Test Bank Foundations of Maternal-Newborn and Women's Health Nursing, 8th Edition by Murray , All Chapters

TESTKBANKKFoundationsKofKMaternal-
NewbornKandKWomen'sKHealthKNursingK8thKEditionKByKSharonK
SmithKMurray

ChapterK1.KClinicalKJudgementKandKtheKNursingKProcess
FoundationsKofKMaternal-NewbornK&KWomen’sKHealthKNursing,K8thKEdition


MULTIPLEKCHOICE

1. AKnurseKeducatorKisKteachingKaKgroupKofKnursingKstudentsKaboutKtheKhistoryKofKfamily-
centeredKmaternityKcare.KWhichKstatementKshouldKtheKnurseKincludeKinKtheKteachingKse
ssion?
a. TheKSheppard-TownerKActKofK1921KpromotedKfamily-centeredKcare.
b. ChangesKinKpharmacologicKmanagementKofKlaborKpromptedKfamily-centeredKcare.
c. DemandsKbyKphysiciansKforKfamilyKinvolvementKinKchildbirthKincreasedKtheKpr
acticeKofKfamily-centeredKcare.
d. ParentalKrequestsKthatKinfantsKbeKallowedKtoKremainKwithKthemKratherKth
anKinKaKnurseryKinitiatedKtheKpracticeKofKfamily-centeredKcare.
ANS;K D
AsKresearchKbeganKtoKidentifyKtheKbenefitsKofKearly,KextendedKparent–
infantKcontact,KparentsKbeganKtoKinsistKthatKtheKinfantKremainKwithKthem.KThisKgradually
KdevelopedKintoKtheKpracticeKofKrooming-inKandKfinallyKtoKfamily-
centeredKmaternityKcare.KTheKSheppard-TownerKActKprovidedKfundsKforKstate-
managedKprogramsKforKmothersKandKchildrenKbutKdidKnotKpromote
family-
centeredKcare.KTheKchangesKinKpharmacologicKmanagementKofKlaborKwereKnotKaKfactorKin
Kfamily-centeredKmaternityKcare.KFamily-
centeredKcareKwasKaKrequestKbyKparents,KnotKphysicians.

DIF: CognitiveKLevel:KApplication
OBJ;KNursingKProcessKStep:KPlanningKMSC:K PatientKNeeds:KHealthK
PromotionKandKMaintenance

2. ExpectantKparentsKaskKaKprenatalKnurseKeducator,K“WhichKsettingKforKchildbirthKlim
itsKtheKamountKofKparent–
infantKinteraction?”KWhichKanswerKshouldKtheKnurseKprovideKforKtheseKparentsKinK
orderKtoKassistKthemKinKchoosingKanKappropriateKbirthKsetting?
a. BirthKcenter
b. HomeKbirth
c. TraditionalKhospitalKbirth
d. Labor,Kbirth,KandKrecoveryKroom

ANS;K C
InKtheKtraditionalKhospitalKsetting,KtheKmotherKmayKseeKtheKinfantKforKonlyKshortKfeedingK
periods,KandKtheKinfantKisKcaredKforKinKaKseparateKnursery.KBirthKcentersKareKsetKupKtoKal
lowKanKincreaseKinKparent–
infantKcontact.KHomeKbirthsKallowKtheKgreatestKamountKofKparent–
infantKcontact.KTheKlabor,Kbirth,Krecovery,KandKpostpartumKroomKsettingKallowsKforKincrea
sedKparent–infantKcontact.

