Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. J Y. Y. Y.
FoundationsofMaternal-NewbornandWomen'sHealth Y. Y. Y. Y. Y. Y
. Nursing 8th Edition Murray Tes Bank All Chapters Y. Y. Y. Y. J Y. Y. Y.
Chapter01:Maternity andWomen’sHealthCareToday
Y. Y. Y. Y. Y. Y. Y
.
FoundationsofMaternal-Newborn&Women’sHealthNursing, 8thEdition Y
. Y. Y
. Y. Y. Y
. Y. Y
.
MULTIPLECHOICE Y.
1. A nurse educator is teaching a group of nursing students about the history of family-centered
Y. J Y. J Y. J Y. J
Y. J Y. J
Y. J Y. J Y. J Y. J Y. J Y. J
Y. JY. J Y
.maternity care. Which statement should the nurse include in the teaching session? J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
a. The Sheppard-Towner Act of 1921 promoted family-centered care. JY. J Y. J Y. JY. JY. J Y. J Y.
b. Changes in pharmacologic management of labor prompted family-centered care. J Y. J Y. J
Y. J Y. J Y. J Y. JY. J Y.
c. Demands by physicians for family involvement in childbirth increased the practice of J
Y. J Y
. J
Y. J Y. JY. J
Y. J
Y. J Y. JY. J Y. J Y. J Y
.family-centered care. J Y.
d. Parental requests that infants be allowed to remain with them rather than in a J Y. J
Y. JY. J
Y. J Y. J
Y. J
Y. J Y. J
Y. J Y. J Y. J
Y. JY. J Y
.nursery initiated the practice of family-centered care. J Y. J Y. J Y. J Y. J Y. J Y.
ANS: D J Y .
As research began to identify the benefits of early, extended parent–infant contact, parents
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.began to insist that the infant remain with them. This gradually developed into the practice of
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided J
Y. J Y. JY. J Y. J
Y. J Y. J Y. JY. J
Y. J
Y. J Y
.funds for state-managed programs for mothers and children but did not promote
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
family-centered care. The changes in pharmacologic management of labor were not a factor in JY. J Y. J Y. J
Y. J Y. J Y. JY. J
Y. J Y. J Y. JY. J Y. J
Y. J Y
.family-centered maternity care. Family-centered care was a request by parents, not physicians. J Y. J
Y. J Y. J Y. JY. J Y. J
Y. J Y. J
Y. J Y. J
Y.
DIF: Cognitive Level: Application J Y. J Y. OBJ: Nursing Process Step: Planning J Y. J
.
Y J
.
Y J
Y. J Y
.MSC: Patient Needs: Health Promotion and Maintenance
J Y . J Y. J Y. J Y. J Y. J Y.
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
N R I G B.C JY. J Y. J Y. J Y. J
Y. J Y. JY. J
Y. JY. J
Y. J
Y.
amount of parent–infant interacUtionS? ‖ N
WhT Oer should the nurse provide for these parents
ich answ J
Y. JY. J Y. J
Y. J Y . J Y. J Y. J
Y. J Y. J Y. J
Y. J
Y. J Y
.in order to assist them in choosing an appropriate birth setting?
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
a. Birth center J Y.
b. Home birth JY.
c. Traditional hospital birth J Y. J
Y.
Tes Bank
J Y. Page 1 Y.
, Foundations of Maternal-Newborn and Women's Health Nursing8th Edition Murray Tes Bank All Chapters
Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. J Y. Y. Y.
d. Labor, birth, and recovery room J Y. J Y. J Y. J Y.
ANS: C J Y .
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
J
Y. J Y. J Y. J Y. J Y. J Y. J
Y. J
Y. J Y. J Y. J Y. J
Y. J
Y. J Y. J
Y. J Y
.and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J
Y. J Y. JY. J Y. J Y. J
Y. J
Y. J Y. J
Y. J
Y. J
Y. J Y
.parent–infant contact. Home births allow the greatest amount of parent–infant contact. The J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.labor, birth, recovery, and postpartum room setting allows for increased parent–infant contact.
JY. J
Y. J Y. J Y. J Y. J
Y. J Y. J
Y. J
Y. J
Y. J Y.
DIF: Cognitive Level: Understanding J Y. J Y. OBJ: Nursing Process Step: Planning J Y. J.
Y J .
Y J Y. J Y
.MSC: Patient Needs: Health Promotion and Maintenance
J Y . J Y. J Y. J Y. J Y. J Y.
