TEST BANK Foundations of Maternal-
n n n n
Newborn and Women's Health Nursing 8th Edition By Sharon Smit
n n n n n n n n n
h Murray
n
Chapter 1. Clinical Judgement and the Nursing Process
n n n n n n n
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
n n n n n n n n
MULTIPLE CHOICE n
1. A nurse educator is teaching a group of nursing students about the history of family-
n n n n n n n n n n n n n n
centered maternity care. Which statement should the nurse include in the teaching session?
n n n n n n n n n n n n
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
n n n n n n n
b. Changes in pharmacologic management of labor prompted family-centered care.
n n n n n n n n
c. Demands by physicians for family involvement in childbirth increased the practice of
n n n n n n n n n n n
family-centered care.
n n
d. Parental requests that infants be allowed to remain with them rather than in a nu
n n n n n n n n n n n n n n
rsery initiated the practice of family-centered care.
n n n n n n
ANS: D n
As research began to identify the benefits of early, extended parent–
n n n n n n n n n n
infant contact, parents began to insist that the infant remain with them. This gradually developed
n n n n n n n n n n n n n n n
into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
n n n n n n n n n n n n
Towner Act provided funds for state- n n n n n
managed programs for mothers and children but did not promote
n n n n n n n n n
family-
centered care. The changes in pharmacologic management of labor were not a factor in family-
n n n n n n n n n n n n n n
centered maternity care. Family-centered care was a request by parents, not physicians.
n n n n n n n n n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotio
n n n n n n n n n
n and Maintenance
n n
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the a
n n n n n n n n n n n n n
mount of parent– n n
infant interaction?” Which answer should the nurse provide for these parents in order to as
n n n n n n n n n n n n n n
sist them in choosing an appropriate birth setting?
n n n n n n n
a. Birth center n
b. Home birth n
c. Traditional hospital birth n n
d. Labor, birth, and recovery room n n n n
ANS: C n
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
n n n n n n n n n n n n n n n n
d the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent
n n n n n n n n n n n n n n n n n n n n
–infant contact. Home births allow the greatest amount of parent–
n n n n n n n n n
infant contact. The labor, birth, recovery, and postpartum room setting allows for increased paren
n n n n n n n n n n n n n
t–infant contact. n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotio
n n n n n n n n n
n and Maintenance
n n
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (L
n n n n n n n n n n n n n
DRP) room? n
,a. The family is in a familiar environment.
n n n n n n
b. They are less expensive than traditional hospital rooms.
n n n n n n n
c. The infant is removed to the nursery to allow the mother to rest.
n n n n n n n n n n n n
d. The woman’s support system is encouraged to stay until discharge.
n n n n n n n n n
ANS: Dn
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environm
n n n n n n n n n n n n n n n
ent to new parents. An LDRP room is not less expensive than a traditional hospital room. The bab
n n n n n n n n n n n n n n n n n
y remains with the mother at all times and is not removed to the nursery for routine care or testing.
n n n n n n n n n n n n n n n n n n n n
The father or other designated members of the mother’s support system are encouraged to stay at a
n n n n n n n n n n n n n n n n
ll times.
n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotio
n n n n n n n n n
n and Maintenance
n n
4. Which nursing intervention is an independent function of the professional nurse?
n n n n n n n n n n
a. Administering oral analgesics n n
b. Requesting diagnostic studies n n
c. Teaching the patient perineal care n n n n
d. Providing wound care to a surgical incision n n n n n n
ANS: C n
Nurses are now responsible for various independent functions, including teaching, counseling, a
n n n n n n n n n n n
nd intervening in nonmedical problems. Interventions initiated by the physician and carried out
n n n n n n n n n n n n n
by the nurse are called dependent functions. Administrating oral analgesics is a dependent functi
n n n n n n n n n n n n n
on; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dep
n n n n n n n n n n n n n n n n n n
endent function. Providing wound care is a dependent function; however, the physician prescrib
n n n n n n n n n n n n
es the type of wound care through direct orders or protocol.
n n n n n n n n n n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to ha
n n n n n n n n n n n n n n n n n
ve a cesarean birth”?
n n n
a. “Everything will be OK.” n n n
b. “Don’t worry about it. It will be over soon.” n n n n n n n n
c. “What concerns you most about a cesarean birth?” n n n n n n n
d. “The physician will be in later and you can talk to him.”
n n n n n n n n n n n
ANS: C n
The response, “What concerns you most about a cesarean birth” focuses on what the patient is sa
n n n n n n n n n n n n n n n n
ying and asks for clarification, which is the most therapeutic response. The response, “Everythin
n n n n n n n n n n n n n
g will be ok” is belittling the patient’s feelings. The response, “Don’t worry about it. It will be ov
n n n n n n n n n n n n n n n n n n
er soon” will indicate that the patient’s feelings are not important. The response, “The physician
n n n n n n n n n n n n n n n
will be in later and you can talk to him” does not allow the patient to verbalize her feelings when s
n n n n n n n n n n n n n n n n n n n n
he wishes to do that.
