TEST BANK-Foundations of Maternal Newborn and Women’s Health Nursing 8 TH
Edition by Murray||All Chapters||Answers and Rationales
,Chap: 01: Maternity and Women’s Health Care Today Foundations
of Maternal-Newborn & Women’s Health Nursing, 8thEdition
MULTIPLE CHOICE
1. A professional nurse educator is teaching a group of nursing students
about the history of family-centered maternity care. Which statement
should theprofessional nurse include in the teaching session?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-
centered care.
c. Demands by physicians for family involvement in childbirth
increased the practice of family-centered care.
d. Parental requests that infants be allowed to remain with
them rather than in a professional nursery initiated the
practice of family-centered care.
CORRECT ANS: D
As research began to identify the benefits of early, extended parent–infant
contact, parents began to insist that the infant remain with them. This
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 children 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 care
was a request by parents, not physicians.
DIF: Cognitive Level: Application OBJ: Nursing Process Step:
Planning MSC: Client Needs: Health Promotion and
Maintenance
2. Expectant parents ask a prenatal professional nurse educator, “Which
setting for childbirth N Rlimits
I G the amount of parent–infant
interacUtionS?” NWhTich answOer should the professional nurse
provide for these parents in order to assist them in choosing an
appropriate birth setting?
a. Birth center
b. Home birth
c. Traditional hospital birth
d. Labor, birth, and recovery room
CORRECT ANS: C
In the traditional hospital setting, the mother may see the infant for only
short feeding periods, and the infant is cared for in a separate professional
nursery. Birth centers are set up to allow an increase in parent–infant
contact. Home births allow the greatest amount of parent–infant contact.
The labor, birth, recovery, and postpartum room setting allows for increased
parent–infant contact.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Planning MSC: Client Needs: Health Promotion and
Maintenance
,3. Which statement best describes the advantage of a labor, birth,
recovery, and postpartum (LDRP) room?
a. The family is in a familiar environment.
b. They are less expensive than traditional hospital rooms.
c. The infant is removed to the professional nursery to allow the mother to
rest.
d. The woman’s support system is encouraged to stay until discharge.
CORRECT ANS: D
Sleeping equipment is provided in a private room. A hospital setting is
never a familiar environment to new parents. An LDRP room is not less
expensive than a traditional hospital room. The baby remains with the
mother at all times and is not removed to the professional nursery for
routine care or testing. The father or other designated members of the
mother’s support system are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Client Needs: Health Promotion and
Maintenance
4. Which nursing intervention is an independent function of the professional
professional nurse?
a. Administering oral analgesics
b. Requesting diagnostic studies
c. Teaching the client perineal care
d. Providing wound care to a surgical incision
CORRECT ANS: C
Professional nurses are now responsible for various independent functions,
including teaching, counseling, and intervening in nonmedical problems.
Interventions initiated by the physician and carried out by the professional
nurse are called dependent functions. Administrating oral analgesics is a
dependentfunction; it is initiated by a physician and carried out by a
professional nurse.
Requesting diagnostic studies is a dependent function. Providing wound
care is a dependent function; however, the physician prescribes the type
of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Client Needs: Safe and Effective Care
Environment
, 5. Which response by the professional nurse is the most therapeutic
when the client states, “I’m so afraid to have a cesarean birth”? .
a. “Everything will be OK.”
b. “Don’t worry about it. It will be over soon.”
c. “What concerns you most about a cesarean birth?”
d. “The physician will be in later and you can talk to him.”
CORRECT ANS: C
The response, “What concerns you most about a cesarean birth” focuses
on what the client is saying and asks for clarification, which is the most
therapeutic response. The response, “Everything will be ok” is belittling
the client’s feelings. The response, “Don’t worry about it. It will be over
soon” will indicate that the client’s feelings are not important. The
response, “The physician will be in later and you can talk to him” does not
allow the client to verbalize her feelings when she wishes to do that.
6. In which step of the nursing process does the professional nurse
determine theappropriate interventions for the identified nursing
diagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
CORRECT ANS: A
The third step in the nursing process involves planning care for problems
that were identified during assessment. The evaluation phase is
determining whether the goals have been met.
During the assessment phase, data are collected. The intervention phase
is when the plan of care is carried out.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Planning MSC: Client Needs: Safe and Effective Care
Environment
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