TABLE OF CONTENTS
Part I: Foundations For Nursing Care Of The Childbearing Families
Chapter 1. Maternity and Women’s Health Care Today
Chapter 2. Social, Ethical and Legal Issues
Chapter 3. Reproductive Anatomy and Physiology
Chapter 4. Hereditary and Environmental Influences on Childbearing
Part Ii: The Family Before Birth
Chapter 5. Conception and Prenatal Development
Chapter 6. Maternal Adaptations to Pregnancy
Chapter 7. Antepartum Assessment, Care and Education
Chapter 8. Nutrition for Childbearing
Chapter 9. Assessing the Fetus
Chapter 10. Complications of Pregnancy
Chapter 11. The Childbearing Family with Special Needs
Part Iii: The Family During Birth
Chapter 12. Processes of Birth
Chapter 13. Pain management during Childbirth
Chapter 14. Intrapartum Fetal Surveillance
Chapter 15. Nursing Care During Labor and Birth
Chapter 16. Intrapartum Complications
Part Iv: The Family Following Birth
Chapter 17. Postpartum Adaptations and Nursing Care
Chapter 18. Postpartum Maternal Complications
Chapter 19. Normal Newborn: Processes of Adaptation
Chapter 20. Assessment of the Normal Newborn
Chapter 21. Care of the Normal Newborn
Chapter 22. Infant Feeding
Chapter 23. High-Risk Newborn: Complications Associated with Gestational Age and Development
Chapter 24. High-Risk Newborn: Acquired and Congenital Conditions
Part Vi: Women’s Health Care
Chapter 25. Family Planning
Chapter 26. Infertility
Chapter 27. Women’s Health Care
,Chapter 01: Maternity and Women’s Health Care Today
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 traditional hospital
room. The baby remains with the mother at all times and is not removed to the nursery for
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.
Planning
b.
Evaluation
c.
Assessment
d.
Intervention
ANS: A
The third step in the nursing process involves planning care for problems that were identified
during assessment. The evaluation phase is determining whether the goals have been met.
During the assessment phase, data are collected. The intervention phase is when the plan of
care is carried out.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
,7. Which goal is most appropriate for the collaborative problem of wound infection?
a.
The patient will not exhibit further signs of infection.
b.
Maintain the patient’s fluid intake at 1000 mL/8 hour.
c.
The patient will have a temperature of 98.6F within 2 days.
d.
Monitor the patient to detect therapeutic response to antibiotic therapy.
ANS: D
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
interventions of monitoring or observing. Monitoring for complications such as further signs of
infection is an independent nursing role. Intake and output is an independent nursing role.
Monitoring a patient’s temperature is an independent nursing role.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
8. Which nursing intervention is written correctly?
a.
Force fluids as necessary.
b.
Observe interaction with the infant.
c.
Encourage turning, coughing, and deep breathing.
d.
Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
ANS: D
Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not
specific; it does not state how much or how often. Encouraging the patient to turn, cough, and
breathe deeply is not detailed or specific. Observing interaction with the infant does not state
how often this procedure should be done. Assisting the patient to ambulate for 10 minutes within
a certain timeframe is specific.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
, 9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which
response by the nurse would be the most therapeutic?
a.
“You’re afraid to take the baby home?”
b.
“Don’t you have a mother who can come and help?”
c.
“You should read the literature I gave you before you leave.”
d.
“I was scared when I took my first baby home, but everything worked out.”
ANS: A
This response uses reflection to show concern and open communication. The other choices are
blocks to communication. Asking if the patient has a mother who can come and assist blocks
further communication with the patient. Telling the patient to read the literature before leaving
does not allow the patient to express her feelings further. Sharing your own birth experience is
inappropriate.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Psychosocial Integrity
10. The nurse is writing an expected outcome for the nursing diagnosis—acute pain
related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain
of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?
a.
Patient will state that pain is a 2 on a scale of 10.
b.
Patient will have a reduction in pain after administration of the prescribed analgesic.
c.
Patient will state an absence of pain 1 hour after administration of the prescribed analgesic.
d.
Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of the
prescribed analgesic.
ANS: D
The outcome should be patient-centered, measurable, realistic, and attainable and within a
specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe.
Patient having a reduction in pain after administration of the prescribed analgesic lacks a
measurement. Patient stating an absence of pain 1 hour after the administration of prescribed
analgesic is unrealistic.
