Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Bank
Chapter 01: Maternity and Women’s Health Care Today
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NURSINGTB.COM
, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Bank
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
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MULTIPLE CHOICE mm
1. A nurse educator is teaching a group of nursing students about the history of family-
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centered maternity care. Which statement should the nurse include in the teaching
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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
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practice of family-centered care.
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d. Parental requests that infants be allowed to remain with them rather
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than in a nursery initiated the practice of family-centered care.
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ANS: m m D
As research began to identify the benefits of early, extended parent–infant contact,
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parents began to insist that the infant remain with them. This gradually developed into
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the practice of 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
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did not promote
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family-centered care. The changes in pharmacologic management of labor were not a
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factor in family-centered maternity care. Family-centered care was a request by parents,
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not physicians.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step:
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Planning MSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth
N R I G B.C M
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amount of parent–infant interacUtionS?‖ N
WhT Oer
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limits the
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provide for these parents in order to assist them in choosing an appropriate birth
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setting?
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a. Birth center mm
b. Home birth mm
c. Traditional hospital birth mm mm
d. Labor, birth, and recovery room mm mm mm mm
ANS: m m C
In the traditional hospital setting, the mother may see the infant for only short feeding
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periods, and the infant is cared for in a separate nursery. Birth centers are set up to
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allow an increase in parent–infant contact. Home births allow the greatest amount of
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parent–infant contact. The labor, birth, recovery, and postpartum room setting allows for
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increased parent–infant contact.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
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Planning MSC: 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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postpartum (LDRP) room?
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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.
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ANS: m m D
NURSINGTB.COM
,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
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Bank
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
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the nursery for
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routine care or testing. The father or other designated members of the mother‘s support
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system
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are encouraged to stay at all times.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
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Assessment MSC: 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 mm mm
b. Requesting diagnostic studies mm mm
c. Teaching the patient perineal care mm mm mm mm
d. Providing wound care to a surgical incision mm mm mm mm mm mm
ANS: m m C
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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oral analgesics is a dependent function; it is initiated by a physician and carried out
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by a nurse. Requesting diagnostic studies is a dependent function. Providing wound
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care is a dependent function; however, the physician prescribes the type of wound care
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through direct orders or protocol.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
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Assessment MSC: 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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to
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have a cesareanmm
NURSINGTB.COM
mm
birth‖?
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a. ―Everything will be OK.‖ mm mm mm
b. ―Don‘t worry about it. It will be over soon.‖
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c. ―What concerns you most about a cesarean birth?‖
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d. ―The physician will be in later and you can talk to him.‖
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ANS: m m C
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient
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is
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saying and asks for clarification, which is the most therapeutic response. The response,
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―Everything will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry
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about it. It will be over soon‖ will indicate that the patient‘s feelings are not
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important. The
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response, ―The physician will be in later and you can talk to him‖ does not allow the
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patient to verbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step:
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Implementation 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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interventions for the identified nursing diagnosis?
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a. Planning
b. Evaluation
NURSINGTB.COM
, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test
mm mm mm mm mm mm mm mm mm mm
Bankc. Assessment
d. Intervention
ANS: m m A
NURSINGTB.COM
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