TEST BANK FOR
FOUNDATIONS OF MATERNAL-NEWBORN
AND WOMEN’S HEALTH NURSING
8TH EDITION
BY MURRAY
,Chapter 01: Maternity and Women’s Health Care Today
x x x x x x x
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
x x x x x x x x
MULTIPLExCHOICE
1. Axnursexeducatorxisxteachingxaxgroupxofxnursingxstudentsxaboutxthexhistoryxofxfamily-
centeredxmaternityxcare.xWhichxstatementxshouldxthexnursexincludexinxthexteachingxsession?
a. ThexSheppard-TownerxActxofx1921xpromotedxfamily-centeredxcare.
b. Changesxinxpharmacologicxmanagementxofxlaborxpromptedxfamily-centeredxcare.
c. Demandsxbyxphysiciansxforxfamilyxinvolvementxinxchildbirthxincreasedxthexpracticex
ofxfamily-centeredxcare.
d. Parentalxrequestsxthatxinfantsxbexallowedxtoxremainxwithxthemxratherxthanxinxaxn
urseryxinitiatedxthexpracticexofxfamily-centeredxcare.
ANS:x D
Asxresearchxbeganxtoxidentifyxthexbenefitsxofxearly,xextendedxparent–
infantxcontact,xparentsxbeganxtoxinsistxthatxthexinfantxremainxwithxthem.xThisxgraduallyxdevelope
dxintoxthexpracticexofxrooming-inxandxfinallyxtoxfamily-centeredxmaternityxcare.xThexSheppard-
TownerxActxprovidedxfundsxforxstate-
managedxprogramsxforxmothersxandxchildrenxbutxdidxnotxpromote
family-
centeredxcare.xThexchangesxinxpharmacologicxmanagementxofxlaborxwerexnotxaxfactorxinxfamily-
centeredxmaternityxcare.xFamily-centeredxcarexwasxaxrequestxbyxparents,xnotxphysicians.
DIF: CognitivexLevel:xApplication
OBJ:xNursingxProcessxStep:xPlanningxMSC:x PatientxNeeds:xHealthxPromoti
onxandxMaintenance
2. Expectantxparentsxaskxaxprenatalxnursexeducator,x―Whichxsettingxforxchildbirthxlimitsxthexa
mountxofxparent– Nx Rx I Gx B.
infantxint eracUt io S
n ? ‖ xN
WhT Oer xshouldxthexnursexprovidexforxthesexparentsxinxorderxto
ichx answ
xassistxthemxinxchoosingxanxappropriatexbirthxsetting?
a. Birthxcenter
b. Homexbirth
c. Traditionalxhospitalxbirth
d. Labor,xbirth,xandxrecoveryxroom
ANS:x C
Inxthextraditionalxhospitalxsetting,xthexmotherxmayxseexthexinfantxforxonlyxshortxfeedingxperiods,xa
ndxthexinfantxisxcaredxforxinxaxseparatexnursery.xBirthxcentersxarexsetxupxtoxallowxanxincreasexinxpar
ent–infantxcontact.xHomexbirthsxallowxthexgreatestxamountxofxparent–
infantxcontact.xThexlabor,xbirth,xrecovery,xandxpostpartumxroomxsettingxallowsxforxincreasedxpar
ent–infantxcontact.
DIF: CognitivexLevel:xUnderstanding
OBJ:xNursingxProcessxStep:xPlanningxMSC:x PatientxNeeds:xHealthxPromoti
onxandxMaintenance
3. Whichxstatementxbestxdescribesxthexadvantagexofxaxlabor,xbirth,xrecovery,xandxpostpartumx(
LDRP)xroom?
a. Thexfamilyxisxinxaxfamiliarxenvironment.
b. Theyxarexlessxexpensivexthanxtraditionalxhospitalxrooms.
c. Thexinfantxisxremovedxtoxthexnurseryxtoxallowxthexmotherxtoxrest.
d. Thexwoman’sxsupportxsystemxisxencouragedxtoxstayxuntilxdischarge.