n n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Int
n n n n n n n n n
egrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for th
n n n n n n n n n n n n n n n
e identified nursing diagnosis?
n n n
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A n
, The third step in the nursing process involves planning care for problems that were identified during a
n n n n n n n n n n n n n n n n
ssessment. The evaluation phase is determining whether the goals have been met.
n n n n n n n n n n n
During the assessment phase, data are collected. The intervention phase is when the plan of care i
n n n n n n n n n n n n n n n n
s carried out.
n n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
7. Which goal is most appropriate for the collaborative problem of wound infection?
n n n n n n n n n n n
a. The patient will not exhibit further signs of infection.
n n n n n n n n
b. Maintain the patient’s fluid intake at 1000 mL/8 hour. n n n n n n n n
c. The patient will have a temperature of 98.F within 2 days.
n n n n n n n n n n
d. Monitor the patient to detect therapeutic response to antibiotic therapy.
n n n n n n n n n
ANS: D n
In a collaborative problem, the goal should be nurse-
n n n n n n n n
oriented and reflect the nursing interventions of monitoring or observing. Monitoring for compli
n n n n n n n n n n n n
cations such as further signs of infection is an independent nursing role. Intake and output is an i
n n n n n n n n n n n n n n n n n
ndependent nursing role. Monitoring a patient’s temperature is an independent nursing role.
n n n n n n n n n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
8. Which nursing intervention is written correctly?
n n n n n
a. Force fluids as necessary. n n n
b. Observe interaction with the infant. n n n n
c. Encourage turning, coughing, and deep breathing. n n n n n
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
n n n n n n n n n n n n n
ANS: D n
Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not s
n n n n n n n n n n n n n n n n n
pecific; it does not state how much or how often. Encouraging the patient to turn, cough, and bre
n n n n n n n n n n n n n n n n n
athe deeply is not detailed or specific. Observing interaction with the infant does not state how o
n n n n n n n n n n n n n n n n
ften this procedure should be done. Assisting the patient to ambulate for 10 minutes within a cert
n n n n n n n n n n n n n n n n
ain timeframe is specific.
n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which re
n n n n n n n n n n n n n n
sponse by the nurse would be the most therapeutic?
n n n n n n n n
a. “You’re afraid to take the baby home?” n n n n n n
b. “Don’t you have a mother who can come and help?” n n n n n n n n n
c. “You should read the literature I gave you before you leave.”
n n n n n n n n n n
d. “I was scared when I took my first baby home, but everything worked out.”
n n n n n n n n n n n n n
ANS: A n
n n n n
Newborn and Women's Health Nursing 8th Edition By Sharon Smit
n n n n n n n n n
h Murray
n
Chapter 1. Clinical Judgement and the Nursing Process
n n n n n n n
Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
n n n n n n n n
MULTIPLE CHOICE n
1. A nurse educator is teaching a group of nursing students about the history of family-
n n n n n n n n n n n n n n
centered maternity care. Which statement should the nurse include in the teaching session?
n n n n n n n n n n n n
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
n n n n n n n
b. Changes in pharmacologic management of labor prompted family-centered care.
n n n n n n n n
c. Demands by physicians for family involvement in childbirth increased the practice of
n n n n n n n n n n n
family-centered care.
n n
d. Parental requests that infants be allowed to remain with them rather than in a nu
n n n n n n n n n n n n n n
rsery initiated the practice of family-centered care.
n n n n n n
ANS: D n
As research began to identify the benefits of early, extended parent–
n n n n n n n n n n
infant contact, parents began to insist that the infant remain with them. This gradually developed
n n n n n n n n n n n n n n n
into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
n n n n n n n n n n n n
Towner Act provided funds for state- n n n n n
managed programs for mothers and children but did not promote
n n n n n n n n n
family-
centered care. The changes in pharmacologic management of labor were not a factor in family-
n n n n n n n n n n n n n n
centered maternity care. Family-centered care was a request by parents, not physicians.
n n n n n n n n n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotio
n n n n n n n n n
n and Maintenance
n n
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth limits the a
n n n n n n n n n n n n n
mount of parent– n n
infant interaction?” Which answer should the nurse provide for these parents in order to as
n n n n n n n n n n n n n n
sist them in choosing an appropriate birth setting?
n n n n n n n
a. Birth center n
b. Home birth n
c. Traditional hospital birth n n
d. Labor, birth, and recovery room n n n n
ANS: C n
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
n n n n n n n n n n n n n n n n
d the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent
n n n n n n n n n n n n n n n n n n n n
–infant contact. Home births allow the greatest amount of parent–
n n n n n n n n n
infant contact. The labor, birth, recovery, and postpartum room setting allows for increased paren
n n n n n n n n n n n n n
t–infant contact. n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promotio
n n n n n n n n n
n and Maintenance
n n
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (L
n n n n n n n n n n n n n
DRP) room? n
,a. The family is in a familiar environment.
n n n n n n
b. They are less expensive than traditional hospital rooms.
n n n n n n n
c. The infant is removed to the nursery to allow the mother to rest.
n n n n n n n n n n n n
d. The woman’s support system is encouraged to stay until discharge.
