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Murray Foundations of Maternal-Newborn and Women's Health
ss ss ss ss ss ss
Nursing, 8th Edition
ss ss ss
Chapter 01: ss
MULTIPLE s s CHOICE
1. A s s nurse s s educator s s is s s teaching s s a s s group s s of s s nursing s s students s s about s s the s s history
ss of
family-centered ssmaternity sscare. ssWhich ssstatement ssshould ssthe ssnurse ssinclude s s in ssthe
ssteaching s s session?
a. The s s Sheppard-Towner s s Act s s of s s 1921 s s promoted s s family-centered s s care.
b. Changes ssin s s pharmacologic ssmanagement s s of s s labor ssprompted s s family-
centered sscare.
c. Demands ssby ssphysicians s s for ssfamily ssinvolvement s s in s s childbirth
s s increased s s the sspractice
of s s family-centered s s care.
d. Parental s s requests s s that s s infants s s be s s allowed s s to s s remain s s with s s them
s s rather s s than s s in s s a ssnursery ssinitiated s s the s s practice s s of s s family-centered
s s care.
ANS: D
As s s research s s began s s to s s identify ssthe s s benefits s s of s s early, s s extended s s parent–
infant s s contact, ssparents s s began s s to s s insist s s that s s the s s infant s s remain s s with
s s them. s s This s s gradually ssdeveloped ssinto s s the s s practice s s of s s rooming-in s s and
s s finally s s to s s family-centered s s maternity s s care. s s The ssSheppard-Towner s s Act
s s provided s s funds s s for s s state-managed s s programs s s for s s mothers s s and sschildren
s s but s s did s s not s s promote s s family-centered s s care. s s The s s changes s s in
s s pharmacologic ssmanagement s s of s s labor s s were s s not s s a s s factor s s in s s family-
centered s s maternity s s care. s s Family- sscentered s s care s s was s s a s s request s s by
s s parents, s s not s s physicians.
DIF: Cognitive s s Level: s s Application OBJ: Nursing ssProcess
ssStep: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
2. Expectant ssparents ssask ssa ssprenatal ssnurse sseducator, ss―Which sssetting ssfor sschildbirth
sslimits ssthe s s amount s s of s s parent–infant s s interaction?‖ s s Which s s answer s s should
s s the s s nurse s s provide ssfor s s these s s parents s s in s s order s s to s s assist s s them s s in
s s choosing s s an s s appropriate s s birth s s setting?
a. Birth s s center
b. Home s s birth
c. Traditional s s hospital s s birth
d. Labor, ssbirth, s s and
s s recovery ssroom
ANS: C
In s s the s s traditional s s hospital s s setting, s s the s s mother s s may s s see s s the s s infant s s for
s s only s s short ssfeeding s s periods, s s and s s the s s infant s s is s s cared s s for s s in s s a s s separate
s s nursery. s s Birth s s centers s s are ssset s s up s s to s s allow s s an s s increase s s in s s parent–infant
s s contact. s s Home s s births s s allow s s the s s greatest ssamount s s of
parent–infant s s contact. ssThe sslabor, ssbirth, ssrecovery, ssand sspostpartum ssroom sssetting
, allows ssfor s s increased s s parent–infant s s contact.
ss
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing ssProcess
ssStep: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
, 3. Which ssstatement ssbest ssdescribes ssthe ssadvantage ssof ssa sslabor, ssbirth, ssrecovery,
and s s postpartum s s (LDRP) s s room?
ss
a. The s s family s s is s s in s s a s s familiar s s environment.
b. They s s are s s less s s expensive s s than s s traditional s s hospital s s rooms.
c. The s s infant s s is s s removed s s to s s the s s nursery ssto s s allow s s the
s s mother s s to ssrest.
d. The sswoman‘s s s support s s system s s is s s encouraged s s to
s s stay ssuntil ssdischarge.
ANS: D
Sleeping s s equipment s s is s s provided s s in s s a s s private s s room. s s A s s hospital s s setting s s is
s s never s s a ssfamiliar s s environment s s to s s new s s parents. s s An s s LDRP s s room s s is s s not
s s less s s expensive s s than s s a sstraditional s s hospital s s room. s s The s s baby s s remains s s with
s s the s s mother s s at s s all s s times s s and s s is s s not ssremoved s s to s s the s s nursery ssfor s s routine
s s care s s or s s testing. s s The s s father s s or s s other s s designated ssmembers s s of s s the
s s mother‘s s s support s s system s s are s s encouraged s s to s s stay s s at s s all s s times.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing ssProcess
ssStep: ssAssessment s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
4. Which s s nursing s s intervention s s is s s an s s independent s s function s s of s s the s s professional
s s nurse?
