Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
Table of Contents
Chapter 01 Clinical Judgement and the Nursing Process 1
Chapter 02 Social, Ethical, and Legal Issues 8
TEST BANK
Chapter 03 Reproductive Anatomy and Physiology 21
Foundations of Maternal-Newborn and Women's Health Chapter 04 Hereditary and Environmental Influences on Childbearing 28
Chapter 05 Conception and Prenatal Development 36
Nursing Chapter 06 Maternal Adaptations to Pregnancy 43
Chapter 07 Antepartum Assessment, Care, and Education 55
Sharon Murray, Emily McKinney, Karen S. Holub, Renee Jones, and Kristin L. Scheffer
Chapter 08 Nutrition for Childbearing 65
Chapter 09 Prenatal Diagnosis and Fetal Assessment During the Antepartum Period 76
8th Edition Chapter 10 Complications of Pregnancy 87
Chapter 11 The Childbearing Family with Special Needs 106
Chapter 12 Processes of Birth 113
Chapter 13 Pain Management During Childbirth 126
Chapter 14 Intrapartum Fetal Surveillance 140
Chapter 15 Nursing Care During Labor and Birth 153
Chapter 16 Intrapartum Complications 172
Foundations of Chapter 17 Postpartum Adaptations and Nursing Care 186
Maternal-Newborn Chapter 18 Postpartum Maternal Complications 202
Chapter 19 Critical Care Obstetrics 215
and Women's Chapter 20 Normal Newborn-Processes of Adaptation
Chapter 21 Assessment of the Normal Newborn
219
228
Health Nursing
Chapter 22 Care of the Normal Newborn 238
Chapter 23 Infant Feeding 253
Chapter 24 High-Risk Newborn Complications Associated with Gestational Age and
EIGHTH EDITION Sharon Murray 265
Development
Emily McKinney Chapter 25 High-Risk Newborn-Acquired and Congenital Conditions 273
Karen S. Holub Chapter 26 Family Planning 280
Reneé Jones Chapter 27 Infertility 289
Chapter 28 Women's Health 294
Kristin L. Scheffer
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, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
Foundations of Maternal-Newborn and Women's Health c. Traditional hospital birth
d. Labor, birth, and recovery room
Nursing 8th Edition Murray Test Bank All Chapters
ANS: C
Chapter 01: Maternity and Women's Health Care Today In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
Foundations of Maternal-Newborn & Women's Health Nursing, 8th Edition
parent-infant contact. Home births allow the greatest amount of parent-infant contact. The
labor, birth, recovery, and postpartum room setting allows for increased parent-infant contact.
MULTIPLE CHOICE
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
1. A nurse educator is teaching a group of nursing students about the history of family-centered
maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
b. Changes in pharmacologic management of labor prompted family-centered care.
a. The family is in a familiar environment.
c. Demands by physicians for family involvement in childbirth increased the practice
of family-centered care. b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care. d. The woman's support system is encouraged to stay until discharge.
ANS: D
ANS: D
As research began to identify the benefits of early, extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice of Sleeping equipment is provided in a private room. A hospital setting is never a familiar
rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided environment to new parents. An LDRP room is not less expensive than a traditional hospital
funds for state-managed programs for mothers and children but did not promote room. The baby remains with the mother at all times and is not removed to the nursery for
family-centered care. The changes in pharmacologic management of labor were not a factor in routine care or testing. The father or other designated members of the mother's support system
family-centered maternity care. Family-centered care was a request by parents, not physicians. are encouraged to stay at all times.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance MSC: Patient Needs: Health Promotion and Maintenance
2. Expectant parents ask a prenatal nurse educator-Which setting for childbirth limits the 4. Which nursing intervention is an independent function of the professional nurse?
amount of parent-infant interaction?| Which answer should the nurse provide for these a. Administering oral analgesics
b. Requesting diagnostic studies
parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
c. Teaching the patient perineal care
b. Home birth d. Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
Test Bank Page 3 Test Bank Page 4
, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
and intervening in nonmedical problems. Interventions initiated by the physician and carried
out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
The third step in the nursing process involves planning care for problems that were identified
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic
during assessment. The evaluation phase is determining whether the goals have been met.
studies is a dependent function. Providing wound care is a dependent function; however, the
During the assessment phase, data are collected. The intervention phase is when the plan of
physician prescribes the type of wound care through direct orders or protocol. care is carried out.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
MSC: Patient Needs: Safe and Effective Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, -I'm so afraid to
7. Which goal is most appropriate for the collaborative problem of wound infection?
have a cesarean birth||?
a. The patient will not exhibit further signs of infection.
a. -Everything will be OK.I| b. Maintain the patient's fluid intake at 1000 mL/8 hour.
b. -Don't worry about it. It will be over soon.| c. The patient will have a temperature of 98.6°F within 2 days.
c. -What concerns you most about a cesarean birth?! d. Monitor the patient to detect therapeutic response to antibiotic therapy.
d. -The physician will be in later and you can talk to him.
