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,FoundationshofhMaternSatulv-iN ew born and Wo men's Health Nu rsing 7th E ditionhMurrayhTesthBank
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Chapter 01: Maternity and Women’s Health Care Today
h h h h h h h
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition .
h h h h h h h h h
MULTIPLEhCHOICE
1. Ahnurseheducatorhishteachinghahgrouphofhnursinghstudentshabouththehhistoryhofhfamily-
centeredhmaternityhcare.hWhichhstatementh shouldhthehnursehincludeh inhthehteachinghsession?
a. ThehSheppard-TownerhActhofh1921hpromotedhfamily-centeredhcare.
b. Changeshinhpharmacologichmanagementhofhlaborhpromptedhfamily-centeredhcare.
c. Demandshbyhphysicianshforhfamilyhinvolvementhinhchildbirthhincreasedhthehpracticeho
fhfamily-centeredhcare.
d. Parentalhrequestshthath infantshbehallowedhtohremainhwithhthemhratherhthanhinhahn
urseryhinitiatedhthehpracticehofhfamily-centeredhcare.
ANS:h D
Ashresearchhbeganhtohidentifyhthehbenefitshofhearly,hextendedhparent–
infanthcontact,hparentshbeganhtohinsisththaththehinfanthremainhwithhthem.hThishgraduallyhdevelope
dhintohthehpracticehofhrooming-inhandhfinallyhtohfamily-centeredhmaternityhcare.hThehSheppard-
TownerhActhprovidedhfundshforhstate-
managedhprogramshforhmothershandhchildrenhbuth didhnoth promote
family-
centeredhcare.hThehchangeshinhpharmacologichmanagementhofhlaborhwerehnothahfactorhinhfamily-
centeredhmaternityhcare.hFamily-centeredhcarehwashahrequesthbyhparents,hnothphysicians.
DIF: CognitivehLevel:hApplication
OBJ:hNursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hHealthhPromoti
onhandhMaintenance
2. Expectanthparentshaskhahprenatalhnurseheducator,h“Whichhsettinghforhchildbirthhlimitshtheha
mounthofhparent– NhRhIhGhB.C
infanth interacUtionS?”hN
WhT Oerh shouldhtheh nursehprovideh forhthesehparentshinhorderhtoh
ichhansw
assisththemhinhchoosinghanhappropriatehbirthhsetting?
a. Birthhcenter
b. Homehbirth
c. Traditionalhhospitalhbirth
d. Labor,hbirth,h andhrecoveryhroom
ANS:h C
Inhthehtraditionalhhospitalhsetting,hthehmotherhmayhseehthehinfanth forhonlyhshorth feedinghperiods,ha
ndhthehinfanthishcaredhforhinhahseparatehnursery.hBirthhcentersharehsethuphtohallowhanhincreasehinhpar
ent–infanthcontact.hHomehbirthshallowhthehgreatesthamounthofhparent–
infanthcontact.hThehlabor,hbirth,hrecovery,handhpostpartumhroomhsettinghallowshforhincreasedhpar
ent–infanthcontact.
DIF: CognitivehLevel:hUnderstanding
OBJ:hNursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hHealthhPromoti
onhandhMaintenance
3. Whichhstatementhbesthdescribeshthehadvantagehofhahlabor,hbirth,hrecovery,handhpostpartumh(
LDRP)hroom?
a.Thehfamilyhishinhahfamiliarhenvironment.
b.Theyharehlesshexpensivehthanhtraditionalhhospitalhrooms.
c.Thehinfanthishremovedhtohthehnurseryhtohallowhthehmotherhtohrest.
d.Thehwoman’shsupporthsystemhishencouragedhtohstayhuntilhdischarge.
ANS:h D
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Sleepinghequipmenthishprovidedhinhahprivatehroom.hAhhospitalhsettinghishneverhahfamiliarhenviron
menthtohnewhparents.hAnhLDRPhroomhishnothlesshexpensivehthanhahtraditionalhhospitalhroom.hTheh
babyhremainshwithhthehmotherhathallhtimeshandhishnothremovedhtohthehnurseryhforhroutinehcarehorhte
sting.hThehfatherhorhotherhdesignatedhmembershofhthehmother’shsupporthsystemharehencouragedhtoh
stayhath allhtimes.
DIF: CognitivehLevel:hUnderstanding
OBJ:hNursinghProcesshStep:hAssessmenthMSC:h PatienthNeeds:hHealthhPromoti
onhandhMaintenance
4. Whichhnursinghinterventionhishanhindependenthfunctionhofhthehprofessionalhnurse?
a. Administeringhoralhanalgesics
b. Requestinghdiagnostichstudies
c. Teachinghthehpatienthperinealhcare
d. Providinghwoundhcarehtohahsurgicalhincision
ANS:h C
Nursesharehnowhresponsiblehforhvarioushindependenthfunctions,hincludinghteaching,hcounseling,ha
ndhinterveninghinhnonmedicalhproblems.hInterventionshinitiatedhbyhthehphysicianhandhcarriedhout
hbyhthehnurseharehcalledhdependenthfunctions.hAdministratinghoralhanalgesicshishahdependenthfunc
tion;hith ishinitiatedhbyhahphysicianhandhcarriedh outh byhah nurse.hRequestinghdiagnostichstudieshishah
dependenthfunction.hProvidinghwoundhcarehishahdependenthfunction;hhowever,hthehphysicianhpre
scribeshthehtypehofhwoundhcarehthroughhdirecth ordershorhprotocol.
DIF: CognitivehLevel:hUnderstanding
OBJ:hNursinghProcesshStep:hAssessmenthMSC:h PatienthNeeds:hSafehandhEffect
ivehCarehEnvironment
5. Whichhresponsehbyhthehnursehishthehmosththerapeutichwhenhthehpatienth states,h“I’mhsohafraidhtohh
avehahcesareanhbirth”? NURSINGTB.COM
a. “EverythinghwillhbehOK.”
b. “Don’thworryhabouthit.hIthwillhbehoverhsoon.”
c. “Whathconcernshyouhmosthabouthahcesareanhbirth?”
d. “Thehphysicianhwillhbehinhlaterhandh youhcanhtalkhtohhim.”
ANS:h C
Thehresponse,h“Whathconcernshyouhmosthabouthahcesareanhbirth”hfocuseshonhwhaththehpatienthishs
ayinghandhaskshforhclarification,hwhichhishthehmosththerapeutichresponse.hThehresponse,h“Everyth
inghwillhbehok”hishbelittlinghthehpatient’shfeelings.hThehresponse,h“Don’thworryhabouthit.h Ithwillhbe
hoverh soon”hwillhindicatehthaththehpatient’shfeelingsharehnothimportant.hThehresponse,h“Thehphysi
cianhwillhbehinhlaterhandhyouhcanhtalkhtohhim”hdoeshnothallowhthehpatienthtohverbalizehherh feelingsh
whenhshehwisheshtoh dohthat.
DIF: CognitivehLevel:hApplication
OBJ:hNursinghProcesshStep:hImplementationhMSC:h Patienth Needs:hPsychosocialhI
ntegrity
6. Inhwhichhstephofhthehnursinghprocesshdoeshthehnursehdeterminehthehappropriatehinterventionshforht
hehidentifiedhnursinghdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:h A
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