,ANS:x D
, Sleepingxequipmentxisxprovidedxinxaxprivatexroom.xAxhospitalxsettingxisxneverxaxfamiliarxenvironm
entxtoxnewxparents.xAnxLDRPxroomxisxnotxlessxexpensivexthanxaxtraditionalxhospitalxroom.xThexba
byxremainsxwithxthexmotherxatxallxtimesxandxisxnotxremovedxtoxthexnurseryxforxroutinexcarexorxtestin
g.xThexfatherxorxotherxdesignatedxmembersxofxthexmother’sxsupportxsystemxarexencouragedxtoxstayx
atxallxtimes.
DIF: CognitivexLevel:xUnderstanding
OBJ:xNursingxProcessxStep:xAssessmentxMSC:x PatientxNeeds:xHealthxPromoti
onxandxMaintenance
4. Whichxnursingxinterventionxisxanxindependentxfunctionxofxthexprofessionalxnurse?
a. Administeringx oralxanalgesics
b. Requestingxdiagnosticxstudies
c. Teachingxthexpatientxperinealxcare
d. Providingxwoundxcarextoxaxsurgicalxincision
ANS:x C
Nursesxarexnowxresponsiblexforxvariousxindependentxfunctions,xincludingxteaching,xcounseling,x
andxinterveningxinxnonmedicalxproblems.xInterventionsxinitiatedxbyxthexphysicianxandxcarriedxo
utxbyxthexnursexarexcalledxdependentxfunctions.xAdministratingxoralxanalgesicsxisxaxdependentxfu
nction;xitxisxinitiatedxbyxaxphysicianxandxcarriedxoutxbyxaxnurse.xRequestingxdiagnosticxstudiesxisx
axdependentxfunction.xProvidingxwoundxcarexisxaxdependentxfunction;xhowever,xthexphysicianxp
rescribesxthextypexofxwoundxcarexthroughxdirectxordersxorxprotocol.
DIF: CognitivexLevel:xUnderstanding
OBJ:xNursingxProcessxStep:xAssessmentxMSC:x PatientxNeeds:xSafexandxEffect
ivexCarexEnvironment
5. Whichxresponsexbyxthexnursexisxthexmostxtherapeuticxwhenxthexpatientxstates,x―I’mxsoxafraidxtoxh
avexaxcesareanxbirth‖? .
a. ―EverythingxwillxbexOK.‖
b. ―Don’txworryxaboutxit.xItxwillxbexoverxsoon.‖
c. ―Whatxconcernsx youxmostxaboutxaxcesareanxbirth?‖
d. ―Thexphysicianxwillxbexinxlaterxandx youxcanxtalkxtoxhim.‖
ANS:x C
Thexresponse,x―Whatxconcernsxyouxmostxaboutxaxcesareanxbirth‖xfocusesxonxwhatxthexpatientxisxs
ayingxandxasksxforxclarification,xwhichxisxthexmostxtherapeuticxresponse.xThexresponse,x―Everyt
hingxwillxbexok‖xisxbelittlingxthexpatient’sxfeelings.xThexresponse,x―Don’txworryxaboutxit.xItxwillx
bexoverxsoon‖xwillxindicatexthatxthexpatient’sxfeelingsxarexnotximportant.xThexresponse,x―Thexphy
sicianxwillxbexinxlaterxandxyouxcanxtalkxtoxhim‖xdoesxnotxallowxthexpatientxtoxverbalizexherxfeeling
sxwhenxshexwishesxtoxdoxthat.
