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www.nursylab.com Chapter 01: Maternity and Women’s Health Care Today Foundations of Maternal- Newborn & Women’s Health Nursing, 7th Edition MULTIPLE CHOICE 1. A nurse educator is teaching a group of nursing studen ts about the history of family-centered maternity care. Which statement should the nurse in clude in the teaching session? a. The Sheppard-Towner Act of 1921 promoted family-center ed care. b. Changes in pharmacologic management of labor prompted family-centered care. c. Demands by physicians for family involvement in child birth increased the practice of family-centered care. d. Parental requests that infants be allowed to remain w ith them rather than in a nursery initiated the practice of family-centered care . ANS: D As research began to identify the benefits of early, e xtended parent –infant contact, parents began to insist that the infant remain with them. T his 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 chil dren 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 car e was a request by parents, not physicians. DIF: Cognitive Level: Application OBJ: Nursing Proce ss Step: Planning MSC: Patient Needs: Health Promotion and Maintenanc e 2. Expectant parents ask a prenatal nurse educator, “Wh ich setting for childbirth l imits the amount of parent –infant interaction?” Which answer should the nurse p rovide for these parents in order to assist them in choosing an appropri ate birth setting? a. Birth center b. Home birth c. Traditional hospital birth d. Labor, birth, and recovery room ANS: C In the traditional hospital setting, the mother may s ee the infant for only short feeding periods, and the infant is cared for in a separate nursery. Bi rth centers are set up to allow an increase in parent –infant contact. Home births allow the greatest amoun t of parent –infant contact. The labor, birth, recovery, and postpartum room setting all ows for increased parent –infant contact. DIF: Cognitive Level: Understanding OBJ: Nursing Pro cess Step: Planning MSC: Patient Needs: Health Promotion and Maintenanc e 3. Which statement best describes the advantage of a la bor, birth, recovery, and postpartum (LDRP) room? a. The family is in a familiar environment. b. They are less expensive than traditional hospital roo ms. c. The infant is removed to the nursery to allow the mo ther to rest. d. The woman’s support system is encouraged to stay unt il discharge. ANS: D www.nursylab.com
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