TEST BANK Foundations of Maternal-Newborn and Women's Health Nursing 8th Edition By Sharon Smith Murray , all chapters

,TEST BANK Foundations of Maternal-Newborn and
Women's Health Nursing 8th Edition By Sharon Smith
Murray

Chapter;,1.;,Clinical;,Judgement;,and;,the;,Nursing;,Process
Foundations;,of;,Maternal-Newborn;,&;,Women’s;,Health;,Nursing,;,8th;,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;,practi
ce;,of;,family-centered;,care.
d. Parental;,requests;,that;,infants;,be;,allowed;,to;,remain;,with;,them;,rather;,than;,i
n;,a;,nursery;,initiated;,the;,practice;,of;,family-centered;,care.
ANS:; , D
As;,research;,began;,to;,identify;,the;,benefits;,of;,early,;,extended;,parent–
infant;,contact,;,parents;,began;,to;,insist;,that;,the;,infant;,remain;,with;,them.;,This;,gradually;,dev
eloped;,into;,the;,practice;,of;,rooming-in;,and;,finally;,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;,fam
ily-centered;,maternity;,care.;,Family-centered;,care;,was;,a;,request;,by;,parents,;,not;,physicians.

DIF: Cognitive;,Level:;,Application
OBJ:; , Nursing;,Process;,Step:;,Planning;,MSC:; , Patient;,Needs:;,Health;,Pro
motion;,and;,Maintenance

2. Expectant;,parents;,ask;,a;,prenatal;,nurse;,educator,;,―Which;,setting;,for;,childbirth;,limits;,t
he;,amount;,of;,parent–
infant;,interaction?‖;,Which;,answer;,should;,the;,nurse;,provide;,for;,these;,parents;,in;,orde
r;,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;,perio
ds,;,and;,the;,infant;,is;,cared;,for;,in;,a;,separate;,nursery.;,Birth;,centers;,are;,set;,up;,to;,allow;,an;,inc
rease;,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;,Pro
motion;,and;,Maintenance

3. Which;,statement;,best;,describes;,the;,advantage;,of;,a;,labor,;,birth,;,recovery,;,and;,postpart
um;,(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;,env
ironment;,to;,new;,parents.;,An;,LDRP;,room;,is;,not;,less;,expensive;,than;,a;,traditional;,hospital;,ro
om.;,The;,baby;,remains;,with;,the;,mother;,at;,all;,times;,and;,is;,not;,removed;,to;,the;,nursery;,for;,r
outine;,care;,or;,testing.;,The;,father;,or;,other;,designated;,members;,of;,the;,mother‘s;,support;,syste
m;,are;,encouraged;,to;,stay;,at;,all;,times.

DIF: Cognitive;,Level:;,Understanding
OBJ:; , Nursing;,Process;,Step:;,Assessment;,MSC:; , Patient;,Needs:;,Health;,Pro
motion;,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,;,counselin
g,;,and;,intervening;,in;,nonmedical;,problems.;,Interventions;,initiated;,by;,the;,physician;,and;,car
ried;,out;,by;,the;,nurse;,are;,called;,dependent;,functions.;,Administrating;,oral;,analgesics;,is;,a;,de
pendent;,function;;,it;,is;,initiated;,by;,a;,physician;,and;,carried;,out;,by;,a;,nurse.;,Requesting;,diag
nostic; , studies;,is;,a;,dependent;,function.;,Providing;,wound;,care;,is;,a;,dependent;,function;;,ho
wever,;,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;,afrai
d;,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;,patien
t;,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;,ab
out;,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;,patie
nt;,to;,verbalize;,her;,feelings;,when;,she;,wishes;,to;,do;,that.

DIF: Cognitive;,Level:;,Application
OBJ:; , Nursing;,Process;,Step:;,Implementation;,MSC:; , Patient;,Needs:;,Psychosoci
al;,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