Chapter 01: Maternity and Women's
Health Care Today Foundations of
Maternal-Newborn & Women's Health
Nursing, 7th Edition Exam Questions
with Verified Solutions
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-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 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-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 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-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
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-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
Health Care Today Foundations of
Maternal-Newborn & Women's Health
Nursing, 7th Edition Exam Questions
with Verified Solutions
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-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 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-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 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-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
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-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
