TEST BANK FOR FOUNDATIONS OF MATERNAL-
B B BB B B
BNEWBORN AND WOMEN HEALTHNURSING 8TH
B B B BB
EDITION BY SHARON SMITH MURRAY
B B B B B
,Chapter01:MaternityandWomen’sHealthCare Today bx x
b bx
Foundationsof Maternal-Newborn& Women’s HealthNursing, 8thEdition
bx B bx B
MULTIPLE CHOICE B
1. A nurseeducator isteaching a group ofnursingstudents aboutthe historyoffamily-
B B B B B B B
centeredmaternitycare.Whichstatementshould thenurseinclude intheteachingsession?
B bx bx bx B B bx bx
a. TheSheppard-TownerActof1921promotedfamily-centered care. B bx
b. Changesin pharmacologicmanagementoflaborpromptedfamily-centeredcare.
B
c. Demandsbyphysicians forfamilyinvolvement inchildbirthincreasedthe practice of f B B B B B
amily-centered care. bx
d. Parentalrequeststhat infants be allowed to remain withthemrather thanina nur s B B B B B bx B B B
eryinitiated the practice of family-centered care. B B B B B
ANS: D B
As research began to identifythebenefitsofearly,extendedparent–
bx B bx bx bx
infant contact,parentsbegan toinsistthatrtheinfant remainwiththem.Thisgraduallydeveloped i nt o
B B bx B B B B
Bthe practice of rooming-inand finallyto family-centeredmaternitycare. The Sheppard-
B B B B B B B
BTowner Act provided funds for state-
B B B B B
managedprogramsformothersandchildren but did not promote f bx bx bx bx B B
amily-
centered care.Thechanges inrpharmacologic management oflabor werenotarfactor inrfamily-
bx B B B B B B B
centered maternitycare. Family-centered care wasarequest byparents, not physicians.
B B B B B B B B
DIF: Cognitive Level: Application B B
OBJ:Nursing Process Step:Planning MSC: Patient Needs:HealthPromotio n an bx B B B bx B B bB
d Maintenance
B
2. Expectant parentsaskra prenatalnurseeducator,“Whichsettingforchildbirthlimitstheam
B B bx B
ountrofparent– NR IGB. bx
infantrinte r a cUtio S
n ?” N
WhiT
ch answO e r shouldthenurseprovidefortheserparentsrinrordertoa ssist them
B bx B B B B B B bx B
in choosing an appropriate birth setting?
B B B B B B
a. Birthcenter
b. Homebirth
c. Traditionalhospitalbirth
d. Labor,birth, and recoveryroom B bx
ANS: C B
Inrthe traditionalhospitalsetting,the mother mayseethe infant foronlyshort feedingperiods, and t h
B B B B B B B bx B
einfantis caredforinraseparate nursery. Birthcenters are set upto allowan increaseinparent–
B B B bx B bx B
Binfant contact. Home births allow the greatest amount of parent–
B B B B B B B B B
infant contact. The labor, birth, recovery, andpostpartumroomsettingallowsforincreasedparent –
B B B bx B B bx B
Binfant contact. B
DIF: Cognitive Level: Understanding B B
OBJ:Nursing Process Step:Planning MSC: Patient Needs:HealthPromotio n an bx B B B bx B B bB
d Maintenance
B
3. Whichrstatementbestdescribestheadvantageofalabor, birth, recovery,andpostpartum (L bx bx bx B B b xB
DRP) room? bx
a. Thefamilyis ina familiarenvironment. B B
b. Theyare less expensivethantraditionalhospitalrooms.
B B
c. Theinfant is removed tothenurseryto allowthemotherto rest.
B B bx B B B
d. Thewoman’ssupport systemisencouraged to stayuntil discharge. bx B B B
,ANS: D
B
, Sleepingrequipmentisprovided inaprivateroom.Ahospitalsettingis neverafamiliarenvironmen t to ne bx bx bx bx B B bx B
wparents. An LDRProomis notlessexpensivethan a traditionalhospital room.Thebabyre mains with t
B B B bx B B bxB B
he motheratalltimesandisnot removedtothenurseryforroutine carerortesting.The fa therorot herdesig
B bx bx bx bx bx B B B B
natedmembersofthe mother’s support system areencouragedtostayat alltimes. B B bx B B
DIF: Cognitive Level: Understanding B B
OBJ:Nursing Process Step:AssessmentMSC: PatientNeeds:Health Promotio n B bx B B bx B B
and Maintenance
B
4. Whichrnursingintervention isan independent functionoftheprofessional nurse? bx B B B
a. Administeringroralanalgesics
b. Requestingrdiagnosticstudies
c. Teachingthe patient perinealcare B B
d. Providingwoundcare to asurgical incision B B B
ANS: C B
Nursesarernowresponsibleforvariousindependentfunctions, includingrteaching, counseling, an B B B B
d intervening in nonmedical problems. Interventions initiated bythe physician andcarriedrout by t h
bx B B B B B B B B B B B
enursearecalleddependentfunctions. Administratingoralanalgesicsisa dependent function; it is i B B bx B B B
nitiated bya physician and carried out bya nurse. Requestingdiagnostic studies is a depende nt func
bx B B bx B B B B B bx B B B B
tion. Providing wound care isadependent function; however, therphysician prescribesthe ty pe of
B B B B B B B B B B B B B
woundrcare through direct orders or protocol. B B B B B
DIF: Cognitive Level: Understanding B B
OBJ:Nursing Process Step:AssessmentMSC: PatientNeeds:Safe and Effectiv e B bx B B bx bx B B
CareEnvironment
5. Whichresponserbythe nurseis the most therapeuticwhenthepatient states, “I’mso afraid to hav e B B B B B B B B B B B
a cesarean birth”?
