TEST BANK For Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition by Sharon Smith Murray, Emily Slone McKinney, Complete Chapter 1 - 28,|ultimate guide 100% verified A+| ISBN: 9780323827386.

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, TEST BANK FOR : Murray Foundations of Maternal-Newborn and
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Women's Health Nursing, 8thEdition
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Chapter 01: ki




MULTIPLE CHOICE ki




1. A nurse educator is teaching a group of nursing students about the history of
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family-centered maternity care. Which statement should the nurse include in the ki ki ki ki ki ki ki ki ki ki



teachingsession?
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a. The Sheppard-Towner Act of 1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care.ki ki ki ki ki ki ki ki



c. Demands by physicians for family involvement in childbirth increased the practice ki ki ki ki ki ki ki ki ki ki



of family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in a
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nursery initiated the practice of family-centered care. ki ki ki ki ki ki




ANS: k i D
As research began to identify the benefits of early, extended parent–infant contact,
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parentsbegan to insist that the infant remain with them. This gradually developed into the
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practiceof rooming-in and finally to family-centered maternity care. The Sheppard-
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Towner Act provided funds for state-managed programs for mothers and children but did
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not promote family-centered care. The changes in pharmacologic management of labor
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were not a factor in family-centered maternity care. Family-centered care was a request
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by parents, not physicians.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: ki ki ki ki ki



PlanningMSC: 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 interaction?‖ Which answer should the nurse provide for these
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parents in order to assist them in choosing an appropriate birth setting?
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a. Birth center ki



b. Home birth ki



c. Traditional hospital birth ki ki



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




ANS: k i C
In the traditional hospital setting, the mother may see the infant for only short feeding
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periods, and the infant is cared for in a separate nursery. Birth centers are set up to
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allowan increase in parent–infant contact. Home births allow the greatest amount of
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parent–infant contact. The labor, birth, recovery, and postpartum room setting allows
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forincreased parent–infant contact.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: ki ki ki ki ki



PlanningMSC: Patient Needs: Health Promotion and Maintenance
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, 3. Which statement best describes the advantage of a labor, birth, recovery, and
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postpartum(LDRP) room?
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a. The family is in a familiar environment.
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b. They are less expensive than traditional hospital rooms.
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c. The infant is removed to the nursery to allow the mother to rest.
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d. The woman‘s support system is encouraged to stay until discharge.
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ANS: D ki



Sleeping equipment is provided in a private room. A hospital setting is never a familiar
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environment to new parents. An LDRP room is not less expensive than a traditional
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hospital room. The baby remains with the mother at all times and is not removed to the
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nursery for routine care or testing. The father or other designated members of the
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mother‘ssupport system are encouraged to stay at all times.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: ki ki ki ki ki



AssessmentMSC: 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 oral analgesics ki ki



b. Requesting diagnostic studies ki ki



c. Teaching the patient perineal care ki ki ki ki



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




ANS: C ki



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



AssessmentMSC: 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
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to have a cesarean birth‖?
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a. ―Everything will be OK.‖ ki ki ki



b. ―Don‘t worry about it. It will be over soon.‖ ki ki ki ki ki ki ki ki



c. ―What concerns you most about a cesarean birth?‖ ki ki ki ki ki ki ki



d. ―The physician will be in later and you can talk to him.‖
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ANS: C ki



The response, ―What concerns you most about a cesarean birth‖ focuses on what the
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patient is saying and asks for clarification, which is the most therapeutic response. The
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response, ―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t
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worry about it. It will be over soon‖ will indicate that the patient‘s feelings are not
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important. The response, ―The physician will be in later and you can talk to him‖ does
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not allow the patient to verbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application ki ki OBJ: k i Nursing Process Step: Implementation ki ki ki