Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Chapter 01: Maternity and Women’s Health Care Today
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Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition YF
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1. A nurse educator is teaching a group of nursing students about the history of family-
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centered maternity care. Which statement should the nurse include in the teaching Y.FT L Y .FT L L
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session?
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a. The Sheppard-Towner Act of 1921 promoted family-centered care. YFL
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b. Changes in pharmacologic management of labor prompted family-centered care. YFL
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c. Demands by physicians for family involvement in childbirth increased the practice YFL
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of family-centered care. Y.FT L Y. FT L Y.FT L
d. Parental requests that infants be allowed to remain with them rather than in Y.FT L Y.FT L L
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a nursery initiated the practice of family-centered care.
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ANS: Y . F T L D
As research began to identify the benefits of early, extended parent–infant contact, parents
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began to insist that the infant remain with them. This gradually developed into the
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practice of rooming-in and finally to family-centered maternity care. The Sheppard-Towner
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Act provided funds for state-managed programs for mothers and children but did not
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promote
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family-centered care. The changes in pharmacologic management of labor were not a factor Y.FT L Y.FTL Y.FT L Y.FT L L
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in family-centered maternity care. Family-centered care was a request by parents, not
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physicians.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits
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amount of parent–infant int eracUt io nS?” N
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the answ ich
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for these parents in order to assist them in choosing an appropriate birth setting?
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a. Birth center Y.FT L
b. Home birth Y.FT L
c. Traditional hospital birth Y.FTL Y.FT L
d. Labor, birth, and recovery room Y.FT L Y.FT L Y.FT L Y.F T L
ANS: Y . F T L C
In the traditional hospital setting, the mother may see the infant for only short feeding
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periods, and the infant is cared for in a separate nursery. Birth centers are set up to allow an
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increase in parent–infant contact. Home births allow the greatest amount of parent–infant
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contact. The labor, birth, recovery, and postpartum room setting allows for increased
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parent–infant contact.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Health Promotion and Maintenance
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3. Which statement best describes the advantage of a labor, birth, recovery, and
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a. The family is in a familiar environment. Y.FT L Y.F T L Y.FT L Y.F T L Y.FTL Y. FT L
b. They are less expensive than traditional hospital rooms. Y.FT L L
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c. The infant is removed to the nursery to allow the mother to rest. Y.FT L Y.FT L Y.FTL L
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d. The woman’s support system is encouraged to stay until discharge. YFL
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ANS: Y . F T L D
NURSINGTB.COM
,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Sleeping equipment is provided in a private room. A hospital setting is never a familiar Y.F T L Y.FTL Y.FT L Y.F T L Y. FT L Y.F T L Y.FT L Y. FT L Y.F T L Y.F T L L
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environment to new parents. An LDRP room is not less expensive than a traditional hospital
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room. The baby remains with the mother at all times and is not removed to the nursery
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for
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routine care or testing. The father or other designated members of the mother’s support
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system are encouraged to stay at all times.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YFL
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Assessment MSC: Patient Needs: Health Promotion and Maintenance
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4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics Y.FT L Y.FT L
b. Requesting diagnostic studies L
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c. Teaching the patient perineal care Y.FTL Y.FTL Y.FTL Y.FT L
d. Providing wound care to a surgical incision Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L Y. FT L
ANS: Y . F T L C
Nurses are now responsible for various independent functions, including teaching, counseling,
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and intervening in nonmedical problems. Interventions initiated by the physician and
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carried out by the nurse are called dependent functions. Administrating oral analgesics is
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a dependent function; it is initiated by a physician and carried out by a nurse. Requesting
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diagnostic studies is a dependent function. Providing wound care is a dependent
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function; however, the physician prescribes the type of wound care through direct orders
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or protocol.
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Assessment MSC: Patient Needs: Safe and Effective Care Environment
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5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
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have a cesarean Y.FT L L
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birth”?
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a. “Everything will be OK.” Y.FTL Y.FTL Y.FT L
b. “Don’t worry about it. It will be over soon.” L
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c. “What concerns you most about a cesarean birth?” YF
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d. “The physician will be in later and you can talk to him.” L
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ANS: Y . F T L C
The response, “What concerns you most about a cesarean birth” focuses on what the patient is
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saying and asks for clarification, which is the most therapeutic response. The response,
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“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry Y.FTL Y.FT L Y.FT L YFL
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about it. It will be over soon” will indicate that the patient’s feelings are not important.
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The
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response, “The physician will be in later and you can talk to him” does not allow the patient to Y.FT L Y.FT L Y.FTL Y.FT L Y.FT L Y.FTL YFL
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verbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YFL
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Implementation MSC: Patient Needs: Psychosocial Integrity
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6. In which step of the nursing process does the nurse determine the appropriate interventions
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for the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
NURSINGTB.COM
,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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NURSINGTB.COM
, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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The third step in the nursing process involves planning care for problems that were identified
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during assessment. The evaluation phase is determining whether the goals have been met.