DIF: CognitivexLevel:xApplication
OBJ:xNursingxProcessxStep:xImplementationxMSC:x PatientxNeeds:xPsychosocialxI
ntegrity
6. Inxwhichxstepxofxthexnursingxprocessxdoesxthexnursexdeterminexthexappropriatexinterventionsxforxt
hexidentifiedxnursingxdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:x A
FOUNDATIONS OF MATERNAL-NEWBORN
AND WOMEN’S HEALTH NURSING
8TH EDITION
BY MURRAY
,Chapter 01: Maternity and Women’s Health Care Today
x x x x x x x
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
x x x x x x x x
MULTIPLExCHOICE
1. Axnursexeducatorxisxteachingxaxgroupxofxnursingxstudentsxaboutxthexhistoryxofxfamily-
centeredxmaternityxcare.xWhichxstatementxshouldxthexnursexincludexinxthexteachingxsession?
a. ThexSheppard-TownerxActxofx1921xpromotedxfamily-centeredxcare.
b. Changesxinxpharmacologicxmanagementxofxlaborxpromptedxfamily-centeredxcare.
c. Demandsxbyxphysiciansxforxfamilyxinvolvementxinxchildbirthxincreasedxthexpracticex
ofxfamily-centeredxcare.
d. Parentalxrequestsxthatxinfantsxbexallowedxtoxremainxwithxthemxratherxthanxinxaxn
urseryxinitiatedxthexpracticexofxfamily-centeredxcare.
ANS:x D
Asxresearchxbeganxtoxidentifyxthexbenefitsxofxearly,xextendedxparent–
infantxcontact,xparentsxbeganxtoxinsistxthatxthexinfantxremainxwithxthem.xThisxgraduallyxdevelope
dxintoxthexpracticexofxrooming-inxandxfinallyxtoxfamily-centeredxmaternityxcare.xThexSheppard-
TownerxActxprovidedxfundsxforxstate-
managedxprogramsxforxmothersxandxchildrenxbutxdidxnotxpromote
family-
centeredxcare.xThexchangesxinxpharmacologicxmanagementxofxlaborxwerexnotxaxfactorxinxfamily-
centeredxmaternityxcare.xFamily-centeredxcarexwasxaxrequestxbyxparents,xnotxphysicians.
DIF: CognitivexLevel:xApplication
OBJ:xNursingxProcessxStep:xPlanningxMSC:x PatientxNeeds:xHealthxPromoti
onxandxMaintenance
2. Expectantxparentsxaskxaxprenatalxnursexeducator,x―Whichxsettingxforxchildbirthxlimitsxthexa
mountxofxparent– Nx Rx I Gx B.
infantxint eracUt io S
n ? ‖ xN
WhT Oer xshouldxthexnursexprovidexforxthesexparentsxinxorderxto
ichx answ
xassistxthemxinxchoosingxanxappropriatexbirthxsetting?
a. Birthxcenter
b. Homexbirth
c. Traditionalxhospitalxbirth
d. Labor,xbirth,xandxrecoveryxroom
ANS:x C
Inxthextraditionalxhospitalxsetting,xthexmotherxmayxseexthexinfantxforxonlyxshortxfeedingxperiods,xa
ndxthexinfantxisxcaredxforxinxaxseparatexnursery.xBirthxcentersxarexsetxupxtoxallowxanxincreasexinxpar
ent–infantxcontact.xHomexbirthsxallowxthexgreatestxamountxofxparent–
infantxcontact.xThexlabor,xbirth,xrecovery,xandxpostpartumxroomxsettingxallowsxforxincreasedxpar
ent–infantxcontact.
DIF: CognitivexLevel:xUnderstanding
OBJ:xNursingxProcessxStep:xPlanningxMSC:x PatientxNeeds:xHealthxPromoti
onxandxMaintenance
3. Whichxstatementxbestxdescribesxthexadvantagexofxaxlabor,xbirth,xrecovery,xandxpostpartumx(
LDRP)xroom?
a. Thexfamilyxisxinxaxfamiliarxenvironment.
b. Theyxarexlessxexpensivexthanxtraditionalxhospitalxrooms.
c. Thexinfantxisxremovedxtoxthexnurseryxtoxallowxthexmotherxtoxrest.
d. Thexwoman’sxsupportxsystemxisxencouragedxtoxstayxuntilxdischarge.
