FOUNDATIONS OF MATERNAL-
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1) Clinical Judgment and the Nursing Process
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A postpartum client 2 hours after birth tells the nurse, “I feel a
gush of fluid.” The pad is saturated with bright red blood, and
the uterus feels soft when palpated. What should the nurse do
first?
Options:
A. Massage the fundus firmly
B. Recheck vital signs in 15 minutes
,C. Prepare the client for discharge teaching
D. Place the client in a side-lying position
Correct Answer: A. Massage the fundus firmly
Rationale:
Correct: A boggy uterus with heavy bright red bleeding suggests
uterine atony, a common cause of postpartum hemorrhage. The
immediate nursing action is fundal massage to stimulate
contraction and reduce bleeding, then report the finding.
B: Waiting delays treatment of a potentially life-threatening
hemorrhage.
C: Discharge teaching is not a priority during active bleeding.
D: Side-lying may improve comfort, but it does not address the
cause of the bleeding.
Teaching Point:
A boggy uterus with heavy bleeding requires immediate action.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Part 1: Clinical Judgment and
the Nursing Process.
2) Clinical Judgment and the Nursing Process
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A laboring client says, “I want to be as active as possible during
,labor and avoid lying in bed.” Which response by the nurse is
best?
Options:
A. “Movement and upright positions may help you cope with
labor.”
B. “You will need to stay in bed once contractions become
regular.”
C. “Walking is not allowed during labor because it is unsafe.”
D. “You should wait for the provider to tell you how to labor.”
Correct Answer: A. “Movement and upright positions may help
you cope with labor.”
Rationale:
Correct: Supporting safe mobility and position changes is
consistent with choices in childbirth and helps promote comfort
and labor progress. This response respects the client’s
preferences and supports nonpharmacologic coping.
B: Bed rest is not automatically required in normal labor.
C: Ambulation is often safe when the client and fetus are stable.
D: The client is part of the decision-making process and can
express preferences.
Teaching Point:
Respect safe birth preferences and support mobility when
possible.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
, Women’s Health Nursing (8th ed.). Part 1: Clinical Judgment and
the Nursing Process.
3) Safety and Quality Within Women’s Health
Reference: Part 1 — Safety and Quality Within Women’s Health
Stem:
A newborn is brought back to the mother after routine care.
The mother says the infant “does not look like mine.” What is
the nurse’s best action?
Options:
A. Check the newborn identification bands with the mother
B. Explain that all newborns look alike
C. Ask the mother to wait until the next feeding
D. Tell the mother the nursery staff already verified identity
Correct Answer: A. Check the newborn identification bands
with the mother
Rationale:
Correct: Correct newborn identification is a major safety
priority. The nurse should verify the infant’s ID bands with the
mother immediately to ensure the correct baby is returned.
B: This dismisses a serious safety concern.
C: Delaying verification increases the risk of an identification
error.
D: The mother’s concern still requires immediate verification at
the bedside.
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1) Clinical Judgment and the Nursing Process
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A postpartum client 2 hours after birth tells the nurse, “I feel a
gush of fluid.” The pad is saturated with bright red blood, and
the uterus feels soft when palpated. What should the nurse do
first?
Options:
A. Massage the fundus firmly
B. Recheck vital signs in 15 minutes
,C. Prepare the client for discharge teaching
D. Place the client in a side-lying position
Correct Answer: A. Massage the fundus firmly
Rationale:
Correct: A boggy uterus with heavy bright red bleeding suggests
uterine atony, a common cause of postpartum hemorrhage. The
immediate nursing action is fundal massage to stimulate
contraction and reduce bleeding, then report the finding.
B: Waiting delays treatment of a potentially life-threatening
hemorrhage.
C: Discharge teaching is not a priority during active bleeding.
D: Side-lying may improve comfort, but it does not address the
cause of the bleeding.
Teaching Point:
A boggy uterus with heavy bleeding requires immediate action.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Part 1: Clinical Judgment and
the Nursing Process.
2) Clinical Judgment and the Nursing Process
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem:
A laboring client says, “I want to be as active as possible during
,labor and avoid lying in bed.” Which response by the nurse is
best?
Options:
A. “Movement and upright positions may help you cope with
labor.”
B. “You will need to stay in bed once contractions become
regular.”
C. “Walking is not allowed during labor because it is unsafe.”
D. “You should wait for the provider to tell you how to labor.”
Correct Answer: A. “Movement and upright positions may help
you cope with labor.”
Rationale:
Correct: Supporting safe mobility and position changes is
consistent with choices in childbirth and helps promote comfort
and labor progress. This response respects the client’s
preferences and supports nonpharmacologic coping.
B: Bed rest is not automatically required in normal labor.
C: Ambulation is often safe when the client and fetus are stable.
D: The client is part of the decision-making process and can
express preferences.
Teaching Point:
Respect safe birth preferences and support mobility when
possible.
Citation:
Murray, S. (2024). Foundations of Maternal-Newborn and
, Women’s Health Nursing (8th ed.). Part 1: Clinical Judgment and
the Nursing Process.
3) Safety and Quality Within Women’s Health
Reference: Part 1 — Safety and Quality Within Women’s Health
Stem:
A newborn is brought back to the mother after routine care.
The mother says the infant “does not look like mine.” What is
the nurse’s best action?
Options:
A. Check the newborn identification bands with the mother
B. Explain that all newborns look alike
C. Ask the mother to wait until the next feeding
D. Tell the mother the nursery staff already verified identity
Correct Answer: A. Check the newborn identification bands
with the mother
Rationale:
Correct: Correct newborn identification is a major safety
priority. The nurse should verify the infant’s ID bands with the
mother immediately to ensure the correct baby is returned.
B: This dismisses a serious safety concern.
C: Delaying verification increases the risk of an identification
error.
D: The mother’s concern still requires immediate verification at
the bedside.