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During the assessment phase, data are collected. The intervention phase is when the plan of
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care is carried out.
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Planning MSC: Patient Needs: Safe and Effective Care Environment
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7. Which goal is most appropriate for the collaborative problem of wound infection?
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a. The patient will not exhibit further signs of infection. Y.FT L Y.FT L L
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b. Maintain the patient’s fluid intake at 1000 mL/8 hour. Y.FT L Y.FT L Y.FT L L
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c. The patient will have a temperature of 98.6F within 2 days. Y.FT L Y.FT L Y. FT L Y.FT L Y.FT L Y.FTL Y.FT L Y.F T L Y.F TL Y. FT L
d. Monitor the patient to detect therapeutic response to antibiotic therapy. Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L L
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In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
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interventions of monitoring or observing. Monitoring for complications such as further
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signs of infection is an independent nursing role. Intake and output is an independent
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nursing role. Monitoring a patient’s temperature is an independent nursing role.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Safe and Effective Care Environment
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8. Which nursing intervention is written correctly? Y.FT L L
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a. Force fluids as necessary. YF
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b. Observe interaction with the infant. Y.FT L Y.FT L Y. FT L Y.FT L
c. Encourage turning, coughing, and deep breathing. Y.FTL Y.FT L L
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d. Assist to ambulate for 10N
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Interventions might not be carried out if they are not detailed and specific. “Force fluids” L
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is not specific; it does not state how much or how often. Encouraging the patient to turn,
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cough, and breathe deeply is not detailed or specific. Observing interaction with the infant
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does not state how often this procedure should be done. Assisting the patient to ambulate
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for 10 minutes within a certain timeframe is specific.
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Planning MSC: Patient Needs: Safe and Effective Care Environment
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9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.”
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Which response by the nurse would be the most therapeutic?
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a. “You’re afraid to take the baby home?” Y.FT L Y.F T L L
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b. “Don’t you have a mother who can come and help?” Y.FTL Y.FT L Y.FTL Y.FT L Y.FT L L
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c. “You should read the literature I gave you before you leave.” L
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d. “I was scared when I took my first baby home, but everything worked out.”
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ANS: Y . F T L A
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Chapter 01: Maternity and Women’s Health Care Today
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centered maternity care. Which statement should the nurse include in the teaching Y.FT L Y .FT L L
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session?
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b. Changes in pharmacologic management of labor prompted family-centered care. YFL
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c. Demands by physicians for family involvement in childbirth increased the practice YFL
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of family-centered care. Y.FT L Y. FT L Y.FT L
d. Parental requests that infants be allowed to remain with them rather than in Y.FT L Y.FT L L
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a nursery initiated the practice of family-centered care.
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ANS: Y . F T L D
As research began to identify the benefits of early, extended parent–infant contact, parents
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began to insist that the infant remain with them. This gradually developed into the
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practice of rooming-in and finally to family-centered maternity care. The Sheppard-Towner
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Act provided funds for state-managed programs for mothers and children but did not
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promote
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family-centered care. The changes in pharmacologic management of labor were not a factor Y.FT L Y.FTL Y.FT L Y.FT L L
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in family-centered maternity care. Family-centered care was a request by parents, not
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physicians.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits
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amount of parent–infant int eracUt io nS?” N
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the answ ich
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for these parents in order to assist them in choosing an appropriate birth setting?
