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TEST BANK FOR FOUNDATIONS OF MATERNAL-NEWBORN AND WOMEN’S HEALTH NURSING 8TH EDITION BY MURRAY
TEST BANK FOR FOUNDATIONS OF MATERNAL-NEWBORN AND WOMEN’S HEALTH NURSING 8TH EDITION BY MURRAY
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Voorbeeld 4 van de 75 pagina's
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TEST BANK FORFOUNDATIONS OF MATERNAL-NEWBORN
AND WOMEN’S HEALTH NURSING
8TH EDITION
BY MURRAY
,Chapter 01: Maternity and Women’s Health Care Today
gi gi gi gi gi gi gi
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
gi gi gi gi gi gi gi gi
MULTIPLE CHOICE gi
1. A nurse educator is teaching a group of nursing students about the history of family-
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
centered maternity care. Which statement should the nurse include in the teaching session?
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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.
gi gi
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.
gi gi gi gi gi gi
ANS: D gi
As research began to identify the benefits of early, extended parent–
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infant contact, parents began to insist that the infant remain with them. This gradually develo
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ped into the practice of rooming-in and finally to family-
gi gi gi gi gi gi gi gi gi
centered maternity care. The Sheppard-Towner Act provided funds for state-
gi gi gi gi gi gi gi gi gi
managed programs for mothers and children but did not promote
gi gi gi gi gi gi gi gi gi
family-
centered care. The changes in pharmacologic management of labor were not a factor in family-
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
centered maternity care. Family-centered care was a request by parents, not physicians.
gi gi gi gi gi gi gi gi gi gi gi
DIF: Cognitive Level: Application gi gi
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promo
gi gi gi gi gi g i gi gi gi
tion and Maintenance
gi gi
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the
N R I G
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amount of parent–
i gi gi
g i g i g i
infant int eracUt io S
n? ‖ N
gi WhT
ichB. Oer should the nurse provide for these parents in order
answ gi g i gi gi gi gi gi gi gi gi gi gi
to assist them in choosing an appropriate birth setting?
gi gi gi gi gi gi gi gi
a. Birth center gi
b. Home birth gi
c. Traditional hospital birth gi gi
d. Labor, birth, and recovery room gi gi gi gi
ANS: C gi
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
and the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
parent–infant contact. Home births allow the greatest amount of parent–
gi gi gi gi gi gi gi gi gi
infant contact. The labor, birth, recovery, and postpartum room setting allows for increased par
gi gi gi gi gi gi gi gi gi gi gi gi gi
ent–infant contact. gi
DIF: Cognitive Level: Understanding gi gi
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promo
gi gi gi gi gi g i gi gi gi
tion and Maintenance
gi gi
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
gi gi gi gi gi gi gi gi gi gi gi gi gi
(LDRP) room? gi
a. The family is in a familiar environment.
gi gi gi gi gi gi
b. They are less expensive than traditional hospital rooms.
gi gi gi gi gi gi gi
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.
gi gi gi gi gi gi gi gi gi
,ANS: D
gi
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environ
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ment to new parents. An LDRP room is not less expensive than a traditional hospital room. The
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baby remains with the mother at all times and is not removed to the nursery for routine care or t
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
esting. The father or other designated members of the mother’s support system are encouraged to
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
stay at all times.
gi gi gi gi
DIF: Cognitive Level: Understanding gi gi
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promo
gi gi gi gi gi g i gi gi gi
tion and Maintenance
gi gi
4. Which nursing intervention is an independent function of the professional nurse?
gi gi gi gi gi gi gi gi gi gi
a. Administering oral analgesics gi gi
b. Requesting diagnostic studies gi gi
c. Teaching the patient perineal care gi gi gi gi
d. Providing wound care to a surgical incision gi gi gi gi gi gi
ANS: C gi
Nurses are now responsible for various independent functions, including teaching, counseling,
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and intervening in nonmedical problems. Interventions initiated by the physician and carried
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out by the nurse are called dependent functions. Administrating oral analgesics is a dependent
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
function; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studi
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
es is a dependent function. Providing wound care is a dependent function; however, the physi
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
cian prescribes the type of wound care through direct orders or protocol.
gi gi gi gi gi gi gi gi gi gi gi
DIF: Cognitive Level: Understanding gi gi
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effe
gi gi gi gi gi g i gi gi gi gi
ctive Care Environment gi gi
5. Which response by the nurse is the most therapeutic when the patient states, ―I’m so afraid to
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
have a cesarean birth‖? gi
. gi gi
a. ―Everything will be OK.‖ gi gi gi
b. ―Don’t worry about it. It will be over soon.‖ gi gi gi gi gi gi gi gi
c. ―What concerns you most about a cesarean birth?‖ gi gi gi gi gi gi gi
d. ―The physician will be in later and you can talk to him.‖
gi gi gi gi gi gi gi gi gi gi gi
ANS: C gi
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi g
saying and asks for clarification, which is the most therapeutic response. The response, ―Ever
i gi gi gi gi gi gi gi gi gi gi gi gi gi
ything will be ok‖ is belittling the patient’s feelings. The response, ―Don’t worry about it. It
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
will be over soon‖ will indicate that the patient’s feelings are not important. The response, ―T
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
he physician will be in later and you can talk to him‖ does not allow the patient to verbalize he
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
r feelings when she wishes to do that.
gi gi gi gi gi gi gi
DIF: Cognitive Level: Application gi gi
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial
gi gi gi gi gi g i gi gi gi
Integrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
the identified nursing diagnosis?
gi gi gi
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A gi
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