FOUNDATIONS OF MATERNAL-
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1️⃣ Reference
Ch. 1 — Clinical Judgment and the Nursing Process
A laboring client asks why the nurse keeps reassessing pain,
contraction pattern, and fetal heart rate. The LPN is preparing
to document findings and report changes to the RN. Which
action best reflects the nursing process in maternity care?
A. Record data, compare findings to expected patterns, and
report concerns promptly
B. Delay documentation until the provider evaluates the client
C. Tell the client that reassessment is only needed if pain
,becomes severe
D. Focus only on the client’s pain rating because it is the priority
Correct Answer: A
Rationale — Correct Answer
This action reflects assessment, analysis, and communication
within the nursing process. In maternity care, trending maternal
and fetal findings helps identify changes early and supports safe
escalation to the RN or provider.
Rationale — Incorrect Options
B is incorrect because timely documentation and reporting are
essential for safe intrapartum care.
C is incorrect because maternal-fetal reassessment is
continuous, not limited to severe pain.
D is incorrect because fetal status, contractions, and maternal
response all matter, not pain alone.
Teaching Point
Assess trends, document promptly, and report deviations early.
Citation
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1️.
2⃣ Reference
Ch. 1 — Clinical Judgment and the Nursing Process
,A postpartum client reports feeling “dizzy” when standing, and
the LPN notes a saturated perineal pad within 1️ hour. Which
nursing action should the LPN take first?
A. Reassure the client that dizziness is expected after birth
B. Assist the client to a lying position and report the findings to
the RN
C. Encourage the client to walk to improve circulation
D. Offer a pain medication and reassess in 30 minutes
Correct Answer: B
Rationale — Correct Answer
Dizziness plus heavy lochia may indicate postpartum blood loss
and requires immediate safety support and reporting. The LPN
should reduce fall risk, assist the client to rest, and notify the
RN promptly.
Rationale — Incorrect Options
A is incorrect because dizziness with heavy bleeding is not a
normal finding to ignore.
C is incorrect because ambulation could increase risk for injury
or worsen symptoms.
D is incorrect because pain management does not address the
possible bleeding concern.
Teaching Point
Postpartum dizziness with heavy bleeding is a reportable safety
concern.
, Citation
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1️.
3⃣ Reference
Ch. 1 — Safety and Quality Within Women’s Health
A laboring client with a latex allergy is admitted to the unit.
Which action by the LPN best supports patient safety?
A. Use latex gloves if they are the cleanest option available
B. Place a latex allergy alert on the chart and use latex-free
supplies
C. Ask the client to remind staff about the allergy during every
procedure
D. Avoid documenting the allergy unless a reaction occurs
Correct Answer: B
Rationale — Correct Answer
Safety begins with identifying and preventing exposure to
allergens. Latex-free supplies and visible alert systems reduce
the risk of preventable harm in maternity care.
Rationale — Incorrect Options
A is unsafe because latex exposure can trigger a reaction.
C is incorrect because safety systems should not rely only on
the client’s memory.
D is incorrect because allergy documentation is required before
a reaction occurs.
NEWBORN AND WOMEN'S
HEALTH NURSING
8TH EDITION
• AUTHOR(S)SHARON MURRAY
TEST BANK
1️⃣ Reference
Ch. 1 — Clinical Judgment and the Nursing Process
A laboring client asks why the nurse keeps reassessing pain,
contraction pattern, and fetal heart rate. The LPN is preparing
to document findings and report changes to the RN. Which
action best reflects the nursing process in maternity care?
A. Record data, compare findings to expected patterns, and
report concerns promptly
B. Delay documentation until the provider evaluates the client
C. Tell the client that reassessment is only needed if pain
,becomes severe
D. Focus only on the client’s pain rating because it is the priority
Correct Answer: A
Rationale — Correct Answer
This action reflects assessment, analysis, and communication
within the nursing process. In maternity care, trending maternal
and fetal findings helps identify changes early and supports safe
escalation to the RN or provider.
Rationale — Incorrect Options
B is incorrect because timely documentation and reporting are
essential for safe intrapartum care.
C is incorrect because maternal-fetal reassessment is
continuous, not limited to severe pain.
D is incorrect because fetal status, contractions, and maternal
response all matter, not pain alone.
Teaching Point
Assess trends, document promptly, and report deviations early.
Citation
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1️.
2⃣ Reference
Ch. 1 — Clinical Judgment and the Nursing Process
,A postpartum client reports feeling “dizzy” when standing, and
the LPN notes a saturated perineal pad within 1️ hour. Which
nursing action should the LPN take first?
A. Reassure the client that dizziness is expected after birth
B. Assist the client to a lying position and report the findings to
the RN
C. Encourage the client to walk to improve circulation
D. Offer a pain medication and reassess in 30 minutes
Correct Answer: B
Rationale — Correct Answer
Dizziness plus heavy lochia may indicate postpartum blood loss
and requires immediate safety support and reporting. The LPN
should reduce fall risk, assist the client to rest, and notify the
RN promptly.
Rationale — Incorrect Options
A is incorrect because dizziness with heavy bleeding is not a
normal finding to ignore.
C is incorrect because ambulation could increase risk for injury
or worsen symptoms.
D is incorrect because pain management does not address the
possible bleeding concern.
Teaching Point
Postpartum dizziness with heavy bleeding is a reportable safety
concern.
, Citation
Murray, S. (2024). Foundations of Maternal-Newborn and
Women’s Health Nursing (8th ed.). Ch. 1️.
3⃣ Reference
Ch. 1 — Safety and Quality Within Women’s Health
A laboring client with a latex allergy is admitted to the unit.
Which action by the LPN best supports patient safety?
A. Use latex gloves if they are the cleanest option available
B. Place a latex allergy alert on the chart and use latex-free
supplies
C. Ask the client to remind staff about the allergy during every
procedure
D. Avoid documenting the allergy unless a reaction occurs
Correct Answer: B
Rationale — Correct Answer
Safety begins with identifying and preventing exposure to
allergens. Latex-free supplies and visible alert systems reduce
the risk of preventable harm in maternity care.
Rationale — Incorrect Options
A is unsafe because latex exposure can trigger a reaction.
C is incorrect because safety systems should not rely only on
the client’s memory.
D is incorrect because allergy documentation is required before
a reaction occurs.
