Sharon Smith Murray

Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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Chapter01: Maternity and Women’s HealthCare Today
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Foundations ofMaternal-Newborn& Women’sHealthNursing,7thEdition
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MULTIPLE CHOICE T




1. A nurse educator is teaching a groupofnursing students about the historyoffamily-centered
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maternity care. Which statement should the nurse include in the teaching session?
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a. TheSheppard-Towner Act of1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care. T T T T T T T T




c. Demands byphysicians for family involvement in childbirthincreased the practice of T T T T T T T T T T T




family-centered care.
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d. Parentalrequeststhat infants be allowed toremain withthemrather than in a T T T T T T T T T T T T T




nursery initiated the practice of family-centered care.
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ANS: D T




As research began to identify the benefits of early, extended parent–infant contact, parents began to
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insist that the infant remain with them. This gradually developed into the practice of rooming-in and
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finallyto family-centered maternitycare. TheSheppard-Towner Act provided funds for state-
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managed programs for mothers and children but did not promote T T T T T T T T T




family-centered care. The changes in pharmacologic management oflabor were not a factor in T T T T T T T T T T T T T




family-centered maternity care. Family-centered care was a request by parents, not physicians.
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DIF: Cognitive Level: Application OBJ: NursingProcessStep:Planning T T T T T T




MSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the
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amount of parent–infant int eracUt io nS?” N
WhT
ich Oer should the nurse provide for these
answ
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parents in order to assist them in choosing an appropriate birth setting?
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a. Birth center T




b. Home birth T




c. Traditional hospital birth T T




d. Labor, birth, and recovery room T T T T




ANS: C T




Inthe traditional hospitalsetting, the mother may see the infant for only short feeding periods, and the
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infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent–infant
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contact. Home births allow the greatest amount ofparent–infant contact. The labor, birth, recovery,
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and postpartumroomsetting allows for increased parent–infant contact.
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DIF: Cognitive Level: Understanding OBJ: NursingProcessStep:Planning T T T T T T




MSC: Patient Needs: Health Promotion and Maintenance
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3. Which statement best describes the advantageofa labor, birth, recovery, and postpartum
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(LDRP) room?
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a. The family is in a familiar environment. T T T T T T




b. They are less expensive than traditional hospitalrooms. T T T T T T T




c. The infant is removed to the nursery to allow the mother to rest.
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d. Thewoman’s support system is encouraged to stayuntil discharge.
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ANS: D T




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,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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Sleeping equipment is provided in a private room. A hospital setting is never a familiar environment
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to new parents. An LDRP roomis not less expensive than a traditional hospital room. The baby
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remains with the mother at all times and is not removed to the nursery for
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routine care ortesting. The father orotherdesignated members ofthe mother’s support system are
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encouraged to stayat all times.
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DIF: Cognitive Level: Understanding OBJ: NursingProcessStep: Assessment T T T T T T




MSC: Patient Needs: Health Promotion and Maintenance
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4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oralanalgesics T T




b. Requesting diagnostic studies T T




c. Teaching the patient perineal care T T T T




d. Providing wound care to a surgical incision T T T T T T




ANS: C T




Nurses are nowresponsible for various independent functions, including teaching, counseling, and
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intervening in nonmedical problems. Interventions initiated by the physician and carried out by the
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nurse are called dependent functions. Administrating oralanalgesics is a dependent function; it is
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initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dependent
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function. Providing wound care is a dependent function; however, the physician prescribes the type
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of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding OBJ: NursingProcessStep: Assessment T T T T T T




MSC: Patient Needs: Safe and Effective Care Environment
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5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to
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have a cesarean birth”? T T T
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a. “Everything will be OK.” T T T




b. “Don’t worryabout it. It will be over soon.” T T T T T T T T




c. “What concerns you most about a cesarean birth?” T T T T T T T




d. “The physician will be in later and you can talk to him.”
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ANS: C T




Theresponse, “What concerns you most abouta cesarean birth” focuses on what the patient is saying and
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asks for clarification, which is the most therapeutic response. The response,
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“Everything will be ok” is belittling the patient’s feelings. The response, “Don’t worryabout it. It T T T T T T T T T T T T T T T




will be over soon” will indicate that the patient’s feelings are not important. The
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response, “The physician will be in laterand you can talk to him” does not allow the patient to verbalize her
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feelings when she wishes to do that.
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DIF: Cognitive Level: Application OBJ: NursingProcessStep:Implementation T T T T T T




MSC: Patient Needs: Psychosocial Integrity
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6. In which stepofthe nursing process doesthe nurse determine the appropriate interventions for the
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identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A T




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,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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Thethird step in the nursing process involves planning care forproblems that were identified during
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assessment. The evaluation phase is determining whether the goals have been met.
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During the assessment phase, data are collected. The interventionphase is whenthe plan of care is
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carried out.
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DIF: Cognitive Level: Understanding OBJ: NursingProcessStep:Planning T T T T T T




