Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
Chapter 01: Maternity and Women’s Health Care Today
Foundations of Maternal-Newborn & Women’s Health Nursing,
7th Edition MULTIPLE CHOICE
1. A nurse educator is teaching a group of nursing students about the history of family-
centered maternity care. Which statement should the nurse include in the teaching
session?
a.
The Sheppard-Towner Act of 1921 promoted family-
centered care. b.
Changes in pharmacologic management of labor prompted family-
centered care. c.
Demands by physicians for family involvement in childbirth increased the
practice of family- centered care.
d.
Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care.
ANS: D
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth
limits the amount of parent–infant interaction?” Which answer should the nurse
provide for these parents in order to assist them in choosing an appropriate birth
setting?
a.
Birth
center b.
Home
birth c.
Traditional hospital
birth d.
Labor, birth, and recovery
room ANS: C
In the traditional hospital setting, the mother may see the infant for only short
feeding periods, and the infant is cared for in a separate nursery. Birth centers are
set up to allow an increase in parent–infant contact. Home births allow the greatest
amount of parent–infant contact. The labor, birth, recovery, and postpartum room
setting allows for increased parent–infant contact. DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and
postpartum (LDRP) room?
a.
The family is in a familiar
environment. b.
They are less expensive than traditional hospital
rooms. c.
The infant is removed to the nursery to allow the
mother to rest. d.
The woman’s support system is encouraged to stay until
discharge. ANS: D
Sleeping equipment is provided in a private room. A hospital setting is never a
familiar environment to new parents. An LDRP room is not less expensive than a
,Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
traditional hospital room. The baby remains with the mother at all times and is
not removed to the nursery for
,Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
routine care or testing. The father or other designated members of the mother’s
support system are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Health Promotion and Maintenance
4.Which nursing intervention is an independent function of the
professional nurse? a.
Administering oral
analgesics b.
Requesting diagnostic
studies c.
Teaching the patient perineal
care d.
Providing wound care to a surgical
incision ANS: C
Nurses are now responsible for various independent functions, including teaching,
counseling, and intervening in nonmedical problems. Interventions initiated by the
physician and carried out by the nurse are called dependent functions.
Administrating oral analgesics is a dependent function; it is initiated by a physician
and carried out by a nurse. Requesting diagnostic studies is a dependent function.
Providing wound care is a dependent function; however, the physician prescribes
the type of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Safe and Effective Care
Environment
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so
afraid to have a cesarean birth”?
a.
“Everything will be
OK.” b.
“Don’t worry about it. It will be over
soon.” c.
“What concerns you most about a cesarean
birth?” d.
“The physician will be in later and you can talk
to him.” ANS: C
The response, “What concerns you most about a cesarean birth” focuses on what
the patient is saying and asks for clarification, which is the most therapeutic
response. The response, “Everything will be ok” is belittling the patient’s feelings.
The response, “Don’t worry about it. It will be over soon” will indicate that the
patient’s feelings are not important. The response, “The physician will be in later
and you can talk to him” does not allow the patient to verbalize her feelings when
she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step:
Implementation MSC: Patient Needs: Psychosocial Integrity
6. In which step of the nursing process does the nurse determine the appropriate
interventions for the identified nursing diagnosis?
a.
Plannin
g b.
Evaluatio
n c.
, Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
Assessme
nt d.
Intervention
Edition.
Chapter 01: Maternity and Women’s Health Care Today
Foundations of Maternal-Newborn & Women’s Health Nursing,
7th Edition MULTIPLE CHOICE
1. A nurse educator is teaching a group of nursing students about the history of family-
centered maternity care. Which statement should the nurse include in the teaching
session?
a.
The Sheppard-Towner Act of 1921 promoted family-
centered care. b.
Changes in pharmacologic management of labor prompted family-
centered care. c.
Demands by physicians for family involvement in childbirth increased the
practice of family- centered care.
d.
Parental requests that infants be allowed to remain with them rather than in a
nursery initiated the practice of family-centered care.
ANS: D
2. Expectant parents ask a prenatal nurse educator, “Which setting for childbirth
limits the amount of parent–infant interaction?” Which answer should the nurse
provide for these parents in order to assist them in choosing an appropriate birth
setting?
a.
Birth
center b.
Home
birth c.
Traditional hospital
birth d.
Labor, birth, and recovery
room ANS: C
In the traditional hospital setting, the mother may see the infant for only short
feeding periods, and the infant is cared for in a separate nursery. Birth centers are
set up to allow an increase in parent–infant contact. Home births allow the greatest
amount of parent–infant contact. The labor, birth, recovery, and postpartum room
setting allows for increased parent–infant contact. DIF: Cognitive Level:
Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Health Promotion and Maintenance
3. Which statement best describes the advantage of a labor, birth, recovery, and
postpartum (LDRP) room?
a.
The family is in a familiar
environment. b.
They are less expensive than traditional hospital
rooms. c.
The infant is removed to the nursery to allow the
mother to rest. d.
The woman’s support system is encouraged to stay until
discharge. ANS: D
Sleeping equipment is provided in a private room. A hospital setting is never a
familiar environment to new parents. An LDRP room is not less expensive than a
,Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
traditional hospital room. The baby remains with the mother at all times and is
not removed to the nursery for
,Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
routine care or testing. The father or other designated members of the mother’s
support system are encouraged to stay at all times.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Health Promotion and Maintenance
4.Which nursing intervention is an independent function of the
professional nurse? a.
Administering oral
analgesics b.
Requesting diagnostic
studies c.
Teaching the patient perineal
care d.
Providing wound care to a surgical
incision ANS: C
Nurses are now responsible for various independent functions, including teaching,
counseling, and intervening in nonmedical problems. Interventions initiated by the
physician and carried out by the nurse are called dependent functions.
Administrating oral analgesics is a dependent function; it is initiated by a physician
and carried out by a nurse. Requesting diagnostic studies is a dependent function.
Providing wound care is a dependent function; however, the physician prescribes
the type of wound care through direct orders or protocol.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
Assessment MSC: Patient Needs: Safe and Effective Care
Environment
5. Which response by the nurse is the most therapeutic when the patient states, “I’m so
afraid to have a cesarean birth”?
a.
“Everything will be
OK.” b.
“Don’t worry about it. It will be over
soon.” c.
“What concerns you most about a cesarean
birth?” d.
“The physician will be in later and you can talk
to him.” ANS: C
The response, “What concerns you most about a cesarean birth” focuses on what
the patient is saying and asks for clarification, which is the most therapeutic
response. The response, “Everything will be ok” is belittling the patient’s feelings.
The response, “Don’t worry about it. It will be over soon” will indicate that the
patient’s feelings are not important. The response, “The physician will be in later
and you can talk to him” does not allow the patient to verbalize her feelings when
she wishes to do that.
DIF: Cognitive Level: Application OBJ: Nursing Process Step:
Implementation MSC: Patient Needs: Psychosocial Integrity
6. In which step of the nursing process does the nurse determine the appropriate
interventions for the identified nursing diagnosis?
a.
Plannin
g b.
Evaluatio
n c.
, Chapter1-10 Foundations of Maternal-Newborn & Women’s Health Nursing, 7th
Edition.
Assessme
nt d.
Intervention
