Test bank for foundations of maternal newborn and women s health nursing 7th edition by murray

FoundationsnofnMaternal-NewbornnandnWomen'snHealthnNursingn7thnEditionnMurraynTestnBank


Chapter 01: Maternity and Women’s Health Care Today
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Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
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MULTIPLEnCHOICE

1. Annurseneducatornisnteachingnangroupnofnnursingnstudentsnaboutnthenhistorynofnfamily-
centerednmaternityncare.nWhichnstatementnshouldnthennursenincludeninnthenteachingnsession?
a. ThenSheppard-TownernActnofn1921npromotednfamily-centeredncare.
b. Changesninnpharmacologicnmanagementnofnlabornpromptednfamily-centeredncare.
c. Demandsnbynphysiciansnfornfamilyninvolvementninnchildbirthnincreasednthenpracticen
ofnfamily-centeredncare.
d. Parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninnann
urseryninitiatednthenpracticenofnfamily-centeredncare.
ANS:n D
Asnresearchnbeganntonidentifynthenbenefitsnofnearly,nextendednparent–
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevelope
dnintonthenpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nThenSheppard-
TownernActnprovidednfundsnfornstate-
managednprogramsnfornmothersnandnchildrennbutndidnnotnpromote
family-
centeredncare.nThenchangesninnpharmacologicnmanagementnofnlabornwerennotnanfactorninnfamily-
centerednmaternityncare.nFamily-centeredncarenwasnanrequestnbynparents,nnotnphysicians.

DIF: CognitivenLevel:nApplication
OBJ:n NursingnProcessnStep:nPlanningnMSC:n PatientnNeeds:nHealthnPromotio
nnandnMaintenance

2. Expectantnparentsnasknanprenatalnnurseneducator,n“Whichnsettingnfornchildbirthnlimitsnthena
mountnofnparent– NnRnInGnB.CnM
infantninteracUtionS?”nN
WhT Oernshouldnthennursenprovidenfornthesenparentsninnordernton
ichnansw
assistnthemninnchoosingnannappropriatenbirthnsetting?
a. Birthncenter
b. Homenbirth
c. Traditionalnhospitalnbirth
d. Labor,nbirth,nandnrecoverynroom
ANS:n C
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,na
ndntheninfantnisncarednforninnanseparatennursery.nBirthncentersnarensetnupntonallownannincreaseninnpar
ent–infantncontact.nHomenbirthsnallownthengreatestnamountnofnparent–
infantncontact.nThenlabor,nbirth,nrecovery,nandnpostpartumnroomnsettingnallowsnfornincreasednpar
ent–infantncontact.

DIF: CognitivenLevel:nUnderstanding
OBJ:n NursingnProcessnStep:nPlanningnMSC:n PatientnNeeds:nHealthnPromotio
nnandnMaintenance

3. Whichnstatementnbestndescribesnthenadvantagenofnanlabor,nbirth,nrecovery,nandnpostpartumn(
LDRP)nroom?
a. Thenfamilynisninnanfamiliarnenvironment.
b. Theynarenlessnexpensiventhanntraditionalnhospitalnrooms.
c. Theninfantnisnremovedntonthennurseryntonallownthenmotherntonrest.
d. Thenwoman’snsupportnsystemnisnencouragedntonstaynuntilndischarge.

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,FoundationsnofnMaternal-NewbornnandnWomen'snHealthnNursingn7thnEditionnMurraynTestnBank
ANS:n D




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,FoundationsnofnMaternal-NewbornnandnWomen'snHealthnNursingn7thnEditionnMurraynTestnBank

Sleepingnequipmentnisnprovidedninnanprivatenroom.nAnhospitalnsettingnisnnevernanfamiliarnenvironm
entntonnewnparents.nAnnLDRPnroomnisnnotnlessnexpensiventhannantraditionalnhospitalnroom.nThenba
bynremainsnwithnthenmothernatnallntimesnandnisnnotnremovedntonthennurserynfornroutinencarenorntestin
g.nThenfathernornotherndesignatednmembersnofnthenmother’snsupportnsystemnarenencouragedntonstayn
atnallntimes.

DIF: CognitivenLevel:nUnderstanding
OBJ:n NursingnProcessnStep:nAssessmentnMSC:n PatientnNeeds:nHealthnPromoti
onnandnMaintenance

4. Whichnnursingninterventionnisnannindependentnfunctionnofnthenprofessionalnnurse?
a. Administeringnoralnanalgesics
b. Requestingndiagnosticnstudies
c. Teachingnthenpatientnperinealncare
d. Providingnwoundncarentonansurgicalnincision
ANS:n C
Nursesnarennownresponsiblenfornvariousnindependentnfunctions,nincludingnteaching,ncounseling,na
ndninterveningninnnonmedicalnproblems.nInterventionsninitiatednbynthenphysiciannandncarriednout
nbynthennursenarencalledndependentnfunctions.nAdministratingnoralnanalgesicsnisnandependentnfunc

tion;nitnisninitiatednbynanphysiciannandncarriednoutnbynannurse.nRequestingndiagnosticnstudiesnisnan
dependentnfunction.nProvidingnwoundncarenisnandependentnfunction;nhowever,nthenphysiciannpre
scribesnthentypenofnwoundncarenthroughndirectnordersnornprotocol.

