FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
Chapter 01: Maternity and Women’s Health Care Today
v v v v v v v
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
v v v v v v v v
MULTIPLEvCHOICE
1. Avnurseveducatorvisvteachingvavgroupvofvnursingvstudentsvaboutvthevhistoryvofvfamily-
centeredvmaternityvcare.vWhichvstatementvshouldvthevnursevincludevinvthevteachingvsession?
a. ThevSheppard-TownervActvofv1921vpromotedvfamily-centeredvcare.
b. Changesvinvpharmacologicvmanagementvofvlaborvpromptedvfamily-centeredvcare.
c. Demandsvbyvphysiciansvforvfamilyvinvolvementvinvchildbirthvincreasedvthevpracticev
ofvfamily-centeredvcare.
d. Parentalvrequestsvthatvinfantsvbevallowedvtovremainvwithvthemvrathervthanvinvavn
urseryvinitiatedvthevpracticevofvfamily-centeredvcare.
ANS:v D
Asvresearchvbeganvtovidentifyvthevbenefitsvofvearly,vextendedvparent–
infantvcontact,vparentsvbeganvtovinsistvthatvthevinfantvremainvwithvthem.vThisvgraduallyvdevelope
dvintovthevpracticevofvrooming-invandvfinallyvtovfamily-centeredvmaternityvcare.vThevSheppard-
TownervActvprovidedvfundsvforvstate-
managedvprogramsvforvmothersvandvchildrenvbutvdidvnotvpromote
family-
centeredvcare.vThevchangesvinvpharmacologicvmanagementvofvlaborvwerevnotvavfactorvinvfamily-
centeredvmaternityvcare.vFamily-centeredvcarevwasvavrequestvbyvparents,vnotvphysicians.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vHealthvPromoti
onvandvMaintenance
2. Expectantvparentsvaskvavprenatalvnurseveducator,v“Whichvsettingvforvchildbirthvlimitsvtheva
mountvofvparent– NvRvIvGvB.CvM
infantvinteracUtionS?” vN
WhT Oer vshouldvthevnursevprovidevforvthesevparentsvinvordervt
ichv answ
ovassistvthemvinvchoosingvanvappropriatevbirthvsetting?
a. Birthvcenter
b. Homevbirth
c. Traditionalvhospitalvbirth
d. Labor,vbirth,vandvrecoveryvroom
ANS:v C
Invthevtraditionalvhospitalvsetting,vthevmothervmayvseevthevinfantvforvonlyvshortvfeedingvperiods,va
ndvthevinfantvisvcaredvforvinvavseparatevnursery.vBirthvcentersvarevsetvupvtovallowvanvincreasevinvpar
ent–infantvcontact.vHomevbirthsvallowvthevgreatestvamountvofvparent–
infantvcontact.vThevlabor,vbirth,vrecovery,vandvpostpartumvroomvsettingvallowsvforvincreasedvpare
nt–infantvcontact.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vHealthvPromoti
onvandvMaintenance
3. Whichvstatementvbestvdescribesvthevadvantagevofvavlabor,vbirth,vrecovery,vandvpostpartumv(
LDRP)vroom?
a. Thevfamilyvisvinvavfamiliarvenvironment.
b. Theyvarevlessvexpensivevthanvtraditionalvhospitalvrooms.
c. Thevinfantvisvremovedvtovthevnurseryvtovallowvthevmothervtovrest.
d. Thevwoman’svsupportvsystemvisvencouragedvtovstayvuntilvdischarge.