a. Administering s s oral s s analgesics
b. Requesting s s diagnostic s s studies
c. Teaching s s the s s patient s s perineal s s care
d. Providing sswound s s care ssto s s a
sssurgical ssincision
ANS: C
Nurses s s are s s now s s responsible s s for s s various s s independent s s functions, s s including
s s teaching, sscounseling, s s and s s intervening s s in s s nonmedical s s problems. s s Interventions
s s initiated s s by s s the ssphysician s s and s s carried s s out s s by ssthe s s nurse ssare sscalled
s s dependent s s functions. s s Administrating ssoral s s analgesics s s is s s a s s dependent
s s function; s s it s s is s s initiated s s by s s a s s physician s s and s s carried s s out ssby ssa s s nurse.
s s Requesting s s diagnostic s s studies s s is s s a s s dependent s s function. s s Providing s s wound
sscare s s is s s a s s dependent s s function; s s however, s s the s s physician s s prescribes s s the
s s type s s of s s wound sscare s s through s s direct s s orders s s or s s protocol.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing ssProcess ssStep:
ssAssessment s s MSC: Patient s s Needs: s s Safe s s and s s Effective s s Care
s s Environment
5. Which ssresponse ssby ssthe ssnurse ssis ssthe ssmost sstherapeutic sswhen ssthe sspatient ssstates,
ss ―I‘m ssso ssafraid s s to s s have s s a s s cesarean s s birth‖?
a. ―Everything sswill ssbe ssOK.‖
b. ―Don‘t ssworry ssabout ssit. ss It sswill ssbe ssover sssoon.‖
c. ―What ssconcerns ss you ssmost ssabout ssa sscesarean ssbirth?‖
d. ―The ssphysician sswill ssbe ssin sslater ssand ssyou sscan
sstalk ssto sshim.‖
ANS: C
The s s response, s s ―What s s concerns s s you s s most s s about s s a s s cesarean s s birth‖
s s focuses s s on s s what ssthe s s patient s s is s s saying s s and s s asks s s for s s clarification, s s which
s s is s s the s s most s s therapeutic ssresponse. s s The s s response, ss―Everything sswill ssbe ssok‖ ssis
ssbelittling ssthe sspatient‘s ssfeelings. ssThe ssresponse, s s ―Don‘t s s worry s s about s s it. s s It
Murray Foundations of Maternal-Newborn and Women's Health
ss ss ss ss ss ss
Nursing, 8th Edition
ss ss ss
Chapter 01: ss
MULTIPLE s s CHOICE
1. A s s nurse s s educator s s is s s teaching s s a s s group s s of s s nursing s s students s s about s s the s s history
ss of
family-centered ssmaternity sscare. ssWhich ssstatement ssshould ssthe ssnurse ssinclude s s in ssthe
ssteaching s s session?
a. The s s Sheppard-Towner s s Act s s of s s 1921 s s promoted s s family-centered s s care.
b. Changes ssin s s pharmacologic ssmanagement s s of s s labor ssprompted s s family-
centered sscare.
c. Demands ssby ssphysicians s s for ssfamily ssinvolvement s s in s s childbirth
s s increased s s the sspractice
of s s family-centered s s care.
d. Parental s s requests s s that s s infants s s be s s allowed s s to s s remain s s with s s them
s s rather s s than s s in s s a ssnursery ssinitiated s s the s s practice s s of s s family-centered
s s care.
ANS: D
As s s research s s began s s to s s identify ssthe s s benefits s s of s s early, s s extended s s parent–
infant s s contact, ssparents s s began s s to s s insist s s that s s the s s infant s s remain s s with
s s them. s s This s s gradually ssdeveloped ssinto s s the s s practice s s of s s rooming-in s s and
s s finally s s to s s family-centered s s maternity s s care. s s The ssSheppard-Towner s s Act
s s provided s s funds s s for s s state-managed s s programs s s for s s mothers s s and sschildren
s s but s s did s s not s s promote s s family-centered s s care. s s The s s changes s s in
s s pharmacologic ssmanagement s s of s s labor s s were s s not s s a s s factor s s in s s family-
centered s s maternity s s care. s s Family- sscentered s s care s s was s s a s s request s s by
s s parents, s s not s s physicians.
