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TEST BANK FOR FOUNDATIONS OF MATERNAL-
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BNEWBORN AND WOMEN HEALTHNURSING 8TH
B B B BB




EDITION BY SHARON SMITH MURRAY
B B B B B

,Chapter01:MaternityandWomen’sHealthCare Today bx x
b bx




Foundationsof Maternal-Newborn& Women’s HealthNursing, 8thEdition
bx B bx B




MULTIPLE CHOICE B




1. A nurseeducator isteaching a group ofnursingstudents aboutthe historyoffamily-
B B B B B B B



centeredmaternitycare.Whichstatementshould thenurseinclude intheteachingsession?
B bx bx bx B B bx bx



a. TheSheppard-TownerActof1921promotedfamily-centered care. B bx



b. Changesin pharmacologicmanagementoflaborpromptedfamily-centeredcare.
B



c. Demandsbyphysicians forfamilyinvolvement inchildbirthincreasedthe practice of f B B B B B



amily-centered care. bx



d. Parentalrequeststhat infants be allowed to remain withthemrather thanina nur s B B B B B bx B B B



eryinitiated the practice of family-centered care. B B B B B




ANS: D B



As research began to identifythebenefitsofearly,extendedparent–
bx B bx bx bx



infant contact,parentsbegan toinsistthatrtheinfant remainwiththem.Thisgraduallydeveloped i nt o
B B bx B B B B



Bthe practice of rooming-inand finallyto family-centeredmaternitycare. The Sheppard-
B B B B B B B



BTowner Act provided funds for state-
B B B B B



managedprogramsformothersandchildren but did not promote f bx bx bx bx B B



amily-
centered care.Thechanges inrpharmacologic management oflabor werenotarfactor inrfamily-
bx B B B B B B B



centered maternitycare. Family-centered care wasarequest byparents, not physicians.
B B B B B B B B




DIF: Cognitive Level: Application B B



OBJ:Nursing Process Step:Planning MSC: Patient Needs:HealthPromotio n an bx B B B bx B B bB



d Maintenance
B




2. Expectant parentsaskra prenatalnurseeducator,“Whichsettingforchildbirthlimitstheam
B B bx B




ountrofparent– NR IGB. bx




infantrinte r a cUtio S
n ?” N
WhiT
ch answO e r shouldthenurseprovidefortheserparentsrinrordertoa ssist them
B bx B B B B B B bx B



in choosing an appropriate birth setting?
B B B B B B



a. Birthcenter
b. Homebirth
c. Traditionalhospitalbirth
d. Labor,birth, and recoveryroom B bx




ANS: C B



Inrthe traditionalhospitalsetting,the mother mayseethe infant foronlyshort feedingperiods, and t h
B B B B B B B bx B



einfantis caredforinraseparate nursery. Birthcenters are set upto allowan increaseinparent–
B B B bx B bx B



Binfant contact. Home births allow the greatest amount of parent–
B B B B B B B B B



infant contact. The labor, birth, recovery, andpostpartumroomsettingallowsforincreasedparent –
B B B bx B B bx B



Binfant contact. B




DIF: Cognitive Level: Understanding B B



OBJ:Nursing Process Step:Planning MSC: Patient Needs:HealthPromotio n an bx B B B bx B B bB



d Maintenance
B




3. Whichrstatementbestdescribestheadvantageofalabor, birth, recovery,andpostpartum (L bx bx bx B B b xB



DRP) room? bx



a. Thefamilyis ina familiarenvironment. B B



b. Theyare less expensivethantraditionalhospitalrooms.
B B



c. Theinfant is removed tothenurseryto allowthemotherto rest.
B B bx B B B



d. Thewoman’ssupport systemisencouraged to stayuntil discharge. bx B B B

,ANS: D
B

, Sleepingrequipmentisprovided inaprivateroom.Ahospitalsettingis neverafamiliarenvironmen t to ne bx bx bx bx B B bx B



wparents. An LDRProomis notlessexpensivethan a traditionalhospital room.Thebabyre mains with t
B B B bx B B bxB B



he motheratalltimesandisnot removedtothenurseryforroutine carerortesting.The fa therorot herdesig
B bx bx bx bx bx B B B B



natedmembersofthe mother’s support system areencouragedtostayat alltimes. B B bx B B




DIF: Cognitive Level: Understanding B B



OBJ:Nursing Process Step:AssessmentMSC: PatientNeeds:Health Promotio n B bx B B bx B B



and Maintenance
B




4. Whichrnursingintervention isan independent functionoftheprofessional nurse? bx B B B



a. Administeringroralanalgesics
b. Requestingrdiagnosticstudies
c. Teachingthe patient perinealcare B B



d. Providingwoundcare to asurgical incision B B B




ANS: C B



Nursesarernowresponsibleforvariousindependentfunctions, includingrteaching, counseling, an B B B B



d intervening in nonmedical problems. Interventions initiated bythe physician andcarriedrout by t h
bx B B B B B B B B B B B



enursearecalleddependentfunctions. Administratingoralanalgesicsisa dependent function; it is i B B bx B B B



nitiated bya physician and carried out bya nurse. Requestingdiagnostic studies is a depende nt func
bx B B bx B B B B B bx B B B B



tion. Providing wound care isadependent function; however, therphysician prescribesthe ty pe of
B B B B B B B B B B B B B



woundrcare through direct orders or protocol. B B B B B




DIF: Cognitive Level: Understanding B B



OBJ:Nursing Process Step:AssessmentMSC: PatientNeeds:Safe and Effectiv e B bx B B bx bx B B



CareEnvironment

5. Whichresponserbythe nurseis the most therapeuticwhenthepatient states, “I’mso afraid to hav e B B B B B B B B B B B




a cesarean birth”?
B B
.
a. “Everything willbe OK.” B B



b. “Don’tworryabout it. It willbeoversoon.” B B B



c. “What concerns you most aboutacesareanbirth?”
bx B bx bx



d. “Thephysician will be inlaterand you can talk tohim.” B bx B B bx B bx




ANS: C B



Theresponse,“Whatconcerns youmostaboutacesareanbirth”focusesonwhatthepatientis sayi ngra bx bx bx bx bx B B B



ndrasks for clarification, which is the most therapeutic response. The response, “Everything will be
B B B B B B B B B B B B B



ok”isbelittlingthe patient’sfeelings.The response,“Don’tworryaboutit.Itwill be overs oon” w illi
B B B bx B B B B



ndicate that thepatient’s feelings are not important. The response,“Thephysicianwill beinlater and
bx B B bx B B B B



youcantalkrtohim”doesnotallowthepatienttoverbalize herfeelingswhenshe wis hesrto do tha t. bx B B B bx B B




DIF: Cognitive Level: Application
B B B B



OBJ:NursingProcessStep:Implementation MSC: Patient Needs: Psychosocial Int bx B bx B B



egrity

6. Inrwhichstepofthenursingprocess does the nurse determinetheappropriate interventionsrforthe i
bx bx B B B B B



dentified nursing diagnosis? bx B



a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A B