ANS: D
ANS: C In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
The response, -What concerns you most about a cesarean birthl focuses on what the patient is interventions of monitoring or observing. Monitoring for complications such as further signs
saying and asks for clarification, which is the most therapeutic response. The response, of infection is an independent nursing role. Intake and output is an independent nursing role.
-Everything will be ok|lis belittling the patient's feelings. The response, -Don't worry about Monitoring a patient's temperature is an independent nursing role.
it. It will be over soonl| will indicate that the patient's feelings are not important. The
response, -The physician will be in later and you can talk to himll does not allow the patient to DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
verbalize her feelings when she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation 8. Which nursing intervention is written correctly?
MSC: Patient Needs: Psychosocial Integrity a. Force fluids as necessary.
b. Observe interaction with the infant.
6. In which step of the nursing process does the nurse determine the appropriate interventions for c. Encourage turning, coughing, and deep breathing.
the identified nursing diagnosis?
d. Assist to ambulate for 10 minufes at 8 AM; CPM
2 PM, and 6 PM.
a. Planning
ANS: D
b. Evaluation
Interventions might not be carried out if they are not detailed and specific. -Force fluidsl is
c. Assessment
not specific; it does not state how much or how often. Encouraging the patient to turn, cough,
d. Intervention
and breathe deeply is not detailed or specific. Observing interaction with the infant does not
ANS: A
state how often this procedure should be done. Assisting the patient to ambulate for 10
minutes within a certain timeframe is specific.
Test Bank Page 5 Test Bank Page 6
, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning NRGB
MSC: Patient Needs: Safe and Effective Care Environment
DIF: Cognitive Level: Application OBF Narsing Process Step: Planning MSC
Patient Needs: Physiologic Integrity
9. The patient makes the statement: -I'm afraid to take the baby home tomorrow. Which
11. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?
response by the nurse would be the most therapeutic?
a. Risk for anxiety related to upcoming birth
a. -You're afraid to take the baby home?l
b. Risk for imbalanced nutrition related to NPO status
b. -Don't you have a mother who can come and help?!
c. Risk for altered family processes related to new addition to the family
C. -You should read the literature I gave you before you leave.
d. d. Risk for injury (maternal) related to altered sensations and positional or physical
-I was scared when I took my first baby home, but everything worked out.
changes
ANS: A
ANS: D
This response uses reflection to show concern and open communication. The other choices are The nurse should determine which problem needs immediate attention. Risk for injury is the
blocks to communication. Asking if the patient has a mother who can come and assist blocks problem that has the priority at this time because it is a safety problem. Risk for anxiety,
further communication with the patient. Telling the patient to read the literature before leaving imbalanced nutrition, and altered family processes are not the priorities at this time.
does not allow the patient to express her feelings further. Sharing your own birth experience is
inappropriate. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Psychosocial Integrity 12. Regarding advanced roles of nursing, which statement related to clinical practice is the most
accurate?
10. The nurse is writing an expected outcome for the nursing diagnosis-acute pain related to a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale setting.
of 10. Which expected outcome is correctly stated for this problem? b. Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
a. Patient will state that pain is a 2 on a scale of 10.
c. Neonatal nurse practitioners provide emergency care in the postbirth setting to
b. Patient will have a reduction in pain after administration of the prescribed
high-risk infants.
analgesic.
d. A certified nurse midwife (CNM) is not considered to be an advanced practice
c. Patient will state an absence of pain 1 hour after administration of the prescribed
nurse.
analgesic.
d. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of ANS: C
the prescribed analgesic. Neonatal NPs provide care for the high-risk neonate in the birth room and in the neonatal
intensive care unit, as needed. FNPs do not participate in childbirth care; however, they can
ANS: D
take care of uncomplicated pregnancies and postbirth care outside of the hospital setting.
