Foundationsmof mMaternal-
Newbornmand mWomen'smHealthmNursingm7thmEditionmMurraymTest mBank
Chapter m01:mMaternity mandmWomen’smHealthmCaremToday
Foundations mofmMaternal-Newbornm&mWomen’smHealthmNursing,m7thmEdition
MULTIPLEmCHOICE
1. A mnursemeducatormismteachingmamgroupmof mnursingmstudentsmabout mthemhistorymof mfamily-
centered mmaternitymcare.mWhichmstatement mshould mthemnursemincludeminmthemteachingmsession
?
a. ThemSheppard-TownermAct mof m1921mpromoted mfamily-centered mcare.
b. Changesminmpharmacologicmmanagement mof mlabormprompted mfamily-centered mcare.
c. Demandsmbymphysiciansmformfamilyminvolvement minmchildbirthmincreased mthempracti
cemof mfamily-centered mcare.
d. Parentalmrequestsmthat minfantsmbemallowed mtomremainmwithmthemmrathermthanmi
nmamnurseryminitiated mthempracticemof mfamily-centered mcare.
ANS:m D
Asmresearchmbeganmtomidentifymthembenefitsmof mearly,mextended mparent–
infant mcontact,mparentsmbeganmtominsist mthat mtheminfant mremainmwithmthem.mThismgraduallymdeve
loped mintomthempracticemof mrooming-inmand mfinallymtomfamily-
centered mmaternitymcare.mThemSheppard-TownermAct mprovided mfundsmformstate-
managed mprogramsmformmothersmand mchildrenmbut mdid mnot mpromote
family-
centered mcare.mThemchangesminmpharmacologicmmanagement mof mlabormweremnot mamfactorminmfami
ly-centered mmaternitymcare.mFamily-centered mcaremwasmamrequest mbymparents,mnot mphysicians.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mHealth mPro
motion mand mMaintenance
2. Expectant mparentsmaskmamprenatalmnursemeducator,m“Whichmsettingmformchildbirthmlimitsmt
hemamountmofmparent– NmRmImGmB.C
infantm intera cUt ionS? ” mN
WhT
ich m a nswOe r mshouldmthem nursem providemformthesemparentsm inmord
ermtomassist mthemminmchoosingmanmappropriatembirthmsetting?
a. Birthmcenter
b. Homembirth
c. Traditionalmhospitalmbirth
d. Labor,mbirth,mand mrecoverymroom
ANS:m C
Inmthemtraditionalmhospitalmsetting,mthemmothermmaymseemtheminfant mformonlymshort mfeedingmperio
ds,mand mtheminfant mismcared mforminmamseparatemnursery.mBirthmcentersmaremset mupmtomallow manmincr
easeminmparent–infant mcontact.mHomembirthsmallow mthemgreatest mamount mof mparent–
infant mcontact.mThemlabor,mbirth,mrecovery,mand mpostpartummroommsettingmallowsmformincreased m
parent–infant mcontact.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mHealth mPro
motion mand mMaintenance
3. Whichmstatement mbest mdescribesmthemadvantagemof mamlabor,mbirth,mrecovery,mand mpostpartu
mm(LDRP)mroom?
a. Themfamilymisminmamfamiliarmenvironment.
b. Theymaremlessmexpensivemthanmtraditionalmhospitalmrooms.
c. Theminfant mismremoved mtomthemnurserymtomallow mthemmothermtomrest.
NURSINGTB.COM
,Foundationsmof mMaternal-
Newborn andmwoman’s
d. mThe mWomen's msupport
mHealthmmsystem
Nursingmism7th
mencouraged mtomstay
mEditionmMurray untilmBank
Test
mm mdischarge.
