Chapter4n01:4nMaternity4nand4nWomen’s4nHealth4nCare4nToday
Foundations4nof4nMaternal-Newborn4n&4nWomen’s4nHealth4nNursing,4n8th4nEdition
MULTIPLE4nCHOICE
1. A4nnurse4neducator4nis4nteaching4na4ngroup4nof4nnursing4nstudents4nabout4nthe4nhistory4nof4nfamily-
centered4nmaternity4ncare.4nWhich4nstatement4nshould4nthe4nnurse4ninclude4nin4nthe4nteaching4nse
ssion?
a. The4nSheppard-Towner4nAct4nof4n19214npromoted4nfamily-centered4ncare.
b. Changes4nin4npharmacologic4nmanagement4nof4nlabor4nprompted4nfamily-centered4ncare.
c. Demands4nby4nphysicians4nfor4nfamily4ninvolvement4nin4nchildbirth4nincreased4nthe4npr
actice4nof4nfamily-centered4ncare.
d. Parental4nrequests4nthat4ninfants4nbe4nallowed4nto4nremain4nwith4nthem4nrather4nth
an4nin4na4nnursery4ninitiated4nthe4npractice4nof4nfamily-centered4ncare.
ANS:4 n D
As4nresearch4nbegan4nto4nidentify4nthe4nbenefits4nof4nearly,4nextended4nparent–
infant4ncontact,4nparents4nbegan4nto4ninsist4nthat4nthe4ninfant4nremain4nwith4nthem.4nThis4ngradually
4ndeveloped4ninto4nthe4npractice4nof4nrooming-in4nand4nfinally4nto4nfamily-
centered4nmaternity4ncare.4nThe4nSheppard-Towner4nAct4nprovided4nfunds4nfor4nstate-
managed4nprograms4nfor4nmothers4nand4nchildren4nbut4ndid4nnot4npromote
family-
centered4ncare.4nThe4nchanges4nin4npharmacologic4nmanagement4nof4nlabor4nwere4nnot4na4nfactor4nin
4nfamily-centered4nmaternity4ncare.4nFamily-
centered4ncare4nwas4na4nrequest4nby4nparents,4nnot4nphysicians.
DIF: Cognitive4nLevel:4nApplication
OBJ:4nNursing4nProcess4nStep:4nPlanning4nMSC:4 n Patient4nNeeds:4nHealth4n
Promotion4nand4nMaintenance
2. Expectant4nparents4nask4na4nprenatal4nnurse4neducator,4n“Which4nsetting4nfor4nchildbirth4nli
mits4nthe4namount4nof4nparent–
infant4ninteraction?”4nWhich4nanswer4nshould4nthe4nnurse4nprovide4nfor4nthese4nparents4nin4n
order4nto4nassist4nthem4nin4nchoosing4nan4nappropriate4nbirth4nsetting?
a. Birth4ncenter
b. Home4nbirth
c. Traditional4nhospital4nbirth
d. Labor,4nbirth,4nand4nrecovery4nroom
ANS:4 n C
In4nthe4ntraditional4nhospital4nsetting,4nthe4nmother4nmay4nsee4nthe4ninfant4nfor4nonly4nshort4nfeeding4n
periods,4nand4nthe4ninfant4nis4ncared4nfor4nin4na4nseparate4nnursery.4nBirth4ncenters4nare4nset4nup4nto4nal
low4nan4nincrease4nin4nparent–
infant4ncontact.4nHome4nbirths4nallow4nthe4ngreatest4namount4nof4nparent–
infant4ncontact.4nThe4nlabor,4nbirth,4nrecovery,4nand4npostpartum4nroom4nsetting4nallows4nfor4nincre
ased4nparent–infant4ncontact.
DIF: Cognitive4nLevel:4nUnderstanding
OBJ:4nNursing4nProcess4nStep:4nPlanning4nMSC:4 n Patient4nNeeds:4nHealth4n
Promotion4nand4nMaintenance
3. Which4nstatement4nbest4ndescribes4nthe4nadvantage4nof4na4nlabor,4nbirth,4nrecovery,4nand4npost
partum4n(LDRP)4nroom?
,a. The4nfamily4nis4nin4na4nfamiliar4nenvironment.
b. They4nare4nless4nexpensive4nthan4ntraditional4nhospital4nrooms.
c. The4ninfant4nis4nremoved4nto4nthe4nnursery4nto4nallow4nthe4nmother4nto4nrest.
d. The4nwoman’s4nsupport4nsystem4nis4nencouraged4nto4nstay4nuntil4ndischarge.
