TEST BANK FOR ss ss
Murray Foundations of Maternal-Newborn and Women's Health Nursing,
ss ss ss ss ss ss ss
8th Edition
ss ss
, Chapter 01: ss
MULTIPLE ssCHOICE
1. A ssnurse sseducator ssis ssteaching ssa ssgroup ssof ssnursing ssstudents ssabout ssthe sshistory ssof
family-centered ssmaternity sscare. ssWhich ssstatement ssshould ssthe ssnurse ssinclude ssin ssthe ssteaching
sssession?
a. The ssSheppard-Towner ssAct ssof ss1921 sspromoted ssfamily-centered sscare.
b. Changes ssin sspharmacologic ssmanagement ssof sslabor ssprompted ssfamily-centered
sscare.
c. Demands ssby ssphysicians ssfor ssfamily ssinvolvement ssin sschildbirth ssincreased ssthe
sspractice
of ssfamily-centered sscare.
d. Parental ssrequests ssthat ssinfants ssbe ssallowed ssto ssremain sswith ssthem ssrather ssthan ssin ssa
nursery ssinitiated ssthe sspractice ssof ssfamily-centered sscare.
ANS: s s D
As ssresearch ssbegan ssto ssidentify ssthe ssbenefits ssof ssearly, ssextended ssparent–infant sscontact,
ssparents ssbegan ssto ssinsist ssthat ssthe ssinfant ssremain sswith ssthem. ssThis ssgradually ssdeveloped
ssinto ssthe sspractice ssof ssrooming-in ssand ssfinally ssto ssfamily-centered ssmaternity sscare. ssThe
ssSheppard-Towner ssAct ssprovided ssfunds ssfor ssstate-managed ssprograms ssfor ssmothers ssand
sschildren ssbut ssdid ssnot sspromote ssfamily-centered sscare. ssThe sschanges ssin sspharmacologic
ssmanagement ssof sslabor sswere ssnot ssa ssfactor ssin ssfamily-centered ssmaternity sscare. ssFamily-
centered sscare sswas ssa ssrequest ssby ssparents, ssnot ssphysicians.
DIF: Cognitive ssLevel: ssApplication OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
2. Expectant ssparents ssask ssa ssprenatal ssnurse sseducator, ss―Which sssetting ssfor sschildbirth sslimits
the ssamount ssof ssparent–infant ssinteraction?‖ ssWhich ssanswer ssshould ssthe ssnurse ssprovide
ss
for ssthese ssparents ssin ssorder ssto ssassist ssthem ssin sschoosing ssan ssappropriate ssbirth sssetting?
ss
a. Birth sscenter
b. Home ssbirth
c. Traditional sshospital ssbirth
d. Labor, ssbirth, ssand ssrecovery
ssroom
ANS: s s C
In ssthe sstraditional sshospital sssetting, ssthe ssmother ssmay sssee ssthe ssinfant ssfor ssonly ssshort
ssfeeding ssperiods, ssand ssthe ssinfant ssis sscared ssfor ssin ssa ssseparate ssnursery. ssBirth sscenters ssare
ssset ssup ssto ssallow ssan ssincrease ssin ssparent–infant sscontact. ssHome ssbirths ssallow ssthe ssgreatest
ssamount ssof
parent–infant sscontact. ssThe sslabor, ssbirth, ssrecovery, ssand sspostpartum ssroom sssetting ssallows ssfor
ssincreased ssparent–infant sscontact.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
,3. Which ssstatement ssbest ssdescribes ssthe ssadvantage ssof ssa sslabor, ssbirth, ssrecovery, ssand
ss postpartum ss(LDRP) ssroom?
a. The ssfamily ssis ssin ssa ssfamiliar ssenvironment.
b. They ssare ssless ssexpensive ssthan sstraditional sshospital ssrooms.
c. The ssinfant ssis ssremoved ssto ssthe ssnursery ssto ssallow ssthe ssmother ssto
rest.
ss
d. The sswoman‘s sssupport sssystem ssis ssencouraged ssto ssstay ssuntil
discharge.