,ANS:x D
, Sleepingxequipmentxisxprovidedxinxaxprivatexroom.xAxhospitalxsettingxisxneverxaxfamiliarxenvironm
entxtoxnewxparents.xAnxLDRPxroomxisxnotxlessxexpensivexthanxaxtraditionalxhospitalxroom.xThexba
byxremainsxwithxthexmotherxatxallxtimesxandxisxnotxremovedxtoxthexnurseryxforxroutinexcarexorxtestin
g.xThexfatherxorxotherxdesignatedxmembersxofxthexmother’sxsupportxsystemxarexencouragedxtoxstayx
atxallxtimes.
DIF: CognitivexLevel:xUnderstanding
OBJ:xNursingxProcessxStep:xAssessmentxMSC:x PatientxNeeds:xHealthxPromoti
onxandxMaintenance
4. Whichxnursingxinterventionxisxanxindependentxfunctionxofxthexprofessionalxnurse?
a. Administeringx oralxanalgesics
b. Requestingxdiagnosticxstudies
c. Teachingxthexpatientxperinealxcare
d. Providingxwoundxcarextoxaxsurgicalxincision
ANS:x C
Nursesxarexnowxresponsiblexforxvariousxindependentxfunctions,xincludingxteaching,xcounseling,x
andxinterveningxinxnonmedicalxproblems.xInterventionsxinitiatedxbyxthexphysicianxandxcarriedxo
utxbyxthexnursexarexcalledxdependentxfunctions.xAdministratingxoralxanalgesicsxisxaxdependentxfu
nction;xitxisxinitiatedxbyxaxphysicianxandxcarriedxoutxbyxaxnurse.xRequestingxdiagnosticxstudiesxisx
axdependentxfunction.xProvidingxwoundxcarexisxaxdependentxfunction;xhowever,xthexphysicianxp
rescribesxthextypexofxwoundxcarexthroughxdirectxordersxorxprotocol.
DIF: CognitivexLevel:xUnderstanding
OBJ:xNursingxProcessxStep:xAssessmentxMSC:x PatientxNeeds:xSafexandxEffect
ivexCarexEnvironment
5. Whichxresponsexbyxthexnursexisxthexmostxtherapeuticxwhenxthexpatientxstates,x―I’mxsoxafraidxtoxh
avexaxcesareanxbirth‖? .
a. ―EverythingxwillxbexOK.‖
b. ―Don’txworryxaboutxit.xItxwillxbexoverxsoon.‖
c. ―Whatxconcernsx youxmostxaboutxaxcesareanxbirth?‖
d. ―Thexphysicianxwillxbexinxlaterxandx youxcanxtalkxtoxhim.‖
ANS:x C
Thexresponse,x―Whatxconcernsxyouxmostxaboutxaxcesareanxbirth‖xfocusesxonxwhatxthexpatientxisxs
ayingxandxasksxforxclarification,xwhichxisxthexmostxtherapeuticxresponse.xThexresponse,x―Everyt
hingxwillxbexok‖xisxbelittlingxthexpatient’sxfeelings.xThexresponse,x―Don’txworryxaboutxit.xItxwillx
bexoverxsoon‖xwillxindicatexthatxthexpatient’sxfeelingsxarexnotximportant.xThexresponse,x―Thexphy
sicianxwillxbexinxlaterxandxyouxcanxtalkxtoxhim‖xdoesxnotxallowxthexpatientxtoxverbalizexherxfeeling
sxwhenxshexwishesxtoxdoxthat.
DIF: CognitivexLevel:xApplication
OBJ:xNursingxProcessxStep:xImplementationxMSC:x PatientxNeeds:xPsychosocialxI
ntegrity
6. Inxwhichxstepxofxthexnursingxprocessxdoesxthexnursexdeterminexthexappropriatexinterventionsxforxt
hexidentifiedxnursingxdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:x A