,Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank
v v v v v v v v v v v
Chapter 01: Maternity and Women’s Health Care Today
v v v v v v v
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. A nurse educator is teaching a group of nursing students about the history of family-centered
v v v v v v v v v v v v v v
maternity care. Which statement should the nurse include in the teaching session?
v v v v v v v v v v v v
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
v v v v v v v
b. Changes in pharmacologic management of labor prompted family-centered care.
v v v v v v v v
c. Demands by physicians for family involvement in childbirth increased the practice
v v v v v v v v v v
of family-centered care.
v v v
d. Parental requests that infants be allowed to remain with them rather than in a
v v v v v v v v v v v v v
nursery initiated the practice of family-centered care.
v v v v v v v
ANS: D v
As research began to identify the benefits of early, extended parent–infant contact, parents
v v v v v v v v v v v v
began to insist that the infant remain with them. This gradually developed into the practice of
v v v v v v v v v v v v v v v v
rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided
v v v v v v v v v v v
funds for state-managed programs for mothers and children but did not promote
v v v v v v v v v v v v
family-centered care. The changes in pharmacologic management of labor were not a factor in
v v v v v v v v v v v v v
family-centered maternity care. Family-centered care was a request by parents, not physicians.
v v v v v v v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Health Promotion and Maintenance
v v v v v v v
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the
v v v v v v v v v v v v
amount of parent–infant interaction?” Which answer should the nurse provide for these
v v v v v v v v v v v v
parents in order to assist them in choosing an appropriate birth setting?
v v v v v v v v v v v v
a. Birth center v
b. Home birth v
c. Traditional hospital birth v v
d. Labor, birth, and recovery room v v v v
ANS: C v
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
v v v v v v v v v v v v v v v
vand the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
v v v v v v v v v v v v v v v v v v v
vparent–infant contact. Home births allow the greatest amount of parent–infant contact. The
v v v v v v v v v v v
vlabor, birth, recovery, and postpartum room setting allows for increased parent–infant contact.
v v v v v v v v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Health Promotion and Maintenance
v v v v v v v
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
v v v v v v v v v v v v
(LDRP) room?
v v
a. The family is in a familiar environment.
v v v v v v
b. They are less expensive than traditional hospital rooms.
v v v v v v v
c. The infant is removed to the nursery to allow the mother to rest.
v v v v v v v v v v v v
d. The woman’s support system is encouraged to stay until discharge.
v v v v v v v v v
ANS: D v
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar
v v v v v v v v v v v v v v
environment to new parents. An LDRP room is not less expensive than a traditional hospital
v v v v v v v v v v v v v v v
room. The baby remains with the mother at all times and is not removed to the nursery for
v v v v v v v v v v v v v v v v v v
routine care or testing. The father or other designated members of the mother’s support system
v v v v v v v v v v v v v v v
are encouraged to stay at all times.
v v v v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment v v v v v v
MSC: Patient Needs: Health Promotion and Maintenance
v v v v v v v
4. Which nursing intervention is an independent function of the professional nurse?
v v v v v v v v v v
a. Administering oral analgesics v v
b. Requesting diagnostic studies v v
c. Teaching the patient perineal care v v v v
d. Providing wound care to a surgical incision v v v v v v
ANS: C v
Nurses are now responsible for various independent functions, including teaching, counseling,
v v v v v v v v v v
and intervening in nonmedical problems. Interventions initiated by the physician and carried
v v v v v v v v v v v v
out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
v v v v v v v v v v v v v v
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic
v v v v v v v v v v v v v v v
studies is a dependent function. Providing wound care is a dependent function; however, the
v v v v v v v v v v v v v v
physician prescribes the type of wound care through direct orders or protocol.
v v v v v v v v v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
v v v v v v v v v v v v v v v v
have a cesarean birth”?
v v v v
a. “Everything will be OK.” v v v
b. “Don’t worry about it. It will be over soon.” v v v v v v v v
c. “What concerns you most about a cesarean birth?”
v v v v v v v
d. “The physician will be in later and you can talk to him.”
v v v v v v v v v v v
ANS: C v
The response, “What concerns you most about a cesarean birth” focuses on what the patient is
v v v v v v v v v v v v v v v
saying and asks for clarification, which is the most therapeutic response. The response,
v v v v v v v v v v v v v
“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry about
v v v v v v v v v v v v v v
it. It will be over soon” will indicate that the patient’s feelings are not important. The
v v v v v v v v v v v v v v v v
response, “The physician will be in later and you can talk to him” does not allow the patient to
v v v v v v v v v v v v v v v v v v v
verbalize her feelings when she wishes to do that.
v v v v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation v v v v v v
MSC: Patient Needs: Psychosocial Integrity
v v v v v
6. In
v
which step of the nursing process does the nurse determine the appropriate interventions for
v
the identified nursing diagnosis?