n n n n n n n n n
ANS: Dn
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environm
n n n n n n n n n n n n n n n
ent to new parents. An LDRP room is not less expensive than a traditional hospital room. The bab
n n n n n n n n n n n n n n n n n
y remains with the mother at all times and is not removed to the nursery for routine care or testing.
n n n n n n n n n n n n n n n n n n n n
The father or other designated members of the mother’s support system are encouraged to stay at a
n n n n n n n n n n n n n n n n
ll times.
n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promotio
n n n n n n n n n
n and Maintenance
n n
4. Which nursing intervention is an independent function of the professional nurse?
n n n n n n n n n n
a. Administering oral analgesics n n
b. Requesting diagnostic studies n n
c. Teaching the patient perineal care n n n n
d. Providing wound care to a surgical incision n n n n n n
ANS: C n
Nurses are now responsible for various independent functions, including teaching, counseling, a
n n n n n n n n n n n
nd intervening in nonmedical problems. Interventions initiated by the physician and carried out
n n n n n n n n n n n n n
by the nurse are called dependent functions. Administrating oral analgesics is a dependent functi
n n n n n n n n n n n n n
on; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dep
n n n n n n n n n n n n n n n n n n
endent function. Providing wound care is a dependent function; however, the physician prescrib
n n n n n n n n n n n n
es the type of wound care through direct orders or protocol.
n n n n n n n n n n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to ha
n n n n n n n n n n n n n n n n n
ve a cesarean birth”?
n n n
a. “Everything will be OK.” n n n
b. “Don’t worry about it. It will be over soon.” n n n n n n n n
c. “What concerns you most about a cesarean birth?” n n n n n n n
d. “The physician will be in later and you can talk to him.”
n n n n n n n n n n n
ANS: C n
The response, “What concerns you most about a cesarean birth” focuses on what the patient is sa
n n n n n n n n n n n n n n n n
ying and asks for clarification, which is the most therapeutic response. The response, “Everythin
n n n n n n n n n n n n n
g will be ok” is belittling the patient’s feelings. The response, “Don’t worry about it. It will be ov
n n n n n n n n n n n n n n n n n n
er soon” will indicate that the patient’s feelings are not important. The response, “The physician
n n n n n n n n n n n n n n n
will be in later and you can talk to him” does not allow the patient to verbalize her feelings when s
n n n n n n n n n n n n n n n n n n n n
he wishes to do that.
n n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Int
n n n n n n n n n
egrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for th
n n n n n n n n n n n n n n n
e identified nursing diagnosis?
n n n
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A n
, The third step in the nursing process involves planning care for problems that were identified during a
n n n n n n n n n n n n n n n n
ssessment. The evaluation phase is determining whether the goals have been met.
n n n n n n n n n n n
During the assessment phase, data are collected. The intervention phase is when the plan of care i
n n n n n n n n n n n n n n n n
s carried out.
n n
DIF: Cognitive Level: Understanding n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
7. Which goal is most appropriate for the collaborative problem of wound infection?
n n n n n n n n n n n
a. The patient will not exhibit further signs of infection.
n n n n n n n n
b. Maintain the patient’s fluid intake at 1000 mL/8 hour. n n n n n n n n
c. The patient will have a temperature of 98.F within 2 days.
n n n n n n n n n n
d. Monitor the patient to detect therapeutic response to antibiotic therapy.
n n n n n n n n n
ANS: D n
In a collaborative problem, the goal should be nurse-
n n n n n n n n
oriented and reflect the nursing interventions of monitoring or observing. Monitoring for compli
n n n n n n n n n n n n
cations such as further signs of infection is an independent nursing role. Intake and output is an i
n n n n n n n n n n n n n n n n n
ndependent nursing role. Monitoring a patient’s temperature is an independent nursing role.
n n n n n n n n n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
8. Which nursing intervention is written correctly?
n n n n n
a. Force fluids as necessary. n n n
b. Observe interaction with the infant. n n n n
c. Encourage turning, coughing, and deep breathing. n n n n n
d. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
n n n n n n n n n n n n n
ANS: D n
Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not s
n n n n n n n n n n n n n n n n n
pecific; it does not state how much or how often. Encouraging the patient to turn, cough, and bre
n n n n n n n n n n n n n n n n n
athe deeply is not detailed or specific. Observing interaction with the infant does not state how o
n n n n n n n n n n n n n n n n
ften this procedure should be done. Assisting the patient to ambulate for 10 minutes within a cert
n n n n n n n n n n n n n n n n
ain timeframe is specific.
n n n
DIF: Cognitive Level: Application n n
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Safe and Effecti
n n n n n n n n n n
ve Care Environment
n n
9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which re
n n n n n n n n n n n n n n
sponse by the nurse would be the most therapeutic?
n n n n n n n n
a. “You’re afraid to take the baby home?” n n n n n n
b. “Don’t you have a mother who can come and help?” n n n n n n n n n
c. “You should read the literature I gave you before you leave.”
n n n n n n n n n n
d. “I was scared when I took my first baby home, but everything worked out.”
n n n n n n n n n n n n n
ANS: A n
