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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 d$
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 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 practic
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e of 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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a nursery initiated the practice of family-centered care.
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ANS: D d$
As research began to identify the benefits of early, extended parent–
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infant contact, parents began to insist that the infant remain with them. This gradually deve
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loped into the practice of rooming-in and finally to family-
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centered maternity care. The Sheppard-Towner Act provided funds for state-
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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 in fami
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ly-centered maternity care. Family-centered care was a request by parents, not physicians.
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DIF: Cognitive Level: Application d$ d$
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Pro
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motion and Maintenance d$ d$
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits t
N R I G B.C
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he amount of parent–
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infant int eracUt ionS?” N
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ich answOer should the nurse provide for these parents in ord d$ d $ d$ d$ d$ d$ d$ d$ d$ d$ d$
er to assist them in choosing an appropriate birth setting?
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a. Birth center d$
b. Home birth d$
c. Traditional hospital birth d$ d$
d. Labor, birth, and recovery room d$ d$ d$ d$
ANS: C d$
In the traditional hospital setting, the mother may see the infant for only short feeding perio
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ds, and the infant is cared for in a separate nursery. Birth centers are set up to allow an incr
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ease in parent–infant contact. Home births allow the greatest amount of parent–
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infant contact. The labor, birth, recovery, and postpartum room setting allows for increased
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parent–infant contact. d$
DIF: Cognitive Level: Understanding d$ d$
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Pro
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motion and Maintenance d$ d$
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartu
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m (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 d$
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Sleeping equipment is provided in a private room. A hospital setting is never a familiar envir
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onment to new parents. An LDRP room is not less expensive than a traditional hospital room
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. 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 system are en
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couraged to stay at all times. d$ d$ d$ d$ d$
DIF: Cognitive Level: Understanding d$ d$
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Pro
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motion and Maintenance d$ d$
4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics d$ d$
b. Requesting diagnostic studies d$ d$
c. Teaching the patient perineal care d$ d$ d$ d$
d. Providing wound care to a surgical incision d$ d$ d$ d$ d$ d$
ANS: C d$
Nurses are now responsible for various independent functions, including teaching, counselin
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g, and intervening in nonmedical problems. Interventions initiated by the physician and car
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ried out by the nurse are called dependent functions. Administrating oral analgesics is a de
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pendent function; it is initiated by a physician and carried out by a nurse. Requesting diagn
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ostic studies is a dependent function. Providing wound care is a dependent function; howev
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er, the physician prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding d$ d$
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Ef
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fective Care Environment d$ d$
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid
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to have a cesarean birth”? NURSINGTB.COM
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a. “Everything will be OK.” d$ d$ d$
b. “Don’t worry about it. It will be over soon.” d$ d$ d$ d$ d$ d$ d$ d$
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: C d$
The response, “What concerns you most about a cesarean birth” focuses on what the patient
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is 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 abo
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ut it. It will be over soon” will indicate that the patient’s feelings are not important. The re
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sponse, “The physician will be in later and you can talk to him” does not allow the patient t
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o verbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application d$ d$
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocia
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l Integrity
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6. In which step of the nursing process does the nurse determine the appropriate interventions f
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or the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A d$
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