Test Bank for Foundations of Maternal-Newborn and Women’s Health Nursing, 12th Edition by Murray, 9780323827386, Covering Chapters 1-28 Includes Rationales

FoundationshofhMaternal-NewbornhandhWomen'shHealthhNursingh7thhEditionhMurrayhTesthBank
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NEWBORN AND WOMEN’S HEALTH NURSING 7TH EDITI
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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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MULTIPLEhCHOICE

1. Ahnurseheducatorhishteachinghahgrouphofhnursinghstudentshabouththehhistoryhofhfamily-
centeredhmaternityhcare.hWhichhstatementhshouldhthehnursehincludehinhthehteachinghsession?
a. ThehSheppard-TownerhActhofh1921hpromotedhfamily-centeredhcare.
b. Changeshinhpharmacologichmanagementhofhlaborhpromptedhfamily-centeredhcare.
c. Demandshbyhphysicianshforhfamilyhinvolvementhinhchildbirthhincreasedhthehpracticeh
ofhfamily-centeredhcare.
d. Parentalhrequestshthathinfantshbehallowedhtohremainhwithhthemhratherhthanhinhahn
urseryhinitiatedhthehpracticehofhfamily-centeredhcare.
ANS:h D
Ashresearchhbeganhtohidentifyhthehbenefitshofhearly,hextendedhparent–
infanthcontact,hparentshbeganhtohinsisththaththehinfanthremainhwithhthem.hThishgraduallyhdevelope
dhintohthehpracticehofhrooming-inhandhfinallyhtohfamily-centeredhmaternityhcare.hThehSheppard-
TownerhActhprovidedhfundshforhstate-
managedhprogramshforhmothershandhchildrenhbuthdidhnothpromote
family-
centeredhcare.hThehchangeshinhpharmacologichmanagementhofhlaborhwerehnothahfactorhinhfamily-
centeredhmaternityhcare.hFamily-centeredhcarehwashahrequesthbyhparents,hnothphysicians.

DIF: CognitivehLevel:hApplication
OBJ:h NursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hHealthhPromotio
nhandhMaintenance

2. Expectanthparentshaskhahprenatalhnurseheducator,h“Whichhsettinghforhchildbirthhlimitshtheha
mounthofhparent– NhRhIhGhB.ChM
infanthinteracUtionS?”hN
WhT Oerhshouldhthehnursehprovidehforhthesehparentshinhorderhtoh
ichhansw
assisththemhinhchoosinghanhappropriatehbirthhsetting?
a. Birthhcenter
b. Homehbirth
c. Traditionalhhospitalhbirth
d. Labor,hbirth,handhrecoveryhroom
ANS:h C
Inhthehtraditionalhhospitalhsetting,hthehmotherhmayhseehthehinfanthforhonlyhshorthfeedinghperiods,ha
ndhthehinfanthishcaredhforhinhahseparatehnursery.hBirthhcentersharehsethuphtohallowhanhincreasehinhpar
ent–infanthcontact.hHomehbirthshallowhthehgreatesthamounthofhparent–
infanthcontact.hThehlabor,hbirth,hrecovery,handhpostpartumhroomhsettinghallowshforhincreasedhpar
ent–infanthcontact.

DIF: CognitivehLevel:hUnderstanding
OBJ:h NursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hHealthhPromotio
nhandhMaintenance

3. Whichhstatementhbesthdescribeshthehadvantagehofhahlabor,hbirth,hrecovery,handhpostpartumh(

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,FoundationshofhMaternal-NewbornhandhWomen'shHealthhNursingh7thhEditionhMurrayhTesthBank
LDRP)hroom?
a. Thehfamilyhishinhahfamiliarhenvironment.
b. Theyharehlesshexpensivehthanhtraditionalhhospitalhrooms.
c. Thehinfanthishremovedhtohthehnurseryhtohallowhthehmotherhtohrest.
d. Thehwoman’shsupporthsystemhishencouragedhtohstayhuntilhdischarge.

ANS:h D




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Sleepinghequipmenthishprovidedhinhahprivatehroom.hAhhospitalhsettinghishneverhahfamiliarhenvironm
enthtohnewhparents.hAnhLDRPhroomhishnothlesshexpensivehthanhahtraditionalhhospitalhroom.hThehba
byhremainshwithhthehmotherhathallhtimeshandhishnothremovedhtohthehnurseryhforhroutinehcarehorhtestin
g.hThehfatherhorhotherhdesignatedhmembershofhthehmother’shsupporthsystemharehencouragedhtohstayh
athallhtimes.

DIF: CognitivehLevel:hUnderstanding
OBJ:h NursinghProcesshStep: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;hithishinitiatedhbyhahphysicianhandhcarriedhouthbyhahnurse.hRequestinghdiagnostichstudieshishah
dependenthfunction.hProvidinghwoundhcarehishahdependenthfunction;hhowever,hthehphysicianhpre
scribeshthehtypehofhwoundhcarehthroughhdirecthordershorhprotocol.

