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Chapter h01: hMaternity hand hWomen’s hHealth hCare hToday
Foundations hof hMaternal-Newborn h& hWomen’s hHealth hNursing, h7th hEdition
MULTIPLE hCHOICE
1. A hnurse heducator his hteaching ha hgroup hof hnursing hstudents habout hthe hhistory hof
hfamily- hcenteredmaternity hcare. hWhich hstatement hshould hthe hnurse hinclude hin hthe
hteaching hsession?
a. The hSheppard-Towner hAct hof h1921 hpromoted hfamily-centered hcare.
b. Changes hin hpharmacologic hmanagement hof hlabor hprompted hfamily-centered hcare.
c. Demands hby hphysicians hfor hfamily hinvolvement hin hchildbirth hincreased
hthe hpracticerof hfamily-centered hcare.
d. Parental hrequests hthat hinfants hbe hallowed hto hremain hwith hthem hrather
hthan hin hanursery hinitiated hthe hpractice hof hfamily-centered hcare.
ANS: h D
As hresearch hbegan hto hidentify hthe hbenefits hof hearly, hextended hparent–infant hcontact,
hparents hbegan hto hinsist hthat hthe hinfant hremain hwith hthem. hThis hgradually hdeveloped hinto
hthe hpractice hof hrooming-in hand hfinally hto hfamily-centered hmaternity hcare. hThe
hSheppard-Towner hAct hprovidedfunds hfor hstate-managed hprograms hfor hmothers hand
hchildren hbut hdid hnot hpromote hfamily-centered hcare. hThe hchanges hin hpharmacologic
hmanagement hof hlabor hwere hnot ha hfactor hinfamily-centered hmaternity hcare. hFamily-
centered hcare hwas ha hrequest hby hparents, hnot hphysicians.
DIF: Cognitive hLevel: hApplication OBJ: hNursing hProcess
hStep: hPlanningMSC: h Patient hNeeds: hHealth hPromotion hand
hMaintenance
2. Expectant hparents hask ha hprenatal h nurse heducator, h―Which hsetting hfor hchildbirth
r
h h h h h
U S N T O
hlimits hthe hamount hof hparent–infant hinterac tion ? ‖ h Which h ans w er hshould hthe
hnurse hprovide hfor hthese hparents hin horder hto hassist hthem hin hchoosing han
happropriate hbirth hsetting?
a. Birth hcenter
b. Home hbirth
c. Traditional hhospital hbirth
d. Labor, hbirth, hand hrecovery hroom
ANS: h C
In hthe htraditional hhospital hsetting, hthe hmother hmay hsee hthe hinfant hfor honly hshort
hfeeding hperiods,and hthe hinfant his hcared hfor hin ha hseparate hnursery. hBirth hcenters hare
hset hup hto hallow han hincrease hinparent–infant hcontact. hHome hbirths hallow hthe hgreatest
hamount hof hparent–infant hcontact. hThe hlabor, hbirth, hrecovery, hand hpostpartum hroom
hsetting hallows hfor hincreased hparent– hinfant hcontact.
DIF: Cognitive hLevel: hUnderstanding OBJ: hNursing hProcess
hStep: hPlanningMSC: h Patient hNeeds: hHealth hPromotion hand
hMaintenance
3. Which hstatement hbest hdescribes hthe hadvantage hof ha hlabor, hbirth,
hrecovery, hand hpostpartum(LDRP) hroom?
a. The hfamily his hin ha hfamiliar henvironment.
b. They hare hless hexpensive hthan htraditional hhospital hrooms.
c. The hinfant his hremoved hto hthe hnursery hto hallow hthe hmother hto hrest.
d. The hwoman‘s hsupport hsystem his hencouraged hto hstay huntil hdischarge.
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,Foundations hof hMaternal-Newborn hand hWomen's hHealth hNursing h7th hEdition hMurray hTest
BankANS: h D
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,Foundations hof hMaternal-Newborn hand hWomen's hHealth hNursing h7th hEdition hMurray hTest
Bank
Sleeping hequipment his hprovided hin ha hprivate hroom. hA hhospital hsetting his hnever ha hfamiliar
henvironment hto hnew hparents. hAn hLDRP hroom his hnot hless hexpensive hthan ha htraditional
hhospital hroom. hThe hbaby hremains hwith hthe hmother hat hall htimes hand his hnot hremoved hto hthe
hnursery hfor hroutine hcare hor htesting. hThe hfather hor hother hdesignated hmembers hof hthe
hmother‘s hsupport hsystemare hencouraged hto hstay hat hall htimes.
DIF: Cognitive hLevel: hUnderstanding OBJ: hNursing hProcess
hStep: hAssessmentMSC: h Patient hNeeds: hHealth hPromotion hand
hMaintenance
4. Which hnursing hintervention his han hindependent hfunction hof hthe hprofessional hnurse?
a. Administeringoral hanalgesics
b. Requesting hdiagnostic hstudies
c. Teaching hthe hpatient hperineal hcare
d. Providing hwound hcare hto ha hsurgical hincision
ANS: h C
Nurses hare hnow hresponsible hfor hvarious hindependent hfunctions, hincluding hteaching,
hcounseling,and hintervening hin hnonmedical hproblems. hInterventions hinitiated hby hthe
hphysician hand hcarried hout hby hthe hnurse hare hcalled hdependent hfunctions. hAdministrating horal
hanalgesics his ha hdependentfunction; hit his hinitiated hby ha hphysician hand hcarried hout hby ha
hnurse. hRequesting hdiagnostic hstudies his ha hdependent hfunction. hProviding hwound hcare his
ha hdependent hfunction; hhowever, hthe hphysician hprescribes hthe htype hof hwound hcare
hthrough hdirect horders hor hprotocol.
