,Chapter 01: Maternity and Women’s Health Care Today
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Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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MULTIPLE CHOICE fk
1. A nurse educator is teaching a group of nursing students about the history of family-
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centered 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. fk fk fk fk fk fk fk fk
c. Demands by physicians for family involvement in childbirth increased the practice o fk fk fk fk fk fk fk fk fk fk fk
f family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in a n
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ursery initiated the practice of family-centered care.
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ANS: D fk
As research began to identify the benefits of early, extended parent–
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infant contact, parents began to insist that the infant remain with them. This gradually develope
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d into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
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Towner Act provided funds for state- fk fk fk fk fk
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 family-
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centered maternity care. Family-centered care was a request by parents, not physicians.
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DIF: Cognitive Level: Application fk fk
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
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on and Maintenance
fk fk
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the a
N R I G
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mount of parent– fk fk
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infant int eracUt io S
n? ” N
WhT
ich B.
fk
Oer should the nurse provide for these parents in order t
answ fk f k fk fk fk fk fk fk fk fk fk fk
o assist them in choosing an appropriate birth setting?
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a. Birth center fk
b. Home birth fk
c. Traditional hospital birth fk fk
d. Labor, birth, and recovery room fk fk fk fk
ANS: C fk
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
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d the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in pare
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nt–infant contact. Home births allow the greatest amount of parent–
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infant contact. The labor, birth, recovery, and postpartum room setting allows for increased pare
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nt–infant contact. fk
DIF: Cognitive Level: Understanding fk fk
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
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on and Maintenance
fk fk
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (
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LDRP) room? fk
a. The family is in a familiar environment. fk fk fk fk fk fk
b. They are less expensive than traditional hospital rooms.fk fk fk fk fk fk fk
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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,ANS: D
fk
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environm
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ent to new parents. An LDRP room is not less expensive than a traditional hospital room. The ba
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by remains with the mother at all times and is not removed to the nursery for routine care or testin
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g. The father or other designated members of the mother’s support system are encouraged to stay a
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t all times.
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DIF: Cognitive Level: Understanding fk fk
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promoti fk fk fk fk fk f k fk fk fk
on 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 fk fk
b. Requesting diagnostic studies fk fk
c. Teaching the patient perineal care fk fk fk fk
d. Providing wound care to a surgical incision fk fk fk fk fk fk
ANS: C fk
Nurses are now responsible for various independent functions, including teaching, counseling, a
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nd intervening in nonmedical problems. Interventions initiated by the physician and carried ou
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t by the nurse are called dependent functions. Administrating oral analgesics is a dependent fun
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ction; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a
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dependent function. Providing wound care is a dependent function; however, the physician pre
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scribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding fk fk
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effect fk fk fk fk fk f k fk fk fk fk
ive Care Environment
fk fk
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to ha
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ve a cesarean birth”?
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. fk
a. “Everything will be OK.” fk fk fk
b. “Don’t worry about it. It will be over soon.” fk fk fk fk fk fk fk fk
c. “What concerns you most about a cesarean birth?” fk fk fk fk fk fk fk
d. “The physician will be in later and you can talk to him.” fk fk fk fk fk fk fk fk fk fk fk
ANS: C fk
The response, “What concerns you most about a cesarean birth” focuses on what the patient is s
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aying and asks for clarification, which is the most therapeutic response. The response, “Everyt
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hing will be ok” is belittling the patient’s feelings. The response, “Don’t worry about it. It will
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be over soon” will indicate that the patient’s feelings are not important. The response, “The phy
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sician will be in later and you can talk to him” does not allow the patient to verbalize her feelings
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when she wishes to do that.
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DIF: Cognitive Level: Application fk fk
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial I
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ntegrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for th
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e identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A fk
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Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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MULTIPLE CHOICE fk
1. A nurse educator is teaching a group of nursing students about the history of family-
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
centered maternity care. Which statement should the nurse include in the teaching session?
fk fk fk fk fk fk fk fk fk fk fk fk
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
fk fk fk fk fk fk fk
b. Changes in pharmacologic management of labor prompted family-centered care. fk fk fk fk fk fk fk fk
c. Demands by physicians for family involvement in childbirth increased the practice o fk fk fk fk fk fk fk fk fk fk fk
f family-centered care.
fk fk
d. Parental requests that infants be allowed to remain with them rather than in a n
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ursery initiated the practice of family-centered care.
