Chapter 01: Maternity and Women’s Health Care Today
b b b b b b b
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
b b b b b b b b
MULTIPLEbCHOICE
1. Abnursebeducatorbisbteachingbabgroupbofbnursingbstudentsbaboutbthebhistorybofbfamily-
centeredbmaternitybcare.bWhichbstatementbshouldbthebnursebincludebinbthebteachingbsession?
a. ThebSheppard-TownerbActbofb1921bpromotedbfamily-centeredbcare.
b. Changesbinbpharmacologicbmanagementbofblaborbpromptedbfamily-centeredbcare.
c. Demandsbbybphysiciansbforbfamilybinvolvementbinbchildbirthbincreasedbthebpracticeb
ofbfamily-centeredbcare.
d. Parentalbrequestsbthatbinfantsbbeballowedbtobremainbwithbthembratherbthanbinbabn
urserybinitiatedbthebpracticebofbfamily-centeredbcare.
ANS:b D
Asbresearchbbeganbtobidentifybthebbenefitsbofbearly,bextendedbparent–
infantbcontact,bparentsbbeganbtobinsistbthatbthebinfantbremainbwithbthem.bThisbgraduallybdevelope
dbintobthebpracticebofbrooming-inbandbfinallybtobfamily-centeredbmaternitybcare.bThebSheppard-
TownerbActbprovidedbfundsbforbstate-
managedbprogramsbforbmothersbandbchildrenbbutbdidbnotbpromote
family-
centeredbcare.bThebchangesbinbpharmacologicbmanagementbofblaborbwerebnotbabfactorbinbfamily-
centeredbmaternitybcare.bFamily-centeredbcarebwasbabrequestbbybparents,bnotbphysicians.
DIF: CognitivebLevel:bApplication
OBJ:b NursingbProcessbStep:bPlanningbMSC:b PatientbNeeds:bHealthbPromoti
onbandbMaintenance
2. Expectantbparentsbaskbabprenatalbnursebeducator,b“Whichbsettingbforbchildbirthblimitsbtheba
mountbofbparent– NbRbIbGbB.CbM
infantbinteracUtionS?” bN
WhT Oer bshouldbthebnursebprovidebforbthesebparentsbinborderbt
ichb answ
obassistbthembinbchoosingbanbappropriatebbirthbsetting?
a. Birthbcenter
b. Homebbirth
c. Traditionalbhospitalbbirth
d. Labor,bbirth,bandbrecoverybroom
ANS:b C
Inbthebtraditionalbhospitalbsetting,bthebmotherbmaybseebthebinfantbforbonlybshortbfeedingbperiods,ba
ndbthebinfantbisbcaredbforbinbabseparatebnursery.bBirthbcentersbarebsetbupbtoballowbanbincreasebinbpar
ent–infantbcontact.bHomebbirthsballowbthebgreatestbamountbofbparent–
infantbcontact.bTheblabor,bbirth,brecovery,bandbpostpartumbroombsettingballowsbforbincreasedbpare
nt–infantbcontact.
DIF: CognitivebLevel:bUnderstanding
OBJ:b NursingbProcessbStep:bPlanningbMSC:b PatientbNeeds:bHealthbPromoti
onbandbMaintenance
3. Whichbstatementbbestbdescribesbthebadvantagebofbablabor,bbirth,brecovery,bandbpostpartumb(
LDRP)broom?
a. Thebfamilybisbinbabfamiliarbenvironment.
b. Theybareblessbexpensivebthanbtraditionalbhospitalbrooms.
c. Thebinfantbisbremovedbtobthebnurserybtoballowbthebmotherbtobrest.
d. Thebwoman’sbsupportbsystembisbencouragedbtobstaybuntilbdischarge.
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,FoundationsbofbMaternal-NewbornbandbWomen'sbHealthbNursingb7thbEditionbMurraybTestbBank
ANS:b D
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,FoundationsbofbMaternal-NewbornbandbWomen'sbHealthbNursingb7thbEditionbMurraybTestbBank
Sleepingbequipmentbisbprovidedbinbabprivatebroom.bAbhospitalbsettingbisbneverbabfamiliarbenviron
mentbtobnewbparents.bAnbLDRPbroombisbnotblessbexpensivebthanbabtraditionalbhospitalbroom.bTheb
babybremainsbwithbthebmotherbatballbtimesbandbisbnotbremovedbtobthebnurserybfor
routinebcareborbtesting.bThebfatherborbotherbdesignatedbmembersbofbthebmother’sbsupportbsystem
arebencouragedbtobstaybatballbtimes.
DIF: CognitivebLevel:bUnderstanding
OBJ:b NursingbProcessbStep:bAssessmentbMSC:b PatientbNeeds:bHealthbPromoti
onbandbMaintenance
4. Whichbnursingbinterventionbisbanbindependentbfunctionbofbthebprofessionalbnurse?
a. Administeringboralbanalgesics
b. Requestingbdiagnosticbstudies
c. Teachingbthebpatientbperinealbcare
d. Providingbwoundbcarebtobabsurgicalbincision
ANS:b C
Nursesbarebnowbresponsiblebforbvariousbindependentbfunctions,bincludingbteaching,bcounseling,b
andbinterveningbinbnonmedicalbproblems.bInterventionsbinitiatedbbybthebphysicianbandbcarriedbo
utbbybthebnursebarebcalledbdependentbfunctions.bAdministratingboralbanalgesicsbisbabdependentbfu
nction;bitbisbinitiatedbbybabphysicianbandbcarriedboutbbybabnurse.bRequestingbdiagnosticb studiesbisb
abdependentbfunction.bProvidingbwoundbcarebisbabdependentbfunction;bhowever,bthebphysicianbpr
escribesbthebtypebofbwoundbcarebthroughbdirectbordersborbprotocol.