DIF: CognitiveKLevel:KUnderstanding
OBJ;KNursingKProcessKStep:KPlanningKMSC:K PatientKNeeds:KHealthK

, PromotionKandKMaintenance

3. WhichKstatementKbestKdescribesKtheKadvantageKofKaKlabor,Kbirth,Krecovery,KandKpost
partumK(LDRP)Kroom?
a. TheKfamilyKisKinKaKfamiliarKenvironment.
b. TheyKareKlessKexpensiveKthanKtraditionalKhospitalKrooms.
c. TheKinfantKisKremovedKtoKtheKnurseryKtoKallowKtheKmotherKtoKrest.
d. TheKwoman’sKsupportKsystemKisKencouragedKtoKstayKuntilKdisch

arge.KANS;K D

, SleepingKequipmentKisKprovidedKinKaKprivateKroom.KAKhospitalKsettingKisKneverKaKfamilia
rKenvironmentKtoKnewKparents.KAnKLDRPKroomKisKnotKlessKexpensiveKthanKaKtraditionalK
hospitalKroom.KTheKbabyKremainsKwithKtheKmotherKatKallKtimesKandKisKnotKremovedKtoKt
heKnurseryKforKroutineKcareKorKtesting.KTheKfatherKorKotherKdesignatedKmembersKofKtheKm
other’sKsupportKsystemKareKencouragedKtoKstayKatKallKtimes.

DIF: CognitiveKLevel:KUnderstanding
OBJ;KNursingKProcessKStep:KAssessmentKMSC:K PatientKNeeds:KHealthK
PromotionKandKMaintenance

4. WhichKnursingKinterventionKisKanKindependentKfunctionKofKtheKprofessionalKnurse?
a. AdministeringKoralKanalgesics
b. RequestingKdiagnosticKstudies
c. TeachingKtheKpatientKperinealKcare
d. ProvidingKwoundKcareKtoKaKsurgicalKincision

ANS;K C
NursesKareKnowKresponsibleKforKvariousKindependentKfunctions,KincludingKteaching,Kcouns
eling,KandKinterveningKinKnonmedicalKproblems.KInterventionsKinitiatedKbyKtheKphysician
KandKcarriedKoutKbyKtheKnurseKareKcalledKdependentKfunctions.KAdministratingKoralKanalg
esicsKisKaKdependentKfunction;KitKisKinitiatedKbyKaKphysicianKandKcarriedKoutKbyKaKnurse
.KRequestingKdiagnosticKstudiesKisKaKdependentKfunction.KProvidingKwoundKcareKisKaKde
pendentKfunction;Khowever,KtheKphysicianKprescribesKtheKtypeKofKwoundKcareKthroughKdi
rectKordersKorKprotocol.

DIF: CognitiveKLevel:KUnderstanding
OBJ;KNursingKProcessKStep:KAssessmentKMSC:K PatientKNeeds:KSafeKan
dKEffectiveKCareKEnvironment

5. WhichKresponseKbyKtheKnurseKisKtheKmostKtherapeuticKwhenKtheKpatientKstates,K“I’mKsoK
afraidKtoKhaveKaKcesareanKbirth”?
a. “EverythingKwillKbeKOK.”
b. “Don’tKworryKaboutKit.KItKwillKbeKoverKsoon.”
c. “WhatKconcernsKyouKmostKaboutKaKcesareanKbirth?”
d. “TheKphysicianKwillKbeKinKlaterKandKyouKcanKtalkKtoKhim.”
ANS;K C
TheKresponse,K“WhatKconcernsKyouKmostKaboutKaKcesareanKbirth”KfocusesKonKwhatKtheKp
atientKisKsayingKandKasksKforKclarification,KwhichKisKtheKmostKtherapeuticKresponse.KThe
Kresponse,K“EverythingKwillKbeKok”KisKbelittlingKtheKpatient’sKfeelings.KTheKresponse,K“
Don’tKworryKaboutKit.KItKwillKbeKoverKsoon”KwillKindicateKthatKtheKpatient’sKfeelingsKare
KnotKimportant.KTheKresponse,K“TheKphysicianKwillKbeKinKlaterKandKyouKcanKtalkKtoKhim
”KdoesKnotKallowKtheKpatientKtoKverbalizeKherKfeelingsKwhenKsheKwishesKtoKdoKthat.

