Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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Chapter 01: Maternity and Women’s Health Care Today
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Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
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MULTIPLE CHOICE r
1. A nurse educator is teaching a group of nursing students about the history of family-
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centeredmaternity 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. r r r r r r r r
c. Demands by physicians for family involvement in childbirth increased the r r r r r r r r r
practiceof family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in
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anursery initiated the practice of family-centered care.
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ANS: D r
As research began to identify the benefits of early, extended parent–infant contact, parents
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began to insist that the infant remain with them. This gradually developed into the practice of
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rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act
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providedfunds for state-managed programs for mothers and children but did not promote
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family-centered care. The changes in pharmacologic management of labor were not a factor r r r r r r r r r r r r
infamily-centered maternity care. Family-centered care was a request by parents, not
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physicians.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: r r r r r
PlanningMSC: Patient Needs: Health Promotion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits
N R I G B.CWMhT
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the amount of parent–infant interacUtionS?‖ N Oer should the nurse provide for r r r r r
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these parents in order to assist them in choosing an appropriate birth setting?
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a. Birth center r
b. Home birth r
c. Traditional hospital birth r r
d. Labor, birth, and recovery room r r r r
ANS: C r
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 allow an
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increase inparent–infant contact. Home births allow the greatest amount of parent–infant
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contact. The labor, birth, recovery, and postpartum room setting allows for increased parent–
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infant contact. r
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: r r r r r
PlanningMSC: 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: D r
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,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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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 hospital
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room. The baby remains with the mother at all times and is not removed to the nursery for routine
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care or testing. The father or other designated members of the mother‘s support systemare
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encouraged to stay at all times.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: r r r r r
AssessmentMSC: 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 r r
b. Requesting diagnostic studies r r
c. Teaching the patient perineal care r r r r
d. Providing wound care to a surgical incision r r r r r r
ANS: C r
Nurses are now responsible for various independent functions, including teaching,
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counseling,and intervening in nonmedical problems. Interventions initiated by the physician
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and carried out by the nurse are called dependent functions. Administrating oral analgesics is a
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dependentfunction; it is initiated by a physician and carried out by a nurse. Requesting
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diagnostic studies is a dependent function. Providing wound care is a dependent function;
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however, the physician prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: r r r r r
AssessmentMSC: 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 to
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have a cesarean birth‖?
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a. ―Everything will be OK.‖ r r r
b. ―Don‘t worry about it. It will be over soon.‖ r r r r r r r r
c. ―What concerns you most about a cesarean birth?‖ r r r r r r r
d. ―The physician will be in later and you can talk to him.‖
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ANS: C r
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient 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 aboutit.
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It will be over soon‖ will indicate that the patient‘s feelings are not important. The
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response, ―The physician will be in later and you can talk to him‖ does not allow the patient
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toverbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: r r r r r
ImplementationMSC: Patient Needs: Psychosocial Integrity
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6. In which step of the nursing process does the nurse determine the appropriate interventions
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r forthe identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A r
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,Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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The third step in the nursing process involves planning care for problems that were
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identifiedduring assessment. The evaluation phase is determining whether the goals have been
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met.
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During the assessment phase, data are collected. The intervention phase is when the plan ofcare
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is carried out.
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DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: r r r r r
PlanningMSC: Patient Needs: Safe and Effective Care Environment
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7. Which goal is most appropriate for the collaborative problem of wound infection?
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a. The patient will not exhibit further signs of infection.
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b. Maintain the patient‘s fluid intake at 1000 mL/8 hour. r r r r r r r r
c. The patient will have a temperature of 98.6F within 2 days.
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d. Monitor the patient to detect therapeutic response to antibiotic therapy.
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ANS: D r
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
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interventions of monitoring or observing. Monitoring for complications such as further
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signsof infection is an independent nursing role. Intake and output is an independent nursing
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role.Monitoring a patient‘s temperature is an independent nursing role.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: r r r r r
PlanningMSC: Patient Needs: Safe and Effective Care Environment
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8. Which nursing intervention is written correctly?
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a. Force fluids as necessary. r r r
b. Observe interaction with the infant. r r r r
c. Encourage turning, coughing, and deep breathing. r r r r r
d. Assist to ambulate for 10NmUinRuS
teIatG
sN 8TAB
M.,C
2OM, and 6 PM.
PM r r r r r r r r r r
ANS: D r
Interventions might not be carried out if they are not detailed and specific. ―Force fluids‖ is not
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specific; it does not state how much or how often. Encouraging the patient to turn, cough,and
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breathe deeply is not detailed or specific. Observing interaction with the infant does not state
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how often this procedure should be done. Assisting the patient to ambulate for 10 minutes
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within a certain timeframe is specific.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: r r r r r
PlanningMSC: Patient Needs: Safe and Effective Care Environment
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9. The patient makes the statement: ―I‘m afraid to take the baby home tomorrow.‖ Which
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response by the nurse would be the most therapeutic?
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a. ―You‘re afraid to take the baby home?‖ r r r r r r
b. ―Don‘t you have a mother who can come and help?‖ r r r r r r r r r
c. ―You should read the literature I gave you before you leave.‖
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d. ―I was scared when I took my first baby home, but everything worked out.‖
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ANS: A r
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, Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
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This response uses reflection to show concern and open communication. The other choices
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areblocks to communication. Asking if the patient has a mother who can come and assist blocks
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further communication with the patient. Telling the patient to read the literature before
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leavingdoes not allow the patient to express her feelings further. Sharing your own birth
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experience isinappropriate.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: r r r r r
ImplementationMSC: Patient Needs: Psychosocial Integrity
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10. The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to
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tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scaleof
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10. Which expected outcome is correctly stated for this problem?
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a. Patient will state that pain is a 2 on a scale of 10. r r r r r r r r r r r r
b. Patient will have a reduction in pain after administration of the
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prescribedanalgesic.
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c. Patient will state an absence of pain 1 hour after administration of the
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prescribedanalgesic.
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d. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration
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ofthe prescribed analgesic.
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ANS: D r
The outcome should be patient-centered, measurable, realistic, and attainable and within a
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specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a
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timeframe.Patient having a reduction in pain after administration of the prescribed analgesic
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lacks a measurement. Patient stating an absence of pain 1 hour after the administration of
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prescribedanalgesic is unrealistic.
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DIF: Cognitive Level: ApplicN ionRSINGOT
atU BB
J:.C
NuOrsM
ing Process Step: Planning r r r r r
MSC: Patient Needs: Physiologic Integrity
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11. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?
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a. Risk for anxiety related to upcoming birth r r r r r r
b. Risk for imbalanced nutrition related to NPO status
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c. Risk for altered family processes related to new addition to the family
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d. Risk for injury (maternal) related to altered sensations and positional or
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r physicalchanges r
ANS: D r
The nurse should determine which problem needs immediate attention. Risk for injury is
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theproblem that has the priority at this time because it is a safety problem. Risk for anxiety,
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imbalanced nutrition, and altered family processes are not the priorities at this time.
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DIF: Cognitive Level: Application OBJ: Nursing Process Step: r r r r r
ImplementationMSC: Patient Needs: Safe and Effective Care Environment
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12. Regarding advanced roles of nursing, which statement related to clinical practice is the
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mostaccurate?
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a. Family nurse practitioners (FNPs) can assist with childbirth care in the
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hospitalsetting.
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b. Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
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c. Neonatal nurse practitioners provide emergency care in the postbirth setting to r r r r r r r r r r
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