DIF: CognitivebLevel:bUnderstanding
OBJ:b NursingbProcessbStep:bAssessmentbMSC:b PatientbNeeds:bSafebandbEffect
ivebCarebEnvironment
5. Whichbresponsebbybthebnursebisbthebmostbtherapeuticbwhenbthebpatientbstates,b“I’mbsobafraidbto
havebabcesareanbbirth”? NURSINGTB.COM
a. “EverythingbwillbbebOK.”
b. “Don’tbworrybaboutbit.bItbwillbbeboverbsoon.”
c. “Whatbconcernsbyoubmostbaboutbabcesareanbbirth?”
d. “Thebphysicianbwillbbebinblaterbandbyoubcanbtalkbtobhim.”
ANS:b C
Thebresponse,b“Whatbconcernsbyoubmostbaboutbabcesareanbbirth”bfocusesbonbwhatbthebpatientbis
sayingbandbasksbforbclarification,bwhichbisbthebmostbtherapeuticbresponse.bThebresponse,
“Everythingbwillbbebok”bisbbelittlingbthebpatient’sbfeelings.bThebresponse,b“Don’tbworrybaboutbit
.bItbwillbbeboverbsoon”bwillbindicatebthatbthebpatient’sbfeelingsbarebnotbimportant.bThe
response,b“Thebphysicianbwillbbebinblaterbandbyoubcanbtalkbtobhim”bdoesbnotballowbthebpatientbtobverba
lizebherbfeelingsbwhenbshebwishesbtobdobthat.
DIF: CognitivebLevel:bApplication
OBJ:b NursingbProcessbStep:bImplementationbMSC:b PatientbNeeds:bPsychosocialbIn
tegrity
6. Inbwhichbstepbofbthebnursingbprocessbdoesbthebnursebdeterminebthebappropriatebinterventionsbforbt
hebidentifiedbnursingbdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:b A
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, FoundationsbofbMaternal-NewbornbandbWomen'sbHealthbNursingb7thbEditionbMurraybTestbBank
Thebthirdbstepbinbthebnursingbprocessbinvolvesbplanningbcarebforbproblemsbthatbwerebidentifiedbduring
bassessment.bThebevaluationbphasebisbdeterminingbwhetherbthebgoals bhavebbeenbmet.
Duringbthebassessmentbphase,bdatabarebcollected.bThebinterventionbphasebisbwhenbthebplanbofbcare
bisbcarriedbout.
DIF: CognitivebLevel:bUnderstanding
OBJ:b NursingbProcessbStep:bPlanningbMSC:b PatientbNeeds:bSafebandbEffect
ivebCarebEnvironment
7. Whichbgoalbisbmostbappropriatebforbthebcollaborativebproblembofbwoundbinfection?
a. Thebpatientbwillbnotbexhibitbfurtherbsignsbofbinfection.
b. Maintainbthebpatient’sbfluidbintakebatb1000bmL/8bhour.
c. Thebpatientbwillbhavebabtemperaturebofb98.6Fbwithinb2bdays.
d. Monitorbthebpatientbtobdetectbtherapeuticbresponsebtobantibioticbtherapy.
ANS:b D
Inbabcollaborativebproblem,bthebgoalbshouldbbebnurse-
orientedbandbreflectbthebnursingbinterventionsbofbmonitoringborbobserving.bMonitoringbforbcom
plicationsbsuchbasbfurtherbsignsbofbinfectionbisbanbindependentbnursingbrole.bIntakebandboutputbis
banbindependent bnursingbrole.bMonitoringbabpatient’sbtemperaturebisbanbindependentbnursingbrol
e.
DIF: CognitivebLevel:bApplication
OBJ:b NursingbProcessbStep:bPlanningbMSC:b PatientbNeeds:bSafebandbEffect
ivebCarebEnvironment
8. Whichbnursingbinterventionbisbwrittenbcorrectly?
a. Forcebfluidsbasbnecessary.
b. Observebinteractionbwithbthebinfant.
c. Encouragebturning,bcoughing,bandbdeepbbreathing.
d. Assistbtobambulatebforb10NmUinRuS
teI atG
sbN 8TAB
M.,bC
2bOM,bandb6bPM.
PM
ANS:b D
Interventionsbmightbnotbbebcarriedboutbifbtheybarebnotbdetailedbandbspecific.b“Forcebfluids”bisbnotb
specific;bitbdoesbnotbstatebhowbmuchborbhowboften.bEncouragingbthebpatientbtobturn,bcough,bandbbr
eathebdeeplybisbnotbdetailedborbspecific.bObservingbinteractionbwithbthebinfantbdoesbnotbstatebhow
boftenbthisbprocedurebshouldbbebdone.bAssistingbthebpatientbtobambulatebforb10bminutesbwithinbab
certainbtimeframebisbspecific.
DIF: CognitivebLevel:bApplication
OBJ:b NursingbProcessbStep:bPlanningbMSC:b PatientbNeeds:bSafebandbEffect
ivebCarebEnvironment
9. Thebpatientbmakesbthebstatement:b“I’mbafraidbtobtakebthebbabybhomebtomorrow.”bWhich
responsebbybthebnursebwouldbbebthebmostbtherapeutic?
a. “You’rebafraidbtobtakebthebbabybhome?”
b. “Don’tbyoubhavebabmotherbwhobcanbcomebandbhelp?”
c. “YoubshouldbreadbthebliteraturebIbgavebyoubbeforebyoubleave.”
d. “IbwasbscaredbwhenbIbtookbmybfirstbbabybhome,bbutbeverythingbworkedbout.”
ANS:b A
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