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TESTBANK h h
FOR
FOUNDATION OF MATERNAL- h h
NEWBORN AND WOMENS h h h
HEALTH NURSING 8TH EDI
h h
h
TION
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Chapterh01:hMaternityhandhWomen’shHealthhCarehToday
MULTIPLEhCHOICE
1. Ahnurseheducatorhishteachinghahgrouphofhnursinghstudentshabouththehhistoryhofhfamily-
hcenteredhmaternityhcare.hWhichhstatementhshouldhthehnursehincludehinhthehteachinghse
ssion?
a.
ThehSheppard-TownerhActhofh1921hpromotedhfamily-
centeredhcare.hb.
Changeshinhpharmacologichmanagementhofhlaborhpromptedhfamily-
centeredhcare.hc.
Demandshbyhphysicianshforhfamilyhinvolvementhinhchildbirthhincreasedhthehpracticehofhfamily-
hcenteredhcare.
d.
Parentalhrequestshthathinfantshbehallowedhtohremainhwithhthemhratherhthanhinhahnurseryhinitiatedhth
ehpracticehofhfamily-centeredhcare.
ANS:hD
2. Expectanthparentshaskhahprenatalhnurseheducator,h“Whichhsettinghforhchildbirthhlimits
hthehamounthofhparent–
infanthinteraction?”hWhichhanswerhshouldhthehnursehprovidehforhthesehparentshinhorderh
tohassisththemhinhchoosinghanhappropriatehbirthhsetting?
a.
Birthhcenter
hb.
Homehbirthh
c.
Traditionalhhospitalhbirthh
d.
Labor,hbirth,handhrecoveryhroomhAN
S:hC
Inhthehtraditionalhhospitalhsetting,hthehmotherhmayhseehthehinfanthforhonlyhshorthfeedinghperiods,ha
ndhthehinfanthishcaredhforhinhahseparatehnursery.hBirthhcentersharehsethuphtohallowhanhincreasehinhpa
rent–infanthcontact.hHomehbirthshallowhthehgreatesthamounthofhparent–
infanthcontact.hThehlabor,hbirth,hrecovery,handhpostpartumhroomhsettinghallowshforhincreasedhpare
nt–infanthcontact.hDIF:hCognitivehLevel:hUnderstandinghOBJ:hNursinghProcesshStep:hPlanning
MSC:hPatienthNeeds:hHealthhPromotionhandhMaintenance
3. Whichhstatementhbesthdescribeshthehadvantagehofhahlabor,hbirth,hrecovery,hand
hpostpartumh(LDRP)hroom?
a.
Thehfamilyhishinhahfamiliarhenvironment.hb
.
Theyharehlesshexpensivehthanhtraditionalhhospitalhrooms.h
c.
Thehinfanthishremovedhtohthehnurseryhtohallowhthehmotherhtohrest.h
d.
Thehwoman’shsupporthsystemhishencouragedhtohstayhuntilhdischarge.h
ANS:hD
Sleepinghequipmenthishprovidedhinhahprivatehroom.hAhhospitalhsettinghishneverhahfamiliarhenvironm
enthtohnewhparents.hAnhLDRPhroomhishnothlesshexpensivehthanhahtraditionalhhospitalhroom.hThehba
byhremainshwithhthehmotherhathallhtimeshandhishnothremovedhtohthehnurseryhfor
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routinehcarehorhtesting.hThehfatherhorhotherhdesignatedhmembershofhthehmother’shsupporthsystemhare
hencouragedhtohstayhathallhtimes.
DIF:hCognitivehLevel:hUnderstandinghOBJ:hNursinghProcesshStep:hAssessmenth
MSC:hPatienthNeeds:hHealthhPromotionhandhMaintenance
4. Whichhnursinghinterventionhishanhindependenthfunctionhofhthehprofessionalhnurse?h
a.
Administeringhoralhanalgesicsh
b.
Requestinghdiagnostichstudiesh
c.
Teachinghthehpatienthperinealhcareh
d.
Providinghwoundhcarehtohahsurgicalhincisionh
ANS:hC
Nursesharehnowhresponsiblehforhvarioushindependenthfunctions,hincludinghteaching,hcounseling,h
andhinterveninghinhnonmedicalhproblems.hInterventionshinitiatedhbyhthehphysicianhandhcarriedhouth
byhthehnurseharehcalledhdependenthfunctions.hAdministratinghoralhanalgesicshishahdependenthfunc
tion;hithishinitiatedhbyhahphysicianhandhcarriedhouthbyhahnurse.hRequestinghdiagnostichstudieshishahd
ependenthfunction.hProvidinghwoundhcarehishahdependenthfunction;hhowever,hthehphysicianhpresc
ribeshthehtypehofhwoundhcarehthroughhdirecthordershorhprotocol.
DIF:hCognitivehLevel:hUnderstandinghOBJ:hNursinghProcesshStep:hAssessmenth
MSC:hPatienthNeeds:hSafehandhEffectivehCarehEnvironment
5. Whichhresponsehbyhthehnursehishthehmosththerapeutichwhenhthehpatienthstates,h“I’mhso
hafraidhtohhavehahcesareanhbirth”?
a.