ANS:m D
NURSINGTB.COM
,Foundationsmof mMaternal-
Newbornmand mWomen'smHealthmNursingm7thmEditionmMurraymTest mBank
Sleepingmequipment mismprovided minmamprivatemroom.mA mhospitalmsettingmismnever mamfamiliarmenv
ironment mtomnew mparents.mAnmLDRPmroommismnot mlessmexpensivemthanmamtraditionalmhospitalmro
om.mThembabymremainsmwithmthemmothermat mallmtimes mand mismnot mremoved mtomthemnurserymformro
utinemcaremormtesting.mThemfathermormothermdesignated mmembersmof mthemmother’smsupport msyste
mmaremencouraged mtomstaymat mallmtimes.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mAssessmentmMSC:m PatientmNeeds:mHealth mPro
motion mand mMaintenance
4. Whichmnursingminterventionmismanmindependent mfunctionmof mthemprofessionalmnurse?
a. Administeringmoralmanalgesics
b. Requestingmdiagnosticmstudies
c. Teachingmthempatient mperinealmcare
d. Providingmwound mcaremtomamsurgicalmincision
ANS:m C
Nursesmaremnowmresponsiblemformvariousmindependent mfunctions,mincludingmteaching,mcounselin
g,mand minterveningminmnonmedicalmproblems.mInterventionsminitiated mbymthemphysicianmand mcar
ried mout mbymthemnursemaremcalled mdependent mfunctions.mAdministratingmoralmanalgesicsmismamde
pendent mfunction;mit misminitiated mbymamphysicianmand mcarried mout mbymamnurse.mRequestingmdiagn
osticmstudiesmismamdependent mfunction.mProvidingmwound mcaremismamdependent mfunction;mhowev
er,mthemphysicianmprescribesmthemtypemof mwound mcaremthroughmdirect mordersmormprotocol.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mAssessmentmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
5. Whichmresponsembymthemnursemismthemmost mtherapeuticmwhenmthempatient mstates,m“I’mmsomafraid
mtomhavemamcesareanmbirth”? NURSINGTB.COM
a. “EverythingmwillmbemOK.”
b. “Don’t mworrymabout mit.mIt mwillmbemovermsoon.”
c. “What mconcernsmyoummost mabout mamcesareanmbirth?”
d. “Themphysicianmwillmbeminmlatermand myoumcanmtalkmtomhim.”
ANS:m C
Themresponse,m“What mconcernsmyoummost mabout mamcesareanmbirth”mfocusesmonmwhat mthempatient
mismsayingmand masksmformclarification,mwhichmismthemmost mtherapeuticmresponse.m Them response,m “
Everythingmwillmbemok”mismbelittlingmthempatient’smfeelings.m Themresponse,m“Don’t mworrymabout
mit.mIt mwillmbemovermsoon”mwillmindicatemthat mthempatient’smfeelingsmaremnot mimportant.mThemresp
onse,m“Themphysicianmwillmbeminmlatermand myoumcanmtalkmtomhim”mdoesmnot mallow mthempatient mtom
verbalizemhermfeelingsmwhenmshemwishesmtomdomthat.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mImplementationmMSC:m PatientmNeeds:mPsychosocia
lmIntegrity
6. Inmwhichmstepmof mthemnursingmprocessmdoesmthemnursemdeterminemthemappropriateminterventionsm
formthemidentified mnursingmdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:m A
NURSINGTB.COM
, Foundationsmof mMaternal-
Newbornmand mWomen'smHealthmNursingm7thmEditionmMurraymTest mBank
Themthird mstepminmthemnursingmprocessminvolvesmplanningmcaremformproblemsmthat mweremidentified md
uringmassessment.mThemevaluationmphasemismdeterminingmwhethermthemgoalsmhavembeen mmet.
Duringmthemassessment mphase,mdatamaremcollected.mTheminterventionmphasemismwhenmthemplanmof m
caremismcarried mout.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
7. Whichmgoalmismmost mappropriatemformthemcollaborativemproblemmof mwound minfection?
a. Thempatient mwillmnot mexhibit mfurthermsignsmof minfection.
b. Maintainmthempatient’smfluid mintakemat m1000mmL/8mhour.
c. Thempatient mwillmhavemamtemperaturemof m98.6Fmwithinm2mdays.
d. Monitormthempatient mtomdetect mtherapeuticmresponsemtomantibioticmtherapy.