fk fk fk fk fk fk
ANS: D fk
As research began to identify the benefits of early, extended parent–
fk fk fk fk fk fk fk fk fk fk
infant contact, parents began to insist that the infant remain with them. This gradually develope
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
d into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
fk fk fk fk fk fk fk fk fk fk fk fk fk
Towner Act provided funds for state- fk fk fk fk fk
managed programs for mothers and children but did not promote
fk fk fk fk fk fk fk fk fk
family-
centered care. The changes in pharmacologic management of labor were not a factor in family-
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
centered maternity care. Family-centered care was a request by parents, not physicians.
fk fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Application fk fk
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
fk fk fk fk fk f k fk fk fk
on and Maintenance
fk fk
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the a
N R I G
fk fk fk fk fk fk fk fk fk fk fk fk fk
mount of parent– fk fk
f k f k f k f k
infant int eracUt io S
n? ” N
WhT
ich B.
fk
Oer should the nurse provide for these parents in order t
answ fk f k fk fk fk fk fk fk fk fk fk fk
o assist them in choosing an appropriate birth setting?
fk fk fk fk fk fk fk fk
a. Birth center fk
b. Home birth fk
c. Traditional hospital birth fk fk
d. Labor, birth, and recovery room fk fk fk fk
ANS: C fk
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
d the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in pare
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
nt–infant contact. Home births allow the greatest amount of parent–
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infant contact. The labor, birth, recovery, and postpartum room setting allows for increased pare
fk fk fk fk fk fk fk fk fk fk fk fk fk
nt–infant contact. fk
DIF: Cognitive Level: Understanding fk fk
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
fk fk fk fk fk f k fk fk fk
on and Maintenance
fk fk
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (
fk fk fk fk fk fk fk fk fk fk fk fk fk
LDRP) room? fk
a. The family is in a familiar environment. fk fk fk fk fk fk
b. They are less expensive than traditional hospital rooms.fk fk fk fk fk fk fk
c. The infant is removed to the nursery to allow the mother to rest.
fk fk fk fk fk fk fk fk fk fk fk fk
d. The woman’s support system is encouraged to stay until discharge.
fk fk fk fk fk fk fk fk fk
,ANS: D
fk
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environm
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ent to new parents. An LDRP room is not less expensive than a traditional hospital room. The ba
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
by remains with the mother at all times and is not removed to the nursery for routine care or testin
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
g. The father or other designated members of the mother’s support system are encouraged to stay a
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
t all times.
fk fk
DIF: Cognitive Level: Understanding fk fk
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promoti fk fk fk fk fk f k fk fk fk
on and Maintenance
fk fk
4. Which nursing intervention is an independent function of the professional nurse?
fk fk fk fk fk fk fk fk fk fk
a. Administering oral analgesics fk fk
b. Requesting diagnostic studies fk fk
c. Teaching the patient perineal care fk fk fk fk
d. Providing wound care to a surgical incision fk fk fk fk fk fk
ANS: C fk
Nurses are now responsible for various independent functions, including teaching, counseling, a
fk fk fk fk fk fk fk fk fk fk fk
nd intervening in nonmedical problems. Interventions initiated by the physician and carried ou
fk fk fk fk fk fk fk fk fk fk fk fk
t by the nurse are called dependent functions. Administrating oral analgesics is a dependent fun
fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ction; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk f
dependent function. Providing wound care is a dependent function; however, the physician pre
k fk fk fk fk fk fk fk fk fk fk fk fk
scribes the type of wound care through direct orders or protocol.
fk fk fk fk fk fk fk fk fk fk
DIF: Cognitive Level: Understanding fk fk
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effect fk fk fk fk fk f k fk fk fk fk
ive Care Environment
fk fk
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to ha
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
ve a cesarean birth”?
fk fk
. fk
a. “Everything will be OK.” fk fk fk
b. “Don’t worry about it. It will be over soon.” fk fk fk fk fk fk fk fk
c. “What concerns you most about a cesarean birth?” fk fk fk fk fk fk fk
d. “The physician will be in later and you can talk to him.” fk fk fk fk fk fk fk fk fk fk fk
ANS: C fk
The response, “What concerns you most about a cesarean birth” focuses on what the patient is s
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
aying and asks for clarification, which is the most therapeutic response. The response, “Everyt
fk fk fk fk fk fk fk fk fk fk fk fk fk
hing will be ok” is belittling the patient’s feelings. The response, “Don’t worry about it. It will
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
be over soon” will indicate that the patient’s feelings are not important. The response, “The phy
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
sician will be in later and you can talk to him” does not allow the patient to verbalize her feelings
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk f
when she wishes to do that.
k fk fk fk fk fk
DIF: Cognitive Level: Application fk fk
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial I
fk fk fk fk fk f k fk fk fk
ntegrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for th
fk fk fk fk fk fk fk fk fk fk fk fk fk fk fk
e identified nursing diagnosis?
fk fk fk
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A fk
