HealthNursing 8th Edition Murray Test Bank All
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z. Chapters
Chapter 01: Maternity and Women’s Health Care Today
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Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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MULTIPLE CHOICE z.
1. A nurse educator is teaching a group of nursing students about the history of family-
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centeredmaternity care. Which statement should the nurse include in the teaching session?
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a. The Sheppard-Towner Act of 1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care. z. z. z. z. z. z. z. z.
c. Demands by physicians for family involvement in childbirth increased the practiceof z. z. z. z. z. z. z. z. z. z. .z
family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in z. z. z. z. z. z. z. z. z. z. z. z.
z. anursery initiated the practice of family-centered care.
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ANS: D z .
As research began to identify the benefits of early, extended parent–infant contact, parents began
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z. to insist that the infant remain with them. This gradually developed into the practice of rooming-
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in and finally to family-centered maternity care. The Sheppard-Towner Act providedfunds for
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state-managed programs for mothers and children but did not promote
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family-centered care. The changes in pharmacologic management of labor were not a factor z. z. z. z. z. z. z. z. z. z. z. z.
z. infamily-centered maternity care. Family-centered care was a request byparents, not physicians.
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DIF: Cognitive Level: Application z. z. OBJ: Nursing Process Step: z. z. z.
z. PlanningMSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
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amount of parent–infant interacUtionS?‖N
WhT Oer should the nurse provide for these
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z. parents in order to assist them in choosing an appropriate birth setting?
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a. Birth center z.
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, b. Home birth
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, c. Traditional hospital birth z. z.
d. Labor, birth, and recovery room z. z. z. z.
ANS: C z .
In the traditional hospital setting, the mother may see the infant for only short feeding periods,and
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z. the infant is cared for in a separate nursery. Birth centers are set up to allow an increase inparent–
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infant contact. Home births allow the greatest amount of parent–infant contact. The labor, birth,
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z. recovery, and postpartum room setting allows for increased parent–infant contact.
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DIF: Cognitive Level: Understanding z. z. OBJ: Nursing Process Step: z. z. z.
z. PlanningMSC: 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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z. postpartum(LDRP) room? .z z.
a. The family is in a familiar environment. z. z. z. z. z. z.
b. They are less expensive than traditional hospital rooms.
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c. The infant is removed to the nursery to allow the mother to rest.
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d. The woman‘s support system is encouraged to stay until discharge.
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ANS: D z .
Sleeping equipment is provided in a private room. A hospital setting is never a familiar
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z. environment to new parents. An LDRP room is not less expensive than a traditional hospital z. z. z. z. z. z. z. z. z. z. z. z. z. z.
z. room. The baby remains with the mother at all times and is not removed to the nursery for routine
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care or testing. The father or other designated members of the mother‘s support systemare
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encouraged to stay at all times.
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DIF: Cognitive Level: Understanding z. z. OBJ: Nursing Process Step: z. z. z.
z. AssessmentMSC: Patient Needs: Health Promotion and Maintenance .z z . z. z. z. z. z.
4. Which nursing intervention is an independent function of the professional nurse?
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a. Administeringoral analgesics z. z.
b. Requesting diagnostic studies z. z.
c. Teaching the patient perineal care z. z. z. z.
d. Providing wound care to a surgical incision z. z. z. z. z. z.
ANS: C z .
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 carried out
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z. by the nurse are called dependent functions. Administrating oral analgesics is a
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dependentfunction; it is initiated by a physician and carried out by a nurse. Requesting
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z. diagnostic studies is a dependent function. Providing wound care is a dependent function;
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z. however, the physician prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding z. z. OBJ: Nursing Process Step: z. z. z.
z. AssessmentMSC: Patient Needs: Safe and Effective Care Environment .z z . z. z. z. z. z. z.
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to
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z. have a cesarean birth‖?z. z. z.
a. ―Everything will be OK.‖ z. z. z.
b. ―Don‘t worry about it. It will be over soon.‖ z. z. z. z. z. z. z. z.
c. ―What concerns you most about a cesarean birth?‖ z. z. z. z. z. z. z.
d. ―The physician will be in later and you can talk to him.‖z. z. z. z. z. z. z. z. z. z. z.
ANS: C z .
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is saying
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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 about it. It
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z. will be over soon‖ will indicate that the patient‘s feelings are not important. The response, ―The
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z. physician will be in later and you can talk to him‖ does not allow the patient to verbalize her
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z. feelings when she wishes to do that. z. z. z. z. z. z.
DIF: Cognitive Level: Application z. z. OBJ: Nursing Process Step: z. z. z.
z. ImplementationMSC: Patient Needs: Psychosocial Integrity .z z . z. z. z.
6. In which step of the nursing process does the nurse determine the appropriate interventions forthe
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identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A z .
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