ANS:m D
Inmamcollaborativemproblem,mthemgoalmshould mbemnurse-
oriented mand mreflect mthemnursingminterventionsmof mmonitoringmormobserving.mMonitoringmformc
omplicationsmsuchmasmfurthermsignsmof minfectionmismanmindependent mnursingmrole.mIntakemand mo
utput mismanmindependent mnursingmrole.mMonitoringmampatient’smtemperaturemismanmindependent
mnursingmrole.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
8. Whichmnursingminterventionmismwrittenmcorrectly?
a. Forcemfluidsmasmnecessary.
b. Observeminteractionmwithmtheminfant.
c. Encouragemturning,mcoughing,mand mdeepmbreathing.
d. Assist mtomambulatemform10NmUinRuS
t eI at G
smN 8TAB
M.,mC
2mOM, mand m6mPM.
PM
ANS:m D
Interventionsmmight mnot mbemcarried mout mif mtheymaremnot mdetailed mand mspecific.m“Forcemfluids”mis
mnot mspecific;mit mdoesmnot mstatemhow mmuchmormhow moften.mEncouragingmthempatient mtomturn,mcou
gh,mand mbreathemdeeplymismnot mdetailed mormspecific.mObservingminteractionmwithmtheminfant mdoe
smnot mstatemhow moftenmthismproceduremshould mbemdone.mAssistingmthempatient mtomambulatemform1
0mminutesmwithinmamcertainmtimeframemismspecific.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
9. Thempatient mmakesmthemstatement:m“I’mmafraid mtomtakemthembabymhomemtomorrow.”mWhi
chmresponsembymthemnursemwould mbemthemmost mtherapeutic?
a. “You’remafraid mtomtakemthembabymhome?”
b. “Don’t myoumhavemammothermwhomcanmcomemand mhelp?”
c. “Youmshould mread mthemliteraturemI mgavemyoumbeforemyoumleave.”
d. “I mwasmscared mwhenmI mtookmmymfirst mbabymhome,mbut meverythingmworked mout.”
ANS:m A
NURSINGTB.COM
Newbornmand mWomen'smHealthmNursingm7thmEditionmMurraymTest mBank
Chapter m01:mMaternity mandmWomen’smHealthmCaremToday
Foundations mofmMaternal-Newbornm&mWomen’smHealthmNursing,m7thmEdition
MULTIPLEmCHOICE
1. A mnursemeducatormismteachingmamgroupmof mnursingmstudentsmabout mthemhistorymof mfamily-
centered mmaternitymcare.mWhichmstatement mshould mthemnursemincludeminmthemteachingmsession
?
a. ThemSheppard-TownermAct mof m1921mpromoted mfamily-centered mcare.
b. Changesminmpharmacologicmmanagement mof mlabormprompted mfamily-centered mcare.
c. Demandsmbymphysiciansmformfamilyminvolvement minmchildbirthmincreased mthempracti
cemof mfamily-centered mcare.
d. Parentalmrequestsmthat minfantsmbemallowed mtomremainmwithmthemmrathermthanmi
nmamnurseryminitiated mthempracticemof mfamily-centered mcare.
ANS:m D
Asmresearchmbeganmtomidentifymthembenefitsmof mearly,mextended mparent–
infant mcontact,mparentsmbeganmtominsist mthat mtheminfant mremainmwithmthem.mThismgraduallymdeve
loped mintomthempracticemof mrooming-inmand mfinallymtomfamily-
centered mmaternitymcare.mThemSheppard-TownermAct mprovided mfundsmformstate-
managed mprogramsmformmothersmand mchildrenmbut mdid mnot mpromote
family-
centered mcare.mThemchangesminmpharmacologicmmanagement mof mlabormweremnot mamfactorminmfami
ly-centered mmaternitymcare.mFamily-centered mcaremwasmamrequest mbymparents,mnot mphysicians.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mHealth mPro
motion mand mMaintenance
2. Expectant mparentsmaskmamprenatalmnursemeducator,m“Whichmsettingmformchildbirthmlimitsmt
hemamountmofmparent– NmRmImGmB.C
infantm intera cUt ionS? ” mN
WhT
ich m a nswOe r mshouldmthem nursem providemformthesemparentsm inmord
ermtomassist mthemminmchoosingmanmappropriatembirthmsetting?
