TEST BANK
Foundations of Maternal-Newborn and
Women's Health Nursing
Baron Murra Emily McKinne), Kar·en S. Holub Renee Jones and Kristin L. Scheffer
8th Edition
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Test Bank Page 1
, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
Foundations of Maternal-Newborn and Women's Health
Nursing 8th Edition Murray 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 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 prenatal n u r s e e d u c a t o r - Which setting
for childbirth limits the amount of parent-infant interacions? Which answer
should the nurse provide for these parents in order to assist them in
choosing an appropriate birth setting?
a. Birth center
b. Home birth
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, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
c. Traditional hospital birth
u
d. Labor, bi1th, 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.
DIP: 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 equipment is provided in a private room. A hospital setting is never a
familiar environment to new parents. An LDRP room is not less expensive than a
traditional hospital room. The baby remains with the mother at all times and is
not removed to the nursery for routine care or testing. The father or other
designated members of the mother's support system are encouraged to stay at
all times.
DIP: Cognitive Level: Understanding OBJ: Nursing Process
Step: Assessment MSC: Patient Needs: Health Promotion 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
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
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, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
function; it is initiated by a physician and carried out by a nurse. Requesting
diagnostic studies is a dependent function. Providing wound care is a
dependent function; however, the physician 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 Effective 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 for 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 response, -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 for the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:A
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