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Murray Foundations of Maternal-Newborn and Women's Health Nursing,
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8thEdition
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Chapter 01: g

MULTIPLE CHOICE g

1. A nurse educator is teaching a group of nursing students about the history of
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family-centered maternity care. Which statement should the nurse include in the g g g g g g g g g g

teachingsession?
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a. The Sheppard-Towner Act of 1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care.
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c. Demands by physicians for family involvement in childbirth increased the practice
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of family-centered care.
g g

d. Parental requests that infants be allowed to remain with them rather than in a
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nursery initiated the practice of family-centered care.
g g g g g g

ANS: D g

As research began to identify the benefits of early, extended parent–infant contact,
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parentsbegan to insist that the infant remain with them. This gradually developed into the
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practiceof rooming-in and finally to family-centered maternity care. The Sheppard-
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Towner Act provided funds for state-managed programs for mothers and children but did
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not promote family-centered care. The changes in pharmacologic management of labor
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were not a factor in family-centered maternity care. Family-centered care was a request
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by parents, not physicians.
g g g g

DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g

PlanningMSC: Patient Needs: Health Promotion and Maintenance
g g g g g g g g

2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
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amount of parent–infant interaction?‖ Which answer should the nurse provide for these
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parents in order to assist them in choosing an appropriate birth setting?
g g g g g g g g g g g g

a. Birth center g

b. Home birth g

c. Traditional hospital birth g g

d. Labor, birth, and recovery room g g g g

ANS: C g

In the traditional hospital setting, the mother may see the infant for only short feeding
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gperiods, and the infant is cared for in a separate nursery. Birth centers are set up to
g g g g g g g g g g g g g g g g

gallowan increase in parent–infant contact. Home births allow the greatest amount of
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gparent–infant contact. The labor, birth, recovery, and postpartum room setting allows
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gforincreased parent–infant contact.
g g g

DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g

PlanningMSC: Patient Needs: Health Promotion and Maintenance
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,3. Which statement best describes the advantage of a labor, birth, recovery, and
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gpostpartum(LDRP) room? g g

a. The family is in a familiar environment.
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b. They are less expensive than traditional hospital rooms.
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c. The infant is removed to the nursery to allow the mother to rest.
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d. The woman‘s support system is encouraged to stay until discharge.
g g g g g g g g g

ANS: D g

Sleeping equipment is provided in a private room. A hospital setting is never a familiar
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environment to new parents. An LDRP room is not less expensive than a traditional
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hospital room. The baby remains with the mother at all times and is not removed to the
g g g g g g g g g g g g g g g g g

nursery for routine care or testing. The father or other designated members of the
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mother‘ssupport system are encouraged to stay at all times.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g

AssessmentMSC: Patient Needs: Health Promotion and Maintenance
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4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics g g

b. Requesting diagnostic studies g g

c. Teaching the patient perineal care g g g g

d. Providing wound care to a surgical incision g g g g g g

ANS: C g

Nurses are now responsible for various independent functions, including teaching,
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counseling, and intervening in nonmedical problems. Interventions initiated by the
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physician and carried out by the nurse are called dependent functions. Administrating
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oralanalgesics is a dependent function; it is initiated by a physician and carried out by a
g g g g g g g g g g g g g g g g g

nurse.Requesting diagnostic studies is a dependent function. Providing wound care is a
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dependent function; however, the physician prescribes the type of wound care through
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direct orders or protocol.
g g g g

DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g

AssessmentMSC: Patient Needs: Safe and Effective Care Environment
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5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid
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gto have a cesarean birth‖?
g g g g

a. ―Everything will be OK.‖ g g g

b. ―Don‘t worry about it. It will be over soon.‖
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c. ―What concerns you most about a cesarean birth?‖
g g g g g g g

d. ―The physician will be in later and you can talk to him.‖
g g g g g g g g g g g

ANS: C g

The response, ―What concerns you most about a cesarean birth‖ focuses on what the
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patient is saying and asks for clarification, which is the most therapeutic response. The
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response, ―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t
g g g g g g g g g g g g g

worry about it. It will be over soon‖ will indicate that the patient‘s feelings are not
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important. The response, ―The physician will be in later and you can talk to him‖ does not
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allow the patient to verbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application g g OBJ: Nursing Process Step: Implementation
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, MSC: Patient Needs: Psychosocial Integrity
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6. In which step of the nursing process does the nurse determine the appropriate
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interventionsfor the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A g

The third step in the nursing process involves planning care for problems that were
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identified during assessment. The evaluation phase is determining whether the goals have
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been met. During the assessment phase, data are collected. The intervention phase is
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whenthe plan of care is carried out.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: g g g g g

PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g

7. Which goal is most appropriate for the collaborative problem of wound infection?
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a. The patient will not exhibit further signs of infection.
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b. Maintain the patient‘s fluid intake at 1000 mL/8 hour. g g g g g g g g

c. The patient will have a temperature of 98.F within 2 days.
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d. Monitor the patient to detect therapeutic response to antibiotic therapy.
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ANS: D g

In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
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ginterventions of monitoring or observing. Monitoring for complications such as
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gfurthersigns of infection is an independent nursing role. Intake and output is an
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gindependent nursing role. Monitoring a patient‘s temperature is an independent
g g g g g g g g g

gnursing role. g

DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g

PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g

8. Which nursing intervention is written correctly?
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a. Force fluids as necessary. g g g

b. Observe interaction with the infant. g g g g

c. Encourage turning, coughing, and deep breathing. g g g g g

d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
g g g g g g g g g g g g g

ANS: D g

Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖
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gis not specific; it does not state how much or how often. Encouraging the patient to turn,
g g g g g g g g g g g g g g g g

gcough, and breathe deeply is not detailed or specific. Observing interaction with the
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ginfantdoes not state how often this procedure should be done. Assisting the patient to
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gambulate for 10 minutes within a certain timeframe is specific.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: g g g g g

PlanningMSC: Patient Needs: Safe and Effective Care Environment
g g g g g g g g g

9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
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response by the nurse would be the most therapeutic?
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a. ―You‘re afraid to take the baby home?‖ g g g g g g

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