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Chapter 01: Maternity and Women’s Health Care Today
Foundati ons of Maternal-Newborn & Women’s Health Nursing, 7th Editi on
MULTIPLE CHOICE
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?
The Sheppard-Towner Act of 1921 promoted family-centered care.
Changes in pharmacologic management of labor prompted family-centered care.
Demands by physicians for family involvement in childbirth increased the practi ce of family-
centered care.
Parental requests that infants be allowed to remain with them rather than in a nursery
initi ated the practi ce of family-centered care.
ANS: D
As research began to identi fy the benefi ts of early, extended parent–infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practi ce of
rooming-in and fi nally to family-centered maternity care. The Sheppard-Towner Act provided
funds for state-managed programs for mothers and children but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in
family-centered maternity care. Family-centered care was a request by parents, not
physicians.
DIF: Cogniti ve Level: Applicati on OBJ: Nursing Process Step: Planning MSC: Pati ent
Needs: Health Promoti on and Maintenance
Expectant parents ask a prenatal nurse educator, “Which setti ng for childbirth limits the
N R I G B.C
M
,amount of parent–infant interacUti onS?” NWhTich answOer should the nurse provide for
these parents in order to assist them in choosing an appropriate birth setti ng?
Birth center
Home birth
Traditi onal hospital birth
Labor, birth, and recovery room
ANS: C
In the traditi onal hospital setti ng, 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 setti ng allows for increased parent–
infant contact.
DIF: Cogniti ve Level: Understanding OBJ: Nursing Process Step: Planning MSC: Pati ent
Needs: Health Promoti on and Maintenance
Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
The family is in a familiar environment.
They are less expensive than traditi onal hospital rooms.
The infant is removed to the nursery to allow the mother to rest.
The woman’s support system is encouraged to stay unti l discharge.
ANS: D
,Sleeping equipment is provided in a private room. A hospital setti ng is never a familiar
environment to new parents. An LDRP room is not less expensive than a traditi onal hospital
room. The baby remains with the mother at all ti mes and is not removed to the nursery for
routi ne care or testi ng. The father or other designated members of the mother’s support
system
are encouraged to stay at all ti mes.
DIF: Cogniti ve Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Pati ent
Needs: Health Promoti on and Maintenance
Which nursing interventi on is an independent functi on of the professional nurse?
Administering oral analgesics
Requesti ng diagnosti c studies
Teaching the pati ent perineal care
Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functi ons, including teaching, counseling,
and intervening in nonmedical problems. Interventi ons initi ated by the physician and carried
out by the nurse are called dependent functi ons. Administrati ng oral analgesics is a
dependent functi on; it is initi ated by a physician and carried out by a nurse. Requesti ng
diagnosti c studies is a dependent functi on. Providing wound care is a dependent functi on;
however, the physician prescribes the type of wound care through direct orders or protocol.
DIF: Cogniti ve Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Pati ent
Needs: Safe and Eff ecti ve Care Environment
Which response by the nurse is the most therapeuti c when the pati ent states, “I’m so afraid
to
have a cesarean birth”? NURSINGTB.COM
“Everything will be OK.”
“Don’t worry about it. It will be over soon.”
“What concerns you most about a cesarean birth?”
“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 pati ent
is
saying and asks for clarifi cati on, which is the most therapeuti c response. The response,
“Everything will be ok” is belitt ling the pati ent’s feelings. The response, “Don’t worry about
it. It will be over soon” will indicate that the pati ent’s feelings are not important. The
response, “The physician will be in later and you can talk to him” does not allow the pati ent
to verbalize her feelings when she wishes to do that.
DIF: Cogniti ve Level: Applicati on OBJ: Nursing Process Step: Implementati on MSC:
, Pati ent Needs: Psychosocial Integrity
In which step of the nursing process does the nurse determine the appropriate interventi ons
for the identi fi ed nursing diagnosis?
Planning
Evaluati on
Assessment
Interventi on
ANS: A
To Clarify, This Is A Test Bank, Not A Textbook You Have Immediate
Access To Download Your Test Bank.
No Delays In Loading Is Fast And Instant Immediately Aft er Purchase! You Will
Receive A Full Bank Of Tests, In Other Words, All Chapters Will Be There.
