,TEST BANK Foundations of Maternal-Newborn and Women's
Health Nursing 8th Edition By Sharon Smith Murray
Chapter 1. Clinical Judgement and the Nursing Process
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Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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MULTIPLE CHOICE j
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. j j j j j j j j
c. Demands by physicians for family involvement in childbirth increased the practice of j j j j j j j j j j j
family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in a j j j j j j j j j j j j j
nursery initiated the practice of family-centered care.
j j j j j j j
ANS: D j
As research began to identify the benefits of early, extended parent–infant contact, parents began
j j j j j j j j j j j j j
to insist that the infant remain with them. This gradually developed into the practice of rooming-
j j j j j j j j j j j j j j j j
in and finally to family-centered maternity care. The Sheppard-Towner Act provided funds for
j j j j j j j j j j j j
state-managed programs for mothers and children but did not promote
j j j j j j j j j j
family-centered care. The changes in pharmacologic management of labor were not a factor in j j j j j j j j j j j j j
family-centered maternity care. Family-centered care was a request by parents, not physicians.
j j j j j j j j j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Health Promotion and Maintenance
j j j j j j j
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
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amount of parent–infant interaction?‖ Which answer should the nurse provide for these
j j j j j j j j j j j j
parents in order to assist them in choosing an appropriate birth setting?
j j j j j j j j j j j j
a. Birth center j
b. Home birth j
c. Traditional hospital birth j 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
j j j j j j j j j j j j j j j j
the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent–
j j j j j j j j j j j j j j j j j j j j
infant contact. Home births allow the greatest amount of parent–infant contact. The labor, birth,
j j j j j j j j j j j j j
recovery, and postpartum room setting allows for increased parent–infant contact.
j j j j j j j j j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Health Promotion and Maintenance
j j j j j j j
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
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(LDRP) room?
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a. The family is in a familiar environment. j j j j j j
b. They are less expensive than traditional hospital rooms. j j j j j j j
c. The infant is removed to the nursery to allow the mother to rest.
j j j j j j j j j j j j
d. The woman‘s support system is encouraged to stay until discharge.
j j j j j j j j j
ANS: D j
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar
j j j j j j j j j j j j j j
environment to new parents. An LDRP room is not less expensive than a traditional hospital room.
j j j j j j j j j j j j j j j j
The baby remains with the mother at all times and is not removed to the nursery for routine care or
j j j j j j j j j j j j j j j j j j j j
testing. The father or other designated members of the mother‘s support system are encouraged to
j j j j j j j j j j j j j j j
stay at all times.
j j j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment j j j j j j
MSC: Patient Needs: Health Promotion and Maintenance
j j j j j j j
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,
j j j j j j j j j j
and intervening in nonmedical problems. Interventions initiated by the physician and carried out
j j j j j j j j j j j j j
by the nurse are called dependent functions. Administrating oral analgesics is a dependent
j j j j j j j j j j j j j
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
j j j j j j j j j j j j j j j j j
a dependent function. Providing wound care is a dependent function; however, the physician
j j j j j j j j j j j j j
prescribes the type of wound care through direct orders or protocol.
j j j j j j j j j j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to have
j j j j j j j j j j j j j j j j j
a cesarean birth‖?
j j j
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
ANS: C j
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is
j j j j j j j j j j j j j j j
saying and asks for clarification, which is the most therapeutic response. The response,
j j j j j j j j j j j j j
―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry about it. It
j j j j j j j j j j j j j j j j
will be over soon‖ will indicate that the patient‘s feelings are not important. The response, ―The
j j j j j j j j j j j j j j j j
physician will be in later and you can talk to him‖ does not allow the patient to verbalize her
j j j j j j j j j j j j j j j j j j j
feelings when she wishes to do that.
j j j j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation j j j j j j
MSC: Patient Needs: Psychosocial Integrity
j j j j j
6. In which step of the nursing process does the nurse determine the appropriate interventions for the
j j j j j j j j j j j j j j j
j identified nursing diagnosis? j j
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A j
, 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
j j j j j j j j j j j j j j j j
carried out.
j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
7. Which goal is most appropriate for the collaborative problem of wound infection?
j j j j j j j j j j j
a. The patient will not exhibit further signs of infection.
