TEST BANK FOR FOUNDATIONS OF MATERNAL-NEWBORN AND WOMEN’S HEALTH NURSING 8TH EDITION BY MURRAY

TEST BANK FOR
FOUNDATIONS OF MATERNAL-NEWBORN
AND WOMEN’S HEALTH NURSING
8TH EDITION
BY MURRAY

,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 gi




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.
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c. Demands by physicians for family involvement in childbirth increased the practice
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of family-centered care.
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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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ANS: D gi


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 develo
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ped into the practice of rooming-in and finally to family-
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centered maternity care. The Sheppard-Towner Act provided funds for state-
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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 gi gi


OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promo
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tion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
N R I G
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amount of parent–
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infant int eracUt io S
n? ‖ N
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ichB. Oer should the nurse provide for these parents in order
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to assist them in choosing an appropriate birth setting?
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a. Birth center gi


b. Home birth gi


c. Traditional hospital birth gi gi


d. Labor, birth, and recovery room gi gi gi gi




ANS: C gi


In the traditional hospital setting, the mother may see the infant for only short feeding periods,
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and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
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parent–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 par
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ent–infant contact. gi




DIF: Cognitive Level: Understanding gi gi


OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promo
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tion 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? gi


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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,ANS: D
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, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environ
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ment to new parents. An LDRP room is not less expensive than a traditional hospital room. The
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baby remains with the mother at all times and is not removed to the nursery for routine care or t
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esting. The father or other designated members of the mother’s support system are encouraged to
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stay at all times.
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DIF: Cognitive Level: Understanding gi gi


OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promo
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tion 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 gi gi


b. Requesting diagnostic studies gi gi


c. Teaching the patient perineal care gi gi gi gi


d. Providing wound care to a surgical incision gi gi gi gi gi gi




ANS: C gi


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
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out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
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function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studi
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es is a dependent function. Providing wound care is a dependent function; however, the physi
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cian prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding gi gi


OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effe
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ctive Care Environment gi gi




5. Which response by the nurse is the most therapeutic when the patient states, ―I’m so afraid to
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have a cesarean birth‖? gi
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a. ―Everything will be OK.‖ gi gi gi


b. ―Don’t worry about it. It will be over soon.‖ gi gi gi gi gi gi gi gi


c. ―What concerns you most about a cesarean birth?‖ gi gi gi gi gi gi gi


d. ―The physician will be in later and you can talk to him.‖
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ANS: C gi


The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is
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saying and asks for clarification, which is the most therapeutic response. The response, ―Ever
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ything will be ok‖ is belittling the patient’s feelings. The response, ―Don’t worry about it. It
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will be over soon‖ will indicate that the patient’s feelings are not important. The response, ―T
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he physician will be in later and you can talk to him‖ does not allow the patient to verbalize he
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r feelings when she wishes to do that.
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DIF: Cognitive Level: Application gi gi


OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial
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Integrity

6. In which step of the nursing process does the nurse determine the appropriate interventions for
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the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A gi