,Chapter 01:
vv
MULTIPLE CHOICE
vv
,1. A nurse educator is teaching a group of nursing students about the history of
vv vv vv vv vv vv vv vv vv vv vv vv vv
family-centered maternity care. Which statement should the nurse include in the teaching
vv vv vv vv vv vv vv vv vv vv vv
session?
vv
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
vv vv vv vv vv vv vv
b. Changes in pharmacologic management of labor prompted family-centered care.
vv vv vv vv vv vv vv vv
c. Demands by physicians for family involvement in childbirth increased the
vv vv vv vv vv vv vv vv vv
practice vv
of family-centered care.
vv vv
d. Parental requests that infants be allowed to remain with them rather than in a
vv vv vv vv vv vv vv vv vv vv vv vv vv
nursery initiated the practice of family-centered care.
vv vv vv vv vv vv
ANS: v v D
As research began to identify the benefits of early, extended parent–infant contact,
vv vv vv vv vv vv vv vv vv vv vv
parents began to insist that the infant remain with them. This gradually developed into
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
vv vv vv vv vv vv vv vv vv vv vv vv
Towner Act provided funds for state-managed programs for mothers and children but
vv vv vv vv vv vv vv vv vv vv vv
did not promote family-centered care. The changes in pharmacologic management of
vv vv vv vv vv vv vv vv vv vv vv
labor were not a factor in family-centered maternity care. Family-centered care was a
vv vv vv vv vv vv vv vv vv vv vv vv vv
request by parents, not physicians.
vv vv vv vv vv
DIF: Cognitive Level: Application OBJ: Nursing Process Step: vv vv v v vv vv
Planning MSC: Patient Needs: Health Promotion and Maintenance
vv vv v v vv vv vv vv vv
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
vv vv vv vv vv vv vv vv vv vv vv vv
amount of parent–infant interaction?‖ Which answer should the nurse provide for
vv vv vv vv vv vv vv vv vv vv vv
these parents in order to assist them in choosing an appropriate birth setting?
vv vv vv vv vv vv vv vv vv vv vv vv vv
a. Birth center vv
b. Home birth vv
c. Traditional hospital birth vv vv
d. Labor, birth, and recovery room vv vv vv vv
ANS: v v C
In the traditional hospital setting, the mother may see the infant for only short feeding
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
periods, and the infant is cared for in a separate nursery. Birth centers are set up to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
allow an increase in parent–infant contact. Home births allow the greatest amount of
vv vv vv vv vv vv vv vv vv vv vv vv vv
parent–infant contact. The labor, birth, recovery, and postpartum room setting allows for
vv vv vv vv vv vv vv vv vv vv vv
increased parent–infant contact.
vv vv vv
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: vv vv v v vv vv
Planning MSC: Patient Needs: Health Promotion and Maintenance
vv vv v v vv vv vv vv vv
, 3. Which statement best describes the advantage of a labor, birth, recovery, and
vv vv vv vv vv vv vv vv vv vv vv
postpartum (LDRP) room?
vv vv vv
a. The family is in a familiar environment.
vv vv vv vv vv vv
b. They are less expensive than traditional hospital rooms.
vv vv vv vv vv vv vv
c. The infant is removed to the nursery to allow the mother to rest.
vv vv vv vv vv vv vv vv vv vv vv vv
d. The woman‘s support system is encouraged to stay until
vv vv vv vv vv vv vv vv
discharge.
vv
ANS: v v D
Sleeping equipment is provided in a private room. A hospital setting is never a familiar
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
environment to new parents. An LDRP room is not less expensive than a traditional
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
hospital room. The baby remains with the mother at all times and is not removed to the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
nursery for routine care or testing. The father or other designated members of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mother‘s support system are encouraged to stay at all times.
vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: vv vv v v vv vv
Assessment MSC: Patient Needs: Health Promotion and Maintenance
vv vv v v vv vv vv vv vv
4. Which nursing intervention is an independent function of the professional nurse?
vv vv vv vv vv vv vv vv vv vv
a. Administering oral analgesics vv vv
b. Requesting diagnostic studies vv vv
c. Teaching the patient perineal care vv vv vv vv
d. Providing wound care to a surgical incision vv vv vv vv vv vv
ANS: v v C
Nurses are now responsible for various independent functions, including teaching,
vv vv vv vv vv vv vv vv vv
counseling, and intervening in nonmedical problems. Interventions initiated by the
vv vv vv vv vv vv vv vv vv vv
physician and carried out by the nurse are called dependent functions. Administrating
vv vv vv vv vv vv vv vv vv vv vv vv
oral analgesics is a dependent function; it is initiated by a physician and carried out by a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a
vv vv vv vv vv vv vv vv vv vv vv vv vv
dependent function; however, the physician prescribes the type of wound care through
vv vv vv vv vv vv vv vv vv vv vv vv
direct orders or protocol.
vv vv vv vv
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: vv vv v v vv vv
Assessment MSC: Patient Needs: Safe and Effective Care Environment
vv vv v v vv vv vv vv vv vv
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv to have a cesarean birth‖?
vv vv vv vv
a. ―Everything will be OK.‖ vv vv vv
b. ―Don‘t worry about it. It will be over soon.‖ vv vv vv vv vv vv vv vv
c. ―What concerns you most about a cesarean birth?‖ vv vv vv vv vv vv vv
d. ―The physician will be in later and you can talk to him.‖
vv vv vv vv vv vv vv vv vv vv vv
ANS: v v C
The response, ―What concerns you most about a cesarean birth‖ focuses on what the
vv vv vv vv vv vv vv vv vv vv vv vv vv
patient is saying and asks for clarification, which is the most therapeutic response. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
response, ―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t
vv vv vv vv vv vv vv vv vv vv vv vv vv
worry about it. It will be over soon‖ will indicate that the patient‘s feelings are not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
important. The response, ―The physician will be in later and you can talk to him‖ does not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
allow the patient to verbalize her feelings when she wishes to do that.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Application vv vv OBJ: v v v v Nursing Process Step: Implementation vv vv vv
vv
MULTIPLE CHOICE
vv
,1. A nurse educator is teaching a group of nursing students about the history of
vv vv vv vv vv vv vv vv vv vv vv vv vv
family-centered maternity care. Which statement should the nurse include in the teaching
vv vv vv vv vv vv vv vv vv vv vv
session?
vv
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
vv vv vv vv vv vv vv
b. Changes in pharmacologic management of labor prompted family-centered care.
vv vv vv vv vv vv vv vv
c. Demands by physicians for family involvement in childbirth increased the
vv vv vv vv vv vv vv vv vv
practice vv
of family-centered care.
vv vv
d. Parental requests that infants be allowed to remain with them rather than in a
vv vv vv vv vv vv vv vv vv vv vv vv vv
nursery initiated the practice of family-centered care.
vv vv vv vv vv vv
ANS: v v D
As research began to identify the benefits of early, extended parent–infant contact,
vv vv vv vv vv vv vv vv vv vv vv
parents began to insist that the infant remain with them. This gradually developed into
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
vv vv vv vv vv vv vv vv vv vv vv vv
Towner Act provided funds for state-managed programs for mothers and children but
vv vv vv vv vv vv vv vv vv vv vv
did not promote family-centered care. The changes in pharmacologic management of
vv vv vv vv vv vv vv vv vv vv vv
labor were not a factor in family-centered maternity care. Family-centered care was a
vv vv vv vv vv vv vv vv vv vv vv vv vv
request by parents, not physicians.
vv vv vv vv vv
DIF: Cognitive Level: Application OBJ: Nursing Process Step: vv vv v v vv vv
Planning MSC: Patient Needs: Health Promotion and Maintenance
vv vv v v vv vv vv vv vv
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
vv vv vv vv vv vv vv vv vv vv vv vv
amount of parent–infant interaction?‖ Which answer should the nurse provide for
vv vv vv vv vv vv vv vv vv vv vv
these parents in order to assist them in choosing an appropriate birth setting?