j j j j j j j j
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.F within 2 days.
j j j j j j j j j j
d. Monitor the patient to detect therapeutic response to antibiotic therapy. j j j j j j j j j
ANS: D j
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
j j j j j j j j j j j j
interventions of monitoring or observing. Monitoring for complications such as further signs of
j j j j j j j j j j j j j
infection is an independent nursing role. Intake and output is an independent nursing role.
j j j j j j j j j j j j j j
Monitoring a patient‘s temperature is an independent nursing role.
j j j j j j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
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 10 minutes at 8 AM, 2 PM, and 6 PM.
j j j j j j j j j j j j j
ANS: D j
Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖ is not j j j j j j j j j j j j j j j j
specific; it does not state how much or how often. Encouraging the patient to turn, cough, and
j j j j j j j j j j j j j j j j j
breathe deeply is not detailed or specific. Observing interaction with the infant does not state how
j j j j j j j j j j j j j j j j
often this procedure should be done. Assisting the patient to ambulate for 10 minutes within a
j j j j j j j j j j j j j j j j
certain timeframe is specific.
j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
j j j j j j j j j j j j j
response by the nurse would be the most therapeutic?
j j j j j j j j j
a. ―You‘re afraid to take the baby home?‖ j j j j j j
b. ―Don‘t you have a mother who can come and help?‖ j j j j j j j j j
c. ―You should read the literature I gave you before you leave.‖
j j j j j j j j j j
d. ―I was scared when I took my first baby home, but everything worked out.‖
j j j j j j j j j j j j j
ANS: A j
Health Nursing 8th Edition By Sharon Smith Murray
Chapter 1. Clinical Judgement and the Nursing Process
j j j j j j j
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
j j j j j j j j
MULTIPLE CHOICE j
1. A nurse educator is teaching a group of nursing students about the history of family-centered
j j j j j j j j j j j j j j
maternity care. Which statement should the nurse include in the teaching session?
j j j j j j j j j j j j
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
j j j j j j j
b. Changes in pharmacologic management of labor prompted family-centered care. j j j j j j j j
c. Demands by physicians for family involvement in childbirth increased the practice of j j j j j j j j j j j
family-centered care.
j j
d. Parental requests that infants be allowed to remain with them rather than in a j j j j j j j j j j j j j
nursery initiated the practice of family-centered care.
j j j j j j j
ANS: D j
As research began to identify the benefits of early, extended parent–infant contact, parents began
j j j j j j j j j j j j j
to insist that the infant remain with them. This gradually developed into the practice of rooming-
j j j j j j j j j j j j j j j j
in and finally to family-centered maternity care. The Sheppard-Towner Act provided funds for
j j j j j j j j j j j j
state-managed programs for mothers and children but did not promote
j j j j j j j j j j
family-centered care. The changes in pharmacologic management of labor were not a factor in j j j j j j j j j j j j j
family-centered maternity care. Family-centered care was a request by parents, not physicians.
j j j j j j j j j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Health Promotion and Maintenance
j j j j j j j
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
j j j j j j j j j j j j
amount of parent–infant interaction?‖ Which answer should the nurse provide for these
j j j j j j j j j j j j
parents in order to assist them in choosing an appropriate birth setting?
j j j j j j j j j j j j
a. Birth center j
b. Home birth j
c. Traditional hospital birth j 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
j j j j j j j j j j j j j j j j
the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent–
j j j j j j j j j j j j j j j j j j j j
infant contact. Home births allow the greatest amount of parent–infant contact. The labor, birth,
j j j j j j j j j j j j j
recovery, and postpartum room setting allows for increased parent–infant contact.
j j j j j j j j j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Health Promotion and Maintenance
j j j j j j j
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
j j j j j j j j j j j j
(LDRP) room?
j j
a. The family is in a familiar environment. j j j j j j
b. They are less expensive than traditional hospital rooms. j j j j j j j
c. The infant is removed to the nursery to allow the mother to rest.
j j j j j j j j j j j j
d. The woman‘s support system is encouraged to stay until discharge.