NURSINGTB.COM
,FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
ANS:v D
NURSINGTB.COM
,FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
Sleepingvequipmentvisvprovidedvinvavprivatevroom.vAvhospitalvsettingvisvnevervavfamiliarvenviron
mentvtovnewvparents.vAnvLDRPvroomvisvnotvlessvexpensivevthanvavtraditionalvhospitalvroom.vThev
babyvremainsvwithvthevmothervatvallvtimesvandvisvnotvremovedvtovthevnurseryvfor
routinevcarevorvtesting.vThevfathervorvothervdesignatedvmembersvofvthevmother’svsupportvsystem
arevencouragedvtovstayvatvallvtimes.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vAssessmentvMSC:v PatientvNeeds:vHealthvPromoti
onvandvMaintenance
4. Whichvnursingvinterventionvisvanvindependentvfunctionvofvthevprofessionalvnurse?
a. Administeringvoralvanalgesics
b. Requestingvdiagnosticvstudies
c. Teachingvthevpatientvperinealvcare
d. Providingvwoundvcarevtovavsurgicalvincision
ANS:v C
Nursesvarevnowvresponsiblevforvvariousvindependentvfunctions,vincludingvteaching,vcounseling,v
andvinterveningvinvnonmedicalvproblems.vInterventionsvinitiatedvbyvthevphysicianvandvcarriedvo
utvbyvthevnursevarevcalledvdependentvfunctions.vAdministratingvoralvanalgesicsvisvavdependentvfu
nction;vitvisvinitiatedvbyvavphysicianvandvcarriedvoutvbyvavnurse.vRequestingvdiagnosticv studiesvisv
avdependentvfunction.vProvidingvwoundvcarevisvavdependentvfunction;vhowever,vthevphysicianvpr
escribesvthevtypevofvwoundvcarevthroughvdirectvordersvorvprotocol.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vAssessmentvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
5. Whichvresponsevbyvthevnursevisvthevmostvtherapeuticvwhenvthevpatientvstates,v“I’mvsovafraidvto
havevavcesareanvbirth”? NURSINGTB.COM
a. “EverythingvwillvbevOK.”
b. “Don’tvworryvaboutvit.vItvwillvbevovervsoon.”
c. “Whatvconcernsvyouvmostvaboutvavcesareanvbirth?”
d. “Thevphysicianvwillvbevinvlatervandvyouvcanvtalkvtovhim.”
ANS:v C
Thevresponse,v“Whatvconcernsvyouvmostvaboutvavcesareanvbirth”vfocusesvonvwhatvthevpatientvis
sayingvandvasksvforvclarification,vwhichvisvthevmostvtherapeuticvresponse.vThevresponse,
“Everythingvwillvbevok”visvbelittlingvthevpatient’svfeelings.vThevresponse,v“Don’tvworryvaboutvit
.vItvwillvbevovervsoon”vwillvindicatevthatvthevpatient’svfeelingsvarevnotvimportant.vThe
response,v“Thevphysicianvwillvbevinvlatervandvyouvcanvtalkvtovhim”vdoesvnotvallowvthevpatientvtovverba
lizevhervfeelingsvwhenvshevwishesvtovdovthat.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vImplementationvMSC:v PatientvNeeds:vPsychosocialvIn
tegrity
6. Invwhichvstepvofvthevnursingvprocessvdoesvthevnursevdeterminevthevappropriatevinterventionsvforvt
hevidentifiedvnursingvdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:v A
NURSINGTB.COM
, FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
Thevthirdvstepvinvthevnursingvprocessvinvolvesvplanningvcarevforvproblemsvthatvwerevidentifiedvduring
vassessment.vThevevaluationvphasevisvdeterminingvwhethervthevgoals vhavevbeenvmet.
Duringvthevassessmentvphase,vdatavarevcollected.vThevinterventionvphasevisvwhenvthevplanvofvcare
visvcarriedvout.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
7. Whichvgoalvisvmostvappropriatevforvthevcollaborativevproblemvofvwoundvinfection?
a. Thevpatientvwillvnotvexhibitvfurthervsignsvofvinfection.
b. Maintainvthevpatient’svfluidvintakevatv1000vmL/8vhour.
c. Thevpatientvwillvhavevavtemperaturevofv98.6Fvwithinv2vdays.
d. Monitorvthevpatientvtovdetectvtherapeuticvresponsevtovantibioticvtherapy.