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a. Birth center Y.FT L
b. Home birth Y.FT L
c. Traditional hospital birth Y.FTL Y.FT L
d. Labor, birth, and recovery room Y.FT L Y.FT L Y.FT L Y.F T L
ANS: Y . F T L C
In the traditional hospital setting, the mother may see the infant for only short feeding
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periods, and the infant is cared for in a separate nursery. Birth centers are set up to allow an
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increase in parent–infant contact. Home births allow the greatest amount of parent–infant
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contact. The labor, birth, recovery, and postpartum room setting allows for increased
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parent–infant contact.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Health Promotion and Maintenance
YFL
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3. Which statement best describes the advantage of a labor, birth, recovery, and
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a. The family is in a familiar environment. Y.FT L Y.F T L Y.FT L Y.F T L Y.FTL Y. FT L
b. They are less expensive than traditional hospital rooms. Y.FT L L
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c. The infant is removed to the nursery to allow the mother to rest. Y.FT L Y.FT L Y.FTL L
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d. The woman’s support system is encouraged to stay until discharge. YFL
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ANS: Y . F T L D
NURSINGTB.COM
,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Bank
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Sleeping equipment is provided in a private room. A hospital setting is never a familiar Y.F T L Y.FTL Y.FT L Y.F T L Y. FT L Y.F T L Y.FT L Y. FT L Y.F T L Y.F T L L
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environment to new parents. An LDRP room is not less expensive than a traditional hospital
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room. The baby remains with the mother at all times and is not removed to the nursery
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for
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routine care or testing. The father or other designated members of the mother’s support
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system are encouraged to stay at all times.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YFL
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Assessment MSC: Patient Needs: Health Promotion and Maintenance
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4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics Y.FT L Y.FT L
b. Requesting diagnostic studies L
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c. Teaching the patient perineal care Y.FTL Y.FTL Y.FTL Y.FT L
d. Providing wound care to a surgical incision Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L Y. FT L
ANS: Y . F T L C
Nurses are now responsible for various independent functions, including teaching, counseling,
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and intervening in nonmedical problems. Interventions initiated by the physician and
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carried out by the nurse are called dependent functions. Administrating oral analgesics is
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a dependent function; it is initiated by a physician and carried out by a nurse. Requesting
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diagnostic studies is a dependent function. Providing wound care is a dependent
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function; however, the physician prescribes the type of wound care through direct orders
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or protocol.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YFL
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Assessment MSC: Patient Needs: Safe and Effective Care Environment
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5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
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have a cesarean Y.FT L L
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NURSINGTB.COM
birth”?
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a. “Everything will be OK.” Y.FTL Y.FTL Y.FT L
b. “Don’t worry about it. It will be over soon.” L
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c. “What concerns you most about a cesarean birth?” YF
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d. “The physician will be in later and you can talk to him.” L
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ANS: Y . F T L C
The response, “What concerns you most about a cesarean birth” focuses on what the patient is
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saying and asks for clarification, which is the most therapeutic response. The response,
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“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry Y.FTL Y.FT L Y.FT L YFL
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about it. It will be over soon” will indicate that the patient’s feelings are not important.
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The
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response, “The physician will be in later and you can talk to him” does not allow the patient to Y.FT L Y.FT L Y.FTL Y.FT L Y.FT L Y.FTL YFL
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verbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YFL
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Implementation MSC: Patient Needs: Psychosocial Integrity
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6. In which step of the nursing process does the nurse determine the appropriate interventions
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for the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
NURSINGTB.COM
,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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BankANS:
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NURSINGTB.COM
, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Bank
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The third step in the nursing process involves planning care for problems that were identified
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during assessment. The evaluation phase is determining whether the goals have been met.
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During the assessment phase, data are collected. The intervention phase is when the plan of
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care is carried out.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Safe and Effective Care Environment
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7. Which goal is most appropriate for the collaborative problem of wound infection?
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a. The patient will not exhibit further signs of infection. Y.FT L Y.FT L L
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b. Maintain the patient’s fluid intake at 1000 mL/8 hour. Y.FT L Y.FT L Y.FT L L
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c. The patient will have a temperature of 98.6F within 2 days. Y.FT L Y.FT L Y. FT L Y.FT L Y.FT L Y.FTL Y.FT L Y.F T L Y.F TL Y. FT L
d. Monitor the patient to detect therapeutic response to antibiotic therapy. Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L Y.FT L L
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ANS: Y . F T L D
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
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interventions of monitoring or observing. Monitoring for complications such as further
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signs of infection is an independent nursing role. Intake and output is an independent
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nursing role. Monitoring a patient’s temperature is an independent nursing role.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Safe and Effective Care Environment
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8. Which nursing intervention is written correctly? Y.FT L L
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a. Force fluids as necessary. YF
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b. Observe interaction with the infant. Y.FT L Y.FT L Y. FT L Y.FT L
c. Encourage turning, coughing, and deep breathing. Y.FTL Y.FT L L
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d. Assist to ambulate for 10N
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2OM, and 6 PM.
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ANS: Y . F T L D
Interventions might not be carried out if they are not detailed and specific. “Force fluids” L
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is not specific; it does not state how much or how often. Encouraging the patient to turn,
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cough, and breathe deeply is not detailed or specific. Observing interaction with the infant
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does not state how often this procedure should be done. Assisting the patient to ambulate
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for 10 minutes within a certain timeframe is specific.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: Y.F T L Y. FT L Y . F T L YF
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Planning MSC: Patient Needs: Safe and Effective Care Environment
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9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.”
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Which response by the nurse would be the most therapeutic?
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a. “You’re afraid to take the baby home?” Y.FT L Y.F T L L
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b. “Don’t you have a mother who can come and help?” Y.FTL Y.FT L Y.FTL Y.FT L Y.FT L L
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c. “You should read the literature I gave you before you leave.” L
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d. “I was scared when I took my first baby home, but everything worked out.”
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ANS: Y . F T L A
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