FOUNDATIONS OF MATERNAL-
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem: A postpartum client had an uncomplicated vaginal birth 2
hours ago. The LPN notes that the pad is saturated with bright
red blood and the fundus feels soft and boggy. The client says,
“I feel dizzy when I sit up.” What is the priority action?
A. Assist the client to walk to the bathroom
B. Notify the RN immediately
C. Reassure the client that bleeding is expected
D. Offer the client a warm blanket
,Correct Answer: B
Rationale — Correct Answer: Heavy bleeding, a boggy fundus,
and dizziness suggest postpartum hemorrhage. The LPN should
escalate the finding immediately so the RN can initiate
emergency management.
Rationale — A: Ambulation is unsafe because the client may
faint and bleeding may worsen.
Rationale — C: This is not expected postpartum bleeding and
requires urgent action.
Rationale — D: Comfort measures do not address the priority
problem.
Teaching Point: Boggy fundus plus heavy bleeding is an
emergency—report at once.
Citation: Murray, S. (8th ed.). Foundations of Maternal-
Newborn and Women’s Health Nursing. Part 1 — Clinical
Judgment and the Nursing Process.
2
Reference: Part 1 — Safety and Quality Within Women’s Health
Stem: A nurse is preparing a laboring client for transfer from
triage to the labor room. The client asks why staff keep checking
her identification band and matching it with the baby’s band
after birth. What is the best response?
A. “It is only needed if medication is given.”
B. “It helps prevent newborn identification errors.”
,C. “It is required only for cesarean births.”
D. “It is done to limit family visiting time.”
Correct Answer: B
Rationale — Correct Answer: Two identifiers and matching
bands are core safety practices to prevent wrong-patient and
wrong-newborn errors. This supports quality and safe maternity
care.
Rationale — A: Identification is needed for many care activities,
not only medications.
Rationale — C: Safety identification is required for all births.
Rationale — D: It has nothing to do with visiting time.
Teaching Point: Use two identifiers for every maternal-newborn
safety check.
Citation: Murray, S. (8th ed.). Foundations of Maternal-
Newborn and Women’s Health Nursing. Part 1 — Safety and
Quality Within Women’s Health.
3
Reference: Part 1 — Choices in Childbirth
Stem: A healthy pregnant client says she wants to stay mobile in
labor, use a birthing ball, and avoid an epidural unless
absolutely necessary. She asks the nurse to help support this
plan. What is the best nursing response?
A. “Those preferences are not appropriate for most hospital
births.”
, B. “I will document your preferences and share them with the
RN.”
C. “You should wait until delivery to decide what you want.”
D. “You must choose medication now in case labor becomes
painful.”
Correct Answer: B
Rationale — Correct Answer: The client’s preferences are part
of informed, patient-centered childbirth care. The LPN should
support the plan of care by documenting choices and
communicating them to the RN.
Rationale — A: Many comfort and mobility options are
acceptable when clinically safe.
Rationale — C: Birth preferences should be addressed before
labor progresses.
Rationale — D: Pain management decisions belong to the
client, not the staff.
Teaching Point: Respect birth preferences and communicate
them clearly to the team.
Citation: Murray, S. (8th ed.). Foundations of Maternal-
Newborn and Women’s Health Nursing. Part 1 — Choices in
Childbirth.
4
Reference: Part 1 — Current Factors Affecting Perinatal and
Women’s Health Care
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1
Reference: Part 1 — Clinical Judgment and the Nursing Process
Stem: A postpartum client had an uncomplicated vaginal birth 2
hours ago. The LPN notes that the pad is saturated with bright
red blood and the fundus feels soft and boggy. The client says,
“I feel dizzy when I sit up.” What is the priority action?
A. Assist the client to walk to the bathroom
B. Notify the RN immediately
C. Reassure the client that bleeding is expected
D. Offer the client a warm blanket
,Correct Answer: B
Rationale — Correct Answer: Heavy bleeding, a boggy fundus,
and dizziness suggest postpartum hemorrhage. The LPN should
escalate the finding immediately so the RN can initiate
emergency management.
Rationale — A: Ambulation is unsafe because the client may
faint and bleeding may worsen.
Rationale — C: This is not expected postpartum bleeding and
requires urgent action.
Rationale — D: Comfort measures do not address the priority
problem.
Teaching Point: Boggy fundus plus heavy bleeding is an
emergency—report at once.
Citation: Murray, S. (8th ed.). Foundations of Maternal-
Newborn and Women’s Health Nursing. Part 1 — Clinical
Judgment and the Nursing Process.
2
Reference: Part 1 — Safety and Quality Within Women’s Health
Stem: A nurse is preparing a laboring client for transfer from
triage to the labor room. The client asks why staff keep checking
her identification band and matching it with the baby’s band
after birth. What is the best response?
A. “It is only needed if medication is given.”
B. “It helps prevent newborn identification errors.”
,C. “It is required only for cesarean births.”
D. “It is done to limit family visiting time.”
Correct Answer: B
Rationale — Correct Answer: Two identifiers and matching
bands are core safety practices to prevent wrong-patient and
wrong-newborn errors. This supports quality and safe maternity
care.
Rationale — A: Identification is needed for many care activities,
not only medications.
Rationale — C: Safety identification is required for all births.
Rationale — D: It has nothing to do with visiting time.
Teaching Point: Use two identifiers for every maternal-newborn
safety check.
Citation: Murray, S. (8th ed.). Foundations of Maternal-
Newborn and Women’s Health Nursing. Part 1 — Safety and
Quality Within Women’s Health.
3
Reference: Part 1 — Choices in Childbirth
Stem: A healthy pregnant client says she wants to stay mobile in
labor, use a birthing ball, and avoid an epidural unless
absolutely necessary. She asks the nurse to help support this
plan. What is the best nursing response?
A. “Those preferences are not appropriate for most hospital
births.”
, B. “I will document your preferences and share them with the
RN.”
C. “You should wait until delivery to decide what you want.”
D. “You must choose medication now in case labor becomes
painful.”
Correct Answer: B
Rationale — Correct Answer: The client’s preferences are part
of informed, patient-centered childbirth care. The LPN should
support the plan of care by documenting choices and
communicating them to the RN.
Rationale — A: Many comfort and mobility options are
acceptable when clinically safe.
Rationale — C: Birth preferences should be addressed before
labor progresses.
Rationale — D: Pain management decisions belong to the
client, not the staff.
Teaching Point: Respect birth preferences and communicate
them clearly to the team.
Citation: Murray, S. (8th ed.). Foundations of Maternal-
Newborn and Women’s Health Nursing. Part 1 — Choices in
Childbirth.
4
Reference: Part 1 — Current Factors Affecting Perinatal and
Women’s Health Care