Part I: Foundations For Nursing Care Of The Childbearing Families
Chapter 1. Maternity and Women’s Health Care Today
Chapter 2. Social, Ethical and Legal Issues
Chapter 3. Reproductive Anatomy and Physiology
Chapter 4. Hereditary and Environmental Influences on Childbearing
Part Ii: The Family Before Birth
Chapter 5. Conception and Prenatal Development
Chapter 6. Maternal Adaptations to Pregnancy
Chapter 7. Antepartum Assessment, Care and Education
Chapter 8. Nutrition for Childbearing
Chapter 9. Assessing the Fetus
Chapter 10. Complications of Pregnancy
Chapter 11. The Childbearing Family with Special Needs
Part Iii: The Family During Birth
Chapter 12. Processes of Birth
Chapter 13. Pain management during Childbirth
Chapter 14. Intrapartum Fetal Surveillance
Chapter 15. Nursing Care During Labor and Birth
Chapter 16. Intrapartum Complications
Part Iv: The Family Following Birth
Chapter 17. Postpartum Adaptations and Nursing Care
Chapter 18. Postpartum Maternal Complications
Chapter 19. Normal Newborn: Processes of Adaptation
Chapter 20. Assessment of the Normal Newborn
Chapter 21. Care of the Normal Newborn
Chapter 22. Infant Feeding
Chapter 23. High-Risk Newborn: Complications Associated with Gestational Age and Development
Chapter 24. High-Risk Newborn: Acquired and Congenital Conditions
Part Vi: Women’s Health Care
Chapter 25. Family Planning
Chapter 26. Infertility
Chapter 27. Women’s Health Care
,Chapter 01: Maternity and Women’s Health Care Today
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 traditional hospital
room. The baby remains with the mother at all times and is not removed to the nursery for
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.
Planning
b.
Evaluation
c.
Assessment
d.
Intervention
ANS: A
The third step in the nursing process involves planning care for problems that were identified
during assessment. The evaluation phase is determining whether the goals have been met.
During the assessment phase, data are collected. The intervention phase is when the plan of
care is carried out.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
,7. Which goal is most appropriate for the collaborative problem of wound infection?
a.
The patient will not exhibit further signs of infection.
b.
Maintain the patient’s fluid intake at 1000 mL/8 hour.
c.
The patient will have a temperature of 98.6F within 2 days.
d.
Monitor the patient to detect therapeutic response to antibiotic therapy.
ANS: D
In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
interventions of monitoring or observing. Monitoring for complications such as further signs of
infection is an independent nursing role. Intake and output is an independent nursing role.
Monitoring a patient’s temperature is an independent nursing role.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
8. Which nursing intervention is written correctly?
a.
Force fluids as necessary.
b.
Observe interaction with the infant.
c.
Encourage turning, coughing, and deep breathing.
d.
Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
ANS: D
Interventions might not be carried out if they are not detailed and specific. “Force fluids” is not
specific; it does not state how much or how often. Encouraging the patient to turn, cough, and
breathe deeply is not detailed or specific. Observing interaction with the infant does not state
how often this procedure should be done. Assisting the patient to ambulate for 10 minutes within
a certain timeframe is specific.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
MSC: Patient Needs: Safe and Effective Care Environment
, 9. The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which
response by the nurse would be the most therapeutic?
a.
“You’re afraid to take the baby home?”
b.
“Don’t you have a mother who can come and help?”
c.
“You should read the literature I gave you before you leave.”
d.
“I was scared when I took my first baby home, but everything worked out.”
ANS: A
This response uses reflection to show concern and open communication. The other choices are
blocks to communication. Asking if the patient has a mother who can come and assist blocks
further communication with the patient. Telling the patient to read the literature before leaving
does not allow the patient to express her feelings further. Sharing your own birth experience is
inappropriate.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Psychosocial Integrity
10. The nurse is writing an expected outcome for the nursing diagnosis—acute pain
related to tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain
of 8 on a scale of 10. Which expected outcome is correctly stated for this problem?
a.
Patient will state that pain is a 2 on a scale of 10.
b.
Patient will have a reduction in pain after administration of the prescribed analgesic.
c.
Patient will state an absence of pain 1 hour after administration of the prescribed analgesic.
d.
Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of the
prescribed analgesic.
ANS: D
The outcome should be patient-centered, measurable, realistic, and attainable and within a
specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe.
Patient having a reduction in pain after administration of the prescribed analgesic lacks a
measurement. Patient stating an absence of pain 1 hour after the administration of prescribed
analgesic is unrealistic.