ANS:v D
Invavcollaborativevproblem,vthevgoalvshouldvbevnurse-
orientedvandvreflectvthevnursingvinterventionsvofvmonitoringvorvobserving.vMonitoringvforvcom
plicationsvsuchvasvfurthervsignsvofvinfectionvisvanvindependentvnursingvrole.vIntakevandvoutputvis
vanvindependent vnursingvrole.vMonitoringvavpatient’svtemperaturevisvanvindependentvnursingvrol
e.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
8. Whichvnursingvinterventionvisvwrittenvcorrectly?
a. Forcevfluidsvasvnecessary.
b. Observevinteractionvwithvthevinfant.
c. Encouragevturning,vcoughing,vandvdeepvbreathing.
d. Assistvtovambulatevforv10NmUinRuS
teI atG
svN 8TAB
M.,vC
2vOM,vandv6vPM.
PM
ANS:v D
Interventionsvmightvnotvbevcarriedvoutvifvtheyvarevnotvdetailedvandvspecific.v“Forcevfluids”visvnotv
specific;vitvdoesvnotvstatevhowvmuchvorvhowvoften.vEncouragingvthevpatientvtovturn,vcough,vandvbr
eathevdeeplyvisvnotvdetailedvorvspecific.vObservingvinteractionvwithvthevinfantvdoesvnotvstatevhow
voftenvthisvprocedurevshouldvbevdone.vAssistingvthevpatientvtovambulatevforv10vminutesvwithinvav
certainvtimeframevisvspecific.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
9. Thevpatientvmakesvthevstatement:v“I’mvafraidvtovtakevthevbabyvhomevtomorrow.”vWhich
responsevbyvthevnursevwouldvbevthevmostvtherapeutic?
a. “You’revafraidvtovtakevthevbabyvhome?”
b. “Don’tvyouvhavevavmothervwhovcanvcomevandvhelp?”
c. “YouvshouldvreadvthevliteraturevIvgavevyouvbeforevyouvleave.”
d. “IvwasvscaredvwhenvIvtookvmyvfirstvbabyvhome,vbutveverythingvworkedvout.”
ANS:v A
NURSINGTB.COM
Chapter 01: Maternity and Women’s Health Care Today
v v v v v v v
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
v v v v v v v v
MULTIPLEvCHOICE
1. Avnurseveducatorvisvteachingvavgroupvofvnursingvstudentsvaboutvthevhistoryvofvfamily-
centeredvmaternityvcare.vWhichvstatementvshouldvthevnursevincludevinvthevteachingvsession?
a. ThevSheppard-TownervActvofv1921vpromotedvfamily-centeredvcare.
b. Changesvinvpharmacologicvmanagementvofvlaborvpromptedvfamily-centeredvcare.
c. Demandsvbyvphysiciansvforvfamilyvinvolvementvinvchildbirthvincreasedvthevpracticev
ofvfamily-centeredvcare.
d. Parentalvrequestsvthatvinfantsvbevallowedvtovremainvwithvthemvrathervthanvinvavn
urseryvinitiatedvthevpracticevofvfamily-centeredvcare.
ANS:v D
Asvresearchvbeganvtovidentifyvthevbenefitsvofvearly,vextendedvparent–
infantvcontact,vparentsvbeganvtovinsistvthatvthevinfantvremainvwithvthem.vThisvgraduallyvdevelope
dvintovthevpracticevofvrooming-invandvfinallyvtovfamily-centeredvmaternityvcare.vThevSheppard-
TownervActvprovidedvfundsvforvstate-
managedvprogramsvforvmothersvandvchildrenvbutvdidvnotvpromote
family-
centeredvcare.vThevchangesvinvpharmacologicvmanagementvofvlaborvwerevnotvavfactorvinvfamily-
centeredvmaternityvcare.vFamily-centeredvcarevwasvavrequestvbyvparents,vnotvphysicians.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vHealthvPromoti
onvandvMaintenance
2. Expectantvparentsvaskvavprenatalvnurseveducator,v“Whichvsettingvforvchildbirthvlimitsvtheva
mountvofvparent– NvRvIvGvB.CvM
infantvinteracUtionS?” vN
WhT Oer vshouldvthevnursevprovidevforvthesevparentsvinvordervt
ichv answ
ovassistvthemvinvchoosingvanvappropriatevbirthvsetting?
