Chapter 01: Maternity and Women’s Health Care Today
x x x x x x x
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,Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition.
x x x x x x x x x
MULTIPLE CHOICE x
1. A nurse educator is teaching a group of nursing students about the history of family-
x x x x x x x x x x x x x x
centered maternity care. Which statement should the nurse include in the teaching session?
x x x x x x x x x x x x
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
x x x x x x x
b. Changes in pharmacologic management of labor prompted family-centered care.
x x x x x x x x
c. Demands by physicians for family involvement in childbirth increased the practice of
x x x x x x x x x x x
family-centered care.
x x
d. Parental requests that infants be allowed to remain with them rather than in a nu
x x x x x x x x x x x x x x
rsery initiated the practice of family-centered care.
x x x x x x
ANS: D x
As research began to identify the benefits of early, extended parent–
x x x x x x x x x x
infant contact, parents began to insist that the infant remain with them. This gradually developed
x x x x x x x x x x x x x x x
into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
x x x x x x x x x x x x
Towner Act provided funds for state- x x x x x
managed programs for mothers and children but did not promote
x x x x x x x x x
family-
centered care. The changes in pharmacologic management of labor were not a factor in family-
x x x x x x x x x x x x x x
centered maternity care. Family-centered care was a request by parents, not physicians.
x x x x x x x x x x x
DIF: Cognitive Level: Application x x
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
x x x x x x x x x
on and Maintenance
x x
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the a
N R I G B.C
x x x x x x x x x x x x x
mount of parent– x x
x x x x
infant int eracUt ionS?‖ N
WhT
x Oer should the nurse provide for these parents in order to
ich answ x x x x x x x x x x x x x
assist them in choosing an appropriate birth setting?
x x x x x x x
a. Birth center x
b. Home birth x
c. Traditional hospital birth x x
d. Labor, birth, and recovery room x x x x
ANS: C x
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
x x x x x x x x x x x x x x x x
d the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent
x x x x x x x x x x x x x x x x x x x x
–infant contact. Home births allow the greatest amount of parent–
x x x x x x x x x
infant contact. The labor, birth, recovery, and postpartum room setting allows for increased paren
x x x x x x x x x x x x x
t–infant contact. x
DIF: Cognitive Level: Understanding x x
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
x x x x x x x x x
on and Maintenance
x x
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (L
x x x x x x x x x x x x x
DRP) room? x
a. The family is in a familiar environment.
x x x x x x
b. They are less expensive than traditional hospital rooms.
x x x x x x x
c. The infant is removed to the nursery to allow the mother to rest.
x x x x x x x x x x x x
d. The woman‘s support system is encouraged to stay until discharge.
x x x x x x x x x
ANS: D x
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, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environmen
x x x x x x x x x x x x x x x
t to new parents. An LDRP room is not less expensive than a traditional hospital room. The baby re
x x x x x x x x x x x x x x x x x x
mains with the mother at all times and is not removed to the nursery for routine care or testing. The f
x x x x x x x x x x x x x x x x x x x x
ather or other designated members of the mother‘s support system are encouraged to stay at all time
x x x x x x x x x x x x x x x x
s.
DIF: Cognitive Level: Understanding x x
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promoti
x x x x x x x x x
on and Maintenance
x x
4. Which nursing intervention is an independent function of the professional nurse?
x x x x x x x x x x
a. Administering oral analgesics x x
b. Requesting diagnostic studies x x
c. Teaching the patient perineal care x x x x
d. Providing wound care to a surgical incision x x x x x x
ANS: C x
Nurses are now responsible for various independent functions, including teaching, counseling, a
x x x x x x x x x x x
nd intervening in nonmedical problems. Interventions initiated by the physician and carried out
x x x x x x x x x x x x x
by the nurse are called dependent functions. Administrating oral analgesics is a dependent functi
x x x x x x x x x x x x x
on; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dep
x x x x x x x x x x x x x x x x x x
endent function. Providing wound care is a dependent function; however, the physician prescrib
x x x x x x x x x x x x
es the type of wound care through direct orders or protocol.
x x x x x x x x x x
DIF: Cognitive Level: Understanding x x
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effecti
x x x x x x x x x x
ve Care Environment
x x
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to ha
x x x x x x x x x x x x x x x x x
ve a cesarean birth‖?
x x
NURSINGTB.COM x
a. ―Everything will be OK.‖ x x x
b. ―Don‘t worry about it. It will be over soon.‖ x x x x x x x x
c. ―What concerns you most about a cesarean birth?‖ x x x x x x x
d. ―The physician will be in later and you can talk to him.‖x x x x x x x x x x x
ANS: C x
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is sa
x x x x x x x x x x x x x x x x
ying and asks for clarification, which is the most therapeutic response. The response, ―Everythin
x x x x x x x x x x x x x
g will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry about it. It will be ov
x x x x x x x x x x x x x x x x x x
er soon‖ will indicate that the patient‘s feelings are not important. The response, ―The physician
x x x x x x x x x x x x x x x
will be in later and you can talk to him‖ does not allow the patient to verbalize her feelings when s
x x x x x x x x x x x x x x x x x x x x
he wishes to do that.
x x x x
DIF: Cognitive Level: Application x x
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Int
x x x x x x x x x
egrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for the
x x x x x x x x x x x x x x x
xidentified nursing diagnosis? x x
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A x
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x x x x x x x
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Distributionxofxthisxdocumentxisxillegal extraxperxyear?
,Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition.
x x x x x x x x x
MULTIPLE CHOICE x
1. A nurse educator is teaching a group of nursing students about the history of family-
x x x x x x x x x x x x x x
centered maternity care. Which statement should the nurse include in the teaching session?
x x x x x x x x x x x x
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
x x x x x x x
b. Changes in pharmacologic management of labor prompted family-centered care.
x x x x x x x x
c. Demands by physicians for family involvement in childbirth increased the practice of
x x x x x x x x x x x
family-centered care.
x x
d. Parental requests that infants be allowed to remain with them rather than in a nu
x x x x x x x x x x x x x x
rsery initiated the practice of family-centered care.
x x x x x x
ANS: D x
As research began to identify the benefits of early, extended parent–
x x x x x x x x x x
infant contact, parents began to insist that the infant remain with them. This gradually developed
x x x x x x x x x x x x x x x
into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-
x x x x x x x x x x x x
Towner Act provided funds for state- x x x x x
managed programs for mothers and children but did not promote
x x x x x x x x x
family-
centered care. The changes in pharmacologic management of labor were not a factor in family-
x x x x x x x x x x x x x x
centered maternity care. Family-centered care was a request by parents, not physicians.
x x x x x x x x x x x
DIF: Cognitive Level: Application x x
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
x x x x x x x x x
on and Maintenance
x x
2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits the a
N R I G B.C
x x x x x x x x x x x x x
mount of parent– x x
x x x x
infant int eracUt ionS?‖ N
WhT
x Oer should the nurse provide for these parents in order to
ich answ x x x x x x x x x x x x x
assist them in choosing an appropriate birth setting?
x x x x x x x
a. Birth center x
b. Home birth x
c. Traditional hospital birth x x
d. Labor, birth, and recovery room x x x x
ANS: C x
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
x x x x x x x x x x x x x x x x
d the infant is cared for in a separate nursery. Birth centers are set up to allow an increase in parent
x x x x x x x x x x x x x x x x x x x x
–infant contact. Home births allow the greatest amount of parent–
x x x x x x x x x
infant contact. The labor, birth, recovery, and postpartum room setting allows for increased paren
x x x x x x x x x x x x x
t–infant contact. x
DIF: Cognitive Level: Understanding x x
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Promoti
x x x x x x x x x
on and Maintenance
x x
3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum (L
x x x x x x x x x x x x x
DRP) room? x
a. The family is in a familiar environment.
x x x x x x
b. They are less expensive than traditional hospital rooms.
x x x x x x x
c. The infant is removed to the nursery to allow the mother to rest.
x x x x x x x x x x x x
d. The woman‘s support system is encouraged to stay until discharge.
x x x x x x x x x
ANS: D x
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Distributionxofxthisxdocumentxisxillegal extraxperxyear?
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Distributionxofxthisxdocumentxisxillegal extraxperxyear?
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar environmen
x x x x x x x x x x x x x x x
t to new parents. An LDRP room is not less expensive than a traditional hospital room. The baby re
x x x x x x x x x x x x x x x x x x
mains with the mother at all times and is not removed to the nursery for routine care or testing. The f
x x x x x x x x x x x x x x x x x x x x
ather or other designated members of the mother‘s support system are encouraged to stay at all time
x x x x x x x x x x x x x x x x
s.
DIF: Cognitive Level: Understanding x x
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Promoti
x x x x x x x x x
on and Maintenance
x x
4. Which nursing intervention is an independent function of the professional nurse?
x x x x x x x x x x
a. Administering oral analgesics x x
b. Requesting diagnostic studies x x
c. Teaching the patient perineal care x x x x
d. Providing wound care to a surgical incision x x x x x x
ANS: C x
Nurses are now responsible for various independent functions, including teaching, counseling, a
x x x x x x x x x x x
nd intervening in nonmedical problems. Interventions initiated by the physician and carried out
x x x x x x x x x x x x x
by the nurse are called dependent functions. Administrating oral analgesics is a dependent functi
x x x x x x x x x x x x x
on; it is initiated by a physician and carried out by a nurse. Requesting diagnostic studies is a dep
x x x x x x x x x x x x x x x x x x
endent function. Providing wound care is a dependent function; however, the physician prescrib
x x x x x x x x x x x x
es the type of wound care through direct orders or protocol.
x x x x x x x x x x
DIF: Cognitive Level: Understanding x x
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Effecti
x x x x x x x x x x
ve Care Environment
x x
5. Which response by the nurse is the most therapeutic when the patient states, ―I‘m so afraid to ha
x x x x x x x x x x x x x x x x x
ve a cesarean birth‖?
x x
NURSINGTB.COM x
a. ―Everything will be OK.‖ x x x
b. ―Don‘t worry about it. It will be over soon.‖ x x x x x x x x
c. ―What concerns you most about a cesarean birth?‖ x x x x x x x
d. ―The physician will be in later and you can talk to him.‖x x x x x x x x x x x
ANS: C x
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient is sa
x x x x x x x x x x x x x x x x
ying and asks for clarification, which is the most therapeutic response. The response, ―Everythin
x x x x x x x x x x x x x
g will be ok‖ is belittling the patient‘s feelings. The response, ―Don‘t worry about it. It will be ov
x x x x x x x x x x x x x x x x x x
er soon‖ will indicate that the patient‘s feelings are not important. The response, ―The physician
x x x x x x x x x x x x x x x
will be in later and you can talk to him‖ does not allow the patient to verbalize her feelings when s
x x x x x x x x x x x x x x x x x x x x
he wishes to do that.
x x x x
DIF: Cognitive Level: Application x x
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial Int
x x x x x x x x x
egrity
6. In which step of the nursing process does the nurse determine the appropriate interventions for the
x x x x x x x x x x x x x x x
xidentified nursing diagnosis? x x
a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A x
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Distributionxofxthisxdocumentxisxillegal extraxperxyear?
