nursingUpS
TEST BANK
Foundations of Maternal-
Newborn and Women's Health Nursing
Sharon Murray, Emily McKinney, Karen S. Holub, Renee Jones, and Kristin L. Scheffer
8th Edition
Foundationsof
MaternalNewborn
andWomen's
HealthNursing
Emi
l McKinney
L. Scheffer
t�
nurs IL
Foundations of Maternal-Newborn and Women's Health
Test Bank Page 1
, Nursing8thEditionMurray 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.
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 develo
ped 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 Promoti
on and Maintenance
2. Expectant parents ask a prenatal nurse e UC a ( o r ,- Which setting for childbirth limits the
amount of parent-
infant interactioh?i Which answer should the nurse provide for these parents in order to assi
st them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
Test Bank Page 2
, c. Traditional hospital birth
nursing 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 p
arent-infant contact.
DIF: Cognitive Level: Understanding
OBJ: NursingZProcess Step: Planning MSC: Patient Needs: Health Promo
tion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartu
m (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 equipment is provided in a private room. A hospital setting is never a familiar envi
ronment to new parents. An LDRP room is not less expensive than a traditional hospital roo
m. The baby remains with the mother at all times and is not removed to the nursery for routi
ne 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 Promo
tion 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 perinea! care
d. Providing wound care to a surgical incision
Test Bank Page 3
, ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
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 stud
ies is a dependent function. Providing wound care is a dependent function; however, the physi
cian 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 Effe
ctive Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, -
I'm so afraid to have a cesarean birthll?
a. -Everything will be OK. II
b. -Don't worry about it. It will be over soon. II
c. -What concerns you most about a cesarean birth?II
d. -The physician will be in later and you can talk to him.II
ANS: C
The response, -
What concerns you most about a cesarean birthll focuses on what the patient is saying and asks fo
r clarification, which is the most therapeutic response. The response,
-Everything will be okll is belittling the patient's feelings. The response, --Don t worry about
it. It will be over soonll will indicate that the patient's feelings are not important. The respo
nse, -
The physician will be in later and you can talk to himll 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 fo
r the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
Test Bank Page 4
TEST BANK
Foundations of Maternal-
Newborn and Women's Health Nursing
Sharon Murray, Emily McKinney, Karen S. Holub, Renee Jones, and Kristin L. Scheffer
8th Edition
Foundationsof
MaternalNewborn
andWomen's
HealthNursing
Emi
l McKinney
L. Scheffer
t�
nurs IL
Foundations of Maternal-Newborn and Women's Health
Test Bank Page 1
, Nursing8thEditionMurray 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.
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 develo
ped 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 Promoti
on and Maintenance
2. Expectant parents ask a prenatal nurse e UC a ( o r ,- Which setting for childbirth limits the
amount of parent-
infant interactioh?i Which answer should the nurse provide for these parents in order to assi
st them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
Test Bank Page 2
, c. Traditional hospital birth
nursing 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 p
arent-infant contact.
DIF: Cognitive Level: Understanding
OBJ: NursingZProcess Step: Planning MSC: Patient Needs: Health Promo
tion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartu
m (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 equipment is provided in a private room. A hospital setting is never a familiar envi
ronment to new parents. An LDRP room is not less expensive than a traditional hospital roo
m. The baby remains with the mother at all times and is not removed to the nursery for routi
ne 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 Promo
tion 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 perinea! care
d. Providing wound care to a surgical incision
Test Bank Page 3
, ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
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 stud
ies is a dependent function. Providing wound care is a dependent function; however, the physi
cian 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 Effe
ctive Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, -
I'm so afraid to have a cesarean birthll?
a. -Everything will be OK. II
b. -Don't worry about it. It will be over soon. II
c. -What concerns you most about a cesarean birth?II
d. -The physician will be in later and you can talk to him.II
ANS: C
The response, -
What concerns you most about a cesarean birthll focuses on what the patient is saying and asks fo
r clarification, which is the most therapeutic response. The response,
-Everything will be okll is belittling the patient's feelings. The response, --Don t worry about
it. It will be over soonll will indicate that the patient's feelings are not important. The respo
nse, -
The physician will be in later and you can talk to himll 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 fo
r the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
Test Bank Page 4