DIF: CognitivenLevel:nUnderstanding
OBJ:n NursingnProcessnStep:nAssessmentnMSC:n PatientnNeeds:nSafenandnEffect
ivenCarenEnvironment

5. Whichnresponsenbynthennursenisnthenmostntherapeuticnwhennthenpatientnstates,n“I’mnsonafraidnto
havenancesareannbirth”? NURSINGTB.COM
a. “EverythingnwillnbenOK.”
b. “Don’tnworrynaboutnit.nItnwillnbenovernsoon.”
c. “Whatnconcernsnyounmostnaboutnancesareannbirth?”
d. “Thenphysiciannwillnbeninnlaternandnyouncanntalkntonhim.”
ANS:n C
Thenresponse,n“Whatnconcernsnyounmostnaboutnancesareannbirth”nfocusesnonnwhatnthenpatientnis
sayingnandnasksnfornclarification,nwhichnisnthenmostntherapeuticnresponse.nThenresponse,
“Everythingnwillnbenok”nisnbelittlingnthenpatient’snfeelings.nThenresponse,n“Don’tnworrynaboutnit.n
Itnwillnbenovernsoon”nwillnindicatenthatnthenpatient’snfeelingsnarennotnimportant.nThe
response,n“Thenphysiciannwillnbeninnlaternandnyouncanntalkntonhim”ndoesnnotnallownthenpatientntonv
erbalizenhernfeelingsnwhennshenwishesntondonthat.

DIF: CognitivenLevel:nApplication
OBJ:n NursingnProcessnStep:nImplementationnMSC:n PatientnNeeds:nPsychosocialnInt
egrity

6. Innwhichnstepnofnthennursingnprocessndoesnthennursendeterminenthenappropriateninterventionsnfornt
henidentifiednnursingndiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:n A

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, FoundationsnofnMaternal-NewbornnandnWomen'snHealthnNursingn7thnEditionnMurraynTestnBank

Thenthirdnstepninnthennursingnprocessninvolvesnplanningncarenfornproblemsnthatnwerenidentifiednd
uringnassessment.nThenevaluationnphasenisndeterminingnwhethernthengoalsnhavenbeennmet.
Duringnthenassessmentnphase,ndatanarencollected.nTheninterventionnphasenisnwhennthenplannofncare
nisn carriednout.




DIF: CognitivenLevel:nUnderstanding
OBJ:n NursingnProcessnStep:nPlanningnMSC:n PatientnNeeds:nSafenandnEffecti
venCarenEnvironment

7. Whichngoalnisnmostnappropriatenfornthencollaborativenproblemnofnwoundninfection?
a. Thenpatientnwillnnotnexhibitnfurthernsignsnofninfection.
b. Maintainnthenpatient’snfluidnintakenatn1000nmL/8nhour.
c. Thenpatientnwillnhavenantemperaturenofn98.6Fnwithinn2ndays.
d. Monitornthenpatientntondetectntherapeuticnresponsentonantibioticntherapy.
ANS:n D
Innancollaborativenproblem,nthengoalnshouldnbennurse-
orientednandnreflectnthennursingninterventionsnofnmonitoringnornobserving.nMonitoringnforncom
plicationsnsuchnasnfurthernsignsnofninfectionnisnannindependentnnursingnrole.nIntakenandnoutputnis
nannindependentnnursingnrole.nMonitoringnanpatient’sntemperaturenisnannindependentnnursingnrol
e.

DIF: CognitivenLevel:nApplication
OBJ:n NursingnProcessnStep:nPlanningnMSC:n PatientnNeeds:nSafenandnEffecti
venCarenEnvironment

8. Whichnnursingninterventionnisnwrittenncorrectly?
a. Forcenfluidsnasnnecessary.
b. Observeninteractionnwithntheninfant.
c. Encouragenturning,ncoughing,nandndeepnbreathing.
d. Assistntonambulatenforn10NmUinRuS
teI atG
snN 8TAB
M.,nC
2nOM,nandn6nPM.
PM
ANS:n D
Interventionsnmightnnotnbencarriednoutnifntheynarennotndetailednandnspecific.n“Forcenfluids”nisnno
tnspecific;nitndoesnnotnstatenhownmuchnornhownoften.nEncouragingnthenpatientntonturn,ncough,nandn
breathendeeplynisnnotndetailednornspecific.nObservingninteractionnwithntheninfantndoesnnotnstatenh
ownoftennthisnprocedurenshouldnbendone.nAssistingnthenpatientntonambulatenforn10nminutesnwithi
nnancertainntimeframenisnspecific.

DIF: CognitivenLevel:nApplication
OBJ:n NursingnProcessnStep:nPlanningnMSC:n PatientnNeeds:nSafenandnEffecti
venCarenEnvironment

9. Thenpatientnmakesnthenstatement:n“I’mnafraidntontakenthenbabynhomentomorrow.”nWhich
responsenbynthennursenwouldnbenthenmostntherapeutic?
a. “You’renafraidntontakenthenbabynhome?”
b. “Don’tnyounhavenanmothernwhoncanncomenandnhelp?”
c. “YounshouldnreadnthenliteraturenIngavenyounbeforenyounleave.”
d. “InwasnscarednwhennIntooknmynfirstnbabynhome,nbutneverythingnworkednout.”
ANS:n A




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