ss
ANS: s s D
Sleeping ssequipment ssis ssprovided ssin ssa ssprivate ssroom. ssA sshospital sssetting ssis ssnever ssa
ssfamiliar ssenvironment ssto ssnew ssparents. ssAn ssLDRP ssroom ssis ssnot ssless ssexpensive ssthan ssa
sstraditional sshospital ssroom. ssThe ssbaby ssremains sswith ssthe ssmother ssat ssall sstimes ssand ssis ssnot
ssremoved ssto ssthe ssnursery ssfor ssroutine sscare ssor sstesting. ssThe ssfather ssor ssother ssdesignated
ssmembers ssof ssthe ssmother‘s sssupport sssystem ssare ssencouraged ssto ssstay ssat ssall sstimes.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssAssessment ssMSC: s s Patient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
4. Which ssnursing ssintervention ssis ssan ssindependent ssfunction ssof ssthe ssprofessional ssnurse?
a. Administering ssoral ssanalgesics
b. Requesting ssdiagnostic ssstudies
c. Teaching ssthe sspatient ssperineal sscare
d. Providing sswound sscare ssto ssa sssurgical
incision
ss
ANS: s s C
Nurses ssare ssnow ssresponsible ssfor ssvarious ssindependent ssfunctions, ssincluding ssteaching,
sscounseling, ssand ssintervening ssin ssnonmedical ssproblems. ssInterventions ssinitiated ssby ssthe
ssphysician ssand sscarried ssout ssby ssthe ssnurse ssare sscalled ssdependent ssfunctions. ssAdministrating
ssoral ssanalgesics ssis ssa ssdependent ssfunction; ssit ssis ssinitiated ssby ssa ssphysician ssand sscarried ssout
ssby ssa ssnurse. ssRequesting ssdiagnostic ssstudies ssis ssa ssdependent ssfunction. ssProviding sswound
sscare ssis ssa ssdependent ssfunction; sshowever, ssthe ssphysician ssprescribes ssthe sstype ssof sswound
sscare ssthrough ssdirect ssorders ssor ssprotocol.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssAssessment ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
5. Which ssresponse ssbyssthe ssnurse ssis ssthe ssmost sstherapeutic sswhen ssthe sspatient ssstates, ss―I‘m ssso
afraid ssto sshave ssa sscesarean ssbirth‖?
ss
a. ―Everything sswill ssbe ssOK.‖
b. ―Don‘t ssworryssabout ssit. ssIt sswill ssbe ssover sssoon.‖
c. ―What ssconcerns ssyou ssmost ssabout ssa sscesarean ssbirth?‖
d. ―The ssphysician sswill ssbe ssin sslater ssand ssyou sscan sstalk ssto
sshim.‖
ANS: s s C
The ssresponse, ss―What ssconcerns ssyou ssmost ssabout ssa sscesarean ssbirth‖ ssfocuses sson sswhat
ssthe sspatient ssis sssaying ssand ssasks ssfor ssclarification, sswhich ssis ssthe ssmost sstherapeutic
ssresponse. ssThe ssresponse, ss―Everything sswill ssbe ssok‖ ssis ssbelittling ssthe sspatient‘s ssfeelings. ssThe
ssresponse, ss―Don‘t ssworry ssabout ssit. ssIt sswill ssbe ssover sssoon‖ sswill ssindicate ssthat ssthe
sspatient‘s ssfeelings ssare ssnot ssimportant. ssThe ssresponse, ss―The ssphysician sswill ssbe ssin sslater
ssand ssyou sscan sstalk ssto sshim‖ ssdoes ssnot ssallow ssthe sspatient ssto ssverbalize ssher ssfeelings sswhen
ssshe sswishes ssto ssdo ssthat.
DIF: Cognitive ssLevel: ssApplication OBJ: s s ss Nursing ssProcess ssStep: ssImplementation
, MSC: s s Patient ssNeeds: ssPsychosocial ssIntegrity
6. In sswhich ssstep ssof ssthe ssnursing ssprocess ssdoes ssthe ssnurse ssdetermine ssthe ssappropriate
interventions ssfor ssthe ssidentified ssnursing ssdiagnosis?
ss
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: s s A
The ssthird ssstep ssin ssthe ssnursing ssprocess ssinvolves ssplanning sscare ssfor ssproblems ssthat sswere
ssidentified ssduring ssassessment. ssThe ssevaluation ssphase ssis ssdetermining sswhether ssthe ssgoals
sshave ssbeen ssmet. ssDuring ssthe ssassessment ssphase, ssdata ssare sscollected. ssThe ssintervention
ssphase ssis sswhen ssthe ssplan ssof sscare ssis sscarried ssout.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
7. Which ssgoal ssis ssmost ssappropriate ssfor ssthe sscollaborative ssproblem ssof sswound ssinfection?
a. The sspatient sswill ssnot ssexhibit ssfurther sssigns ssof ssinfection.
b. Maintain ssthe sspatient‘s ssfluid ssintake ssat ss1000 ssmL/8 sshour.