DIF: Cognitive s s Level: s s Application OBJ: Nursing ssProcess
ssStep: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
2. Expectant ssparents ssask ssa ssprenatal ssnurse sseducator, ss―Which sssetting ssfor sschildbirth
sslimits ssthe s s amount s s of s s parent–infant s s interaction?‖ s s Which s s answer s s should
s s the s s nurse s s provide ssfor s s these s s parents s s in s s order s s to s s assist s s them s s in
s s choosing s s an s s appropriate s s birth s s setting?
a. Birth s s center
b. Home s s birth
c. Traditional s s hospital s s birth
d. Labor, ssbirth, s s and
s s recovery ssroom
ANS: C
In s s the s s traditional s s hospital s s setting, s s the s s mother s s may s s see s s the s s infant s s for
s s only s s short ssfeeding s s periods, s s and s s the s s infant s s is s s cared s s for s s in s s a s s separate
s s nursery. s s Birth s s centers s s are ssset s s up s s to s s allow s s an s s increase s s in s s parent–infant
s s contact. s s Home s s births s s allow s s the s s greatest ssamount s s of
parent–infant s s contact. ssThe sslabor, ssbirth, ssrecovery, ssand sspostpartum ssroom sssetting
, allows ssfor s s increased s s parent–infant s s contact.
ss
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing ssProcess
ssStep: ssPlanning s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
, 3. Which ssstatement ssbest ssdescribes ssthe ssadvantage ssof ssa sslabor, ssbirth, ssrecovery,
and s s postpartum s s (LDRP) s s room?
ss
a. The s s family s s is s s in s s a s s familiar s s environment.
b. They s s are s s less s s expensive s s than s s traditional s s hospital s s rooms.
c. The s s infant s s is s s removed s s to s s the s s nursery ssto s s allow s s the
s s mother s s to ssrest.
d. The sswoman‘s s s support s s system s s is s s encouraged s s to
s s stay ssuntil ssdischarge.
ANS: D
Sleeping s s equipment s s is s s provided s s in s s a s s private s s room. s s A s s hospital s s setting s s is
s s never s s a ssfamiliar s s environment s s to s s new s s parents. s s An s s LDRP s s room s s is s s not
s s less s s expensive s s than s s a sstraditional s s hospital s s room. s s The s s baby s s remains s s with
s s the s s mother s s at s s all s s times s s and s s is s s not ssremoved s s to s s the s s nursery ssfor s s routine
s s care s s or s s testing. s s The s s father s s or s s other s s designated ssmembers s s of s s the
s s mother‘s s s support s s system s s are s s encouraged s s to s s stay s s at s s all s s times.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing ssProcess
ssStep: ssAssessment s s MSC: Patient s s Needs: s s Health
s s Promotion s s and s s Maintenance
4. Which s s nursing s s intervention s s is s s an s s independent s s function s s of s s the s s professional
s s nurse?
a. Administering s s oral s s analgesics
b. Requesting s s diagnostic s s studies
c. Teaching s s the s s patient s s perineal s s care
d. Providing sswound s s care ssto s s a
sssurgical ssincision
ANS: C
Nurses s s are s s now s s responsible s s for s s various s s independent s s functions, s s including
s s teaching, sscounseling, s s and s s intervening s s in s s nonmedical s s problems. s s Interventions
s s initiated s s by s s the ssphysician s s and s s carried s s out s s by ssthe s s nurse ssare sscalled
s s dependent s s functions. s s Administrating ssoral s s analgesics s s is s s a s s dependent
s s function; s s it s s is s s initiated s s by s s a s s physician s s and s s carried s s out ssby ssa s s nurse.
s s Requesting s s diagnostic s s studies s s is s s a s s dependent s s function. s s Providing s s wound
sscare s s is s s a s s dependent s s function; s s however, s s the s s physician s s prescribes s s the
s s type s s of s s wound sscare s s through s s direct s s orders s s or s s protocol.
DIF: Cognitive s s Level: s s Understanding OBJ: Nursing ssProcess ssStep:
ssAssessment s s MSC: Patient s s Needs: s s Safe s s and s s Effective s s Care
s s Environment
5. Which ssresponse ssby ssthe ssnurse ssis ssthe ssmost sstherapeutic sswhen ssthe sspatient ssstates,
ss ―I‘m ssso ssafraid s s to s s have s s a s s cesarean s s birth‖?
a. ―Everything sswill ssbe ssOK.‖
b. ―Don‘t ssworry ssabout ssit. ss It sswill ssbe ssover sssoon.‖
c. ―What ssconcerns ss you ssmost ssabout ssa sscesarean ssbirth?‖
d. ―The ssphysician sswill ssbe ssin sslater ssand ssyou sscan
sstalk ssto sshim.‖
ANS: C
The s s response, s s ―What s s concerns s s you s s most s s about s s a s s cesarean s s birth‖
s s focuses s s on s s what ssthe s s patient s s is s s saying s s and s s asks s s for s s clarification, s s which
s s is s s the s s most s s therapeutic ssresponse. s s The s s response, ss―Everything sswill ssbe ssok‖ ssis
ssbelittling ssthe sspatient‘s ssfeelings. ssThe ssresponse, s s ―Don‘t s s worry s s about s s it. s s It