Test Banks Are Presented In PDF Format Therefore, No Special Soft ware
Is Required To Download Them
Chapter 01: Maternity and Women’s Health Care Today
Foundati ons of Maternal-Newborn & Women’s Health Nursing, 7th Editi on
MULTIPLE CHOICE
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?
The Sheppard-Towner Act of 1921 promoted family-centered care.
Changes in pharmacologic management of labor prompted family-centered care.
Demands by physicians for family involvement in childbirth increased the practi ce of family-
centered care.
Parental requests that infants be allowed to remain with them rather than in a nursery
initi ated the practi ce of family-centered care.
ANS: D
As research began to identi fy the benefi ts of early, extended parent–infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practi ce of
rooming-in and fi nally to family-centered maternity care. The Sheppard-Towner Act provided
funds for state-managed programs for mothers and children but did not promote
family-centered care. The changes in pharmacologic management of labor were not a factor in
family-centered maternity care. Family-centered care was a request by parents, not
physicians.
DIF: Cogniti ve Level: Applicati on OBJ: Nursing Process Step: Planning MSC: Pati ent
Needs: Health Promoti on and Maintenance
Expectant parents ask a prenatal nurse educator, “Which setti ng for childbirth limits the
N R I G B.C
M
,amount of parent–infant interacUti onS?” NWhTich answOer should the nurse provide for
these parents in order to assist them in choosing an appropriate birth setti ng?
Birth center
Home birth
Traditi onal hospital birth
Labor, birth, and recovery room
ANS: C
In the traditi onal hospital setti ng, 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 setti ng allows for increased parent–
infant contact.
DIF: Cogniti ve Level: Understanding OBJ: Nursing Process Step: Planning MSC: Pati ent
Needs: Health Promoti on and Maintenance
Which statement best describes the advantage of a labor, birth, recovery, and postpartum
(LDRP) room?
The family is in a familiar environment.
They are less expensive than traditi onal hospital rooms.
The infant is removed to the nursery to allow the mother to rest.
The woman’s support system is encouraged to stay unti l discharge.
ANS: D
,Sleeping equipment is provided in a private room. A hospital setti ng is never a familiar
environment to new parents. An LDRP room is not less expensive than a traditi onal hospital
room. The baby remains with the mother at all ti mes and is not removed to the nursery for
routi ne care or testi ng. The father or other designated members of the mother’s support
system
are encouraged to stay at all ti mes.
DIF: Cogniti ve Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Pati ent
Needs: Health Promoti on and Maintenance
Which nursing interventi on is an independent functi on of the professional nurse?
Administering oral analgesics
Requesti ng diagnosti c studies
Teaching the pati ent perineal care
Providing wound care to a surgical incision
ANS: C
Nurses are now responsible for various independent functi ons, including teaching, counseling,
and intervening in nonmedical problems. Interventi ons initi ated by the physician and carried
out by the nurse are called dependent functi ons. Administrati ng oral analgesics is a
dependent functi on; it is initi ated by a physician and carried out by a nurse. Requesti ng
diagnosti c studies is a dependent functi on. Providing wound care is a dependent functi on;
however, the physician prescribes the type of wound care through direct orders or protocol.
DIF: Cogniti ve Level: Understanding OBJ: Nursing Process Step: Assessment MSC: Pati ent
Needs: Safe and Eff ecti ve Care Environment
Which response by the nurse is the most therapeuti c when the pati ent states, “I’m so afraid
to
have a cesarean birth”? NURSINGTB.COM
“Everything will be OK.”
“Don’t worry about it. It will be over soon.”
“What concerns you most about a cesarean birth?”
“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 pati ent
is
saying and asks for clarifi cati on, which is the most therapeuti c response. The response,
“Everything will be ok” is belitt ling the pati ent’s feelings. The response, “Don’t worry about
it. It will be over soon” will indicate that the pati ent’s feelings are not important. The
response, “The physician will be in later and you can talk to him” does not allow the pati ent
to verbalize her feelings when she wishes to do that.
DIF: Cogniti ve Level: Applicati on OBJ: Nursing Process Step: Implementati on MSC:
, Pati ent Needs: Psychosocial Integrity
In which step of the nursing process does the nurse determine the appropriate interventi ons
for the identi fi ed nursing diagnosis?
Planning
Evaluati on
Assessment
Interventi on
ANS: A
