Foundations of Maternal-Newborn and Women's Health
Nursing 8th Edition Murray Test Bank All Chapters
Test Bank Page 1
, 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.
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 p r e n a t a l n u r s e educator, ―Which setting for childbirth limits the
N 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 2
, c. Traditional hospital birth
d. Labor, birth, and recovery room
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.
ANS: D
Sleeping fequipment fis fprovided fin fa fprivate froom. fA fhospital fsetting fis fnever fa ffamiliar
fenvironment fto fnew fparents. fAn fLDRP froom fis fnot fless fexpensive fthan fa ftraditional
fhospital froom. fThe fbaby fremains fwith fthe fmother fat fall ftimes fand fis fnot fremoved fto fthe
fnursery ffor froutine fcare for ftesting. fThe ffather for fother fdesignated fmembers fof fthe
fmother‘s fsupport fsystem fare fencouraged fto fstay fat fall ftimes.
DIF: Cognitive fLevel: fUnderstanding OBJ: fNursing fProcess fStep:
fAssessment fMSC: f Patient fNeeds: fHealth fPromotion fand fMaintenance
4. Which fnursing fintervention fis fan findependent ffunction fof fthe fprofessional fnurse?
a. Administering foral fanalgesics
b. Requesting fdiagnostic fstudies
c. Teaching fthe fpatient fperineal fcare
d. Providing fwound fcare fto fa fsurgical fincision
ANS: f C
Nurses fare fnow fresponsible ffor fvarious findependent ffunctions, fincluding fteaching, fcounseling,
Test Bank Page 3
, and fintervening fin fnonmedical fproblems. fInterventions finitiated fby fthe fphysician fand
fcarried fout fby fthe fnurse fare fcalled fdependent ffunctions. fAdministrating foral fanalgesics fis
fa fdependent ffunction; fit fis finitiated fby fa fphysician fand fcarried fout fby fa fnurse.
fRequesting fdiagnostic fstudies fis fa fdependent ffunction. fProviding fwound fcare fis fa
fdependent ffunction; fhowever, fthe fphysician fprescribes fthe ftype fof fwound fcare fthrough
fdirect forders for fprotocol.
DIF: Cognitive fLevel: fUnderstanding OBJ: fNursing fProcess fStep:
fAssessment fMSC: f Patient fNeeds: fSafe fand fEffective fCare fEnvironment
5. Which fresponse fby fthe fnurse fis fthe fmost ftherapeutic fwhen fthe fpatient fstates, f―I‘m fso
fafraid fto fhave fa fcesarean fbirth‖?
a. ―Everything f will f be f OK.‖
b. ―Don‘t fworry fabout fit. fIt fwill fbe fover fsoon.‖
c. ―What fconcerns fyou fmost fabout fa fcesarean fbirth?‖
d. ―The fphysician fwill fbe fin flater fand fyou fcan ftalk fto fhim.‖
ANS: f C
The fresponse, f―What fconcerns fyou fmost fabout fa fcesarean fbirth‖ ffocuses fon fwhat fthe fpatient fis
fsaying fand fasks ffor fclarification, fwhich fis fthe fmost ftherapeutic fresponse. fThe fresponse,
―Everything fwill fbe fok‖ fis fbelittling fthe fpatient‘s ffeelings. fThe fresponse, f―Don‘t fworry
fabout fit. fIt fwill fbe fover fsoon‖ fwill findicate fthat fthe fpatient‘s ffeelings fare fnot fimportant.
fThe f response, f―The fphysician fwill fbe fin flater fand fyou fcan ftalk fto fhim‖ fdoes fnot fallow
fthe fpatient fto fverbalize fher ffeelings fwhen fshe fwishes fto fdo fthat.
DIF: Cognitive fLevel: fApplication OBJ: fNursing fProcess fStep:
fImplementation fMSC: f Patient fNeeds: fPsychosocial fIntegrity
6. In fwhich fstep fof fthe fnursing fprocess fdoes fthe fnurse fdetermine fthe fappropriate finterventions
ffor fthe fidentified fnursing fdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: f A
Test Bank Page 4
Nursing 8th Edition Murray Test Bank All Chapters
Test Bank Page 1
, 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.