c. The sspatient sswill sshave ssa sstemperature ssof ss98.F sswithin ss2 ssdays.
d. Monitor ssthe sspatient ssto ssdetect sstherapeutic ssresponse ssto ssantibiotic
therapy.
ss
ANS: s s D
In ssa sscollaborative ssproblem, ssthe ssgoal ssshould ssbe ssnurse-oriented ssand ssreflect ssthe ssnursing
ssinterventions ssof ssmonitoring ssor ssobserving. ssMonitoring ssfor sscomplications sssuch ssas
ssfurther sssigns ssof ssinfection ssis ssan ssindependent ssnursing ssrole. ss Intake ssand ssoutput ssis ssan
ssindependent ssnursing ssrole. ssMonitoring ssa sspatient‘s sstemperature ssis ssan ssindependent
ssnursing ssrole.
DIF: Cognitive ssLevel: ssApplication OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
8. Which ssnursing ssintervention ssis sswritten sscorrectly?
a. Force ssfluids ssas ssnecessary.
b. Observe ssinteraction sswith ssthe ssinfant.
c. Encourage ssturning, sscoughing, ssand ssdeep ssbreathing.
d. Assist ssto ssambulate ssfor ss10 ssminutes ssat ss8 ssAM, ss2 ssPM, ssand ss6
PM.
ss
ANS: s s D
Interventions ssmight ssnot ssbe sscarried ssout ssif ssthey ssare ssnot ssdetailed ssand ssspecific. ss―Force
ssfluids‖ ssis ssnot ssspecific; ssit ssdoes ssnot ssstate sshow ssmuch ssor sshow ssoften. ssEncouraging ssthe
sspatient ssto ssturn, sscough, ssand ssbreathe ssdeeply ssis ssnot ssdetailed ssor ssspecific. ssObserving
ssinteraction sswith ssthe ssinfant ssdoes ssnot ssstate sshow ssoften ssthis ssprocedure ssshould ssbe ssdone.
ssAssisting ssthe sspatient ssto ssambulate ssfor ss10 ssminutes sswithin ssa sscertain sstimeframe ssis
ssspecific.
DIF: Cognitive ssLevel: ssApplication OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
Murray Foundations of Maternal-Newborn and Women's Health Nursing,
ss ss ss ss ss ss ss
8th Edition
ss ss
, Chapter 01: ss
MULTIPLE ssCHOICE
1. A ssnurse sseducator ssis ssteaching ssa ssgroup ssof ssnursing ssstudents ssabout ssthe sshistory ssof
family-centered ssmaternity sscare. ssWhich ssstatement ssshould ssthe ssnurse ssinclude ssin ssthe ssteaching
sssession?
a. The ssSheppard-Towner ssAct ssof ss1921 sspromoted ssfamily-centered sscare.
b. Changes ssin sspharmacologic ssmanagement ssof sslabor ssprompted ssfamily-centered
sscare.
c. Demands ssby ssphysicians ssfor ssfamily ssinvolvement ssin sschildbirth ssincreased ssthe
sspractice
of ssfamily-centered sscare.
d. Parental ssrequests ssthat ssinfants ssbe ssallowed ssto ssremain sswith ssthem ssrather ssthan ssin ssa
nursery ssinitiated ssthe sspractice ssof ssfamily-centered sscare.
ANS: s s D
As ssresearch ssbegan ssto ssidentify ssthe ssbenefits ssof ssearly, ssextended ssparent–infant sscontact,
ssparents ssbegan ssto ssinsist ssthat ssthe ssinfant ssremain sswith ssthem. ssThis ssgradually ssdeveloped
ssinto ssthe sspractice ssof ssrooming-in ssand ssfinally ssto ssfamily-centered ssmaternity sscare. ssThe
ssSheppard-Towner ssAct ssprovided ssfunds ssfor ssstate-managed ssprograms ssfor ssmothers ssand
sschildren ssbut ssdid ssnot sspromote ssfamily-centered sscare. ssThe sschanges ssin sspharmacologic
ssmanagement ssof sslabor sswere ssnot ssa ssfactor ssin ssfamily-centered ssmaternity sscare. ssFamily-
centered sscare sswas ssa ssrequest ssby ssparents, ssnot ssphysicians.