a. Birthvcenter
b. Homevbirth
c. Traditionalvhospitalvbirth
d. Labor,vbirth,vandvrecoveryvroom
ANS:v C
Invthevtraditionalvhospitalvsetting,vthevmothervmayvseevthevinfantvforvonlyvshortvfeedingvperiods,va
ndvthevinfantvisvcaredvforvinvavseparatevnursery.vBirthvcentersvarevsetvupvtovallowvanvincreasevinvpar
ent–infantvcontact.vHomevbirthsvallowvthevgreatestvamountvofvparent–
infantvcontact.vThevlabor,vbirth,vrecovery,vandvpostpartumvroomvsettingvallowsvforvincreasedvpare
nt–infantvcontact.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vHealthvPromoti
onvandvMaintenance
3. Whichvstatementvbestvdescribesvthevadvantagevofvavlabor,vbirth,vrecovery,vandvpostpartumv(
LDRP)vroom?
a. Thevfamilyvisvinvavfamiliarvenvironment.
b. Theyvarevlessvexpensivevthanvtraditionalvhospitalvrooms.
c. Thevinfantvisvremovedvtovthevnurseryvtovallowvthevmothervtovrest.
d. Thevwoman’svsupportvsystemvisvencouragedvtovstayvuntilvdischarge.
NURSINGTB.COM
,FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
ANS:v D
NURSINGTB.COM
,FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
Sleepingvequipmentvisvprovidedvinvavprivatevroom.vAvhospitalvsettingvisvnevervavfamiliarvenviron
mentvtovnewvparents.vAnvLDRPvroomvisvnotvlessvexpensivevthanvavtraditionalvhospitalvroom.vThev
babyvremainsvwithvthevmothervatvallvtimesvandvisvnotvremovedvtovthevnurseryvfor
routinevcarevorvtesting.vThevfathervorvothervdesignatedvmembersvofvthevmother’svsupportvsystem
arevencouragedvtovstayvatvallvtimes.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vAssessmentvMSC:v PatientvNeeds:vHealthvPromoti
onvandvMaintenance
4. Whichvnursingvinterventionvisvanvindependentvfunctionvofvthevprofessionalvnurse?
a. Administeringvoralvanalgesics
b. Requestingvdiagnosticvstudies
c. Teachingvthevpatientvperinealvcare
d. Providingvwoundvcarevtovavsurgicalvincision
ANS:v C
Nursesvarevnowvresponsiblevforvvariousvindependentvfunctions,vincludingvteaching,vcounseling,v
andvinterveningvinvnonmedicalvproblems.vInterventionsvinitiatedvbyvthevphysicianvandvcarriedvo
utvbyvthevnursevarevcalledvdependentvfunctions.vAdministratingvoralvanalgesicsvisvavdependentvfu
nction;vitvisvinitiatedvbyvavphysicianvandvcarriedvoutvbyvavnurse.vRequestingvdiagnosticv studiesvisv
avdependentvfunction.vProvidingvwoundvcarevisvavdependentvfunction;vhowever,vthevphysicianvpr
escribesvthevtypevofvwoundvcarevthroughvdirectvordersvorvprotocol.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vAssessmentvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
5. Whichvresponsevbyvthevnursevisvthevmostvtherapeuticvwhenvthevpatientvstates,v“I’mvsovafraidvto
havevavcesareanvbirth”? NURSINGTB.COM
a. “EverythingvwillvbevOK.”
b. “Don’tvworryvaboutvit.vItvwillvbevovervsoon.”
c. “Whatvconcernsvyouvmostvaboutvavcesareanvbirth?”
d. “Thevphysicianvwillvbevinvlatervandvyouvcanvtalkvtovhim.”
