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




Smith Murray
c




Chapter 1. Clinical Judgement and the Nursing Process
c




Foundations
c of Maternal-Newborn & Women’s Health Nursing, c 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?
c c




a. The Sheppard-Towner Act of 1921 promoted family-centered care.
b. Changes in pharmacologic management of labor prompted family-centered
care. c




c. Demands by physicians for family involvement in childbirth
increased the practice of family-centered care.
c c




d. Parental requests that infants be allowed to remain with
them rather than in a nursery initiated the practice
c




of family-centered care.
c c




ANS: D
As research began to identify the benefits of early, extended parent–
infant contact, parents began to insist that the infant remain with
c c




them. This gradually developed into the practice of rooming-in and
finally
c to family-centered maternity care. The
c Sheppard-
Towner Actprovided funds for state-managed programs
c




for mothers and children butdid not promote c c




family-centered care. The changes in pharmacologic management of labor
were not a factor in family-centered maternity care. Family-centered
c




care was a request by parents, not physicians.
c c c c




DIF: Cognitive Level:
c Application OBJ: c c c c c Nursing Process c




Step:
c Planning MSC: c Patient c c c c c c c c Needs: Health c c c




Promotion and
c Maintenance c c c




2. Expectant parents ask ac prenatalc nurse educator, ―Which c c c c c c c c c c c c c




c setting for childbirth climits the amount c of parent–infant
c c c c c c c c c c c c




c interaction?‖ Which answer should the nurse provide
c for these c c c c c c c c c c c c c c




c cparents in order to assist them in choosing an appropriate
c c c c c c c c c c c c c c c c c c




c birth setting? c c




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 periods, and the infant is cared for in a
c c c c




separate nursery. Birth centers are set up to allow an increase in
c c c c c




parent–infant contact. Home births allow the greatest amount of
c c c c c c c c c c c c c c c c c




parent–infant contact. The labor, birth, recovery, and postpartum
c c c c c c c c c c c c c c c c

,c room setting
c c c allows c c for c c increased c c parent–infant c c contact.

, DIF: Cognitive Level: Understanding OBJ: Nursing
Process Step: Planning MSC:
c Patient Needs: Health
Promotion and Maintenance
c




3. Which statement best describes the advantage of a labor, birth,
recovery, and postpartum (LDRP) room?
c




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.
c




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 c c




is never a familiar environment to new parents. An LDRP room
c c




is not less expensive than a traditional hospital room. The baby
c c c




remains with the mother at all times and is not removed to
c c c c c c c c c c c c c c c c c c c




the nursery for routine care or testing. The father or other c




designated members of the mother‘s support system are encouraged
c




to stay at all times.
c c




DIF: Cognitive Level: Understanding OBJ: Nursing Process Step:
c




Assessment MSC:
c Patient Needs: Health Promotion and
Maintenance
c




4. Which nursing intervention is an independent function of the professional
c 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, counseling, and intervening in nonmedical problems.
c




Interventions initiated by the physician and carried out by the
nurse are called dependent functions. Administrating oral analgesics is
a dependent function; it is initiated by a physician and carried
c c




out by a nurse. Requesting diagnostic
c studies is a dependent
function. Providing wound care is a dependent function; however,
c c c c c c c c




the physician prescribes the type of wound care through direct
ordersor protocol.
c




DIF: Cognitive Level: Understanding OBJ: c Nursing Process Step:
Assessment MSC:
c Patient Needs: Safe and Effective Care
Environment
c




5. Which response by the nurse is the most therapeutic when the
patient states, ―I‘m so afraid to have a cesarean birth‖?
c




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‖ c




focuses on what the patient is saying and asks for clarification,
c c




which is the most therapeutic response. The response, ―Everything
c c c




will be ok‖ is belittling the patient‘s feelings. The response,
c c c c c c c c c




―Don‘t worry about it. It will be over soon‖ will indicate that
the patient‘s feelings are not important. The response, ―The
c




physician will be in later and you can talk to him‖ does not
c c




allow the patient to verbalize her feelings when she wishes to
c c c c c c c c c c c c c c c c c c c




do that. c c c




DIF: Cognitive Level: Application OBJ: c Nursing Process Step:
Implementation MSC:
c Patient Needs: Psychosocial Integrity