vv vv vv vv vv vv vv vv vv vv vv vv vv
a. Birth center vv
b. Home birth vv
c. Traditional hospital birth vv vv
d. Labor, birth, and recovery room vv vv vv vv
ANS: v v C
In the traditional hospital setting, the mother may see the infant for only short feeding
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
periods, and the infant is cared for in a separate nursery. Birth centers are set up to
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
allow an increase in parent–infant contact. Home births allow the greatest amount of
vv vv vv vv vv vv vv vv vv vv vv vv vv
parent–infant contact. The labor, birth, recovery, and postpartum room setting allows for
vv vv vv vv vv vv vv vv vv vv vv
increased parent–infant contact.
vv vv vv
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: vv vv v v vv vv
Planning MSC: Patient Needs: Health Promotion and Maintenance
vv vv v v vv vv vv vv vv
, 3. Which statement best describes the advantage of a labor, birth, recovery, and
vv vv vv vv vv vv vv vv vv vv vv
postpartum (LDRP) room?
vv vv vv
a. The family is in a familiar environment.
vv vv vv vv vv vv
b. They are less expensive than traditional hospital rooms.
vv vv vv vv vv vv vv
c. The infant is removed to the nursery to allow the mother to rest.
vv vv vv vv vv vv vv vv vv vv vv vv
d. The woman‘s support system is encouraged to stay until
vv vv vv vv vv vv vv vv
discharge.
vv
ANS: v v D
Sleeping equipment is provided in a private room. A hospital setting is never a familiar
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
environment to new parents. An LDRP room is not less expensive than a traditional
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
hospital room. The baby remains with the mother at all times and is not removed to the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
nursery for routine care or testing. The father or other designated members of the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
mother‘s support system are encouraged to stay at all times.
vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: vv vv v v vv vv
Assessment MSC: Patient Needs: Health Promotion and Maintenance
vv vv v v vv vv vv vv vv
4. Which nursing intervention is an independent function of the professional nurse?
vv vv vv vv vv vv vv vv vv vv
a. Administering oral analgesics vv vv
b. Requesting diagnostic studies vv vv
c. Teaching the patient perineal care vv vv vv vv
d. Providing wound care to a surgical incision vv vv vv vv vv vv
ANS: v v C
Nurses are now responsible for various independent functions, including teaching,
vv vv vv vv vv vv vv vv vv
counseling, and intervening in nonmedical problems. Interventions initiated by the
vv vv vv vv vv vv vv vv vv vv
physician and carried out by the nurse are called dependent functions. Administrating
vv vv vv vv vv vv vv vv vv vv vv vv
oral analgesics is a dependent function; it is initiated by a physician and carried out by a
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
nurse. Requesting diagnostic studies is a dependent function. Providing wound care is a
vv vv vv vv vv vv vv vv vv vv vv vv vv
dependent function; however, the physician prescribes the type of wound care through
vv vv vv vv vv vv vv vv vv vv vv vv
direct orders or protocol.
vv vv vv vv
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: vv vv v v vv vv
Assessment MSC: Patient Needs: Safe and Effective Care Environment
vv vv v v vv vv vv vv vv vv
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
vv to have a cesarean birth‖?
vv vv vv vv
a. ―Everything will be OK.‖ vv vv vv
b. ―Don‘t worry about it. It will be over soon.‖ vv vv vv vv vv vv vv vv
c. ―What concerns you most about a cesarean birth?‖ vv vv vv vv vv vv vv
d. ―The physician will be in later and you can talk to him.‖
vv vv vv vv vv vv vv vv vv vv vv
ANS: v v C
The response, ―What concerns you most about a cesarean birth‖ focuses on what the
vv vv vv vv vv vv vv vv vv vv vv vv vv
patient is saying and asks for clarification, which is the most therapeutic response. The
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
response, ―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t
vv vv vv vv vv vv vv vv vv vv vv vv vv
worry about it. It will be over soon‖ will indicate that the patient‘s feelings are not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
important. The response, ―The physician will be in later and you can talk to him‖ does not
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
allow the patient to verbalize her feelings when she wishes to do that.
vv vv vv vv vv vv vv vv vv vv vv vv vv
DIF: Cognitive Level: Application vv vv OBJ: v v v v Nursing Process Step: Implementation vv vv vv
