Chapter ht01: htMaternity htand htWomen’s htHealth htCare htToday
Foundations htof htMaternal-Newborn ht& htWomen’s htHealth htNursing, ht8th htEdition
MULTIPLE htCHOICE
1. A htnurse hteducator htis htteaching hta htgroup htof htnursing htstudents htabout htthe hthistory htof htfamily-
centered htmaternity htcare. htWhich htstatement htshould htthe htnurse htinclude htin htthe htteaching
htsession?
a. The htSheppard-Towner htAct htof ht1921 htpromoted htfamily-centered htcare.
b. Changes htin htpharmacologic htmanagement htof htlabor htprompted htfamily-centered htcare.
c. Demands htby htphysicians htfor htfamily htinvolvement htin htchildbirth htincreased htthe
htpractice htof htfamily-centered htcare.
d. Parental htrequests htthat htinfants htbe htallowed htto htremain htwith htthem htrather
htthan htin hta htnursery htinitiated htthe htpractice htof htfamily-centered htcare.
ANS: ht D
As htresearch htbegan htto htidentify htthe htbenefits htof htearly, htextended htparent–infant htcontact,
htparents htbegan htto htinsist htthat htthe htinfant htremain htwith htthem. htThis htgradually htdeveloped
htinto htthe htpractice htof htrooming-in htand htfinally htto htfamily-centered htmaternity htcare. htThe
htSheppard-Towner htAct htprovided htfunds htfor htstate-managed htprograms htfor htmothers htand
htchildren htbut htdid htnot htpromote
family-centered htcare. htThe htchanges htin htpharmacologic htmanagement htof htlabor htwere htnot hta
htfactor htin htfamily-centered htmaternity htcare. htFamily-centered htcare htwas hta htrequest htby
htparents, htnot htphysicians.
DIF: Cognitive htLevel: htApplication OBJ: htNursing htProcess htStep:
htPlanning htMSC: h t Patient htNeeds: htHealth htPromotion htand htMaintenance
2. Expectant htparents htask hta htprenatal htnurse hteducator, ht“Which htsetting htfor htchildbirth
htlimits htthe htamount htof htparent–infant htinteraction?” htWhich htanswer htshould htthe htnurse
htprovide htfor htthese htparents htin htorder htto htassist htthem htin htchoosing htan htappropriate
htbirth htsetting?
a. Birth htcenter
b. Home htbirth
c. Traditional hthospital htbirth
d. Labor, htbirth, htand htrecovery htroom
ANS: ht C
In htthe httraditional hthospital htsetting, htthe htmother htmay htsee htthe htinfant htfor htonly htshort htfeeding
htperiods, htand htthe htinfant htis htcared htfor htin hta htseparate htnursery. htBirth htcenters htare htset htup htto
htallow htan htincrease htin htparent–infant htcontact. htHome htbirths htallow htthe htgreatest htamount htof
htparent–infant htcontact. htThe htlabor, htbirth, htrecovery, htand htpostpartum htroom htsetting htallows
htfor htincreased htparent–infant htcontact.
DIF: Cognitive htLevel: htUnderstanding OBJ: htNursing htProcess htStep:
htPlanning htMSC: h t Patient htNeeds: htHealth htPromotion htand htMaintenance
3. Which htstatement htbest htdescribes htthe htadvantage htof hta htlabor, htbirth, htrecovery, htand
postpartum ht(LDRP) htroom?
ht
a. The htfamily htis htin hta htfamiliar htenvironment.
b. They htare htless htexpensive htthan httraditional hthospital htrooms.
c. The htinfant htis htremoved htto htthe htnursery htto htallow htthe htmother htto htrest.
d. The htwoman’s htsupport htsystem htis htencouraged htto htstay htuntil htdischarge.
,ANS: ht D
, Sleeping htequipment htis htprovided htin hta htprivate htroom. htA hthospital htsetting htis htnever hta
htfamiliar htenvironment htto htnew htparents. htAn htLDRP htroom htis htnot htless htexpensive htthan hta
httraditional hthospital htroom. htThe htbaby htremains htwith htthe htmother htat htall httimes htand htis htnot
htremoved htto htthe htnursery htfor htroutine htcare htor httesting. htThe htfather htor htother htdesignated
htmembers htof htthe htmother’s htsupport htsystem htare htencouraged htto htstay htat htall httimes.
DIF: Cognitive htLevel: htUnderstanding OBJ: htNursing htProcess htStep:
htAssessment htMSC: h t Patient htNeeds: htHealth htPromotion htand htMaintenance
4. Which htnursing htintervention htis htan htindependent htfunction htof htthe htprofessional ht nurse?
a. Administering htoral htanalgesics
b. Requesting htdiagnostic htstudies
c. Teaching htthe htpatient htperineal htcare
d. Providing htwound htcare htto hta htsurgical htincision
ANS: ht C
Nurses htare htnow htresponsible htfor htvarious htindependent htfunctions, htincluding htteaching,
htcounseling, htand htintervening htin htnonmedical htproblems. ht Interventions htinitiated htby htthe
htphysician htand htcarried htout htby htthe htnurse htare htcalled htdependent htfunctions. htAdministrating
htoral htanalgesics htis hta htdependent htfunction; htit htis htinitiated htby hta htphysician htand htcarried htout
htby hta htnurse. htRequesting htdiagnostic htstudies htis hta htdependent htfunction. htProviding htwound
htcare htis hta htdependent htfunction; hthowever, htthe htphysician htprescribes htthe httype htof htwound
htcare htthrough htdirect htorders htor htprotocol.
DIF: Cognitive htLevel: htUnderstanding OBJ: htNursing htProcess htStep:
htAssessment htMSC: h t Patient htNeeds: htSafe htand htEffective htCare htEnvironment
5. Which htresponse htby htthe htnurse htis htthe htmost httherapeutic htwhen htthe htpatient htstates, ht“I’m htso
afraid htto hthave hta htcesarean htbirth”?
ht
a. “Everything htwill htbe htOK.”
b. “Don’t htworry htabout htit. htIt htwill htbe htover htsoon.”
c. “What htconcerns htyou htmost htabout hta htcesarean htbirth?”
d. “The htphysician htwill htbe htin htlater htand htyou htcan httalk htto ht him.”
ANS: ht C
The htresponse, ht“What htconcerns htyou htmost htabout hta htcesarean htbirth” htfocuses hton htwhat htthe
htpatient htis htsaying htand htasks htfor htclarification, htwhich htis htthe htmost httherapeutic htresponse.
htThe htresponse, ht“Everything htwill htbe htok” htis htbelittling htthe htpatient’s htfeelings. htThe
htresponse, ht“Don’t htworry htabout htit. htIt htwill htbe htover htsoon” htwill htindicate htthat htthe htpatient’s
htfeelings htare htnot htimportant. htThe htresponse, ht“The htphysician htwill htbe htin htlater htand htyou htcan
httalk htto hthim” htdoes htnot htallow htthe htpatient htto htverbalize hther htfeelings htwhen htshe htwishes htto
htdo htthat.
DIF: Cognitive htLevel: htApplication OBJ: htNursing htProcess htStep:
htImplementation htMSC: h t Patient htNeeds: htPsychosocial htIntegrity
6. In htwhich htstep htof htthe htnursing htprocess htdoes htthe htnurse htdetermine htthe htappropriate
htinterventions htfor htthe htidentified htnursing htdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: ht A