a. Birthmcenter
b. Homembirth
c. Traditionalmhospitalmbirth
d. Labor,mbirth,mand mrecoverymroom
ANS:m C
Inmthemtraditionalmhospitalmsetting,mthemmothermmaymseemtheminfant mformonlymshort mfeedingmperio
ds,mand mtheminfant mismcared mforminmamseparatemnursery.mBirthmcentersmaremset mupmtomallow manmincr
easeminmparent–infant mcontact.mHomembirthsmallow mthemgreatest mamount mof mparent–
infant mcontact.mThemlabor,mbirth,mrecovery,mand mpostpartummroommsettingmallowsmformincreased m
parent–infant mcontact.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mHealth mPro
motion mand mMaintenance
3. Whichmstatement mbest mdescribesmthemadvantagemof mamlabor,mbirth,mrecovery,mand mpostpartu
mm(LDRP)mroom?
a. Themfamilymisminmamfamiliarmenvironment.
b. Theymaremlessmexpensivemthanmtraditionalmhospitalmrooms.
c. Theminfant mismremoved mtomthemnurserymtomallow mthemmothermtomrest.
NURSINGTB.COM
,Foundationsmof mMaternal-
Newborn andmwoman’s
d. mThe mWomen's msupport
mHealthmmsystem
Nursingmism7th
mencouraged mtomstay
mEditionmMurray untilmBank
Test
mm mdischarge.
ANS:m D
NURSINGTB.COM
,Foundationsmof mMaternal-
Newbornmand mWomen'smHealthmNursingm7thmEditionmMurraymTest mBank
Sleepingmequipment mismprovided minmamprivatemroom.mA mhospitalmsettingmismnever mamfamiliarmenv
ironment mtomnew mparents.mAnmLDRPmroommismnot mlessmexpensivemthanmamtraditionalmhospitalmro
om.mThembabymremainsmwithmthemmothermat mallmtimes mand mismnot mremoved mtomthemnurserymformro
utinemcaremormtesting.mThemfathermormothermdesignated mmembersmof mthemmother’smsupport msyste
mmaremencouraged mtomstaymat mallmtimes.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mAssessmentmMSC:m PatientmNeeds:mHealth mPro
motion mand mMaintenance
4. Whichmnursingminterventionmismanmindependent mfunctionmof mthemprofessionalmnurse?
a. Administeringmoralmanalgesics
b. Requestingmdiagnosticmstudies
c. Teachingmthempatient mperinealmcare
d. Providingmwound mcaremtomamsurgicalmincision
ANS:m C
Nursesmaremnowmresponsiblemformvariousmindependent mfunctions,mincludingmteaching,mcounselin
g,mand minterveningminmnonmedicalmproblems.mInterventionsminitiated mbymthemphysicianmand mcar
ried mout mbymthemnursemaremcalled mdependent mfunctions.mAdministratingmoralmanalgesicsmismamde
pendent mfunction;mit misminitiated mbymamphysicianmand mcarried mout mbymamnurse.mRequestingmdiagn
osticmstudiesmismamdependent mfunction.mProvidingmwound mcaremismamdependent mfunction;mhowev
er,mthemphysicianmprescribesmthemtypemof mwound mcaremthroughmdirect mordersmormprotocol.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mAssessmentmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
5. Whichmresponsembymthemnursemismthemmost mtherapeuticmwhenmthempatient mstates,m“I’mmsomafraid
mtomhavemamcesareanmbirth”? NURSINGTB.COM
a. “EverythingmwillmbemOK.”
b. “Don’t mworrymabout mit.mIt mwillmbemovermsoon.”
c. “What mconcernsmyoummost mabout mamcesareanmbirth?”
d. “Themphysicianmwillmbeminmlatermand myoumcanmtalkmtomhim.”