The outcome should be patient-centered, measurable, realistic, and attainable and within a
CNSs work in hospital settings but do not provide primary care services to patients. A CNM is
specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe.
an advanced practice nurse who receives additional certification in the specific area of
Patient having a reduction in pain after administration of the prescribed analgesic lacks a
midwifery.
measurement. Patient stating an absence of pain 1 hour after the administration of prescribed
analgesic is unrealistic.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Evaluation
Test Bank Page 7 Test Bank Page 8
Table of Contents
Chapter 01 Clinical Judgement and the Nursing Process 1
Chapter 02 Social, Ethical, and Legal Issues 8
TEST BANK
Chapter 03 Reproductive Anatomy and Physiology 21
Foundations of Maternal-Newborn and Women's Health Chapter 04 Hereditary and Environmental Influences on Childbearing 28
Chapter 05 Conception and Prenatal Development 36
Nursing Chapter 06 Maternal Adaptations to Pregnancy 43
Chapter 07 Antepartum Assessment, Care, and Education 55
Sharon Murray, Emily McKinney, Karen S. Holub, Renee Jones, and Kristin L. Scheffer
Chapter 08 Nutrition for Childbearing 65
Chapter 09 Prenatal Diagnosis and Fetal Assessment During the Antepartum Period 76
8th Edition Chapter 10 Complications of Pregnancy 87
Chapter 11 The Childbearing Family with Special Needs 106
Chapter 12 Processes of Birth 113
Chapter 13 Pain Management During Childbirth 126
Chapter 14 Intrapartum Fetal Surveillance 140
Chapter 15 Nursing Care During Labor and Birth 153
Chapter 16 Intrapartum Complications 172
Foundations of Chapter 17 Postpartum Adaptations and Nursing Care 186
Maternal-Newborn Chapter 18 Postpartum Maternal Complications 202
Chapter 19 Critical Care Obstetrics 215
and Women's Chapter 20 Normal Newborn-Processes of Adaptation
Chapter 21 Assessment of the Normal Newborn
219
228
Health Nursing
Chapter 22 Care of the Normal Newborn 238
Chapter 23 Infant Feeding 253
Chapter 24 High-Risk Newborn Complications Associated with Gestational Age and
EIGHTH EDITION Sharon Murray 265
Development
Emily McKinney Chapter 25 High-Risk Newborn-Acquired and Congenital Conditions 273
Karen S. Holub Chapter 26 Family Planning 280
Reneé Jones Chapter 27 Infertility 289
Chapter 28 Women's Health 294
Kristin L. Scheffer
Student Resources on Eaelve
Evolve Access Code inside
ELSEVIER
Test Bank Page 1 Test Bank Page 2
, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
Foundations of Maternal-Newborn and Women's Health c. Traditional hospital birth
d. Labor, birth, and recovery room
Nursing 8th Edition Murray Test Bank All Chapters
ANS: C
Chapter 01: Maternity and Women's Health Care Today In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
Foundations of Maternal-Newborn & Women's Health Nursing, 8th Edition
parent-infant contact. Home births allow the greatest amount of parent-infant contact. The
labor, birth, recovery, and postpartum room setting allows for increased parent-infant contact.
MULTIPLE CHOICE
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
1. A nurse educator is teaching a group of nursing students about the history of family-centered
maternity care. Which statement should the nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
b. Changes in pharmacologic management of labor prompted family-centered care.
a. The family is in a familiar environment.
c. Demands by physicians for family involvement in childbirth increased the practice
of family-centered care. b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care. d. The woman's support system is encouraged to stay until discharge.
ANS: D
ANS: D
As research began to identify the benefits of early, extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice of Sleeping equipment is provided in a private room. A hospital setting is never a familiar
rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided environment to new parents. An LDRP room is not less expensive than a traditional hospital
funds for state-managed programs for mothers and children but did not promote room. The baby remains with the mother at all times and is not removed to the nursery for
family-centered care. The changes in pharmacologic management of labor were not a factor in routine care or testing. The father or other designated members of the mother's support system
family-centered maternity care. Family-centered care was a request by parents, not physicians. are encouraged to stay at all times.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance MSC: Patient Needs: Health Promotion and Maintenance
2. Expectant parents ask a prenatal nurse educator-Which setting for childbirth limits the 4. Which nursing intervention is an independent function of the professional nurse?
amount of parent-infant interaction?| Which answer should the nurse provide for these a. Administering oral analgesics
b. Requesting diagnostic studies
parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
c. Teaching the patient perineal care
b. Home birth d. Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functions, including teaching, counseling,
Test Bank Page 3 Test Bank Page 4
, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
and intervening in nonmedical problems. Interventions initiated by the physician and carried
out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
The third step in the nursing process involves planning care for problems that were identified
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic
during assessment. The evaluation phase is determining whether the goals have been met.
studies is a dependent function. Providing wound care is a dependent function; however, the
During the assessment phase, data are collected. The intervention phase is when the plan of
physician prescribes the type of wound care through direct orders or protocol. care is carried out.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
MSC: Patient Needs: Safe and Effective Care Environment
5. Which response by the nurse is the most therapeutic when the patient states, -I'm so afraid to
7. Which goal is most appropriate for the collaborative problem of wound infection?
have a cesarean birth||?
a. The patient will not exhibit further signs of infection.
a. -Everything will be OK.I| b. Maintain the patient's fluid intake at 1000 mL/8 hour.
b. -Don't worry about it. It will be over soon.| c. The patient will have a temperature of 98.6°F within 2 days.
c. -What concerns you most about a cesarean birth?! d. Monitor the patient to detect therapeutic response to antibiotic therapy.
d. -The physician will be in later and you can talk to him.