DIF: Cognitive ssLevel: ssApplication OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
2. Expectant ssparents ssask ssa ssprenatal ssnurse sseducator, ss―Which sssetting ssfor sschildbirth sslimits
the ssamount ssof ssparent–infant ssinteraction?‖ ssWhich ssanswer ssshould ssthe ssnurse ssprovide
ss
for ssthese ssparents ssin ssorder ssto ssassist ssthem ssin sschoosing ssan ssappropriate ssbirth sssetting?
ss
a. Birth sscenter
b. Home ssbirth
c. Traditional sshospital ssbirth
d. Labor, ssbirth, ssand ssrecovery
ssroom
ANS: s s C
In ssthe sstraditional sshospital sssetting, ssthe ssmother ssmay sssee ssthe ssinfant ssfor ssonly ssshort
ssfeeding ssperiods, ssand ssthe ssinfant ssis sscared ssfor ssin ssa ssseparate ssnursery. ssBirth sscenters ssare
ssset ssup ssto ssallow ssan ssincrease ssin ssparent–infant sscontact. ssHome ssbirths ssallow ssthe ssgreatest
ssamount ssof
parent–infant sscontact. ssThe sslabor, ssbirth, ssrecovery, ssand sspostpartum ssroom sssetting ssallows ssfor
ssincreased ssparent–infant sscontact.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
,3. Which ssstatement ssbest ssdescribes ssthe ssadvantage ssof ssa sslabor, ssbirth, ssrecovery, ssand
ss postpartum ss(LDRP) ssroom?
a. The ssfamily ssis ssin ssa ssfamiliar ssenvironment.
b. They ssare ssless ssexpensive ssthan sstraditional sshospital ssrooms.
c. The ssinfant ssis ssremoved ssto ssthe ssnursery ssto ssallow ssthe ssmother ssto
rest.
ss
d. The sswoman‘s sssupport sssystem ssis ssencouraged ssto ssstay ssuntil
discharge.
ss
ANS: s s D
Sleeping ssequipment ssis ssprovided ssin ssa ssprivate ssroom. ssA sshospital sssetting ssis ssnever ssa
ssfamiliar ssenvironment ssto ssnew ssparents. ssAn ssLDRP ssroom ssis ssnot ssless ssexpensive ssthan ssa
sstraditional sshospital ssroom. ssThe ssbaby ssremains sswith ssthe ssmother ssat ssall sstimes ssand ssis ssnot
ssremoved ssto ssthe ssnursery ssfor ssroutine sscare ssor sstesting. ssThe ssfather ssor ssother ssdesignated
ssmembers ssof ssthe ssmother‘s sssupport sssystem ssare ssencouraged ssto ssstay ssat ssall sstimes.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssAssessment ssMSC: s s Patient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
4. Which ssnursing ssintervention ssis ssan ssindependent ssfunction ssof ssthe ssprofessional ssnurse?
a. Administering ssoral ssanalgesics
b. Requesting ssdiagnostic ssstudies
c. Teaching ssthe sspatient ssperineal sscare
d. Providing sswound sscare ssto ssa sssurgical
incision
ss
ANS: s s C
Nurses ssare ssnow ssresponsible ssfor ssvarious ssindependent ssfunctions, ssincluding ssteaching,
sscounseling, ssand ssintervening ssin ssnonmedical ssproblems. ssInterventions ssinitiated ssby ssthe
ssphysician ssand sscarried ssout ssby ssthe ssnurse ssare sscalled ssdependent ssfunctions. ssAdministrating
ssoral ssanalgesics ssis ssa ssdependent ssfunction; ssit ssis ssinitiated ssby ssa ssphysician ssand sscarried ssout
ssby ssa ssnurse. ssRequesting ssdiagnostic ssstudies ssis ssa ssdependent ssfunction. ssProviding sswound
sscare ssis ssa ssdependent ssfunction; sshowever, ssthe ssphysician ssprescribes ssthe sstype ssof sswound
sscare ssthrough ssdirect ssorders ssor ssprotocol.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssAssessment ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
5. Which ssresponse ssbyssthe ssnurse ssis ssthe ssmost sstherapeutic sswhen ssthe sspatient ssstates, ss―I‘m ssso
afraid ssto sshave ssa sscesarean ssbirth‖?