B B
.
a. “Everything willbe OK.” B B
b. “Don’tworryabout it. It willbeoversoon.” B B B
c. “What concerns you most aboutacesareanbirth?”
bx B bx bx
d. “Thephysician will be inlaterand you can talk tohim.” B bx B B bx B bx
ANS: C B
Theresponse,“Whatconcerns youmostaboutacesareanbirth”focusesonwhatthepatientis sayi ngra bx bx bx bx bx B B B
ndrasks for clarification, which is the most therapeutic response. The response, “Everything will be
B B B B B B B B B B B B B
ok”isbelittlingthe patient’sfeelings.The response,“Don’tworryaboutit.Itwill be overs oon” w illi
B B B bx B B B B
ndicate that thepatient’s feelings are not important. The response,“Thephysicianwill beinlater and
bx B B bx B B B B
youcantalkrtohim”doesnotallowthepatienttoverbalize herfeelingswhenshe wis hesrto do tha t. bx B B B bx B B
DIF: Cognitive Level: Application
B B B B
OBJ:NursingProcessStep:Implementation MSC: Patient Needs: Psychosocial Int bx B bx B B
egrity
6. Inrwhichstepofthenursingprocess does the nurse determinetheappropriate interventionsrforthe i
bx bx B B B B B
dentified nursing diagnosis? bx B
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A B
B B BB B B
BNEWBORN AND WOMEN HEALTHNURSING 8TH
B B B BB
EDITION BY SHARON SMITH MURRAY
B B B B B
,Chapter01:MaternityandWomen’sHealthCare Today bx x
b bx
Foundationsof Maternal-Newborn& Women’s HealthNursing, 8thEdition
bx B bx B
MULTIPLE CHOICE B
1. A nurseeducator isteaching a group ofnursingstudents aboutthe historyoffamily-
B B B B B B B
centeredmaternitycare.Whichstatementshould thenurseinclude intheteachingsession?
B bx bx bx B B bx bx
a. TheSheppard-TownerActof1921promotedfamily-centered care. B bx
b. Changesin pharmacologicmanagementoflaborpromptedfamily-centeredcare.
B
c. Demandsbyphysicians forfamilyinvolvement inchildbirthincreasedthe practice of f B B B B B
amily-centered care. bx
d. Parentalrequeststhat infants be allowed to remain withthemrather thanina nur s B B B B B bx B B B
eryinitiated the practice of family-centered care. B B B B B
ANS: D B
As research began to identifythebenefitsofearly,extendedparent–
bx B bx bx bx
infant contact,parentsbegan toinsistthatrtheinfant remainwiththem.Thisgraduallydeveloped i nt o
B B bx B B B B
Bthe practice of rooming-inand finallyto family-centeredmaternitycare. The Sheppard-
B B B B B B B
BTowner Act provided funds for state-
B B B B B
managedprogramsformothersandchildren but did not promote f bx bx bx bx B B
amily-
centered care.Thechanges inrpharmacologic management oflabor werenotarfactor inrfamily-
bx B B B B B B B
centered maternitycare. Family-centered care wasarequest byparents, not physicians.
B B B B B B B B
DIF: Cognitive Level: Application B B
OBJ:Nursing Process Step:Planning MSC: Patient Needs:HealthPromotio n an bx B B B bx B B bB
d Maintenance
B
2. Expectant parentsaskra prenatalnurseeducator,“Whichsettingforchildbirthlimitstheam
B B bx B
ountrofparent– NR IGB. bx
infantrinte r a cUtio S
n ?” N
WhiT
ch answO e r shouldthenurseprovidefortheserparentsrinrordertoa ssist them
B bx B B B B B B bx B
in choosing an appropriate birth setting?
