Chapter 6v01: 6vMaternity 6vand 6vWomen’s 6vHealth 6vCare 6vToday
Foundations 6vof 6vMaternal-Newborn 6v& 6vWomen’s 6vHealth 6vNursing, 6v8th 6vEdition
MULTIPLE 6vCHOICE
1. A 6vnurse 6veducator 6vis 6vteaching 6va 6vgroup 6vof 6vnursing 6vstudents 6vabout 6vthe 6vhistory 6vof
family-centered 6vmaternity 6vcare. 6vWhich 6vstatement 6vshould 6vthe 6vnurse 6vinclude 6vin 6vthe
6v
teaching 6vsession?
6v
a. The 6vSheppard-Towner 6vAct 6vof 6v1921 6vpromoted 6vfamily-centered 6vcare.
b. Changes 6vin 6vpharmacologic 6vmanagement 6vof 6vlabor 6vprompted 6vfamily-centered 6vcare.
c. Demands 6vby 6vphysicians 6vfor 6vfamily 6vinvolvement 6vin 6vchildbirth 6vincreased 6vthe
6vpractice 6vof 6vfamily-centered 6vcare.
d. Parental 6vrequests 6vthat 6vinfants 6vbe 6vallowed 6vto 6vremain 6vwith 6vthem 6vrather
6vthan 6vin 6va 6vnursery 6vinitiated 6vthe 6vpractice 6vof 6vfamily-centered 6vcare.
ANS: 6 v D
As 6vresearch 6vbegan 6vto 6videntify 6vthe 6vbenefits 6vof 6vearly, 6vextended 6vparent–infant 6vcontact,
6vparents 6vbegan 6vto 6vinsist 6vthat 6vthe 6vinfant 6vremain 6vwith 6vthem. 6vThis 6vgradually
6vdeveloped 6vinto 6vthe 6vpractice 6vof 6vrooming-in 6vand 6vfinally 6vto 6vfamily-centered 6vmaternity
6vcare. 6vThe 6vSheppard-Towner 6vAct 6vprovided 6vfunds 6vfor 6vstate-managed 6vprograms 6vfor
6vmothers 6vand 6vchildren 6vbut 6vdid 6vnot 6vpromote
family-centered 6vcare. 6vThe 6vchanges 6vin 6vpharmacologic 6vmanagement 6vof 6vlabor 6vwere 6vnot 6va
6vfactor 6vin 6vfamily-centered 6vmaternity 6vcare. 6vFamily-centered 6vcare 6vwas 6va 6vrequest 6vby
6vparents, 6vnot 6vphysicians.
DIF: Cognitive 6vLevel: 6vApplication OBJ: 6vNursing 6vProcess 6vStep:
6vPlanning 6vMSC: 6 v Patient 6vNeeds: 6vHealth 6vPromotion 6vand 6vMaintenance
2. Expectant 6vparents 6vask 6va 6vprenatal 6vnurse 6veducator, 6v“Which 6vsetting 6vfor 6vchildbirth
6vlimits 6vthe 6vamount 6vof 6vparent–infant 6vinteraction?” 6vWhich 6vanswer 6vshould 6vthe
6vnurse 6vprovide 6vfor 6vthese 6vparents 6vin 6vorder 6vto 6vassist 6vthem 6vin 6vchoosing 6van
6vappropriate 6vbirth 6vsetting?
a. Birth 6vcenter
b. Home 6vbirth
c. Traditional 6vhospital 6vbirth
d. Labor, 6vbirth, 6vand 6vrecovery 6vroom
ANS: 6 v C
In 6vthe 6vtraditional 6vhospital 6vsetting, 6vthe 6vmother 6vmay 6vsee 6vthe 6vinfant 6vfor 6vonly 6vshort
6vfeeding 6vperiods, 6vand 6vthe 6vinfant 6vis 6vcared 6vfor 6vin 6va 6vseparate 6vnursery. 6vBirth 6vcenters 6vare
6vset 6vup 6vto 6vallow 6van 6vincrease 6vin 6vparent–infant 6vcontact. 6vHome 6vbirths 6vallow 6vthe
6vgreatest 6vamount 6vof 6vparent–infant 6vcontact. 6vThe 6vlabor, 6vbirth, 6vrecovery, 6vand 6vpostpartum
6vroom 6vsetting 6vallows 6vfor 6vincreased 6vparent–infant 6vcontact.
DIF: Cognitive 6vLevel: 6vUnderstanding OBJ: 6vNursing 6vProcess 6vStep:
6vPlanning 6vMSC: 6 v Patient 6vNeeds: 6vHealth 6vPromotion 6vand 6vMaintenance
3. Which 6vstatement 6vbest 6vdescribes 6vthe 6vadvantage 6vof 6va 6vlabor, 6vbirth, 6vrecovery, 6vand
postpartum 6v(LDRP) 6vroom?
6v
a. The 6vfamily 6vis 6vin 6va 6vfamiliar 6venvironment.
b. They 6vare 6vless 6vexpensive 6vthan 6vtraditional 6vhospital 6vrooms.
c. The 6vinfant 6vis 6vremoved 6vto 6vthe 6vnursery 6vto 6vallow 6vthe 6vmother 6vto 6vrest.
d. The 6vwoman’s 6vsupport 6vsystem 6vis 6vencouraged 6vto 6vstay 6vuntil 6vdischarge.