ss
a. ―Everything sswill ssbe ssOK.‖
b. ―Don‘t ssworryssabout ssit. ssIt sswill ssbe ssover sssoon.‖
c. ―What ssconcerns ssyou ssmost ssabout ssa sscesarean ssbirth?‖
d. ―The ssphysician sswill ssbe ssin sslater ssand ssyou sscan sstalk ssto
sshim.‖
ANS: s s C
The ssresponse, ss―What ssconcerns ssyou ssmost ssabout ssa sscesarean ssbirth‖ ssfocuses sson sswhat
ssthe sspatient ssis sssaying ssand ssasks ssfor ssclarification, sswhich ssis ssthe ssmost sstherapeutic
ssresponse. ssThe ssresponse, ss―Everything sswill ssbe ssok‖ ssis ssbelittling ssthe sspatient‘s ssfeelings. ssThe
ssresponse, ss―Don‘t ssworry ssabout ssit. ssIt sswill ssbe ssover sssoon‖ sswill ssindicate ssthat ssthe
sspatient‘s ssfeelings ssare ssnot ssimportant. ssThe ssresponse, ss―The ssphysician sswill ssbe ssin sslater
ssand ssyou sscan sstalk ssto sshim‖ ssdoes ssnot ssallow ssthe sspatient ssto ssverbalize ssher ssfeelings sswhen
ssshe sswishes ssto ssdo ssthat.
DIF: Cognitive ssLevel: ssApplication OBJ: s s ss Nursing ssProcess ssStep: ssImplementation
, MSC: s s Patient ssNeeds: ssPsychosocial ssIntegrity
6. In sswhich ssstep ssof ssthe ssnursing ssprocess ssdoes ssthe ssnurse ssdetermine ssthe ssappropriate
interventions ssfor ssthe ssidentified ssnursing ssdiagnosis?
ss
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: s s A
The ssthird ssstep ssin ssthe ssnursing ssprocess ssinvolves ssplanning sscare ssfor ssproblems ssthat sswere
ssidentified ssduring ssassessment. ssThe ssevaluation ssphase ssis ssdetermining sswhether ssthe ssgoals
sshave ssbeen ssmet. ssDuring ssthe ssassessment ssphase, ssdata ssare sscollected. ssThe ssintervention
ssphase ssis sswhen ssthe ssplan ssof sscare ssis sscarried ssout.
DIF: Cognitive ssLevel: ssUnderstanding OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
7. Which ssgoal ssis ssmost ssappropriate ssfor ssthe sscollaborative ssproblem ssof sswound ssinfection?
a. The sspatient sswill ssnot ssexhibit ssfurther sssigns ssof ssinfection.
b. Maintain ssthe sspatient‘s ssfluid ssintake ssat ss1000 ssmL/8 sshour.
c. The sspatient sswill sshave ssa sstemperature ssof ss98.F sswithin ss2 ssdays.
d. Monitor ssthe sspatient ssto ssdetect sstherapeutic ssresponse ssto ssantibiotic
therapy.
ss
ANS: s s D
In ssa sscollaborative ssproblem, ssthe ssgoal ssshould ssbe ssnurse-oriented ssand ssreflect ssthe ssnursing
ssinterventions ssof ssmonitoring ssor ssobserving. ssMonitoring ssfor sscomplications sssuch ssas
ssfurther sssigns ssof ssinfection ssis ssan ssindependent ssnursing ssrole. ss Intake ssand ssoutput ssis ssan
ssindependent ssnursing ssrole. ssMonitoring ssa sspatient‘s sstemperature ssis ssan ssindependent
ssnursing ssrole.
DIF: Cognitive ssLevel: ssApplication OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
8. Which ssnursing ssintervention ssis sswritten sscorrectly?
a. Force ssfluids ssas ssnecessary.
b. Observe ssinteraction sswith ssthe ssinfant.
c. Encourage ssturning, sscoughing, ssand ssdeep ssbreathing.
d. Assist ssto ssambulate ssfor ss10 ssminutes ssat ss8 ssAM, ss2 ssPM, ssand ss6
PM.
ss
ANS: s s D
Interventions ssmight ssnot ssbe sscarried ssout ssif ssthey ssare ssnot ssdetailed ssand ssspecific. ss―Force
ssfluids‖ ssis ssnot ssspecific; ssit ssdoes ssnot ssstate sshow ssmuch ssor sshow ssoften. ssEncouraging ssthe
sspatient ssto ssturn, sscough, ssand ssbreathe ssdeeply ssis ssnot ssdetailed ssor ssspecific. ssObserving
ssinteraction sswith ssthe ssinfant ssdoes ssnot ssstate sshow ssoften ssthis ssprocedure ssshould ssbe ssdone.
ssAssisting ssthe sspatient ssto ssambulate ssfor ss10 ssminutes sswithin ssa sscertain sstimeframe ssis
ssspecific.
DIF: Cognitive ssLevel: ssApplication OBJ: s s Nursing ssProcess ssStep:
ssPlanning ssMSC: s s Patient ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