j j j j j j j j j
ANS: D j
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar
j j j j j j j j j j j j j j
environment to new parents. An LDRP room is not less expensive than a traditional hospital room.
j j j j j j j j j j j j j j j j
The baby remains with the mother at all times and is not removed to the nursery for routine care or
j j j j j j j j j j j j j j j j j j j j
testing. The father or other designated members of the mother‘s support system are encouraged to
j j j j j j j j j j j j j j j
stay at all times.
j j j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment j j j j j j
MSC: Patient Needs: Health Promotion and Maintenance
j j j j j j j
4. Which nursing intervention is an independent function of the professional nurse?
j j j j j j j j j j
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,
j j j j j j j j j j
and intervening in nonmedical problems. Interventions initiated by the physician and carried out
j j j j j j j j j j j j j
by the nurse are called dependent functions. Administrating oral analgesics is a dependent
j j j j j j j j j j j j j
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is
j j j j j j j j j j j j j j j j j
a dependent function. Providing wound care is a dependent function; however, the physician
j j j j j j j j j j j j j
prescribes the type of wound care through direct orders or protocol.
j j j j j j j j j j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to have
j j j j j j j j j j j j j j j j j
a cesarean birth‖?
j j j
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
ANS: C j
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is
j j j j j j j j j j j j j j j
saying and asks for clarification, which is the most therapeutic response. The response,
j j j j j j j j j j j j j
―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry about it. It
j j j j j j j j j j j j j j j j
will be over soon‖ will indicate that the patient‘s feelings are not important. The response, ―The
j j j j j j j j j j j j j j j j
physician will be in later and you can talk to him‖ does not allow the patient to verbalize her
j j j j j j j j j j j j j j j j j j j
feelings when she wishes to do that.
j j j j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation j j j j j j
MSC: Patient Needs: Psychosocial Integrity
j j j j j
6. In which step of the nursing process does the nurse determine the appropriate interventions for the
j j j j j j j j j j j j j j j
j identified nursing diagnosis? j j
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A j
, The third step in the nursing process involves planning care for problems that were identified during
j j j j j j j j j j j j j j j
assessment. The evaluation phase is determining whether the goals have been met.
j j j j j j j j j j j j
During the assessment phase, data are collected. The intervention phase is when the plan of care is
j j j j j j j j j j j j j j j j
carried out.
j j
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
7. Which goal is most appropriate for the collaborative problem of wound infection?
j j j j j j j j j j j
a. The patient will not exhibit further signs of infection.
j j j j j j j j
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.F within 2 days.
j j j j j j j j j j
d. Monitor the patient to detect therapeutic response to antibiotic therapy. j j j j j j j j j
ANS: D j
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
j j j j j j j j j j j j
interventions of monitoring or observing. Monitoring for complications such as further signs of
j j j j j j j j j j j j j
infection is an independent nursing role. Intake and output is an independent nursing role.
j j j j j j j j j j j j j j
Monitoring a patient‘s temperature is an independent nursing role.
j j j j j j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
8. Which nursing intervention is written correctly?
j j j j j
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 10 minutes at 8 AM, 2 PM, and 6 PM.
j j j j j j j j j j j j j
ANS: D j
Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖ is not j j j j j j j j j j j j j j j j
specific; it does not state how much or how often. Encouraging the patient to turn, cough, and
j j j j j j j j j j j j j j j j j
breathe deeply is not detailed or specific. Observing interaction with the infant does not state how
j j j j j j j j j j j j j j j j
often this procedure should be done. Assisting the patient to ambulate for 10 minutes within a
j j j j j j j j j j j j j j j j
certain timeframe is specific.
j j j j
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning j j j j j j
MSC: Patient Needs: Safe and Effective Care Environment
j j j j j j j j
9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
j j j j j j j j j j j j j
response by the nurse would be the most therapeutic?
j j j j j j j j j
a. ―You‘re afraid to take the baby home?‖ j j j j j j
b. ―Don‘t you have a mother who can come and help?‖ j j j j j j j j j
c. ―You should read the literature I gave you before you leave.‖
j j j j j j j j j j
d. ―I was scared when I took my first baby home, but everything worked out.‖
j j j j j j j j j j j j j
ANS: A j