v
v v
v
v v
v
v v v v v v v v v
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A v
, The third step in the nursing process involves planning care for problems that were identified
v v v v v v v v v v v v v v
during assessment. The evaluation phase is determining whether the goals have been met.
v v v v v v v v v v v v v
During the assessment phase, data are collected. The intervention phase is when the plan of
v v v v v v v v v v v v v v
care is carried out.
v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
7. Which goal is most appropriate for the collaborative problem of wound infection?
v v v v v v v v v v v
a. The patient will not exhibit further signs of infection.
v v v v v v v v
b. Maintain the patient’s fluid intake at 1000 mL/8 hour. v v v v v v v v
c. The patient will have a temperature of 98.6F within 2 days.
v v v v v v v v v v
d. Monitor the patient to detect therapeutic response to antibiotic therapy.
v v v v v v v v v
ANS: D v
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
v v v v v v v v v v v v
vinterventions of monitoring or observing. Monitoring for complications such as further signs
v v v v v v v v v v v
vof infection is an independent nursing role. Intake and output is an independent nursing role.
v v v v v v v v v v v v v v
vMonitoring a patient’s temperature is an independent nursing role.
v v v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
8. Which nursing intervention is written correctly?
v v v v v
a. Force fluids as necessary. v v v
b. Observe interaction with the infant. v v v v
c. Encourage turning, coughing, and deep breathing. v v v v v
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
v v v v v v v v v v v v v
ANS: D v
Interventions might not be carried out if they are not detailed and specific. “Force fluids” is
v v v v v v v v v v v v v v v
vnot specific; it does not state how much or how often. Encouraging the patient to turn, cough,
v v v v v v v v v v v v v v v v
vand breathe deeply is not detailed or specific. Observing interaction with the infant does not
v v v v v v v v v v v v v v
vstate how often this procedure should be done. Assisting the patient to ambulate for 10
v v v v v v v v v v v v v v
vminutes within a certain timeframe is specific.
v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which
v v v v v v v v v v v v v
response by the nurse would be the most therapeutic?
v v v v v v v v v
a. “You’re afraid to take the baby home?” v v v v v v
b. “Don’t you have a mother who can come and help?” v v v v v v v v v
c. “You should read the literature I gave you before you leave.”
v v v v v v v v v v
d. “I was scared when I took my first baby home, but everything worked out.”
v v v v v v v v v v v v v
ANS: A v
v v v v v v v v v v v
Chapter 01: Maternity and Women’s Health Care Today
v v v v v v v
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. A nurse educator is teaching a group of nursing students about the history of family-centered
v v v v v v v v v v v v v v
maternity care. Which statement should the nurse include in the teaching session?
v v v v v v v v v v v v
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
v v v v v v v
b. Changes in pharmacologic management of labor prompted family-centered care.
v v v v v v v v
c. Demands by physicians for family involvement in childbirth increased the practice
v v v v v v v v v v
of family-centered care.
v v v
d. Parental requests that infants be allowed to remain with them rather than in a
v v v v v v v v v v v v v
nursery initiated the practice of family-centered care.
v v v v v v v
ANS: D v
As research began to identify the benefits of early, extended parent–infant contact, parents
v v v v v v v v v v v v
began to insist that the infant remain with them. This gradually developed into the practice of
v v v v v v v v v v v v v v v v
rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided
v v v v v v v v v v v
funds for state-managed programs for mothers and children but did not promote
v v v v v v v v v v v v
family-centered care. The changes in pharmacologic management of labor were not a factor in
v v v v v v v v v v v v v
family-centered maternity care. Family-centered care was a request by parents, not physicians.
v v v v v v v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Health Promotion and Maintenance
v v v v v v v
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the
v v v v v v v v v v v v
amount of parent–infant interaction?” Which answer should the nurse provide for these
v v v v v v v v v v v v
parents in order to assist them in choosing an appropriate birth setting?
v v v v v v v v v v v v
a. Birth center v
b. Home birth v
c. Traditional hospital birth v v
d. Labor, birth, and recovery room v v v v
ANS: C v
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
v v v v v v v v v v v v v v v
vand the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
v v v v v v v v v v v v v v v v v v v
vparent–infant contact. Home births allow the greatest amount of parent–infant contact. The
v v v v v v v v v v v
vlabor, birth, recovery, and postpartum room setting allows for increased parent–infant contact.
v v v v v v v v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Health Promotion and Maintenance
v v v v v v v
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
v v v v v v v v v v v v
(LDRP) room?
v v
a. The family is in a familiar environment.
v v v v v v
b. They are less expensive than traditional hospital rooms.
v v v v v v v
c. The infant is removed to the nursery to allow the mother to rest.
v v v v v v v v v v v v
d. The woman’s support system is encouraged to stay until discharge.
