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.
CORRECT-ANSWER✓- 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-p r e n at a l n u r s e -educator,-―Which-setting-for-childbirth-limits-the
R I G B.C
amount-of-parent–infant-interacUtionS? ‖ -N
WhT Oer -should-the-nurse-provide-for-these-
ich-answ
parents-in-order-to-assist-them-in-choosing-an-appropriate-birth-setting?
a. Birth-center
b. Home-birth
Test-Bank Page-1
, c. Traditional-hospital-birth
d. Labor,-birth,-and-recovery-room
CORRECT-ANSWER✓- 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.
CORRECT-ANSWER✓- 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
CORRECT-ANSWER✓- C
Nurses-are-now-responsible-for-various-independent-functions,-including-teaching,-counseling,
Test-Bank Page-2
, 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.‖
CORRECT-ANSWER✓- C
The-response,-―What-concerns-you-most-about-a-cesarean-birth‖-focuses-on-what-the-patient-is-
saying-and-asks-for-clarification,-which-is-the-most-therapeutic-response.-The-response,
―Everything-will-be-ok‖-is-belittling-the-patient‘s-feelings.-The-response,-―Don‘t-worry-about-
it.-It-will-be-over-soon‖-will-indicate-that-the-patient‘s-feelings-are-not-important.-The-
response,-―The-physician-will-be-in-later-and-you-can-talk-to-him‖-does-not-allow-the-patient-to-
verbalize-her-feelings-when-she-wishes-to-do-that.
DIF: Cognitive-Level:-Application OBJ:-Nursing-Process-Step:-
Implementation-MSC:- Patient-Needs:-Psychosocial-Integrity
6. In-which-step-of-the-nursing-process-does-the-nurse-determine-the-appropriate-interventions-for-
the-identified-nursing-diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
CORRECT-ANSWER✓- A
Test-Bank Page-3
, The-third-step-in-the-nursing-process-involves-planning-care-for-problems-that-were-identified-
during-assessment.-The-evaluation-phase-is-determining-whether-the-goals-have-been-met.
During-the-assessment-phase,-data-are-collected.-The-intervention-phase-is-when-the-plan-of-
care-is-carried-out.
DIF: Cognitive-Level:-Understanding OBJ:-Nursing-Process-Step:-
Planning-MSC:- Patient-Needs:-Safe-and-Effective-Care-Environment
7. Which-goal-is-most-appropriate-for-the-collaborative-problem-of-wound-infection?
a. The-patient-will-not-exhibit-further-signs-of-infection.
b. Maintain-the-patient‘s-fluid-intake-at-1000-mL/8-hour.
c. The-patient-will-have-a-temperature-of-98.6F-within-2-days.
d. Monitor-the-patient-to-detect-therapeutic-response-to-antibiotic-therapy.
CORRECT-ANSWER✓- D
In-a-collaborative-problem,-the-goal-should-be-nurse-oriented-and-reflect-the-nursing-
interventions-of-monitoring-or-observing.-Monitoring-for-complications-such-as-further-signs-
of-infection-is-an-independent-nursing-role.-Intake-and-output-is-an-independent-nursing-role.-
Monitoring-a-patient‘s-temperature-is-an-independent-nursing-role.
DIF: Cognitive-Level:-Application OBJ:-Nursing-Process-Step:-
Planning-MSC:- Patient-Needs:-Safe-and-Effective-Care-Environment
8. Which-nursing-intervention-is-written-correctly?
a. Force-fluids-as-necessary.
b. Observe-interaction-with-the-infant.
c. Encourage-turning,-coughing,-and-deep-breathing.
d. Assist-to-ambulate-for-10NmUinRuS
teI atG
s-N 8TAB
M.,-C
2-OM,-and-6-PM.
PM
CORRECT-ANSWER✓- D
Interventions-might-not-be-carried-out-if-they-are-not-detailed-and-specific.-―Force-fluids‖-is-
not-specific;-it-does-not-state-how-much-or-how-often.-Encouraging-the-patient-to-turn,-cough,-
and-breathe-deeply-is-not-detailed-or-specific.-Observing-interaction-with-the-infant-does-not-
state-how-often-this-procedure-should-be-done.-Assisting-the-patient-to-ambulate-for-10-
minutes-within-a-certain-timeframe-is-specific.
Test-Bank Page-4