,ANS: 6 v D
, Sleeping 6vequipment 6vis 6vprovided 6vin 6va 6vprivate 6vroom. 6vA 6vhospital 6vsetting 6vis 6vnever 6va
6vfamiliar 6venvironment 6vto 6vnew 6vparents. 6vAn 6vLDRP 6vroom 6vis 6vnot 6vless 6vexpensive 6vthan
6va 6vtraditional 6vhospital 6vroom. 6vThe 6vbaby 6vremains 6vwith 6vthe 6vmother 6vat 6vall 6vtimes 6vand
6vis 6vnot 6vremoved 6vto 6vthe 6vnursery 6vfor 6vroutine 6vcare 6vor 6vtesting. 6vThe 6vfather 6vor 6vother
6vdesignated 6vmembers 6vof 6vthe 6vmother’s 6vsupport 6vsystem 6vare 6vencouraged 6vto 6vstay 6vat 6vall
6vtimes.
DIF: Cognitive 6vLevel: 6vUnderstanding OBJ: 6vNursing 6vProcess 6vStep:
6vAssessment 6vMSC: 6 v Patient 6vNeeds: 6vHealth 6vPromotion 6vand 6vMaintenance
4. Which 6vnursing 6vintervention 6vis 6van 6vindependent 6vfunction 6vof 6vthe 6vprofessional 6vnurse?
a. Administering 6voral 6vanalgesics
b. Requesting 6vdiagnostic 6vstudies
c. Teaching 6vthe 6vpatient 6vperineal 6vcare
d. Providing 6vwound 6vcare 6vto 6va 6vsurgical 6vincision
ANS: 6 v C
Nurses 6vare 6vnow 6vresponsible 6vfor 6vvarious 6vindependent 6vfunctions, 6vincluding 6vteaching,
6vcounseling, 6vand 6vintervening 6vin 6vnonmedical 6vproblems. 6vInterventions 6vinitiated 6vby 6vthe
6vphysician 6vand 6vcarried 6vout 6vby 6vthe 6vnurse 6vare 6vcalled 6vdependent 6vfunctions.
6vAdministrating 6voral 6vanalgesics 6vis 6va 6vdependent 6vfunction; 6vit 6vis 6vinitiated 6vby 6va
6vphysician 6vand 6vcarried 6vout 6vby 6va 6vnurse. 6vRequesting 6vdiagnostic 6vstudies 6vis 6va
6vdependent 6vfunction. 6vProviding 6vwound 6vcare 6vis 6va 6vdependent 6vfunction; 6vhowever, 6vthe
6vphysician 6vprescribes 6vthe 6vtype 6vof 6vwound 6vcare 6vthrough 6vdirect 6vorders 6vor 6vprotocol.
DIF: Cognitive 6vLevel: 6vUnderstanding OBJ: 6vNursing 6vProcess 6vStep:
6vAssessment 6vMSC: 6 v Patient 6vNeeds: 6vSafe 6vand 6vEffective 6vCare 6vEnvironment
5. Which 6vresponse 6vby 6vthe 6vnurse 6vis 6vthe 6vmost 6vtherapeutic 6vwhen 6vthe 6vpatient 6vstates, 6v“I’m
so 6vafraid 6vto 6vhave 6va 6vcesarean 6vbirth”?
6v
a. “Everything 6vwill 6vbe 6vOK.”
b. “Don’t 6vworry 6vabout 6vit. 6vIt 6vwill 6vbe 6vover 6vsoon.”
c. “What 6vconcerns 6vyou 6vmost 6vabout 6va 6vcesarean 6vbirth?”
d. “The 6vphysician 6vwill 6vbe 6vin 6vlater 6vand 6vyou 6vcan 6vtalk 6vto 6vhim.”
ANS: 6 v C
The 6vresponse, 6v“What 6vconcerns 6vyou 6vmost 6vabout 6va 6vcesarean 6vbirth” 6vfocuses 6von 6vwhat
6vthe 6vpatient 6vis 6vsaying 6vand 6vasks 6vfor 6vclarification, 6vwhich 6vis 6vthe 6vmost 6vtherapeutic
6vresponse. 6vThe 6vresponse, 6v“Everything 6vwill 6vbe 6vok” 6vis 6vbelittling 6vthe 6vpatient’s 6vfeelings.
6vThe 6vresponse, 6v“Don’t 6vworry 6vabout 6vit. 6vIt 6vwill 6vbe 6vover 6vsoon” 6vwill 6vindicate 6vthat 6vthe
6vpatient’s 6vfeelings 6vare 6vnot 6vimportant. 6vThe 6vresponse, 6v“The 6vphysician 6vwill 6vbe 6vin 6vlater
6vand 6vyou 6vcan 6vtalk 6vto 6vhim” 6vdoes 6vnot 6vallow 6vthe 6vpatient 6vto 6vverbalize 6vher 6vfeelings
6vwhen 6vshe 6vwishes 6vto 6vdo 6vthat.
DIF: Cognitive 6vLevel: 6vApplication OBJ: 6vNursing 6vProcess 6vStep:
6vImplementation 6vMSC: 6 v Patient 6vNeeds: 6vPsychosocial 6vIntegrity
6. In 6vwhich 6vstep 6vof 6vthe 6vnursing 6vprocess 6vdoes 6vthe 6vnurse 6vdetermine 6vthe 6vappropriate
interventions 6vfor 6vthe 6videntified 6vnursing 6vdiagnosis?
6v
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: 6 v A