B B B B B B
a. Birthcenter
b. Homebirth
c. Traditionalhospitalbirth
d. Labor,birth, and recoveryroom B bx
ANS: C B
Inrthe traditionalhospitalsetting,the mother mayseethe infant foronlyshort feedingperiods, and t h
B B B B B B B bx B
einfantis caredforinraseparate nursery. Birthcenters are set upto allowan increaseinparent–
B B B bx B bx B
Binfant contact. Home births allow the greatest amount of parent–
B B B B B B B B B
infant contact. The labor, birth, recovery, andpostpartumroomsettingallowsforincreasedparent –
B B B bx B B bx B
Binfant contact. B
DIF: Cognitive Level: Understanding B B
OBJ:Nursing Process Step:Planning MSC: Patient Needs:HealthPromotio n an bx B B B bx B B bB
d Maintenance
B
3. Whichrstatementbestdescribestheadvantageofalabor, birth, recovery,andpostpartum (L bx bx bx B B b xB
DRP) room? bx
a. Thefamilyis ina familiarenvironment. B B
b. Theyare less expensivethantraditionalhospitalrooms.
B B
c. Theinfant is removed tothenurseryto allowthemotherto rest.
B B bx B B B
d. Thewoman’ssupport systemisencouraged to stayuntil discharge. bx B B B
,ANS: D
B
, Sleepingrequipmentisprovided inaprivateroom.Ahospitalsettingis neverafamiliarenvironmen t to ne bx bx bx bx B B bx B
wparents. An LDRProomis notlessexpensivethan a traditionalhospital room.Thebabyre mains with t
B B B bx B B bxB B
he motheratalltimesandisnot removedtothenurseryforroutine carerortesting.The fa therorot herdesig
B bx bx bx bx bx B B B B
natedmembersofthe mother’s support system areencouragedtostayat alltimes. B B bx B B
DIF: Cognitive Level: Understanding B B
OBJ:Nursing Process Step:AssessmentMSC: PatientNeeds:Health Promotio n B bx B B bx B B
and Maintenance
B
4. Whichrnursingintervention isan independent functionoftheprofessional nurse? bx B B B
a. Administeringroralanalgesics
b. Requestingrdiagnosticstudies
c. Teachingthe patient perinealcare B B
d. Providingwoundcare to asurgical incision B B B
ANS: C B
Nursesarernowresponsibleforvariousindependentfunctions, includingrteaching, counseling, an B B B B
d intervening in nonmedical problems. Interventions initiated bythe physician andcarriedrout by t h
bx B B B B B B B B B B B
enursearecalleddependentfunctions. Administratingoralanalgesicsisa dependent function; it is i B B bx B B B
nitiated bya physician and carried out bya nurse. Requestingdiagnostic studies is a depende nt func
bx B B bx B B B B B bx B B B B
tion. Providing wound care isadependent function; however, therphysician prescribesthe ty pe of
B B B B B B B B B B B B B
woundrcare through direct orders or protocol. B B B B B
DIF: Cognitive Level: Understanding B B
OBJ:Nursing Process Step:AssessmentMSC: PatientNeeds:Safe and Effectiv e B bx B B bx bx B B
CareEnvironment
5. Whichresponserbythe nurseis the most therapeuticwhenthepatient states, “I’mso afraid to hav e B B B B B B B B B B B
a cesarean birth”?
B B
.
a. “Everything willbe OK.” B B
b. “Don’tworryabout it. It willbeoversoon.” B B B
c. “What concerns you most aboutacesareanbirth?”
bx B bx bx
d. “Thephysician will be inlaterand you can talk tohim.” B bx B B bx B bx
ANS: C B
Theresponse,“Whatconcerns youmostaboutacesareanbirth”focusesonwhatthepatientis sayi ngra bx bx bx bx bx B B B
ndrasks for clarification, which is the most therapeutic response. The response, “Everything will be
B B B B B B B B B B B B B
ok”isbelittlingthe patient’sfeelings.The response,“Don’tworryaboutit.Itwill be overs oon” w illi
B B B bx B B B B
ndicate that thepatient’s feelings are not important. The response,“Thephysicianwill beinlater and
bx B B bx B B B B
youcantalkrtohim”doesnotallowthepatienttoverbalize herfeelingswhenshe wis hesrto do tha t. bx B B B bx B B
DIF: Cognitive Level: Application
B B B B
OBJ:NursingProcessStep:Implementation MSC: Patient Needs: Psychosocial Int bx B bx B B
egrity
6. Inrwhichstepofthenursingprocess does the nurse determinetheappropriate interventionsrforthe i
bx bx B B B B B
dentified nursing diagnosis? bx B
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A B
