,Foundationsf3off3Maternal-Newbornf3andf3Women'sf3Healthf3Nursingf38thf3Editionf3Murrayf3Testf3Bank
Chapterf301:f3Maternityf3andf3Women’sf3Healthf3Caref3Today
Foundationsf3off3Maternal-Newbornf3&f3Women’sf3Healthf3Nursing,f38thf3Edition
MULTIPLEf3CHOICE
1. Af3nursef3educatorf3isf3teachingf3af3groupf3off3nursingf3studentsf3aboutf3thef3historyf3off3family-
centeredf3maternityf3care.f3Whichf3statementf3shouldf3thef3nursef3includef3inf3thef3teachingf3sessi
on?
a. Thef3Sheppard-Townerf3Actf3off31921f3promotedf3family-centeredf3care.
b. Changesf3inf3pharmacologicf3managementf3off3laborf3promptedf3family-centeredf3care.
c. Demandsf3byf3physiciansf3forf3familyf3involvementf3inf3childbirthf3increasedf3thef3pract
icef3off3family-centeredf3care.
d. Parentalf3requestsf3thatf3infantsf3bef3allowedf3tof3remainf3withf3themf3ratherf3thanf
3inf3af3nurseryf3initiatedf3thef3practicef3off3family-centeredf3care.
ANS:f 3 D
Asf3researchf3beganf3tof3identifyf3thef3benefitsf3off3early,f3extendedf3parent–
infantf3contact,f3parentsf3beganf3tof3insistf3thatf3thef3infantf3remainf3withf3them.f3Thisf3graduallyf3d
evelopedf3intof3thef3practicef3off3rooming-inf3andf3finallyf3tof3family-
centeredf3maternityf3care.f3Thef3Sheppard-Townerf3Actf3providedf3fundsf3forf3state-
managedf3programsf3forf3mothersf3andf3childrenf3butf3didf3notf3promote
family-
centeredf3care.f3Thef3changesf3inf3pharmacologicf3managementf3off3laborf3weref3notf3af3factorf3inf3fa
mily-centeredf3maternityf3care.f3Family-
centeredf3caref3wasf3af3requestf3byf3parents,f3notf3physicians.
DIF: Cognitivef3Level:f3Application
OBJ:f3Nursingf3Processf3Step:f3Planningf3MSC:f 3 Patientf3Needs:f3Healthf3Pr
omotionf3andf3Maintenance
2. Expectantf3parentsf3askf3af3prenatalf3nursef3educator,f3“Whichf3settingf3forf3childbirthf3limit
sf3thef3amountf3off3parent–
infantf3interaction?”f3Whichf3answerf3shouldf3thef3nursef3providef3forf3thesef3parentsf3inf3or
derf3tof3assistf3themf3inf3choosingf3anf3appropriatef3birthf3setting?
a. Birthf3center
b. Homef3birth
c. Traditionalf3hospitalf3birth
d. Labor,f3birth,f3andf3recoveryf3room
ANS:f 3 C
Inf3thef3traditionalf3hospitalf3setting,f3thef3motherf3mayf3seef3thef3infantf3forf3onlyf3shortf3feedingf3per
iods,f3andf3thef3infantf3isf3caredf3forf3inf3af3separatef3nursery.f3Birthf3centersf3aref3setf3upf3tof3allowf3a
nf3increasef3inf3parent–infantf3contact.f3Homef3birthsf3allowf3thef3greatestf3amountf3off3parent–
infantf3contact.f3Thef3labor,f3birth,f3recovery,f3andf3postpartumf3roomf3settingf3allowsf3forf3increase
df3parent–infantf3contact.
DIF: Cognitivef3Level:f3Understanding
OBJ:f3Nursingf3Processf3Step:f3Planningf3MSC:f 3 Patientf3Needs:f3Healthf3Pr
omotionf3andf3Maintenance
3. Whichf3statementf3bestf3describesf3thef3advantagef3off3af3labor,f3birth,f3recovery,f3andf3postpar
tumf3(LDRP)f3room?
a. Thef3familyf3isf3inf3af3familiarf3environment.
,b. Theyf3aref3lessf3expensivef3thanf3traditionalf3hospitalf3rooms.
c. Thef3infantf3isf3removedf3tof3thef3nurseryf3tof3allowf3thef3motherf3tof3rest.
d. Thef3woman’sf3supportf3systemf3isf3encouragedf3tof3stayf3untilf3discharge.