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
J
Y. J Y. J Y. J Y. J
Y. J Y. J Y. J
Y. J Y. JY. J Y. J Y. J Y
.(LDRP) room? J Y.
a. The family is in a familiar environment. J
Y. J Y. J Y. J Y. JY. J Y.
b. They are less expensive than traditional hospital rooms. J Y. J
Y. J Y. J Y. J Y . J Y. J Y.
c. The infant is removed to the nursery to allow the mother to rest.
J
Y. J Y. JY. J Y. J Y . J
Y. JY. J Y. J Y. J Y. JY. J Y.
d. The woman‘s support system is encouraged to stay until discharge.
J
Y. J
Y. J Y. JY. J Y. J Y. J
Y. J Y. J Y.
ANS: D J Y .
Sleeping equipment is provided in a private room. A hospital setting is never a familiar
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.environment to new parents. An LDRP room is not less expensive than a traditional hospital J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.room. The baby remains with the mother at all times and is not removed to the nursery for
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.routine care or testing. The father or other designated members of the mother‘s support system are
J Y. J Y. J
Y. J Y. J Y. J Y. J Y. J
Y. JY. J Y. J
Y. JY. J
Y. J Y. J Y. J Y
.encouraged to stay at all times. J Y. J Y. J Y . J Y. J Y.
DIF: Cognitive Level: Understanding J Y. J Y. OBJ: Nursing Process Step: Assessment J Y. J.
Y J Y
. J .
Y J Y
.MSC: Patient Needs: Health Promotion and Maintenance
J Y . J Y. J Y. J Y. J Y. J Y.
4. Which nursing intervention is an independent function of the professional nurse?
J
Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J
Y. J Y .
a. Administering oral analgesics JY
. JY.
b. Requesting diagnostic studies J Y. J Y.
c. Teaching the patient perineal care J Y. J Y. J Y. J Y.
d. Providing wound care to a surgical incision JY. JY. J Y. J Y . J
Y. J Y.
ANS: C J Y .
Nurses are now responsible for various independent functions, including teaching, counseling,
JY. J
Y. J
Y. J
Y. J
Y. J Y. J
Y. J Y. J Y. J Y.
and intervening in nonmedical problems. Interventions initiated by the physician and carried
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
J
Y. J Y. J
Y. J Y. J Y. J
Y. J Y. J Y. J
Y. J Y. J Y. J
Y. J Y. J Y
Tes Bank
J Y. Page 2 Y.
, Foundations of Maternal-Newborn and Women's Health Nursing8th Edition Murray Tes Bank All Chapters
Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. J Y. Y. Y.
.function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y . J Y. J Y. J Y. J Y. J Y
.is a dependent function. Providing wound care is a dependent function; however, the physician
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.prescribes the type of wound care through direct orders or protocol. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
DIF: Cognitive Level: Understanding J Y. J Y. OBJ: Nursing Process Step: Assessment J Y. J
.
Y J Y
. J.
Y J Y
.MSC: Patient Needs: Safe and Effective Care Environment
J Y . J Y. J Y. J Y. J Y. J Y. J Y.
5. Which response bythe nurse is the most therapeutic when the patient states, ―I‘m so afraid to have
J .
Y J
.
Y J
.
Y J Y
. J.
Y JY
. J
.
Y J Y
. J
Y
. J Y
. J
Y
. J
Y. J
Y
. J Y
. J
.
Y J Y
. J Y. J Y
.a cesarean birth‖?
J Y. J Y.
a. ―Everything will be OK.‖ J Y . J Y . J Y .
b. ―Don‘t worryabout it. It will be over soon.‖ J
Y
. JY
. J
Y
. JY
. J Y. J
Y
. J .
Y J Y
.
c. ―What concerns you most about a cesarean birth?‖ J
.
Y J Y. J Y
. J
Y
. J Y
. J
Y
. J
Y
.
d. ―The physician will be in later and you can talk to him.‖ J
.
Y J
.
Y J Y
. J
.
Y J
.
Y J Y
. J
Y. JY
. J
.
Y J
.
Y J Y
.
ANS: C J Y .
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is saying
J
.
Y JY. J Y
. J Y. J Y
. JY. J
Y. J
.
Y J
Y. JY
. J
Y
. J
Y. J Y
. J
Y
. J
Y
. J Y. J Y
.and asks for clarification, which is the most therapeutic response. The response,
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry about it. JY
. J
Y. J
Y. J Y
. J Y. J Y. J
Y. J Y. J Y. J
Y. J
Y. J
Y. J
Y
. J Y. J Y
. It will be over soon‖ will indicate that the patient‘s feelings are not important. The response,
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y . JY
―The physician will be in later and you can talk to him‖ does not allow the patient to verbalize her
. JY. J Y. J Y. J
Y. JY. J Y. JY. J Y. J Y. J
Y. J
Y. J
Y. JY. J Y. J Y. J
Y. J Y. J Y. J Y. J Y
.feelings when she wishes to do that. J Y. J Y. J Y. J Y. J Y. J Y.