ANS:v C
Thevresponse,v“Whatvconcernsvyouvmostvaboutvavcesareanvbirth”vfocusesvonvwhatvthevpatientvis
sayingvandvasksvforvclarification,vwhichvisvthevmostvtherapeuticvresponse.vThevresponse,
“Everythingvwillvbevok”visvbelittlingvthevpatient’svfeelings.vThevresponse,v“Don’tvworryvaboutvit
.vItvwillvbevovervsoon”vwillvindicatevthatvthevpatient’svfeelingsvarevnotvimportant.vThe
response,v“Thevphysicianvwillvbevinvlatervandvyouvcanvtalkvtovhim”vdoesvnotvallowvthevpatientvtovverba
lizevhervfeelingsvwhenvshevwishesvtovdovthat.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vImplementationvMSC:v PatientvNeeds:vPsychosocialvIn
tegrity
6. Invwhichvstepvofvthevnursingvprocessvdoesvthevnursevdeterminevthevappropriatevinterventionsvforvt
hevidentifiedvnursingvdiagnosis?
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS:v A
NURSINGTB.COM
, FoundationsvofvMaternal-NewbornvandvWomen'svHealthvNursingv7thvEditionvMurrayvTestvBank
Thevthirdvstepvinvthevnursingvprocessvinvolvesvplanningvcarevforvproblemsvthatvwerevidentifiedvduring
vassessment.vThevevaluationvphasevisvdeterminingvwhethervthevgoals vhavevbeenvmet.
Duringvthevassessmentvphase,vdatavarevcollected.vThevinterventionvphasevisvwhenvthevplanvofvcare
visvcarriedvout.
DIF: CognitivevLevel:vUnderstanding
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
7. Whichvgoalvisvmostvappropriatevforvthevcollaborativevproblemvofvwoundvinfection?
a. Thevpatientvwillvnotvexhibitvfurthervsignsvofvinfection.
b. Maintainvthevpatient’svfluidvintakevatv1000vmL/8vhour.
c. Thevpatientvwillvhavevavtemperaturevofv98.6Fvwithinv2vdays.
d. Monitorvthevpatientvtovdetectvtherapeuticvresponsevtovantibioticvtherapy.
ANS:v D
Invavcollaborativevproblem,vthevgoalvshouldvbevnurse-
orientedvandvreflectvthevnursingvinterventionsvofvmonitoringvorvobserving.vMonitoringvforvcom
plicationsvsuchvasvfurthervsignsvofvinfectionvisvanvindependentvnursingvrole.vIntakevandvoutputvis
vanvindependent vnursingvrole.vMonitoringvavpatient’svtemperaturevisvanvindependentvnursingvrol
e.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
8. Whichvnursingvinterventionvisvwrittenvcorrectly?
a. Forcevfluidsvasvnecessary.
b. Observevinteractionvwithvthevinfant.
c. Encouragevturning,vcoughing,vandvdeepvbreathing.
d. Assistvtovambulatevforv10NmUinRuS
teI atG
svN 8TAB
M.,vC
2vOM,vandv6vPM.
PM
ANS:v D
Interventionsvmightvnotvbevcarriedvoutvifvtheyvarevnotvdetailedvandvspecific.v“Forcevfluids”visvnotv
specific;vitvdoesvnotvstatevhowvmuchvorvhowvoften.vEncouragingvthevpatientvtovturn,vcough,vandvbr
eathevdeeplyvisvnotvdetailedvorvspecific.vObservingvinteractionvwithvthevinfantvdoesvnotvstatevhow
voftenvthisvprocedurevshouldvbevdone.vAssistingvthevpatientvtovambulatevforv10vminutesvwithinvav
certainvtimeframevisvspecific.
DIF: CognitivevLevel:vApplication
OBJ:v NursingvProcessvStep:vPlanningvMSC:v PatientvNeeds:vSafevandvEffect
ivevCarevEnvironment
9. Thevpatientvmakesvthevstatement:v“I’mvafraidvtovtakevthevbabyvhomevtomorrow.”vWhich
responsevbyvthevnursevwouldvbevthevmostvtherapeutic?
a. “You’revafraidvtovtakevthevbabyvhome?”
b. “Don’tvyouvhavevavmothervwhovcanvcomevandvhelp?”
c. “YouvshouldvreadvthevliteraturevIvgavevyouvbeforevyouvleave.”
d. “IvwasvscaredvwhenvIvtookvmyvfirstvbabyvhome,vbutveverythingvworkedvout.”
ANS:v A
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