ANS:m C
Themresponse,m“What mconcernsmyoummost mabout mamcesareanmbirth”mfocusesmonmwhat mthempatient
mismsayingmand masksmformclarification,mwhichmismthemmost mtherapeuticmresponse.m Them response,m “
Everythingmwillmbemok”mismbelittlingmthempatient’smfeelings.m Themresponse,m“Don’t mworrymabout
mit.mIt mwillmbemovermsoon”mwillmindicatemthat mthempatient’smfeelingsmaremnot mimportant.mThemresp
onse,m“Themphysicianmwillmbeminmlatermand myoumcanmtalkmtomhim”mdoesmnot mallow mthempatient mtom
verbalizemhermfeelingsmwhenmshemwishesmtomdomthat.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mImplementationmMSC:m PatientmNeeds:mPsychosocia
lmIntegrity
6. Inmwhichmstepmof mthemnursingmprocessmdoesmthemnursemdeterminemthemappropriateminterventionsm
formthemidentified mnursingmdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:m A
NURSINGTB.COM
, Foundationsmof mMaternal-
Newbornmand mWomen'smHealthmNursingm7thmEditionmMurraymTest mBank
Themthird mstepminmthemnursingmprocessminvolvesmplanningmcaremformproblemsmthat mweremidentified md
uringmassessment.mThemevaluationmphasemismdeterminingmwhethermthemgoalsmhavembeen mmet.
Duringmthemassessment mphase,mdatamaremcollected.mTheminterventionmphasemismwhenmthemplanmof m
caremismcarried mout.
DIF: CognitivemLevel:mUnderstanding
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
7. Whichmgoalmismmost mappropriatemformthemcollaborativemproblemmof mwound minfection?
a. Thempatient mwillmnot mexhibit mfurthermsignsmof minfection.
b. Maintainmthempatient’smfluid mintakemat m1000mmL/8mhour.
c. Thempatient mwillmhavemamtemperaturemof m98.6Fmwithinm2mdays.
d. Monitormthempatient mtomdetect mtherapeuticmresponsemtomantibioticmtherapy.
ANS:m D
Inmamcollaborativemproblem,mthemgoalmshould mbemnurse-
oriented mand mreflect mthemnursingminterventionsmof mmonitoringmormobserving.mMonitoringmformc
omplicationsmsuchmasmfurthermsignsmof minfectionmismanmindependent mnursingmrole.mIntakemand mo
utput mismanmindependent mnursingmrole.mMonitoringmampatient’smtemperaturemismanmindependent
mnursingmrole.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
8. Whichmnursingminterventionmismwrittenmcorrectly?
a. Forcemfluidsmasmnecessary.
b. Observeminteractionmwithmtheminfant.
c. Encouragemturning,mcoughing,mand mdeepmbreathing.
d. Assist mtomambulatemform10NmUinRuS
t eI at G
smN 8TAB
M.,mC
2mOM, mand m6mPM.
PM
ANS:m D
Interventionsmmight mnot mbemcarried mout mif mtheymaremnot mdetailed mand mspecific.m“Forcemfluids”mis
mnot mspecific;mit mdoesmnot mstatemhow mmuchmormhow moften.mEncouragingmthempatient mtomturn,mcou
gh,mand mbreathemdeeplymismnot mdetailed mormspecific.mObservingminteractionmwithmtheminfant mdoe
smnot mstatemhow moftenmthismproceduremshould mbemdone.mAssistingmthempatient mtomambulatemform1
0mminutesmwithinmamcertainmtimeframemismspecific.
DIF: CognitivemLevel:mApplication
OBJ:mNursingmProcessmStep:mPlanningmMSC:m PatientmNeeds:mSafemand mEf
fective mCaremEnvironment
9. Thempatient mmakesmthemstatement:m“I’mmafraid mtomtakemthembabymhomemtomorrow.”mWhi
chmresponsembymthemnursemwould mbemthemmost mtherapeutic?
a. “You’remafraid mtomtakemthembabymhome?”
b. “Don’t myoumhavemammothermwhomcanmcomemand mhelp?”
c. “Youmshould mread mthemliteraturemI mgavemyoumbeforemyoumleave.”
d. “I mwasmscared mwhenmI mtookmmymfirst mbabymhome,mbut meverythingmworked mout.”
ANS:m A
NURSINGTB.COM
