditional s s hospital s s rooms.
c. The s s infant s s is s s removed s s to s s the s s nursery s s to s s allow s s the s s mother s s to s s rest.
d. The s s woman‘s s s support s s system s s is s s encouraged s s to s s stay s s until s s discharge.
NURSINGTB.COM
,Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
ANS: Test
Murray D
NURSINGTB.COM
, Foundations s s of s s Maternal-Newborn s s and s s Women's s s Health s s Nursing s s 7th s s Edition
Murray Test
Sleeping s s equipment s s is s s provided s s in s s a s s private s s room. s s A s s hospital s s setting s s is
s s never s s a s s familiar ssenvironment s s to s s new s s parents. s s An s s LDRP s s room s s is s s not
s s less s s expensive s s than s s a s s traditional sshospital s s room. s s The s s baby s s remains s s with
s s the s s mother s s at s s all s s times s s and s s is s s not s s removed s s to s s the s s nursery s s for
routine s s care s s or s s testing. s s The s s father s s or s s other s s designated s s members s s of s s the
s s mother‘s s s support sssystem
are s s encouraged s s to s s stay s s at s s all s s times.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing s s Process
s s Step: ssAssessment s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
4. Which s s nursing s s intervention s s is s s an s s independent s s function s s of s s the s s professional s s nurse?
a. Administering s s oral s s analgesics
b. Requesting s s diagnostic s s studies
c. Teaching s s the s s patient s s perineal s s care
d. Providing s s wound s s care s s to s s a s s surgical s s incision
ANS: C
Nurses s s are s s now s s responsible s s for s s various s s independent s s functions, s s including
s s teaching, sscounseling, s s and s s intervening s s in s s nonmedical s s problems. s s Interventions
s s initiated s s by s s the ssphysician s s and s s carried s s out s s by s s the s s nurse s s are s s called
s s dependent s s functions. s s Administrating ssoral s s analgesics s s is s s a s s dependent s s function;
s s it s s is s s initiated s s by s s a s s physician s s and s s carried s s out ssby s s a s s nurse. s s Requesting
s s diagnostic studies s s is s s a s s dependent s s function. s s Providing
s s wound
care s s is s s a s s dependent s s function; s s however, s s the s s physician s s prescribes s s the s s type s s of
s s wound s s care ssthrough s s direct s s orders s s or s s protocol.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing s s Process
s s Step: ssAssessment s s MSC: Patient s s Needs: s s Safe s s and
s s Effective s s Care s s Environment
5. Which s s response s s by s s the s s nurse s s is s s the s s most s s therapeutic s s when s s the s s patient s s states,
ss ―I‘m s s so s s afraid ssto
have s s a NURSINGTB.COM
s s cesarean
ssbirth‖?
a. ―Everything sswill s s be ss OK.‖
b. ―Don‘t s s worry s s about s s it. s s It s s will s s be s s over s s soon.‖
c. ―What s s concerns s s you s s most s s about s s a s s cesarean s s birth?‖
d. ―The s s physician s s will s s be s s in s s later s s and s s you s s can s s talk s s to s s him.‖
ANS: C
The s s response, s s ―What s s concerns s s you s s most s s about s s a s s cesarean s s birth‖ s s focuses s s on
s s what s s the s s patient ssis
saying s s and s s asks s s for s s clarification, s s which s s is s s the s s most s s therapeutic s s response. s s The
s s response,
―Everything s s will s s be s s ok‖ ssis s s belittling s s the s s patient‘s s s feelings. s s The s s response,
s s ―Don‘t s s worry ssabout s s it. s s It s s will s s be s s over s s soon‖ s s will s s indicate s s that s s the
s s patient‘s s s feelings s s are s s not ssimportant. s s The
response, s s ―The s s physician s s will s s be s s in s s later s s and s s you s s can s s talk s s to s s him‖ s s does
s s not s s allow s s the sspatient s s to s s verbalize s s her s s feelings s s when s s she s s wishes s s to s s do
s s that.
NURSINGTB.COM