ANS:f 3 D
, Sleepingf3equipmentf3isf3providedf3inf3af3privatef3room.f3Af3hospitalf3settingf3isf3neverf3af3familiarf
3environmentf3tof3newf3parents.f3Anf3LDRP f3roomf3isf3notf3lessf3expensivef3thanf3af3traditionalf3ho
spitalf3room.f3Thef3babyf3remainsf3withf3thef3motherf3atf3allf3timesf3andf3isf3notf3removedf3tof3thef3n
urseryf3forf3routinef3caref3orf3testing.f3Thef3fatherf3orf3otherf3designatedf3membersf3off3thef3mother’sf
3supportf3systemf3aref3encouragedf3tof3stayf3atf3allf3times.
DIF: Cognitivef3Level:f3Understanding
OBJ:f3Nursingf3Processf3Step:f3Assessmentf3MSC:f 3 Patientf3Needs:f3Healthf3Pr
omotionf3andf3Maintenance
4. Whichf3nursingf3interventionf3isf3anf3independentf3functionf3off3thef3professionalf3nurse?
a. Administeringf3oralf3analgesics
b. Requestingf3diagnosticf3studies
c. Teachingf3thef3patientf3perinealf3care
d. Providingf3woundf3caref3tof3af3surgicalf3incision
ANS:f 3 C
Nursesf3aref3nowf3responsiblef3forf3variousf3independentf3functions,f3includingf3teaching,f3counseli
ng,f3andf3interveningf3inf3nonmedicalf3problems.f3Interventionsf3initiatedf3byf3thef3physicianf3andf
3carriedf3outf3byf3thef3nursef3aref3calledf3dependentf3functions.f3Administratingf3oralf3analgesicsf3is
f3af3dependentf3function;f3itf3isf3initiatedf3byf3af3physicianf3andf3carriedf3outf3byf3af3nurse.f3Requesti
ngf3diagnosticf3studiesf3isf3af3dependentf3function.f3Providingf3woundf3caref3isf3af3dependentf3func
tion;f3however,f3thef3physicianf3prescribesf3thef3typef3off3woundf3caref3throughf3directf3ordersf3orf3
protocol.
DIF: Cognitivef3Level:f3Understanding
OBJ:f3Nursingf3Processf3Step:f3Assessmentf3MSC:f 3 Patientf3Needs:f3Safef3andf3
Effectivef3Caref3Environment
5. Whichf3responsef3byf3thef3nursef3isf3thef3mostf3therapeuticf3whenf3thef3patientf3states,f3“I’mf3sof3afr
aidf3tof3havef3af3cesareanf3birth”?
a. “Everythingf3willf3bef3OK.”
b. “Don’tf3worryf3aboutf3it.f3Itf3willf3bef3overf3soon.”
c. “Whatf3concernsf3youf3mostf3aboutf3af3cesareanf3birth?”
d. “Thef3physicianf3willf3bef3inf3laterf3andf3youf3canf3talkf3tof3him.”
ANS:f 3 C
Thef3response,f3“Whatf3concernsf3youf3mostf3aboutf3af3cesareanf3birth”f3focusesf3onf3whatf3thef3pati
entf3isf3sayingf3andf3asksf3forf3clarification,f3whichf3isf3thef3mostf3therapeuticf3response.f3Thef3resp
onse,f3“Everythingf3willf3bef3ok”f3isf3belittlingf3thef3patient’sf3feelings.f3Thef3response,f3“Don’tf3w
orryf3aboutf3it.f3Itf3willf3bef3overf3soon”f3willf3indicatef3thatf3thef3patient’sf3feelingsf3aref3notf3impor
tant.f3Thef3response,f3“Thef3physicianf3willf3bef3inf3laterf3andf3youf3canf3talkf3tof3him”f3doesf3notf3all
owf3thef3patientf3tof3verbalizef3herf3feelingsf3whenf3shef3wishesf3tof3dof3that.