ANS:4 n D
, Sleeping4nequipment4nis4nprovided4nin4na4nprivate4nroom.4nA4nhospital4nsetting4nis4nnever4na4nfamil
iar4nenvironment4nto4nnew4nparents.4nAn4nLDRP4nroom4nis4nnot4nless4nexpensive4nthan4na4ntraditio
nal4nhospital4nroom.4nThe4nbaby4nremains4nwith4nthe4nmother4nat4nall4ntimes4nand4nis4nnot4nremoved
4nto4nthe4nnursery4nfor4nroutine4ncare4nor4ntesting.4nThe4nfather4nor4nother4ndesignated4nmembers4nof4nt
he4nmother’s4nsupport4nsystem4nare4nencouraged4nto4nstay4nat4nall4ntimes.
DIF: Cognitive4nLevel:4nUnderstanding
OBJ:4nNursing4nProcess4nStep:4nAssessment4nMSC:4 n Patient4nNeeds:4nHealth4n
Promotion4nand4nMaintenance
4. Which4nnursing4nintervention4nis4nan4nindependent4nfunction4nof4nthe4nprofessional4nnurse?
a. Administering4noral4nanalgesics
b. Requesting4ndiagnostic4nstudies
c. Teaching4nthe4npatient4nperineal4ncare
d. Providing4nwound4ncare4nto4na4nsurgical4nincision
ANS:4 n C
Nurses4nare4nnow4nresponsible4nfor4nvarious4nindependent4nfunctions,4nincluding4nteaching,4ncouns
eling,4nand4nintervening4nin4nnonmedical4nproblems.4nInterventions4ninitiated4nby4nthe4nphysician4
nand4ncarried4nout4nby4nthe4nnurse4nare4ncalled4ndependent4nfunctions.4nAdministrating4noral4nanalg
esics4nis4na4ndependent4nfunction;4nit4nis4ninitiated4nby4na4nphysician4nand4ncarried4nout4nby4na4nnurs
e.4nRequesting4ndiagnostic4nstudies4nis4na4ndependent4nfunction.4nProviding4nwound4ncare4nis4na4nd
ependent4nfunction;4nhowever,4nthe4nphysician4nprescribes4nthe4ntype4nof4nwound4ncare4nthrough4n
direct4norders4nor4nprotocol.
DIF: Cognitive4nLevel:4nUnderstanding
OBJ:4nNursing4nProcess4nStep:4nAssessment4nMSC:4 n Patient4nNeeds:4nSafe4nan
d4nEffective4nCare4nEnvironment
5. Which4nresponse4nby4nthe4nnurse4nis4nthe4nmost4ntherapeutic4nwhen4nthe4npatient4nstates,4n“I’m4nso4n
afraid4nto4nhave4na4ncesarean4nbirth”?
a. “Everything4nwill4nbe4nOK.”
b. “Don’t4nworry4nabout4nit.4nIt4nwill4nbe4nover4nsoon.”
c. “What4nconcerns4nyou4nmost4nabout4na4ncesarean4nbirth?”
d. “The4nphysician4nwill4nbe4nin4nlater4nand4nyou4ncan4ntalk4nto4nhim.”
ANS:4 n C
The4nresponse,4n“What4nconcerns4nyou4nmost4nabout4na4ncesarean4nbirth”4nfocuses4non4nwhat4nthe4n
patient4nis4nsaying4nand4nasks4nfor4nclarification,4nwhich4nis4nthe4nmost4ntherapeutic4nresponse.4nTh
e4nresponse,4n“Everything4nwill4nbe4nok”4nis4nbelittling4nthe4npatient’s4nfeelings.4nThe4nresponse,4n“
Don’t4nworry4nabout4nit.4nIt4nwill4nbe4nover4nsoon”4nwill4nindicate4nthat4nthe4npatient’s4nfeelings4nar
e4nnot4nimportant.4nThe4nresponse,4n“The4nphysician4nwill4nbe4nin4nlater4nand4nyou4ncan4ntalk4nto4nhi
m”4ndoes4nnot4nallow4nthe4npatient4nto4nverbalize4nher4nfeelings4nwhen4nshe4nwishes4nto4ndo4nthat.
DIF: Cognitive4nLevel:4nApplication
OBJ:4nNursing4nProcess4nStep:4nImplementation4nMSC:4 n Patient4nNeeds:4nPsychos
ocial4nIntegrity
6. In4nwhich4nstep4nof4nthe4nnursing4nprocess4ndoes4nthe4nnurse4ndetermine4nthe4nappropriate4ninterventi
ons4nfor4nthe4nidentified4nnursing4ndiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:4 n A