,Table of Contents
Chapter 01 Clinical Judgement and the Nursing Process 1
Chapter 02 Social, Ethical, and Legal Issues 8
Chapter 03 Reproductive Anatomy and Physiology 21
Chapter 04 Hereditary and Environmental Influences on Childbearing 28
Chapter 05 Conception and Prenatal Development 36
Chapter 06 Maternal Adaptations to Pregnancy 43
Chapter 07 Antepartum Assessment, Care, and Education 55
Chapter 08 Nutrition for Childbearing 65
Chapter 09 Prenatal Diagnosis and Fetal Assessment During the Antepartum Period 76
Chapter 10 Complications of Pregnancy 87
Chapter 11 The Childbearing Family with Special Needs 106
Chapter 12 Processes of Birth 113
Chapter 13 Pain Management During Childbirth 126
Chapter 14 Intrapartum Fetal Surveillance 140
Chapter 15 Nursing Care During Labor and Birth 153
Chapter 16 Intrapartum Complications 172
Chapter 17 Postpartum Adaptations and Nursing Care 186
Chapter 18 Postpartum Maternal Complications 202
Chapter 19 Critical Care Obstetrics 215
Chapter 20 Normal Newborn-Processes of Adaptation 219
Chapter 21 Assessment of the Normal Newborn 228
Chapter 22 Care of the Normal Newborn 238
Chapter 23 Infant Feeding 253
Chapter 24 High-Risk Newborn Complications Associated with Gestational Age and
Development 265
Chapter 25 High-Risk Newborn-Acquired and Congenital Conditions 273
Chapter 26 Family Planning 280
Chapter 27 Infertility 289
Chapter 28 Women’s Health 294
,Chapter 01: Clinical Judgement and the Nursing Process
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse educator is teaching a group of nursing students about the history of family-centered
maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-centered care.
c. Demands by physicians for family involvement in childbirth increased the practice
of family-centered care.
d. Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care.
ANS: D
As research began to identify the benefits of early, extended parent–infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice of
rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided
funds for state-managed programs for mothers and children but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in
family-centered maternity care. Family-centered care was a request by parents, not physicians.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the
amount of parent–infant interaction?” Which answer should the nurse provide for these
parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
c. Traditional hospital birth
d. Labor, birth, and recovery room
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
parent–infant contact. Home births allow the greatest amount of parent–infant contact. The
labor, birth, recovery, and postpartum room setting allows for increased parent–infant contact.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
a. The family is in a familiar environment.
b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. The woman’s support system is encouraged to stay until discharge.
ANS: D
1|Page
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar
environment to new parents. An LDRP room is not less expensive than a traditional hospital
room. The baby remains with the mother at all times and is not removed to the nursery for
routine care or testing. The father or other designated members of the mother’s support system
are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
4. Which nursing intervention is an independent function of the professional nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the patient perineal care
d. Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
and intervening in nonmedical problems. Interventions initiated by the physician and carried
out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic
studies is a dependent function. Providing wound care is a dependent function; however, the
physician prescribes the type of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Safe and Effective Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
have a cesarean birth”?
a. “Everything will be OK.”
b. “Don’t worry about it. It will be over soon.”
c. “What concerns you most about a cesarean birth?”
d. “The physician will be in later and you can talk to him.”
ANS: C
The response, “What concerns you most about a cesarean birth” focuses on what the patient is
saying and asks for clarification, which is the most therapeutic response. The response,
“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry about
it. It will be over soon” will indicate that the patient’s feelings are not important. The
response, “The physician will be in later and you can talk to him” does not allow the patient to
verbalize her feelings when she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Psychosocial Integrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for
the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A
2|Page
Chapter 01 Clinical Judgement and the Nursing Process 1
Chapter 02 Social, Ethical, and Legal Issues 8
Chapter 03 Reproductive Anatomy and Physiology 21
Chapter 04 Hereditary and Environmental Influences on Childbearing 28
Chapter 05 Conception and Prenatal Development 36
Chapter 06 Maternal Adaptations to Pregnancy 43
Chapter 07 Antepartum Assessment, Care, and Education 55
Chapter 08 Nutrition for Childbearing 65
Chapter 09 Prenatal Diagnosis and Fetal Assessment During the Antepartum Period 76
Chapter 10 Complications of Pregnancy 87
Chapter 11 The Childbearing Family with Special Needs 106
Chapter 12 Processes of Birth 113
Chapter 13 Pain Management During Childbirth 126
Chapter 14 Intrapartum Fetal Surveillance 140
Chapter 15 Nursing Care During Labor and Birth 153
Chapter 16 Intrapartum Complications 172
Chapter 17 Postpartum Adaptations and Nursing Care 186
Chapter 18 Postpartum Maternal Complications 202
Chapter 19 Critical Care Obstetrics 215
Chapter 20 Normal Newborn-Processes of Adaptation 219
Chapter 21 Assessment of the Normal Newborn 228
Chapter 22 Care of the Normal Newborn 238
Chapter 23 Infant Feeding 253
Chapter 24 High-Risk Newborn Complications Associated with Gestational Age and
Development 265
Chapter 25 High-Risk Newborn-Acquired and Congenital Conditions 273
Chapter 26 Family Planning 280
Chapter 27 Infertility 289
Chapter 28 Women’s Health 294
,Chapter 01: Clinical Judgement and the Nursing Process
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse educator is teaching a group of nursing students about the history of family-centered
maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-centered care.
c. Demands by physicians for family involvement in childbirth increased the practice
of family-centered care.
d. Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care.
ANS: D
As research began to identify the benefits of early, extended parent–infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice of
rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided
funds for state-managed programs for mothers and children but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in
family-centered maternity care. Family-centered care was a request by parents, not physicians.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the
amount of parent–infant interaction?” Which answer should the nurse provide for these
parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
c. Traditional hospital birth
d. Labor, birth, and recovery room
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
parent–infant contact. Home births allow the greatest amount of parent–infant contact. The
labor, birth, recovery, and postpartum room setting allows for increased parent–infant contact.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
a. The family is in a familiar environment.
b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. The woman’s support system is encouraged to stay until discharge.
ANS: D
1|Page
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar
environment to new parents. An LDRP room is not less expensive than a traditional hospital
room. The baby remains with the mother at all times and is not removed to the nursery for
routine care or testing. The father or other designated members of the mother’s support system
are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
4. Which nursing intervention is an independent function of the professional nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the patient perineal care
d. Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
and intervening in nonmedical problems. Interventions initiated by the physician and carried
out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic
studies is a dependent function. Providing wound care is a dependent function; however, the
physician prescribes the type of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Safe and Effective Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
have a cesarean birth”?
a. “Everything will be OK.”
b. “Don’t worry about it. It will be over soon.”
c. “What concerns you most about a cesarean birth?”
d. “The physician will be in later and you can talk to him.”
ANS: C
The response, “What concerns you most about a cesarean birth” focuses on what the patient is
saying and asks for clarification, which is the most therapeutic response. The response,
“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worry about
it. It will be over soon” will indicate that the patient’s feelings are not important. The
response, “The physician will be in later and you can talk to him” does not allow the patient to
verbalize her feelings when she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Psychosocial Integrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for
the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A
2|Page
