Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition O’Meara

Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank


Chapter 01: Maternity and Women’s Health Care Today
m m m m m m m

Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
m m m m m m m m




MULTIPLEmCHOICE

1. Amnursemeducatormismteachingmamgroupmofmnursingmstudentsmaboutmthemhistorymofmfamily-
centeredmmaternitymcare.mWhichmstatementmshouldmthemnursemincludeminmthemteachingmsession
?
a. ThemSheppard-TownermActmofm1921mpromotedmfamily-centeredmcare.
b. Changesminmpharmacologicmmanagementmofmlabormpromptedmfamily-centeredmcare.
c. Demandsmbymphysiciansmformfamilyminvolvementminmchildbirthmincreasedmthempracti
cemofmfamily-centeredmcare.
d. Parentalmrequestsmthatminfantsmbemallowedmtomremainmwithmthemmrathermthanmi
nmamnurseryminitiatedmthempracticemofmfamily-centeredmcare.
ANS:m D
Asmresearchmbeganmtomidentifymthembenefitsmofmearly,mextendedmparent–
infantmcontact,mparentsmbeganmtominsistmthatmtheminfantmremainmwithmthem.mThismgraduallymdeve
lopedmintomthempracticemofmrooming-inmandmfinallymtomfamily-
centeredmmaternitymcare.mThemSheppard-TownermActmprovidedmfundsmformstate-
managedmprogramsmformmothersmandmchildrenmbutmdidmnotmpromote
family-
centeredmcare.mThemchangesminmpharmacologicmmanagementmofmlabormweremnotmamfactorminmfami
ly-centeredmmaternitymcare.mFamily-centeredmcaremwasmamrequestmbymparents,mnotmphysicians.

DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mHealthmPro
motionmandmMaintenance

2. Expectantmparentsmaskmamprenatalmnursemeducator,m“Whichmsettingmformchildbirthmlimitsmt
hemamountmofmparent– N R I G B.C
infantminteracUtionS?” mN
WhT Oer mshouldmthemnursemprovidemformthesemparentsminmord
ichm answ
ermtomassistmthemminmchoosingmanmappropriatembirthmsetting?
a. Birthmcenter
b. Homembirth
c. Traditionalmhospitalmbirth
d. Labor,mbirth,mandmrecoverymroom
ANS:m C
Inmthemtraditionalmhospitalmsetting,mthemmothermmaymseemtheminfantmformonlymshortmfeedingmperio
ds,mandmtheminfantmismcaredmforminmamseparatemnursery.mBirthmcentersmaremsetmupmtomallowmanmincr
easeminmparent–infantmcontact.mHomembirthsmallowmthemgreatestmamountmofmparent–
infantmcontact.mThemlabor,mbirth,mrecovery,mandmpostpartummroommsettingmallowsmformincreasedm
parent–infantmcontact.

DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mHealthmPro
motionmandmMaintenance

3. Whichmstatementmbestmdescribesmthemadvantagemofmamlabor,mbirth,mrecovery,mandmpostpartu
mm(LDRP)mroom?
a. Themfamilymisminmamfamiliarmenvironment.
b. Theymaremlessmexpensivemthanmtraditionalmhospitalmrooms.
c. Theminfantmismremovedmtomthemnurserymtomallowmthemmothermtomrest.

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,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
d. Themwoman’smsupportmsystemmismencouragedmtomstaymuntilmdischarge.

ANS:m D




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,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank

Sleepingmequipmentmismprovidedminmamprivatemroom.mAmhospitalmsettingmismnevermamfamiliarmenv
ironmentmtomnewmparents.mAnmLDRPmroommismnotmlessmexpensivemthanmamtraditionalmhospitalmro
om.mThembabymremainsmwithmthemmothermatmallmtimesmandmismnotmremovedmtomthemnurserymformro
utinemcaremormtesting.mThemfathermormothermdesignatedmmembersmofmthemmother’smsupportmsyste
mmaremencouragedmtomstaymatmallmtimes.

DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mAssessmentmMSC:m PatientmNeeds:mHealthmPro
motionmandmMaintenance

4. Whichmnursingminterventionmismanmindependentmfunctionmofmthemprofessionalmnurse?
a. Administeringmoralmanalgesics
b. Requestingmdiagnosticmstudies
c. Teachingmthempatientmperinealmcare
d. Providingmwoundmcaremtomamsurgicalmincision

ANS:m C
Nursesmaremnowmresponsiblemformvariousmindependentmfunctions,mincludingmteaching,mcounselin
g,mandminterveningminmnonmedicalmproblems.mInterventionsminitiatedmbymthemphysicianmandmcar
riedmoutmbymthemnursemaremcalledmdependentmfunctions.mAdministratingmoralmanalgesicsmismamde
pendentmfunction;mitmisminitiatedmbymamphysicianmandmcarriedmoutmbymamnurse.mRequestingmdiagn
osticmstudiesmismamdependentmfunction.mProvidingmwoundmcaremismamdependentmfunction;mhowev
er,mthemphysicianmprescribesmthemtypemofmwoundmcaremthroughmdirectmordersmormprotocol.

DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mAssessmentmMSC:m PatientmNeeds:mSafemandmEf
fectivemCaremEnvironment

5. Whichmresponsembymthemnursemismthemmostmtherapeuticmwhenmthempatientmstates,m“I’mmsomafraid
mtomhavemamcesareanmbirth”? NURSINGTB.COM
a. “EverythingmwillmbemOK.”
b. “Don’tmworrymaboutmit.mItmwillmbemovermsoon.”
c. “Whatmconcernsmyoummostmaboutmamcesareanmbirth?”
d. “Themphysicianmwillmbeminmlatermandmyoumcanmtalkmtomhim.”
ANS:m C
Themresponse,m“Whatmconcernsmyoummostmaboutmamcesareanmbirth”mfocusesmonmwhatmthempatient
mismsayingmandmasksmformclarification,mwhichmismthemmostmtherapeuticmresponse.mThemresponse,m“

Everythingmwillmbemok”mismbelittlingmthempatient’smfeelings.mThemresponse,m“Don’tmworrymabout
mit.mItmwillmbemovermsoon”mwillmindicatemthatmthempatient’smfeelingsmaremnotmimportant.mThemresp

onse,m“Themphysicianmwillmbeminmlatermandmyoumcanmtalkmtomhim”mdoesmnotmallowmthempatientmtom
verbalizemhermfeelingsmwhenmshemwishesmtomdomthat.

DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mImplementationmMSC:m PatientmNeeds:mPsychosocia
lmIntegrity

6. Inmwhichmstepmofmthemnursingmprocessmdoesmthemnursemdeterminemthemappropriateminterventionsm
formthemidentifiedmnursingmdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention

ANS:m A

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, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank

Themthirdmstepminmthemnursingmprocessminvolvesmplanningmcaremformproblemsmthatmweremidentifiedmd
uringmassessment.mThemevaluationmphasemismdeterminingmwhethermthemgoalsmhavembeenmmet.
Duringmthemassessmentmphase,mdatamaremcollected.mTheminterventionmphasemismwhenmthemplanmofm
caremismcarriedmout.

DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemandmEf
fectivemCaremEnvironment

7. Whichmgoalmismmostmappropriatemformthemcollaborativemproblemmofmwoundminfection?
a. Thempatientmwillmnotmexhibitmfurthermsignsmofminfection.
b. Maintainmthempatient’smfluidmintakematm1000mmL/8mhour.
c. Thempatientmwillmhavemamtemperaturemofm98.6Fmwithinm2mdays.
d. Monitormthempatientmtomdetectmtherapeuticmresponsemtomantibioticmtherapy.
ANS:m D
Inmamcollaborativemproblem,mthemgoalmshouldmbemnurse-
orientedmandmreflectmthemnursingminterventionsmofmmonitoringmormobserving.mMonitoringmformc
omplicationsmsuchmasmfurthermsignsmofminfectionmismanmindependentmnursingmrole.mIntakemandmo
utputmismanmindependentmnursingmrole.mMonitoringmampatient’smtemperaturemismanmindependent
mnursingmrole.




DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemandmEf
fectivemCaremEnvironment

8. Whichmnursingminterventionmismwrittenmcorrectly?
a. Forcemfluidsmasmnecessary.
b. Observeminteractionmwithmtheminfant.
c. Encouragemturning,mcoughing,mandmdeepmbreathing.
d. Assistmtomambulatemform10NmUinRuS
teI atG
smN 8TAB
M.,mC
2mOM,mandm6mPM.
PM
ANS:m D
Interventionsmmightmnotmbemcarriedmoutmifmtheymaremnotmdetailedmandmspecific.m“Forcemfluids”mis
mnotmspecific;mitmdoesmnotmstatemhowmmuchmormhowmoften.mEncouragingmthempatientmtomturn,mcou

gh,mandmbreathemdeeplymismnotmdetailedmormspecific.mObservingminteractionmwithmtheminfantmdoe
smnotmstatemhowmoftenmthismproceduremshouldmbemdone.mAssistingmthempatientmtomambulatemform1
0mminutesmwithinmamcertainmtimeframemismspecific.

DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemandmEf
fectivemCaremEnvironment

9. Thempatientmmakesmthemstatement:m“I’mmafraidmtomtakemthembabymhomemtomorrow.”mWhi
chmresponsembymthemnursemwouldmbemthemmostmtherapeutic?
a. “You’remafraidmtomtakemthembabymhome?”
b. “Don’tmyoumhavemammothermwhomcanmcomemandmhelp?”
c. “YoumshouldmreadmthemliteraturemImgavemyoumbeforemyoumleave.”
d. “ImwasmscaredmwhenmImtookmmymfirstmbabymhome,mbutmeverythingmworkedmout.”

ANS:m A





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