MSC: Patient Needs: Safe and Effective Care Environment
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7. Which goal is most appropriate for the collaborative problem ofwound infection?
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a. The patient will not exhibit further signs of infection.
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b. Maintain the patient’s fluid intake at 1000 mL/8 hour. T T T T T T T T




c. The patient will have a temperature of 98.6F within 2 days.
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d. Monitorthe patient to detect therapeutic response to antibiotic therapy. T T T T T T T T T




ANS: D T




In a collaborative problem, the goal should be nurse-oriented and reflect the nursing interventions
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ofmonitoring orobserving. Monitoring for complications suchas further signs of infection is an
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independent nursing role. Intake and output is an independent nursing role. Monitoring a patient’s
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temperature is an independent nursing role.
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DIF: Cognitive Level: Application OBJ: NursingProcessStep:Planning T T T T T T




MSC: Patient Needs: Safe and Effective Care Environment
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8. Which nursing intervention is written correctly?
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a. Force fluids as necessary. T T T




b. Observe interaction with the infant. T T T T




c. Encourage turning, coughing, and deep breathing. T T T T T




d. Assist to ambulate for 10NmUinRuS
teIat G
sN 8TAB
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2OM, and 6 PM.
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ANS: D T




Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not T T T T T T T T T T T T T T T T




specific; it does not statehow muchorhowoften. Encouraging the patient to turn, cough, and breathe
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deeply is not detailed or specific. Observing interaction with the infant does not state how often this
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procedure should be done. Assisting the patient to ambulate for 10 minutes within a certain
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timeframe is specific.
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DIF: Cognitive Level: Application OBJ: NursingProcessStep:Planning T T T T T T




MSC: Patient Needs: Safe and Effective Care Environment
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9. Thepatient makes the statement: “I’mafraid totakethe baby home tomorrow.”Which
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response by the nurse would be the most therapeutic?
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a. “You’re afraid to take the baby home?” T T T T T T




b. “Don’t you have a mother who can come and help?” T T T T T T T T T




c. “You should read the literature Igave you before you leave.”
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d. “Iwas scared when I took my first baby home, but everything worked out.”
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ANS: A T




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, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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This response uses reflectionto showconcernand open communication. The otherchoices are blocks to
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communication. Asking if the patient has a mother who can come and assist blocks further
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communication withthe patient. Telling the patient to readthe literaturebefore leaving does not allow the
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patient to express her feelings further. Sharing your own birth experience is inappropriate.
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DIF: Cognitive Level: Application OBJ: NursingProcessStep:Implementation T T T T T T




MSC: Patient Needs: Psychosocial Integrity
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10. The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to tissue
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trauma, secondaryto vaginal birth, as evidenced by patient stating pain of8 ona scale of10. Which
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expected outcome is correctly stated for this problem?
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a. Patient will state that pain is a 2 on a scale of 10. T T T T T T T T T T T T




b. Patient willhavea reduction inpain after administration ofthe prescribed
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analgesic.
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c. Patient willstateanabsence ofpain 1 hour after administration oftheprescribed
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analgesic.
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d. Patient will statethat pain is a 2 on a scale of10, 1 hour after the administration of the
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prescribed analgesic.
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ANS: D T




The outcome should be patient-centered, measurable, realistic, and attainable and within a specified
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timeframe. Patient stating that her pain is now2 on a scale of10 lacks atimeframe. Patient having a
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reduction in pain after administration of the prescribed analgesic lacks a measurement. Patient stating an
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absence ofpain 1 hour after theadministration ofprescribed analgesic is unrealistic.
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DIF: Cognitive Level: App li c atiUon S N OTB J : T T
N R I G B .C M
N uOr s ing Process Step: Planning T T T




MSC: Patient Needs: Physiologic Integrity
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11. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?
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a. Risk for anxiety related to upcoming birth
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b. Risk for imbalanced nutrition related to NPO status
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c. Risk for altered family processes related to new addition to the family
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d. Risk for injury(maternal) relatedto altered sensations and positional orphysical
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changes
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ANS: D T




The nurseshould determine whichproblem needs immediate attention. Risk for injury is the problem that
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has the priority at this time because it is a safety problem. Risk for anxiety, imbalanced nutrition, and
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altered family processes are not the priorities at this time.
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DIF: Cognitive Level: Application OBJ: NursingProcessStep:Implementation T T T T T T




MSC: Patient Needs: Safe and Effective Care Environment
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12. Regarding advanced roles of nursing, which statementrelated to clinicalpractice is the most
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accurate?
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a. Family nursepractitioners (FNPs) can assist with childbirthcare in the hospital
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setting.
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b. Clinical nurse specialists (CNSs) provide primary care to obstetric patients. T T T T T T T T T




c. Neonatal nurse practitioners provide emergency care in the postbirth setting to T T T T T T T T T T





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