Foundations of Maternal-Newborn and Women's Health
Nursing 8th Edition Murray Test Bank All Chapters (1-28)
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Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition
Murray Test Bank All Chapters
Chapter 01: Maternity and Women’s Health Care Today
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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.
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ANS: 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 prenaNtalRnurIse eGducBat.orC, ―Which setting
for childbirth limits the
amount of parent–infant interacUtionS?‖ NWhTich answOer 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
ANS: 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
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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.
ANS: 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
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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
ANS: 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.‖
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