DIF: Cognitive Level: Application J Y. J Y. OBJ: Nursing Process Step: Implementation J Y. J
.
Y J Y
. J Y
. J Y
.MSC: Patient Needs: Psychosocial Integrity J Y . J Y. J Y. J Y.
6. In which step of the nursing process does the nurse determine the appropriate interventions for the
J Y. J Y. J
Y. J
Y. JY. J
Y. JY. J
Y. J
Y. J Y. J
Y. J
Y. J
Y. J Y. J Y. J Y
.identified nursing diagnosis? J Y. J Y.
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A J Y .
The third step in the nursing process involves planning care for problems that were identified during
JY. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. JY. J
Y. J Y. J Y. J Y. J Y. J Y
.assessment. The evaluation phase is determining whether the goals have been met. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
During the assessment phase, data are collected. The intervention phase is when the plan of care is
J Y. J Y. J Y. J
Y. J Y. J Y. J Y. J
Y. J
Y. J Y. J Y. J Y. J Y. J
Y. J Y. J Y. J Y
.carried out. J Y.
Tes Bank
J Y. Page 3 Y.
, Foundations of Maternal-Newborn and Women's Health Nursing8th Edition Murray Tes Bank All Chapters
Y. Y. Y. Y. Y. Y. Y. Y. Y. Y. J Y. Y. Y.
DIF: Cognitive Level: Understanding J Y. J Y. OBJ: Nursing Process Step: Planning J Y. J
.
Y J.
Y J
Y. J Y
.MSC: Patient Needs: Safe and Effective Care Environment
J Y . J Y. J Y. J Y. J Y. J Y. J Y.
7. Which goal is most appropriate for the collaborative problem of wound infection?
J Y. J Y. JY. J Y. J Y. J Y. J Y. JY. J
Y. J
Y. J
Y.
a. The patient will not exhibit further signs of infection. JY. J Y. J Y. J Y. J
Y. J Y. J Y. J Y.
b. Maintain the patient‘s fluid intake at 1000 mL/8 hour. J
Y. J
Y. JY. J Y. J
Y. J Y. JY. J Y.
c. The patient will have a temperature of 98.6F within 2 days. JY. J Y. J Y. J
Y. JY. JY. J Y. JY. J Y. J Y.
d. Monitor the patient to detect therapeutic response to antibiotic therapy. J
Y. J
Y. J Y. J Y. J
Y. J
Y. J Y. J Y. J Y.
ANS: D J Y .
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.interventions of monitoring or observing. Monitoring for complications such as further signs of J Y. JY. J Y. J Y. J
Y. J
Y. J Y. J Y. JY. J Y. J
Y. J Y. J
Y
infection is an independent nursing role. Intake and output is an independent nursing role.
. J
Y. J
Y. J Y. J Y. J Y. J Y. J Y. J
Y. J Y. J
Y. J Y. J
Y. J Y. J Y
.Monitoring a patient‘s temperature is an independent nursing role. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y.
DIF: Cognitive Level: Application J Y. J Y. OBJ: Nursing Process Step: Planning J Y. J
.
Y J.
Y J
Y. J Y
.MSC: Patient Needs: Safe and Effective Care Environment
J Y . J Y. J Y. J Y. J Y. J Y. J Y.
8. Which nursing intervention is written correctly? J Y. J Y. J Y. J Y. J Y.
a. Force fluids as necessary. J
Y. J Y. J Y.
b. Observe interaction with the infant. J Y. J Y. J Y. J Y.
c. Encourage turning, coughing, and deep breathing. J Y. J Y. J
Y. J Y. J Y.
d. Assist to ambulate for 10NmUinRuS
teIatG
sN 8TAB
M.,C
2OM, and 6 PM.
PM J
Y. J Y. J
Y. JY. J
Y. J
.
Y J
.
Y J Y . J Y. J Y.
ANS: D J Y .
Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖ is J Y. J Y. J Y. J Y. J Y. J Y. J Y. J
Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.not specific; it does not state how much or how often. Encouraging the patient to turn, cough, and
J
Y. J Y. J Y. J Y. J Y. J
Y. J
Y. J
Y. J Y. J Y. J Y. JY. J
Y. J Y. J Y. JY. J Y. J Y
.breathe deeply is not detailed or specific. Observing interaction with the infant does not state
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.how often this procedure should be done. Assisting the patient to ambulate for 10 minutes
J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y. J Y
.within a certain timeframe is specific. J Y. J Y. J Y. J Y. J Y.
Tes Bank
J Y. Page 4 Y.