FOUNDATIONS OF MATERNAL-NWBORN AND
WOMEN’S HEALTH NURSING 8TH EDITION MURRAY’S
TESTBANK/ALL CHAPTERS 1-28/COMPLETE GUIDE
2024-2025
,Chapter 01: Maternity and Women’s Primary care Today
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
MULTIPLE CHOICE
1. A caregiver educator is teaching a group of nursing students about the history of family-
centered maternity care. Which statement should the caregiver include in the teaching
session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-centered care.
c. Demands by physicians for family involvement in childbirth increased the practice
of family-centered care.
d. Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care.
SELECT ANSWER D
ELABORATION :->>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 rooming-in and finally to family-centered maternity care. The
Sheppard-Towner Act provided funds for state-managed programs for mothers and children
but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in
family-centered maternity care. Family-centered care was a request by parents, not physicians.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Client Needs: Health Promotion and Maintenance
2. Expectant parents ask a prenatal caregiver educator, “Which setting for childbirth limits
N raRcUtIio nSG? ”B.C
the amount of parent–infant i nte N ichMa n sw
WhT Oe r should the caregiver provide
for these parents in order to assist them in choosing an appropriate birth setting?
a. Birth center
b. Home birth
c. Traditional health centre birth
d. Labor, birth, and recovery room
SELECT ANSWER C
ELABORATION :->>In the traditional health centre 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 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.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Client Needs: Health Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
a. The family is in a familiar environment.
b. They are less expensive than traditional health centre rooms.
c. The infant is removed to the nursery to allow the mother to rest.
d. The woman’s support system is encouraged to stay until discharge.
SELECT ANSWER D
, ELABORATION :->>Sleeping equipment is provided in a private room. A health centre
setting is never a familiar environment to new parents. An LDRP room is not less expensive
than a traditional health centre room. The baby remains with the mother at all times and is not
removed to the nursery for routine care or testing. The father or other designated members of
the mother’s support system are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Health Promotion and Maintenance
4. Which nursing intervention is an independent function of the professional caregiver?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
SELECT ANSWER C
ELABORATION :->>Caregivers are now responsible for various independent functions,
including teaching, counseling, and intervening in nonmedical problems. Interventions
initiated by the physician and carried out by the caregiver are called dependent functions.
Administrating oral analgesics is a dependent function; it is initiated by a physician and
carried out by a caregiver. Requesting diagnostic studies is a dependent function. Providing
wound care is a dependent function; however, the physician prescribes the type of wound
care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Client Needs: Safe and Effective Care Environment
5. Which response by the caregiver is the most therapeutic when the client states, “I’m so afraid
to have a cesarean birth”?
a. “Everything will be OK.”
b. “Don’t worry about it. It will be over soon.”
c. “What concerns you most about a cesarean birth?”
d. “The physician will be in later and you can talk to him.”
SELECT ANSWER C
ELABORATION :->>The response, “What concerns you most about a cesarean birth”
focuses on what the client is saying and asks for clarification, which is the most therapeutic
response. The response, “Everything will be ok” is belittling the client’s feelings. The
response, “Don’t worry about it. It will be over soon” will indicate that the client’s feelings
are not important. The response, “The physician will be in later and you can talk to him” does
not allow the client to verbalize her feelings when she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Client Needs: Psychosocial Integrity
6. In which step of the nursing process does the caregiver determine the appropriate interventions
for the identified nursing diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
SELECT ANSWER A
, The third step in the nursing process involves planning care for problems that were identified
during assessment. The evaluation phase is determining whether the goals have been met.
During the assessment phase, data are collected. The intervention phase is when the plan of
care is carried out.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. Which goal is most appropriate for the collaborative problem of wound infection?
a. The client will not exhibit further signs of infection.
b. Maintain the client’s fluid intake at 1000 mL/8 hour.
c. The client will have a temperature of 98.6F within 2 days.
d. Monitor the client to detect therapeutic response to antibiotic therapy.
SELECT ANSWER D
ELABORATION :->>In a collaborative problem, the goal should be caregiver-oriented and
reflect the nursing interventions of monitoring or observing. Monitoring for complications
such as further signs of infection is an independent nursing role. Intake and output is an
independent nursing role. Monitoring a client’s temperature is an independent nursing role.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. Which nursing intervention is written correctly?
a. Force fluids as necessary.
b. Observe interaction with the infant.
c. Encourage turning, coughing, and deep breathing.
d. Assist to ambulate for 10NmUinRuS
teIatG
sN 8TAB
M., C
2O M, and 6 PM.
PM
SELECT ANSWER D
ELABORATION :->>Interventions might not be carried out if they are not detailed and
specific. “Force fluids” is not specific; it does not state how much or how often. Encouraging
the client to turn, cough, and breathe deeply is not detailed or specific. Observing interaction
with the infant does not state how often this procedure should be done. Assisting the client to
ambulate for 10 minutes within a certain timeframe is specific.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Client Needs: Safe and Effective Care Environment
9. The client makes the statement: “I’m afraid to take the baby home tomorrow.” Which
response by the caregiver would be the most therapeutic?
a. “You’re afraid to take the baby home?”
b. “Don’t you have a mother who can come and help?”
c. “You should read the literature I gave you before you leave.”
d. “I was scared when I took my first baby home, but everything worked out.”
SELECT ANSWER A