v v v v v v v v v
ANS: D v
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar
v v v v v v v v v v v v v v
environment to new parents. An LDRP room is not less expensive than a traditional hospital
v v v v v v v v v v v v v v v
room. The baby remains with the mother at all times and is not removed to the nursery for
v v v v v v v v v v v v v v v v v v
routine care or testing. The father or other designated members of the mother’s support system
v v v v v v v v v v v v v v v
are encouraged to stay at all times.
v v v v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment v v v v v v
MSC: Patient Needs: Health Promotion and Maintenance
v v v v v v v
4. Which nursing intervention is an independent function of the professional nurse?
v v v v v v v v v v
a. Administering oral analgesics v v
b. Requesting diagnostic studies v v
c. Teaching the patient perineal care v v v v
d. Providing wound care to a surgical incision v v v v v v
ANS: C v
Nurses are now responsible for various independent functions, including teaching, counseling,
v v v v v v v v v v
and intervening in nonmedical problems. Interventions initiated by the physician and carried
v v v v v v v v v v v v
out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
v v v v v v v v v v v v v v
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic
v v v v v v v v v v v v v v v
studies is a dependent function. Providing wound care is a dependent function; however, the
v v v v v v v v v v v v v v
physician prescribes the type of wound care through direct orders or protocol.
v v v v v v v v v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
v v v v v v v v v v v v v v v v
have a cesarean birth”?
v v v v
a. “Everything will be OK.” v v v
b. “Don’t worry about it. It will be over soon.” v v v v v v v v
c. “What concerns you most about a cesarean birth?”
v v v v v v v
d. “The physician will be in later and you can talk to him.”
v v v v v v v v v v v
ANS: C v
The response, “What concerns you most about a cesarean birth” focuses on what the patient is
v v v v v v v v v v v v v v v
saying and asks for clarification, which is the most therapeutic response. The response,
v v v v v v v v v v v v v
“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry about
v v v v v v v v v v v v v v
it. It will be over soon” will indicate that the patient’s feelings are not important. The
v v v v v v v v v v v v v v v v
response, “The physician will be in later and you can talk to him” does not allow the patient to
v v v v v v v v v v v v v v v v v v v
verbalize her feelings when she wishes to do that.
v v v v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation v v v v v v
MSC: Patient Needs: Psychosocial Integrity
v v v v v
6. In
v
which step of the nursing process does the nurse determine the appropriate interventions for
v
the identified nursing diagnosis?
v
v v
v
v v
v
v v v v v v v v v
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A v
, The third step in the nursing process involves planning care for problems that were identified
v v v v v v v v v v v v v v
during assessment. The evaluation phase is determining whether the goals have been met.
v v v v v v v v v v v v v
During the assessment phase, data are collected. The intervention phase is when the plan of
v v v v v v v v v v v v v v
care is carried out.
v v v v
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
7. Which goal is most appropriate for the collaborative problem of wound infection?
v v v v v v v v v v v
a. The patient will not exhibit further signs of infection.
v v v v v v v v
b. Maintain the patient’s fluid intake at 1000 mL/8 hour. v v v v v v v v
c. The patient will have a temperature of 98.6F within 2 days.
v v v v v v v v v v
d. Monitor the patient to detect therapeutic response to antibiotic therapy.
v v v v v v v v v
ANS: D v
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
v v v v v v v v v v v v
vinterventions of monitoring or observing. Monitoring for complications such as further signs
v v v v v v v v v v v
vof infection is an independent nursing role. Intake and output is an independent nursing role.
v v v v v v v v v v v v v v
vMonitoring a patient’s temperature is an independent nursing role.
v v v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
8. Which nursing intervention is written correctly?
v v v v v
a. Force fluids as necessary. v v v
b. Observe interaction with the infant. v v v v
c. Encourage turning, coughing, and deep breathing. v v v v v
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
v v v v v v v v v v v v v
ANS: D v
Interventions might not be carried out if they are not detailed and specific. “Force fluids” is
v v v v v v v v v v v v v v v
vnot specific; it does not state how much or how often. Encouraging the patient to turn, cough,
v v v v v v v v v v v v v v v v
vand breathe deeply is not detailed or specific. Observing interaction with the infant does not
v v v v v v v v v v v v v v
vstate how often this procedure should be done. Assisting the patient to ambulate for 10
v v v v v v v v v v v v v v
vminutes within a certain timeframe is specific.
v v v v v v
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning v v v v v v
MSC: Patient Needs: Safe and Effective Care Environment
v v v v v v v v
9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which
v v v v v v v v v v v v v
response by the nurse would be the most therapeutic?
v v v v v v v v v
a. “You’re afraid to take the baby home?” v v v v v v
b. “Don’t you have a mother who can come and help?” v v v v v v v v v
c. “You should read the literature I gave you before you leave.”
v v v v v v v v v v
d. “I was scared when I took my first baby home, but everything worked out.”
v v v v v v v v v v v v v
ANS: A v