DIF: CognitiveKLevel:KApplication
OBJ;KNursingKProcessKStep:KImplementationKMSC:K PatientKNeeds:KPsychos
ocialKIntegrity

6. InKwhichKstepKofKtheKnursingKprocessKdoesKtheKnurseKdetermineKtheKappropriateKintervent
ionsKforKtheKidentifiedKnursingKdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention

KANS;K A

, TheKthirdKstepKinKtheKnursingKprocessKinvolvesKplanningKcareKforKproblemsKthatKwereKidentifi
edKduringKassessment.KTheKevaluationKphaseKisKdeterminingKwhetherKtheKgoalsKhaveKbeenKm
et.
DuringKtheKassessmentKphase,KdataKareKcollected.KTheKinterventionKphaseKisKwhenKtheKpl
anKofKcareKisKcarriedKout.

DIF: CognitiveKLevel:KUnderstanding
OBJ;KNursingKProcessKStep:KPlanningKMSC:K PatientKNeeds:KSafeKan
dKEffectiveKCareKEnvironment

7. WhichKgoalKisKmostKappropriateKforKtheKcollaborativeKproblemKofKwoundKinfection?
a. TheKpatientKwillKnotKexhibitKfurtherKsignsKofKinfection.
b. MaintainKtheKpatient’sKfluidKintakeKatK1000KmL/8Khour.
c. TheKpatientKwillKhaveKaKtemperatureKofK98.FKwithinK2Kdays.
d. MonitorKtheKpatientKtoKdetectKtherapeuticKresponseKtoKantibioticKtherapy.
ANS;K D
InKaKcollaborativeKproblem,KtheKgoalKshouldKbeKnurse-
orientedKandKreflectKtheKnursingKinterventionsKofKmonitoringKorKobserving.KMonitoringKf
orKcomplicationsKsuchKasKfurtherKsignsKofKinfectionKisKanKindependentKnursingKrole.KInt
akeKandKoutputKisKanKindependentKnursingKrole.KMonitoringKaKpatient’sKtemperatureKisK
anKindependentKnursingKrole.

DIF: CognitiveKLevel:KApplication
OBJ;KNursingKProcessKStep:KPlanningKMSC:K PatientKNeeds:KSafeKan
dKEffectiveKCareKEnvironment

8. WhichKnursingKinterventionKisKwrittenKcorrectly?
a. ForceKfluidsKasKnecessary.
b. ObserveKinteractionKwithKtheKinfant.
c. EncourageKturning,Kcoughing,KandKdeepKbreathing.
d. AssistKtoKambulateKforK10KminutesKatK8KAM,K2KPM,KandK6KPM.
ANS;K D
InterventionsKmightKnotKbeKcarriedKoutKifKtheyKareKnotKdetailedKandKspecific.K“ForceKflui
ds”KisKnotKspecific;KitKdoesKnotKstateKhowKmuchKorKhowKoften.KEncouragingKtheKpatientK
toKturn,Kcough,KandKbreatheKdeeplyKisKnotKdetailedKorKspecific.KObservingKinteractionKwi
thKtheKinfantKdoesKnotKstateKhowKoftenKthisKprocedureKshouldKbeKdone.KAssistingKtheKpa
tientKtoKambulateKforK10KminutesKwithinKaKcertainKtimeframeKisKspecific.

DIF: CognitiveKLevel:KApplication
OBJ;KNursingKProcessKStep:KPlanningKMSC:K PatientKNeeds:KSafeKan
dKEffectiveKCareKEnvironment

9. TheKpatientKmakesKtheKstatement:K“I’mKafraidKtoKtakeKtheKbabyKhomeKtomorrow.”
KWhichKresponseKbyKtheKnurseKwouldKbeKtheKmostKtherapeutic?
a. “You’reKafraidKtoKtakeKtheKbabyKhome?”
b. “Don’tKyouKhaveKaKmotherKwhoKcanKcomeKandKhelp?”
c. “YouKshouldKreadKtheKliteratureKIKgaveKyouKbeforeKyouKleave.”
d. “IKwasKscaredKwhenKIKtookKmyKfirstKbabyKhome,KbutKeverythingKworke
dKout.”KANS;K A