DIF: Cognitivef3Level:f3Application
OBJ:f3Nursingf3Processf3Step:f3Implementationf3MSC:f 3 Patientf3Needs:f3Psychosoc
ialf3Integrity
6. In f3whichf3stepf3off3thef3nursingf3processf3doesf3thef3nursef3determinef3thef3appropriatef3intervention
sf3forf3thef3identifiedf3nursingf3diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:f 3 A
Chapterf301:f3Maternityf3andf3Women’sf3Healthf3Caref3Today
Foundationsf3off3Maternal-Newbornf3&f3Women’sf3Healthf3Nursing,f38thf3Edition
MULTIPLEf3CHOICE
1. Af3nursef3educatorf3isf3teachingf3af3groupf3off3nursingf3studentsf3aboutf3thef3historyf3off3family-
centeredf3maternityf3care.f3Whichf3statementf3shouldf3thef3nursef3includef3inf3thef3teachingf3sessi
on?
a. Thef3Sheppard-Townerf3Actf3off31921f3promotedf3family-centeredf3care.
b. Changesf3inf3pharmacologicf3managementf3off3laborf3promptedf3family-centeredf3care.
c. Demandsf3byf3physiciansf3forf3familyf3involvementf3inf3childbirthf3increasedf3thef3pract
icef3off3family-centeredf3care.
d. Parentalf3requestsf3thatf3infantsf3bef3allowedf3tof3remainf3withf3themf3ratherf3thanf
3inf3af3nurseryf3initiatedf3thef3practicef3off3family-centeredf3care.
ANS:f 3 D
Asf3researchf3beganf3tof3identifyf3thef3benefitsf3off3early,f3extendedf3parent–
infantf3contact,f3parentsf3beganf3tof3insistf3thatf3thef3infantf3remainf3withf3them.f3Thisf3graduallyf3d
evelopedf3intof3thef3practicef3off3rooming-inf3andf3finallyf3tof3family-
centeredf3maternityf3care.f3Thef3Sheppard-Townerf3Actf3providedf3fundsf3forf3state-
managedf3programsf3forf3mothersf3andf3childrenf3butf3didf3notf3promote
family-
centeredf3care.f3Thef3changesf3inf3pharmacologicf3managementf3off3laborf3weref3notf3af3factorf3inf3fa
mily-centeredf3maternityf3care.f3Family-
centeredf3caref3wasf3af3requestf3byf3parents,f3notf3physicians.
DIF: Cognitivef3Level:f3Application
OBJ:f3Nursingf3Processf3Step:f3Planningf3MSC:f 3 Patientf3Needs:f3Healthf3Pr
omotionf3andf3Maintenance
2. Expectantf3parentsf3askf3af3prenatalf3nursef3educator,f3“Whichf3settingf3forf3childbirthf3limit
sf3thef3amountf3off3parent–
infantf3interaction?”f3Whichf3answerf3shouldf3thef3nursef3providef3forf3thesef3parentsf3inf3or
derf3tof3assistf3themf3inf3choosingf3anf3appropriatef3birthf3setting?
a. Birthf3center
b. Homef3birth
c. Traditionalf3hospitalf3birth
d. Labor,f3birth,f3andf3recoveryf3room
ANS:f 3 C
Inf3thef3traditionalf3hospitalf3setting,f3thef3motherf3mayf3seef3thef3infantf3forf3onlyf3shortf3feedingf3per
iods,f3andf3thef3infantf3isf3caredf3forf3inf3af3separatef3nursery.f3Birthf3centersf3aref3setf3upf3tof3allowf3a
nf3increasef3inf3parent–infantf3contact.f3Homef3birthsf3allowf3thef3greatestf3amountf3off3parent–
infantf3contact.f3Thef3labor,f3birth,f3recovery,f3andf3postpartumf3roomf3settingf3allowsf3forf3increase
df3parent–infantf3contact.
DIF: Cognitivef3Level:f3Understanding
OBJ:f3Nursingf3Processf3Step:f3Planningf3MSC:f 3 Patientf3Needs:f3Healthf3Pr
omotionf3andf3Maintenance
3. Whichf3statementf3bestf3describesf3thef3advantagef3off3af3labor,f3birth,f3recovery,f3andf3postpar
tumf3(LDRP)f3room?
a. Thef3familyf3isf3inf3af3familiarf3environment.
,b. Theyf3aref3lessf3expensivef3thanf3traditionalf3hospitalf3rooms.
c. Thef3infantf3isf3removedf3tof3thef3nurseryf3tof3allowf3thef3motherf3tof3rest.
d. Thef3woman’sf3supportf3systemf3isf3encouragedf3tof3stayf3untilf3discharge.
