TEST BANK Foundationsof Maternal-Newbornand Women's Health
Nursing 8th Edition By Sharon Smith Murray
,Chapter1. Clinical Judgementand theNursing Process
Foundationsof Maternal-Newborn& Women’sHealthNursing, 8th Edition
MULTIPLE CHOICE
1. A nurseeducatoris teachinga group of nursing studentsaboutthehistoryof family-centered
maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-TownerAct of 1921promotedfamily-centeredcare.
b. Changesin pharmacologicmanagementof laborpromptedfamily-centeredcare.
c. Demandsby physiciansfor familyinvolvementin childbirthincreasedthepractice of
family-centered care.
d. Parentalrequeststhatinfantsbe allowedto remainwith themratherthanin a
nursery initiated the practice of family
-centered care.
ANS: D
As research began to identify the benefits of early, extended –infant
parent contact, parents began to
insist that the infant remain with them. This gradually
developed into the practice of rooming
-in and
finally to family-centeredmaternitycare.The Sheppard-TownerAct provided funds for state
-
managed programs for mothers and children but did not promote
family-centeredcare. Thechangesin pharmacologicmanagementof laborwerenot a factorin
family-centeredmaternitycare.Family-centeredcarewas arequestby parents,not physicians.
DIF: Cognitive Level: Application OBJ: Nursing ProcessStep: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 providefor these
parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
c. Traditionalhospitalbirth
d. Labor, birth, and recoveryroom
ANS: C
In thetraditionalhospitalsetting,themothermay seetheinfantfor only shortfeedingperiods, and
theinfantis caredfor in a separatenursery.Birth centersaresetup to allowan increasein parent–
infant contact. Home births allow the greatest amount of parent
–infant contact. The labor,
birth,
recovery,and postpartumroom settingallowsfor increasedparent–infantcontact.
DIF: Cognitive Level: Understanding OBJ: Nursing ProcessStep:Planning
MSC: Patient Needs: Health Promotion and Maintenance
3. Which statementbest describesthe advantageof a labor, birth, recovery, and postpartum
(LDRP) room?
a. The family is in a familiarenvironment.
b. They areless expensivethan traditionalhospitalrooms.
c. The infant is removedto thenurseryto allowthe motherto rest.
,d. The woman’ssupportsystemis encouragedto stayuntil discharge.
ANS: D
, 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
careor testing.The
fatheror otherdesignatedmembersof themother’ssupportsystem are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing ProcessStep:Assessment
MSC: Patient Needs: Health Promotion and Maintenance
4. Which nursing interventionis an independentfunctionof theprofessionalnurse?
a. Administeringoral analgesics
b. Requestingdiagnosticstudies
c. Teachingthepatientperinealcare
d. Providing woundcareto asurgicalincision
ANS: C
Nursesarenow responsiblefor variousindependentfunctions,including teaching,counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried the out by
nursearecalled dependent functions. Administrating oral analgesics is adependent 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 ProcessStep:Assessment
MSC: Patient Needs: Safe and Effective Care Environment
5. Which responseby thenurseis themosttherapeuticwhenthepatientstates, “I’mso afraidto have a
cesarean birth”?
a. “Everythingwill be OK.”
b. “Don’t worryaboutit. It will be oversoon.”
c. “What concernsyou mostabouta cesareanbirth?”
d. “The physicianwill be in laterand you can talk to him.”
ANS: C
The response, “Whatconcerns youmostabouta cesareanbirth” focuseson whatthepatientis 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 physicianwill be in later
and youcan talk to him” doesnot allowthepatientto verbalize her feelings when she wishes to do
that.
DIF: Cognitive Level: Application OBJ: Nursing ProcessStep:Implementation
MSC: Patient Needs: Psychosocial Integrity
6. In which stepof thenursing processdoesthenursedeterminetheappropriateinterventionsfor the
identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A
Nursing 8th Edition By Sharon Smith Murray
,Chapter1. Clinical Judgementand theNursing Process
Foundationsof Maternal-Newborn& Women’sHealthNursing, 8th Edition
MULTIPLE CHOICE
1. A nurseeducatoris teachinga group of nursing studentsaboutthehistoryof family-centered
maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-TownerAct of 1921promotedfamily-centeredcare.
b. Changesin pharmacologicmanagementof laborpromptedfamily-centeredcare.
c. Demandsby physiciansfor familyinvolvementin childbirthincreasedthepractice of
family-centered care.
d. Parentalrequeststhatinfantsbe allowedto remainwith themratherthanin a
nursery initiated the practice of family
-centered care.
ANS: D
As research began to identify the benefits of early, extended –infant
parent contact, parents began to
insist that the infant remain with them. This gradually
developed into the practice of rooming
-in and
finally to family-centeredmaternitycare.The Sheppard-TownerAct provided funds for state
-
managed programs for mothers and children but did not promote
family-centeredcare. Thechangesin pharmacologicmanagementof laborwerenot a factorin
family-centeredmaternitycare.Family-centeredcarewas arequestby parents,not physicians.
DIF: Cognitive Level: Application OBJ: Nursing ProcessStep: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 providefor these
parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
c. Traditionalhospitalbirth
d. Labor, birth, and recoveryroom
ANS: C
In thetraditionalhospitalsetting,themothermay seetheinfantfor only shortfeedingperiods, and
theinfantis caredfor in a separatenursery.Birth centersaresetup to allowan increasein parent–
infant contact. Home births allow the greatest amount of parent
–infant contact. The labor,
birth,
recovery,and postpartumroom settingallowsfor increasedparent–infantcontact.
DIF: Cognitive Level: Understanding OBJ: Nursing ProcessStep:Planning
MSC: Patient Needs: Health Promotion and Maintenance
3. Which statementbest describesthe advantageof a labor, birth, recovery, and postpartum
(LDRP) room?
a. The family is in a familiarenvironment.
b. They areless expensivethan traditionalhospitalrooms.
c. The infant is removedto thenurseryto allowthe motherto rest.
,d. The woman’ssupportsystemis encouragedto stayuntil discharge.
ANS: D
, 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
careor testing.The
fatheror otherdesignatedmembersof themother’ssupportsystem are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing ProcessStep:Assessment
MSC: Patient Needs: Health Promotion and Maintenance
4. Which nursing interventionis an independentfunctionof theprofessionalnurse?
a. Administeringoral analgesics
b. Requestingdiagnosticstudies
c. Teachingthepatientperinealcare
d. Providing woundcareto asurgicalincision
ANS: C
Nursesarenow responsiblefor variousindependentfunctions,including teaching,counseling, and
intervening in nonmedical problems. Interventions initiated by the physician and carried the out by
nursearecalled dependent functions. Administrating oral analgesics is adependent 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 ProcessStep:Assessment
MSC: Patient Needs: Safe and Effective Care Environment
5. Which responseby thenurseis themosttherapeuticwhenthepatientstates, “I’mso afraidto have a
cesarean birth”?
a. “Everythingwill be OK.”
b. “Don’t worryaboutit. It will be oversoon.”
c. “What concernsyou mostabouta cesareanbirth?”
d. “The physicianwill be in laterand you can talk to him.”
ANS: C
The response, “Whatconcerns youmostabouta cesareanbirth” focuseson whatthepatientis 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 physicianwill be in later
and youcan talk to him” doesnot allowthepatientto verbalize her feelings when she wishes to do
that.
DIF: Cognitive Level: Application OBJ: Nursing ProcessStep:Implementation
MSC: Patient Needs: Psychosocial Integrity
6. In which stepof thenursing processdoesthenursedeterminetheappropriateinterventionsfor the
identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A