DIF: CognitivehLevel:hUnderstanding
OBJ:h NursinghProcesshStep:hAssessmenthMSC:h PatienthNeeds:hSafehandhEffect
ivehCarehEnvironment

5. Whichhresponsehbyhthehnursehishthehmosththerapeutichwhenhthehpatienthstates,h“I’mhsohafraidhto
havehahcesareanhbirth”? NURSINGTB.COM
a. “EverythinghwillhbehOK.”
b. “Don’thworryhabouthit.hIthwillhbehoverhsoon.”
c. “Whathconcernshyouhmosthabouthahcesareanhbirth?”
d. “Thehphysicianhwillhbehinhlaterhandhyouhcanhtalkhtohhim.”
ANS:h C
Thehresponse,h“Whathconcernshyouhmosthabouthahcesareanhbirth”hfocuseshonhwhaththehpatienthis
sayinghandhaskshforhclarification,hwhichhishthehmosththerapeutichresponse.hThehresponse,
“Everythinghwillhbehok”hishbelittlinghthehpatient’shfeelings.hThehresponse,h“Don’thworryhabouthit.h
Ithwillhbehoverhsoon”hwillhindicatehthaththehpatient’shfeelingsharehnothimportant.hThe
response,h“Thehphysicianhwillhbehinhlaterhandhyouhcanhtalkhtohhim”hdoeshnothallowhthehpatienthtohv
erbalizehherhfeelingshwhenhshehwisheshtohdohthat.

DIF: CognitivehLevel:hApplication
OBJ:h NursinghProcesshStep:hImplementationhMSC:h PatienthNeeds:hPsychosocialhInt
egrity

6. Inhwhichhstephofhthehnursinghprocesshdoeshthehnursehdeterminehthehappropriatehinterventionshforht
hehidentifiedhnursinghdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:h A
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Thehthirdhstephinhthehnursinghprocesshinvolveshplanninghcarehforhproblemshthathwerehidentifiedhd
uringhassessment.hThehevaluationhphasehishdetermininghwhetherhthehgoalshhavehbeenhmet.
Duringhthehassessmenthphase,hdataharehcollected.hThehinterventionhphasehishwhenhthehplanhofhcare
hish carriedhout.




DIF: CognitivehLevel:hUnderstanding
OBJ:h NursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hSafehandhEffecti
vehCarehEnvironment

7. Whichhgoalhishmosthappropriatehforhthehcollaborativehproblemhofhwoundhinfection?
a. Thehpatienthwillhnothexhibithfurtherhsignshofhinfection.
b. Maintainhthehpatient’shfluidhintakehath1000hmL/8hhour.
c. Thehpatienthwillhhavehahtemperaturehofh98.6Fhwithinh2hdays.
d. Monitorhthehpatienthtohdetecththerapeutichresponsehtohantibiotichtherapy.
ANS:h D
Inhahcollaborativehproblem,hthehgoalhshouldhbehnurse-
orientedhandhreflecththehnursinghinterventionshofhmonitoringhorhobserving.hMonitoringhforhcom
plicationshsuchhashfurtherhsignshofhinfectionhishanhindependenthnursinghrole.hIntakehandhoutputhis
hanhindependenthnursinghrole.hMonitoringhahpatient’shtemperaturehishanhindependenthnursinghrol
e.

DIF: CognitivehLevel:hApplication
OBJ:h NursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hSafehandhEffecti
vehCarehEnvironment

8. Whichhnursinghinterventionhishwrittenhcorrectly?
a. Forcehfluidshashnecessary.
b. Observehinteractionhwithhthehinfant.
c. Encouragehturning,hcoughing,handhdeephbreathing.
d. Assisthtohambulatehforh10NmUinRuS
teI atG
shN 8TAB
M.,hC
2hOM,handh6hPM.
PM
ANS:h D
Interventionshmighthnothbehcarriedhouthifhtheyharehnothdetailedhandhspecific.h“Forcehfluids”hishno
thspecific;hithdoeshnothstatehhowhmuchhorhhowhoften.hEncouraginghthehpatienthtohturn,hcough,handh
breathehdeeplyhishnothdetailedhorhspecific.hObservinghinteractionhwithhthehinfanthdoeshnothstatehh
owhoftenhthishprocedurehshouldhbehdone.hAssistinghthehpatienthtohambulatehforh10hminuteshwithi
nhahcertainhtimeframehishspecific.

DIF: CognitivehLevel:hApplication
OBJ:h NursinghProcesshStep:hPlanninghMSC:h PatienthNeeds:hSafehandhEffecti
vehCarehEnvironment

9. Thehpatienthmakeshthehstatement:h“I’mhafraidhtohtakehthehbabyhhomehtomorrow.”hWhich
responsehbyhthehnursehwouldhbehthehmosththerapeutic?
a. “You’rehafraidhtohtakehthehbabyhhome?”
b. “Don’thyouhhavehahmotherhwhohcanhcomehandhhelp?”
c. “YouhshouldhreadhthehliteraturehIhgavehyouhbeforehyouhleave.”
d. “IhwashscaredhwhenhIhtookhmyhfirsthbabyhhome,hbutheverythinghworkedhout.”
ANS:h A




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