ANS:f 3 D
, Sleepingf3equipmentf3isf3providedf3inf3af3privatef3room.f3Af3hospitalf3settingf3isf3neverf3af3familiarf
3environmentf3tof3newf3parents.f3Anf3LDRP f3roomf3isf3notf3lessf3expensivef3thanf3af3traditionalf3ho
spitalf3room.f3Thef3babyf3remainsf3withf3thef3motherf3atf3allf3timesf3andf3isf3notf3removedf3tof3thef3n
urseryf3forf3routinef3caref3orf3testing.f3Thef3fatherf3orf3otherf3designatedf3membersf3off3thef3mother’sf
3supportf3systemf3aref3encouragedf3tof3stayf3atf3allf3times.
DIF: Cognitivef3Level:f3Understanding
OBJ:f3Nursingf3Processf3Step:f3Assessmentf3MSC:f 3 Patientf3Needs:f3Healthf3Pr
omotionf3andf3Maintenance
4. Whichf3nursingf3interventionf3isf3anf3independentf3functionf3off3thef3professionalf3nurse?
a. Administeringf3oralf3analgesics
b. Requestingf3diagnosticf3studies
c. Teachingf3thef3patientf3perinealf3care
d. Providingf3woundf3caref3tof3af3surgicalf3incision
ANS:f 3 C
Nursesf3aref3nowf3responsiblef3forf3variousf3independentf3functions,f3includingf3teaching,f3counseli
ng,f3andf3interveningf3inf3nonmedicalf3problems.f3Interventionsf3initiatedf3byf3thef3physicianf3andf
3carriedf3outf3byf3thef3nursef3aref3calledf3dependentf3functions.f3Administratingf3oralf3analgesicsf3is
f3af3dependentf3function;f3itf3isf3initiatedf3byf3af3physicianf3andf3carriedf3outf3byf3af3nurse.f3Requesti
ngf3diagnosticf3studiesf3isf3af3dependentf3function.f3Providingf3woundf3caref3isf3af3dependentf3func
tion;f3however,f3thef3physicianf3prescribesf3thef3typef3off3woundf3caref3throughf3directf3ordersf3orf3
protocol.
DIF: Cognitivef3Level:f3Understanding
OBJ:f3Nursingf3Processf3Step:f3Assessmentf3MSC:f 3 Patientf3Needs:f3Safef3andf3
Effectivef3Caref3Environment
5. Whichf3responsef3byf3thef3nursef3isf3thef3mostf3therapeuticf3whenf3thef3patientf3states,f3“I’mf3sof3afr
aidf3tof3havef3af3cesareanf3birth”?
a. “Everythingf3willf3bef3OK.”
b. “Don’tf3worryf3aboutf3it.f3Itf3willf3bef3overf3soon.”
c. “Whatf3concernsf3youf3mostf3aboutf3af3cesareanf3birth?”
d. “Thef3physicianf3willf3bef3inf3laterf3andf3youf3canf3talkf3tof3him.”
ANS:f 3 C
Thef3response,f3“Whatf3concernsf3youf3mostf3aboutf3af3cesareanf3birth”f3focusesf3onf3whatf3thef3pati
entf3isf3sayingf3andf3asksf3forf3clarification,f3whichf3isf3thef3mostf3therapeuticf3response.f3Thef3resp
onse,f3“Everythingf3willf3bef3ok”f3isf3belittlingf3thef3patient’sf3feelings.f3Thef3response,f3“Don’tf3w
orryf3aboutf3it.f3Itf3willf3bef3overf3soon”f3willf3indicatef3thatf3thef3patient’sf3feelingsf3aref3notf3impor
tant.f3Thef3response,f3“Thef3physicianf3willf3bef3inf3laterf3andf3youf3canf3talkf3tof3him”f3doesf3notf3all
owf3thef3patientf3tof3verbalizef3herf3feelingsf3whenf3shef3wishesf3tof3dof3that.
DIF: Cognitivef3Level:f3Application
OBJ:f3Nursingf3Processf3Step:f3Implementationf3MSC:f 3 Patientf3Needs:f3Psychosoc
ialf3Integrity
6. In f3whichf3stepf3off3thef3nursingf3processf3doesf3thef3nursef3determinef3thef3appropriatef3intervention
sf3forf3thef3identifiedf3nursingf3diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:f 3 A
