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TEST BANK For Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition by Sharon Smith Murray, Emily Slone McKinney, All Chapter 1 - 28, Solution Guide Complete $17.99
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TEST BANK For Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition by Sharon Smith Murray, Emily Slone McKinney, All Chapter 1 - 28, Solution Guide Complete
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, TEST BANK FOR g g



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
g g g g g g g g g g g g g


family-centered maternity care. Which statement should the nurse include in the g g g g g g g g g g


teachingsession?
g g


a. The Sheppard-Towner Act of 1921 promoted family-centered care.
g g g g g g g


b. Changes in pharmacologic management of labor prompted family-centered care.
g g g g g g g g


c. Demands by physicians for family involvement in childbirth increased the practice
g g g g g g g g g g


of family-centered care.
g g


d. Parental requests that infants be allowed to remain with them rather than in a
g g g g g g g g g g g g g


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,
g g g g g g g g g g g


parentsbegan to insist that the infant remain with them. This gradually developed into the
g g g g g g g g g g g g g g g


practiceof rooming-in and finally to family-centered maternity care. The Sheppard-
g g g g g g g g g g g


Towner Act provided funds for state-managed programs for mothers and children but did
g g g g g g g g g g g g


not promote family-centered care. The changes in pharmacologic management of labor
g g g g g g g g g g g


were not a factor in family-centered maternity care. Family-centered care was a request
g g g g g g g g g g g g g


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
g g g g g g g g g g g g


amount of parent–infant interaction?‖ Which answer should the nurse provide for these
g g g g g g g g g g g g


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
g g g g g g g g g g g g g g


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
g g g g g g g g g g g g


gparent–infant contact. The labor, birth, recovery, and postpartum room setting allows
g g g g g g g g g g


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
g g g g g g g g

,3. Which statement best describes the advantage of a labor, birth, recovery, and
g g g g g g g g g g g


gpostpartum(LDRP) room? g g


a. The family is in a familiar environment.
g g g g g g


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.
g g g g g g g g g g g g


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
g g g g g g g g g g g g g g


environment to new parents. An LDRP room is not less expensive than a traditional
g g g g g g g g g g g g g g


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
g g g g g g g g g g g g g g


mother‘ssupport system are encouraged to stay at all times.
g g g g g g g g g g




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


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




4. Which nursing intervention is an independent function of the professional nurse?
g g g g g g g g g g


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,
g g g g g g g g g


counseling, and intervening in nonmedical problems. Interventions initiated by the
g g g g g g g g g g


physician and carried out by the nurse are called dependent functions. Administrating
g g g g g g g g g g g g


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
g g g g g g g g g g g g g


dependent function; however, the physician prescribes the type of wound care through
g g g g g g g g g g g g


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
g g g g g g g g g




5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid
g g g g g g g g g g g g g g g


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.‖
g g g g g g g g


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
g g g g g g g g g g g g g


patient is saying and asks for clarification, which is the most therapeutic response. The
g g g g g g g g g g g g g g


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
g g g g g g g g g g g g g g g g


important. The response, ―The physician will be in later and you can talk to him‖ does not
g g g g g g g g g g g g g g g g g


allow the patient to verbalize her feelings when she wishes to do that.
g g g g g g g g g g g g g




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

, MSC: Patient Needs: Psychosocial Integrity
g g g g




6. In which step of the nursing process does the nurse determine the appropriate
g g g g g g g g g g g g


interventionsfor the identified nursing diagnosis?
g g g g g g


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
g g g g g g g g g g g g g


identified during assessment. The evaluation phase is determining whether the goals have
g g g g g g g g g g g g


been met. During the assessment phase, data are collected. The intervention phase is
g g g g g g g g g g g g g


whenthe plan of care is carried out.
g g g g g g g g




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?
g g g g g g g g g g g


a. The patient will not exhibit further signs of infection.
g g g g g g g g


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.
g g g g g g g g g g


d. Monitor the patient to detect therapeutic response to antibiotic therapy.
g g g g g g g g g




ANS: D g


In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
g g g g g g g g g g g g


ginterventions of monitoring or observing. Monitoring for complications such as
g g g g g g g g g


gfurthersigns of infection is an independent nursing role. Intake and output is an
g g g g g g g g g g g g g


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?
g g g g g


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‖
g g g g g g g g g g g g g g


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
g g g g g g g g g g g g


ginfantdoes not state how often this procedure should be done. Assisting the patient to
g g g g g g g g g g g g g g


gambulate for 10 minutes within a certain timeframe is specific.
g g g g g g g g 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




9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
g g g g g g g g g g g g g


response by the nurse would be the most therapeutic?
g g g g g g g g g


a. ―You‘re afraid to take the baby home?‖ g g g g g g

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