“EverythinghwillhbehOK.”h
b.
“Don’thworryhabouthit.hIthwillhbehoverhsoon.”h
c.
“Whathconcernshyouhmosthabouthahcesareanhbirth?”h
d.
“Thehphysicianhwillhbehinhlaterhandhyouhcanhtalkhtohhim.”hA
NS:hC
Thehresponse,h“Whathconcernshyouhmosthabouthahcesareanhbirth”hfocuseshonhwhaththehpatienthish
sayinghandhaskshforhclarification,hwhichhishthehmosththerapeutichresponse.hThehresponse,h“Everyt
hinghwillhbehok”hishbelittlinghthehpatient’shfeelings.hThehresponse,h“Don’thworryhabouthit.hIthwillhbeho
verhsoon”hwillhindicatehthaththehpatient’shfeelingsharehnothimportant.hThehresponse,h“Thehphysician
hwillhbehinhlaterhandhyouhcanhtalkhtohhim”hdoeshnothallowhthehpatienthtohverbalizehherhfeelingshwhen
hshehwisheshtohdohthat.
DIF:hCognitivehLevel:hApplicationhOBJ:hNursinghProcesshStep:hImplementationh
MSC:hPatienthNeeds:hPsychosocialhIntegrity
6. Inhwhichhstephofhthehnursinghprocesshdoeshthehnursehdeterminehthehappropriate
hinterventionshforhthehidentifiedhnursinghdiagnosis?
a.hPlannin
ghb.
Evaluationh
c.
Assessmenth
d.
Intervention
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ANS:hA
Thehthirdhstephinhthehnursinghprocesshinvolveshplanninghcarehforhproblemshthathwerehidentifiedhdu
ringhassessment.hThehevaluationhphasehishdetermininghwhetherhthehgoalshhavehbeenhmet.hDurin
ghthehassessmenthphase,hdataharehcollected.hThehinterventionhphasehishwhenhthehplanhofhcarehishc
arriedhout.
DIF:hCognitivehLevel:hUnderstandinghOBJ:hNursinghProcesshStep:hPlanninghMS
C:hPatienthNeeds:hSafehandhEffectivehCarehEnvironment
7. Whichhgoalhishmosthappropriatehforhthehcollaborativehproblemhofhwoundhinfection?
a.
Thehpatienthwillhnothexhibithfurtherhsignshofhinfection.h
b.
Maintainhthehpatient’shfluidhintakehath1000hmL/8hhour.h
c.
Thehpatienthwillhhavehahtemperaturehofh98.6Fhwithinh2hdays.h
d.
Monitorhthehpatienthtohdetecththerapeutichresponsehtohantibiotichtherapy.hAN
S:hD
Inhahcollaborativehproblem,hthehgoalhshouldhbehnurse-
orientedhandhreflecththehnursinghinterventionshofhmonitoringhorhobserving.hMonitoringhforhcomplicat
ionshsuchhashfurtherhsignshofhinfectionhishanhindependenthnursinghrole.hIntakehandhoutputhishanhind
ependenthnursinghrole.
Monitoringhahpatient’shtemperaturehishanhindependenthnursinghrole.
DIF:hCognitivehLevel:hApplicationhOBJ:hNursinghProcesshStep:hPlanninghMS
C:hPatienthNeeds:hSafehandhEffectivehCarehEnvironment
8. Whichhnursinghinterventionhishwrittenhcorrectly?
a.
Forcehfluidshashnecessary.h
b.
Observehinteractionhwithhthehinfant.h
c.
Encouragehturning,hcoughing,handhdeephbreathing.h
d.
Assisthtohambulatehforh10hminuteshath8hAM,h2hPM,handh6hPM.hAN
S:hD
Interventionshmighthnothbehcarriedhouthifhtheyharehnothdetailedhandhspecific.h“Forcehfluids”hishnothsp
ecific;hithdoeshnothstatehhowhmuchhorhhowhoften.hEncouraginghthehpatienthtohturn,hcough,handhbreat
hehdeeplyhishnothdetailedhorhspecific.hObservinghinteractionhwithhthehinfanthdoeshnothstatehhowhofte
nhthishprocedurehshouldhbehdone.hAssistinghthehpatienthtohambulatehforh10hminuteshwithinhahcertainh
timeframehishspecific.
DIF:hCognitivehLevel:hApplicationhOBJ:hNursinghProcesshStep:hPlanninghMS
C:hPatienthNeeds:hSafehandhEffectivehCarehEnvironment
9. Thehpatienthmakeshthehstatement:h“I’mhafraidhtohtakehthehbabyhhomehtomorrow.”hWhich
hresponsehbyhthehnursehwouldhbehthehmosththerapeutic?
a.
“You’rehafraidhtohtakehthehbabyhhome?”hb
.
“Don’thyouhhavehahmotherhwhohcanhcomehandhhelp?”h
c.
“YouhshouldhreadhthehliteraturehIhgavehyouhbeforehyouhleave.”h
d.
“IhwashscaredhwhenhIhtookhmyhfirsthbabyhhome,hbutheverythinghworkedhout.”hANS
:hA
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