Foundations of Maternal-Newborn and Women's Health
Nursing 8th Edition Murray Tes Bank All Chapters J
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
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maternity care. Which statement should the nurse include in the teaching session?
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a. The Sheppard-Towner Act of 1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care.
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c. Demands by physicians for family involvement in childbirth increased the practice of
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family-centered care. J
d. Parental requests that infants be allowed to remain with them rather than in a
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nursery initiated the practice of family-centered care.
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As research began to identify the benefits of early, extended parent–infant contact, parents
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began to insist that the infant remain with them. This gradually developed into the practice of
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rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided
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funds for state-managed programs for mothers and children but did not promote
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family-centered care. The changes in pharmacologic management of labor were not a factor in
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family-centered maternity care. Family-centered care was a request by parents, not physicians.
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DIF: Cognitive Level: Application J J OBJ: Nursing Process Step: Planning
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MSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a p r e n a t a l n u r s e educator, ―Which setting for childbirth limits the
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amount of parent–infant interacUtionS? ‖ N
J J WhT Oer should the nurse provide for these parents in
ich answ J J J J J J J J J J J J
order to assist them in choosing an appropriate birth setting?
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a. Birth center J
b. Home birth J
c. Traditional hospital birth J J
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, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Tes Bank All Chapters J
d. Labor, birth, and recovery room J J J J
ANS: C J
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and
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the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent–
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infant contact. Home births allow the greatest amount of parent–infant contact. The labor, birth,
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recovery, and postpartum room setting allows for increased parent–infant contact.
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DIF: Cognitive Level: Understanding J J OBJ: Nursing Process Step: Planning
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MSC: Patient Needs: Health Promotion and Maintenance
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3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
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(LDRP) room? J
a. The family is in a familiar environment.
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b. They are less expensive than traditional hospital rooms.
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c. The infant is removed to the nursery to allow the mother to rest.
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d. The woman‘s support system is encouraged to stay until discharge.
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Sleeping equipment is provided in a private room. A hospital setting is never a familiar
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environment to new parents. An LDRP room is not less expensive than a traditional hospital
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room. The baby remains with the mother at all times and is not removed to the nursery for routine
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care or testing. The father or other designated members of the mother‘s support system are
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encouraged to stay at all times. J J J J J
DIF: Cognitive Level: Understanding J J OBJ: Nursing Process Step: Assessment
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MSC: Patient Needs: Health Promotion and Maintenance
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4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics J J
b. Requesting diagnostic studies J J
c. Teaching the patient perineal care J J J J
d. Providing wound care to a surgical incision J J J J J J
ANS: C J
Nurses are now responsible for various independent functions, including teaching, counseling,
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and intervening in nonmedical problems. Interventions initiated by the physician and carried out
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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 Tes Bank All Chapters J
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
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a dependent function. Providing wound care is a dependent function; however, the physician
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prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding J J OBJ: Nursing Process Step: Assessment
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MSC: Patient Needs: Safe and Effective Care Environment
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5. Which response bythe nurse is the most therapeutic when the patient states, ―I‘m so afraid to have
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a cesarean birth‖?
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a. ―Everything will be OK.‖ J J J
b. ―Don‘t worry about it. It will be over soon.‖ J J J J J J J J
c. ―What concerns you most about a cesarean birth?‖ J J J J J J J
d. ―The physician will be in later and you can talk to him.‖ J J J J J J J J J J J
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The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is saying
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and asks for clarification, which is the most therapeutic response. The response,
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―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry about it.
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It will be over soon‖ will indicate that the patient‘s feelings are not important. The response,
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―The physician will be in later and you can talk to him‖ does not allow the patient to verbalize her
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feelings when she wishes to do that. J J J J J J
DIF: Cognitive Level: Application J J OBJ: Nursing Process Step: Implementation
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MSC: Patient Needs: Psychosocial Integrity
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6. In which step of the nursing process does the nurse determine the appropriate interventions for the
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identified nursing diagnosis? J J
a. Planning
b. Evaluation
c. Assessment
d. Intervention
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The third step in the nursing process involves planning care for problems that were identified during
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assessment. The evaluation phase is determining whether the goals have been met.
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During the assessment phase, data are collected. The intervention phase is when the plan of care is
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carried out. J
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, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Tes Bank All Chapters J
DIF: Cognitive Level: Understanding J J OBJ: Nursing Process Step: Planning
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MSC: Patient Needs: Safe and Effective Care Environment
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7. Which goal is most appropriate for the collaborative problem of wound infection?
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a. The patient will not exhibit further signs of infection.
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b. Maintain the patient‘s fluid intake at 1000 mL/8 hour. J J J J J J J J
c. The patient will have a temperature of 98.6F within 2 days.
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d. Monitor the patient to detect therapeutic response to antibiotic therapy.
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In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
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interventions of monitoring or observing. Monitoring for complications such as further signs of
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infection is an independent nursing role. Intake and output is an independent nursing role.
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Monitoring a patient‘s temperature is an independent nursing role.
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DIF: Cognitive Level: Application J J OBJ: Nursing Process Step: Planning
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MSC: Patient Needs: Safe and Effective Care Environment
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8. Which nursing intervention is written correctly?
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a. Force fluids as necessary. J J J
b. Observe interaction with the infant. J J J J
c. Encourage turning, coughing, and deep breathing. J J J J J
d. Assist to ambulate for 10NmUinRuS
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2OM, and 6 PM.
PMJ J J J J J J J J J
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Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖ is not
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specific; it does not state how much or how often. Encouraging the patient to turn, cough, and
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breathe deeply is not detailed or specific. Observing interaction with the infant does not state
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how often this procedure should be done. Assisting the patient to ambulate for 10 minutes within
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a certain timeframe is specific.
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