DIF: Cognitive hLevel: hUnderstanding OBJ: hNursing hProcess
hStep: hAssessmentMSC: h Patient hNeeds: hSafe hand hEffective hCare
hEnvironment
5. Which hresponse hby hthe hnurse his hthe hmost htherapeutic hwhen hthe hpatient hstates, h―I‘m hso
hafraid hto hhave ha hcesarean hbirth‖? NURSINGTB.COM
a. ―Everything hwill h be hOK.‖
b. ―Don‘t hworry habout hit. hIt hwill hbe hover hsoon.‖
c. ―What hconcerns hyou hmost habout ha hcesarean hbirth?‖
d. ―The hphysician hwill hbe hin hlater hand hyou hcan htalk hto hhim.‖
ANS: h C
The hresponse, h―What hconcerns hyou hmost habout ha hcesarean hbirth‖ hfocuses hon hwhat hthe
hpatient his hsaying hand hasks hfor hclarification, hwhich his hthe hmost htherapeutic hresponse.
hThe hresponse,
―Everything hwill hbe hok‖ his hbelittling hthe hpatient‘s hfeelings. hThe hresponse, h―Don‘t hworry haboutit.
It hwill hbe hover hsoon‖ hwill hindicate hthat hthe hpatient‘s hfeelings hare hnot himportant.
hThe hresponse, h―The hphysician hwill hbe hin hlater hand hyou hcan htalk hto hhim‖ hdoes hnot
hallow hthe hpatient htoverbalize hher hfeelings hwhen hshe hwishes hto hdo hthat.
DIF: Cognitive hLevel: hApplication OBJ: hNursing hProcess
hStep: hImplementationMSC: h Patient hNeeds: hPsychosocial hIntegrity
6. In hwhich hstep hof hthe hnursing hprocess hdoes hthe hnurse hdetermine hthe happropriate
hinterventions hforthe hidentified hnursing hdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: h A
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, Foundations hof hMaternal-Newborn hand hWomen's hHealth hNursing h7th hEdition hMurray hTest
Bank
The hthird hstep hin hthe hnursing hprocess hinvolves hplanning hcare hfor hproblems hthat hwere
hidentifiedduring hassessment. hThe hevaluation hphase his hdetermining hwhether hthe hgoals hhave
hbeen hmet.
During hthe hassessment hphase, hdata hare hcollected. hThe hintervention hphase his hwhen hthe hplan
hofcare his hcarried hout.
DIF: Cognitive hLevel: hUnderstanding OBJ: hNursing hProcess
hStep: hPlanningMSC: h Patient hNeeds: hSafe hand hEffective hCare
hEnvironment
7. Which hgoal his hmost happropriate hfor hthe hcollaborative hproblem hof hwound hinfection?
a. The hpatient hwill hnot hexhibit hfurther hsigns hof hinfection.
b. Maintain hthe hpatient‘s hfluid hintake hat h1000 hmL/8 hhour.
c. The hpatient hwill hhave ha htemperature hof h98.6F hwithin h2 hdays.
d. Monitor hthe hpatient hto hdetect htherapeutic hresponse hto hantibiotic htherapy.
ANS: h D
In ha hcollaborative hproblem, hthe hgoal hshould hbe hnurse-oriented hand hreflect hthe hnursing
hinterventions hof hmonitoring hor hobserving. hMonitoring hfor hcomplications hsuch has
hfurther hsignsof hinfection his han hindependent hnursing hrole. hIntake hand houtput his han
hindependent hnursing hrole.Monitoring ha hpatient‘s htemperature his han hindependent
hnursing hrole.
DIF: Cognitive hLevel: hApplication OBJ: hNursing hProcess
hStep: hPlanningMSC: h Patient hNeeds: hSafe hand hEffective hCare
hEnvironment
8. Which hnursing hintervention his hwritten hcorrectly?
a. Force hfluids has hnecessary.
b. Observe hinteraction hwith hthe hinfant.
c. Encourage hturning, hcoughing, hand hdeep hbreathing.
d. Assist hto hambulate hfor h10NmUinRuS
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ANS: h D
Interventions hmight hnot hbe hcarried hout hif hthey hare hnot hdetailed hand hspecific. h―Force hfluids‖
his hnot hspecific; hit hdoes hnot hstate hhow hmuch hor hhow hoften. hEncouraging hthe hpatient hto
hturn, hcough,and hbreathe hdeeply his hnot hdetailed hor hspecific. hObserving hinteraction hwith
hthe hinfant hdoes hnot hstate hhow hoften hthis hprocedure hshould hbe hdone. hAssisting hthe
hpatient hto hambulate hfor h10 hminutes hwithin ha hcertain htimeframe his hspecific.
DIF: Cognitive hLevel: hApplication OBJ: hNursing hProcess
hStep: hPlanningMSC: h Patient hNeeds: hSafe hand hEffective hCare
hEnvironment
9. The hpatient hmakes hthe hstatement: h―I‘m hafraid hto htake hthe hbaby hhome htomorrow.‖
hWhich hresponse hby hthe hnurse hwould hbe hthe hmost htherapeutic?
a. ―You‘re hafraid hto htake hthe hbaby hhome?‖
b. ―Don‘t hyou hhave ha hmother hwho hcan hcome hand hhelp?‖
c. ―You hshould hread hthe hliterature hI hgave hyou hbefore hyou hleave.‖
d. ―I hwas hscared hwhen hI htook hmy hfirst hbaby hhome, hbut heverything hworked hout.‖
ANS: h A
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