FOUNDATIONS OF MATERNAL-
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1) Clinical Judgment and Prioritization
Reference: Part 1 — Clinical Judgment and the Nursing Process
A postpartum client tells the LPN, “I feel dizzy every time I stand
up.” The client’s skin looks pale, and she is holding onto the side
of the bed. What should the LPN do first?
A. Encourage the client to walk slowly to improve circulation
B. Assist the client back to bed and report the findings to the RN
C. Tell the client that dizziness is expected after childbirth
D. Offer a meal tray because low blood sugar is the most likely
cause
,Correct Answer: B
Correct Answer Rationale:
The first priority is safety. Dizziness and pallor may indicate a
problem that needs further assessment, so the LPN should help
the client return to bed and report the findings promptly. This is
appropriate LPN practice because the nurse is observing,
protecting the client, and escalating abnormal data.
Incorrect Options Rationale:
A. Walking increases the risk for a fall before the cause of
dizziness is known.
C. Dizziness should not be dismissed as normal without further
assessment.
D. A meal tray may be appropriate later, but safety and
reporting come first.
Teaching Point:
Safety first: stabilize the client and report abnormal postpartum
findings promptly.
Citation: Murray, S. (2024). Foundations of Maternal-Newborn
and Women’s Health Nursing (8th ed.). Part 1 — Clinical
Judgment and the Nursing Process.
2) Safety and Quality
Reference: Part 1 — Safety and Quality Within Women’s Health
,A newborn is being returned from the nursery to the mother’s
room. The LPN notices that the mother is sleepy and the
support person is distracted on the phone. What is the best
nursing action?
A. Place the infant in the crib and leave the room
B. Ask the mother to sign the discharge teaching form
C. Verify the infant’s identification bands with the parent before
transfer
D. Tell the family that the nursery already confirmed the infant’s
identity
Correct Answer: C
Correct Answer Rationale:
Verifying identification bands is a basic safety step that prevents
infant misidentification. The LPN should check two identifiers
before handing the newborn to the parent. This reflects safe,
quality maternity care.
Incorrect Options Rationale:
A. Leaving the infant without completing identification checks is
unsafe.
B. A discharge form is not the priority in this situation.
D. The nurse should personally verify identity, not rely on
assumptions.
Teaching Point:
Always verify newborn identity before transfer to the parent.
, Citation: Murray, S. (2024). Foundations of Maternal-Newborn
and Women’s Health Nursing (8th ed.). Part 1 — Safety and
Quality Within Women’s Health.
3) Choices in Childbirth
Reference: Part 1 — Choices in Childbirth
A laboring client says she wants to move around during labor
and have her partner coach her breathing. She asks whether
these choices can be part of her birth plan. What is the best
response by the LPN?
A. “No, laboring clients must stay in bed for safety.”
B. “Those preferences can be supported if there are no medical
restrictions.”
C. “Only the provider can decide the labor position.”
D. “Breathing techniques are not useful during labor.”
Correct Answer: B
Correct Answer Rationale:
The LPN should support client-centered childbirth choices when
they are safe and consistent with the plan of care. Upright
movement and coached breathing are common comfort
measures that may be used if no contraindications exist. The
nurse should communicate the client’s preferences to the RN
and team.
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1) Clinical Judgment and Prioritization
Reference: Part 1 — Clinical Judgment and the Nursing Process
A postpartum client tells the LPN, “I feel dizzy every time I stand
up.” The client’s skin looks pale, and she is holding onto the side
of the bed. What should the LPN do first?
A. Encourage the client to walk slowly to improve circulation
B. Assist the client back to bed and report the findings to the RN
C. Tell the client that dizziness is expected after childbirth
D. Offer a meal tray because low blood sugar is the most likely
cause
,Correct Answer: B
Correct Answer Rationale:
The first priority is safety. Dizziness and pallor may indicate a
problem that needs further assessment, so the LPN should help
the client return to bed and report the findings promptly. This is
appropriate LPN practice because the nurse is observing,
protecting the client, and escalating abnormal data.
Incorrect Options Rationale:
A. Walking increases the risk for a fall before the cause of
dizziness is known.
C. Dizziness should not be dismissed as normal without further
assessment.
D. A meal tray may be appropriate later, but safety and
reporting come first.
Teaching Point:
Safety first: stabilize the client and report abnormal postpartum
findings promptly.
Citation: Murray, S. (2024). Foundations of Maternal-Newborn
and Women’s Health Nursing (8th ed.). Part 1 — Clinical
Judgment and the Nursing Process.
2) Safety and Quality
Reference: Part 1 — Safety and Quality Within Women’s Health
,A newborn is being returned from the nursery to the mother’s
room. The LPN notices that the mother is sleepy and the
support person is distracted on the phone. What is the best
nursing action?
A. Place the infant in the crib and leave the room
B. Ask the mother to sign the discharge teaching form
C. Verify the infant’s identification bands with the parent before
transfer
D. Tell the family that the nursery already confirmed the infant’s
identity
Correct Answer: C
Correct Answer Rationale:
Verifying identification bands is a basic safety step that prevents
infant misidentification. The LPN should check two identifiers
before handing the newborn to the parent. This reflects safe,
quality maternity care.
Incorrect Options Rationale:
A. Leaving the infant without completing identification checks is
unsafe.
B. A discharge form is not the priority in this situation.
D. The nurse should personally verify identity, not rely on
assumptions.
Teaching Point:
Always verify newborn identity before transfer to the parent.
, Citation: Murray, S. (2024). Foundations of Maternal-Newborn
and Women’s Health Nursing (8th ed.). Part 1 — Safety and
Quality Within Women’s Health.
3) Choices in Childbirth
Reference: Part 1 — Choices in Childbirth
A laboring client says she wants to move around during labor
and have her partner coach her breathing. She asks whether
these choices can be part of her birth plan. What is the best
response by the LPN?
A. “No, laboring clients must stay in bed for safety.”
B. “Those preferences can be supported if there are no medical
restrictions.”
C. “Only the provider can decide the labor position.”
D. “Breathing techniques are not useful during labor.”
Correct Answer: B
Correct Answer Rationale:
The LPN should support client-centered childbirth choices when
they are safe and consistent with the plan of care. Upright
movement and coached breathing are common comfort
measures that may be used if no contraindications exist. The
nurse should communicate the client’s preferences to the RN
and team.