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 p r e n a t a l n u r s e educator, ―Which setting for childbirth limits the
N 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 2
, c. Traditional hospital birth
d. Labor, birth, and recovery room
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.
ANS: D
Sleeping fequipment fis fprovided fin fa fprivate froom. fA fhospital fsetting fis fnever fa ffamiliar
fenvironment fto fnew fparents. fAn fLDRP froom fis fnot fless fexpensive fthan fa ftraditional
fhospital froom. fThe fbaby fremains fwith fthe fmother fat fall ftimes fand fis fnot fremoved fto fthe
fnursery ffor froutine fcare for ftesting. fThe ffather for fother fdesignated fmembers fof fthe
fmother‘s fsupport fsystem fare fencouraged fto fstay fat fall ftimes.
DIF: Cognitive fLevel: fUnderstanding OBJ: fNursing fProcess fStep:
fAssessment fMSC: f Patient fNeeds: fHealth fPromotion fand fMaintenance
4. Which fnursing fintervention fis fan findependent ffunction fof fthe fprofessional fnurse?
a. Administering foral fanalgesics
b. Requesting fdiagnostic fstudies
c. Teaching fthe fpatient fperineal fcare
d. Providing fwound fcare fto fa fsurgical fincision
ANS: f C
Nurses fare fnow fresponsible ffor fvarious findependent ffunctions, fincluding fteaching, fcounseling,
Test Bank Page 3
, and fintervening fin fnonmedical fproblems. fInterventions finitiated fby fthe fphysician fand
fcarried fout fby fthe fnurse fare fcalled fdependent ffunctions. fAdministrating foral fanalgesics fis
fa fdependent ffunction; fit fis finitiated fby fa fphysician fand fcarried fout fby fa fnurse.
fRequesting fdiagnostic fstudies fis fa fdependent ffunction. fProviding fwound fcare fis fa
fdependent ffunction; fhowever, fthe fphysician fprescribes fthe ftype fof fwound fcare fthrough
fdirect forders for fprotocol.
DIF: Cognitive fLevel: fUnderstanding OBJ: fNursing fProcess fStep:
fAssessment fMSC: f Patient fNeeds: fSafe fand fEffective fCare fEnvironment
5. Which fresponse fby fthe fnurse fis fthe fmost ftherapeutic fwhen fthe fpatient fstates, f―I‘m fso
fafraid fto fhave fa fcesarean fbirth‖?
a. ―Everything f will f be f OK.‖
b. ―Don‘t fworry fabout fit. fIt fwill fbe fover fsoon.‖
c. ―What fconcerns fyou fmost fabout fa fcesarean fbirth?‖
d. ―The fphysician fwill fbe fin flater fand fyou fcan ftalk fto fhim.‖
ANS: f C
The fresponse, f―What fconcerns fyou fmost fabout fa fcesarean fbirth‖ ffocuses fon fwhat fthe fpatient fis
fsaying fand fasks ffor fclarification, fwhich fis fthe fmost ftherapeutic fresponse. fThe fresponse,
―Everything fwill fbe fok‖ fis fbelittling fthe fpatient‘s ffeelings. fThe fresponse, f―Don‘t fworry
fabout fit. fIt fwill fbe fover fsoon‖ fwill findicate fthat fthe fpatient‘s ffeelings fare fnot fimportant.
fThe f response, f―The fphysician fwill fbe fin flater fand fyou fcan ftalk fto fhim‖ fdoes fnot fallow
fthe fpatient fto fverbalize fher ffeelings fwhen fshe fwishes fto fdo fthat.
DIF: Cognitive fLevel: fApplication OBJ: fNursing fProcess fStep:
fImplementation fMSC: f Patient fNeeds: fPsychosocial fIntegrity
6. In fwhich fstep fof fthe fnursing fprocess fdoes fthe fnurse fdetermine fthe fappropriate finterventions
ffor fthe fidentified fnursing fdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: f A
Test Bank Page 4