ANS: D
ANS: C In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
The response, -What concerns you most about a cesarean birthl focuses on what the patient is interventions of monitoring or observing. Monitoring for complications such as further signs
saying and asks for clarification, which is the most therapeutic response. The response, of infection is an independent nursing role. Intake and output is an independent nursing role.
-Everything will be ok|lis belittling the patient's feelings. The response, -Don't worry about Monitoring a patient's temperature is an independent nursing role.
it. It will be over soonl| will indicate that the patient's feelings are not important. The
response, -The physician will be in later and you can talk to himll does not allow the patient to DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
verbalize her feelings when she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation 8. Which nursing intervention is written correctly?
MSC: Patient Needs: Psychosocial Integrity a. Force fluids as necessary.
b. Observe interaction with the infant.
6. In which step of the nursing process does the nurse determine the appropriate interventions for c. Encourage turning, coughing, and deep breathing.
the identified nursing diagnosis?
d. Assist to ambulate for 10 minufes at 8 AM; CPM
2 PM, and 6 PM.
a. Planning
ANS: D
b. Evaluation
Interventions might not be carried out if they are not detailed and specific. -Force fluidsl is
c. Assessment
not specific; it does not state how much or how often. Encouraging the patient to turn, cough,
d. Intervention
and breathe deeply is not detailed or specific. Observing interaction with the infant does not
ANS: A
state how often this procedure should be done. Assisting the patient to ambulate for 10
minutes within a certain timeframe is specific.
Test Bank Page 5 Test Bank Page 6
, Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition Murray Test Bank All Chapters
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning NRGB
MSC: Patient Needs: Safe and Effective Care Environment
DIF: Cognitive Level: Application OBF Narsing Process Step: Planning MSC
Patient Needs: Physiologic Integrity
9. The patient makes the statement: -I'm afraid to take the baby home tomorrow. Which
11. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?
response by the nurse would be the most therapeutic?
a. Risk for anxiety related to upcoming birth
a. -You're afraid to take the baby home?l
b. Risk for imbalanced nutrition related to NPO status
b. -Don't you have a mother who can come and help?!
c. Risk for altered family processes related to new addition to the family
C. -You should read the literature I gave you before you leave.
d. d. Risk for injury (maternal) related to altered sensations and positional or physical
-I was scared when I took my first baby home, but everything worked out.
changes
ANS: A
ANS: D
This response uses reflection to show concern and open communication. The other choices are The nurse should determine which problem needs immediate attention. Risk for injury is the
blocks to communication. Asking if the patient has a mother who can come and assist blocks problem that has the priority at this time because it is a safety problem. Risk for anxiety,
further communication with the patient. Telling the patient to read the literature before leaving imbalanced nutrition, and altered family processes are not the priorities at this time.
does not allow the patient to express her feelings further. Sharing your own birth experience is
inappropriate. DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Psychosocial Integrity 12. Regarding advanced roles of nursing, which statement related to clinical practice is the most
accurate?
10. The nurse is writing an expected outcome for the nursing diagnosis-acute pain related to a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale setting.
of 10. Which expected outcome is correctly stated for this problem? b. Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
a. Patient will state that pain is a 2 on a scale of 10.
c. Neonatal nurse practitioners provide emergency care in the postbirth setting to
b. Patient will have a reduction in pain after administration of the prescribed
high-risk infants.
analgesic.
d. A certified nurse midwife (CNM) is not considered to be an advanced practice
c. Patient will state an absence of pain 1 hour after administration of the prescribed
nurse.
analgesic.
d. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of ANS: C
the prescribed analgesic. Neonatal NPs provide care for the high-risk neonate in the birth room and in the neonatal
intensive care unit, as needed. FNPs do not participate in childbirth care; however, they can
ANS: D
take care of uncomplicated pregnancies and postbirth care outside of the hospital setting.
The outcome should be patient-centered, measurable, realistic, and attainable and within a
CNSs work in hospital settings but do not provide primary care services to patients. A CNM is
specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe.
an advanced practice nurse who receives additional certification in the specific area of
Patient having a reduction in pain after administration of the prescribed analgesic lacks a
midwifery.
measurement. Patient stating an absence of pain 1 hour after the administration of prescribed
analgesic is unrealistic.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Evaluation
Test Bank Page 7 Test Bank Page 8
