,Chapter 01: Maternity and Women’s Health Care Today
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Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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,MULTIPLE CHOICE zq
1. A nurse educator is teaching a group of nursing students about the history of family-
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centered maternity care. Which statement should the nurse include in the teaching session
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?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care.
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c. Demands by physicians for family involvement in childbirth increased the practic
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e of family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in
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a nursery initiated the practice of family-centered care.
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ANS: D zq
As research began to identify the benefits of early, extended parent–
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infant contact, parents began to insist that the infant remain with them. This gradually deve
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loped into the practice of rooming-in and finally to family-
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centered maternity care. The Sheppard-Towner Act provided funds for state-
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managed programs for mothers and children but did not promote
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family-
centered care. The changes in pharmacologic management of labor were not a factor in famil
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y-centered maternity care. Family-centered care was a request by parents, not physicians.
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DIF: Cognitive Level: Application zq zq
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Prom
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otion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits t
N R I G
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he amount of parent–
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infant int eracUt io S
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WhT
ich B. Oer should the nurse provide for these parents in ord
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er to assist them in choosing an appropriate birth setting?
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a. Birth center zq
b. Home birth zq
c. Traditional hospital birth zq zq
d. Labor, birth, and recovery room zq zq zq zq
ANS: C zq
In the traditional hospital setting, the mother may see the infant for only short feeding period
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s, and the infant is cared for in a separate nursery. Birth centers are set up to allow an increa
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se in parent–infant contact. Home births allow the greatest amount of parent–
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infant contact. The labor, birth, recovery, and postpartum room setting allows for increased p
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arent–infant contact. zq
DIF: Cognitive Level: Understanding zq zq
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Prom
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otion and Maintenance
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3. Which statement best describes the advantage of a labor, birth, recovery, and postpartu
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m (LDRP) room?
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a. The family is in a familiar environment.
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b. They are less expensive than traditional hospital rooms.
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c. The infant is removed to the nursery to allow the mother to rest.
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d. The woman’s support system is encouraged to stay until discharge.
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ANS: D zq
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar envir
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onment to new parents. An LDRP room is not less expensive than a traditional hospital room.
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The baby remains with the mother at all times and is not removed to the nursery for routine
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care or testing. The father or other designated members of the mother’s support system are enc
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ouraged to stay at all times. zq zq zq zq zq
DIF: Cognitive Level: Understanding zq zq
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Prom
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otion and Maintenance zq zq
4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics zq zq
b. Requesting diagnostic studies zq zq
c. Teaching the patient perineal care zq zq zq zq
d. Providing wound care to a surgical incision zq zq zq zq zq zq
ANS: C zq
Nurses are now responsible for various independent functions, including teaching, counseling
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, and intervening in nonmedical problems. Interventions initiated by the physician and carri
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ed out by the nurse are called dependent functions. Administrating oral analgesics is a depen
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dent function; it is initiated by a physician and carried out by a nurse. Requesting diagnosti
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c studies is a dependent function. Providing wound care is a dependent function; however,
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the physician prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding zq zq
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Eff
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ective Care Environment zq zq
5. Which response by the nurse is the most therapeutic when the patient states, ―I’m so afraid t
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o have a cesarean birth‖? .
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a. ―Everything will be OK.‖ zq zq zq
b. ―Don’t worry about it. It will be over soon.‖ zq zq zq zq zq zq zq zq
c. ―What concerns you most about a cesarean birth?‖ zq zq zq zq zq zq zq
d. ―The physician will be in later and you can talk to him.‖
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ANS: C zq
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient
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is saying and asks for clarification, which is the most therapeutic response. The response, ―
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Everything will be ok‖ is belittling the patient’s feelings. The response, ―Don’t worry about
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qit. It will be over soon‖ will indicate that the patient’s feelings are not important. The respo
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nse, ―The physician will be in later and you can talk to him‖ does not allow the patient to ve
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rbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application zq zq
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial
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zq Integrity
6. In which step of the nursing process does the nurse determine the appropriate interventions fo
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r the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A zq
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Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition
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,MULTIPLE CHOICE zq
1. A nurse educator is teaching a group of nursing students about the history of family-
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centered maternity care. Which statement should the nurse include in the teaching session
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?
a. The Sheppard-Towner Act of 1921 promoted family-centered care.
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b. Changes in pharmacologic management of labor prompted family-centered care.
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c. Demands by physicians for family involvement in childbirth increased the practic
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e of family-centered care.
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d. Parental requests that infants be allowed to remain with them rather than in
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a nursery initiated the practice of family-centered care.
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ANS: D zq
As research began to identify the benefits of early, extended parent–
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infant contact, parents began to insist that the infant remain with them. This gradually deve
zq zq zq zq zq zq zq zq zq zq zq zq zq zq
loped into the practice of rooming-in and finally to family-
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centered maternity care. The Sheppard-Towner Act provided funds for state-
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managed programs for mothers and children but did not promote
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family-
centered care. The changes in pharmacologic management of labor were not a factor in famil
zq zq zq zq zq zq zq zq zq zq zq zq zq zq
y-centered maternity care. Family-centered care was a request by parents, not physicians.
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DIF: Cognitive Level: Application zq zq
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Prom
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otion and Maintenance
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2. Expectant parents ask a prenatal nurse educator, ―Which setting for childbirth limits t
N R I G
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he amount of parent–
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z q z q z
infant int eracUt io S
zq n? ‖ N
WhT
ich B. Oer should the nurse provide for these parents in ord
answ zq z q zq zq zq zq zq zq zq zq zq
er to assist them in choosing an appropriate birth setting?
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a. Birth center zq
b. Home birth zq
c. Traditional hospital birth zq zq
d. Labor, birth, and recovery room zq zq zq zq
ANS: C zq
In the traditional hospital setting, the mother may see the infant for only short feeding period
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s, and the infant is cared for in a separate nursery. Birth centers are set up to allow an increa
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se in parent–infant contact. Home births allow the greatest amount of parent–
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infant contact. The labor, birth, recovery, and postpartum room setting allows for increased p
zq zq zq zq zq zq zq zq zq zq zq zq zq
arent–infant contact. zq
DIF: Cognitive Level: Understanding zq zq
OBJ: Nursing Process Step: Planning MSC: Patient Needs: Health Prom
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otion and Maintenance
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3. Which statement best describes the advantage of a labor, birth, recovery, and postpartu
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m (LDRP) room?
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a. The family is in a familiar environment.
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b. They are less expensive than traditional hospital rooms.
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c. The infant is removed to the nursery to allow the mother to rest.
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d. The woman’s support system is encouraged to stay until discharge.
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ANS: D zq
, Sleeping equipment is provided in a private room. A hospital setting is never a familiar envir
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onment to new parents. An LDRP room is not less expensive than a traditional hospital room.
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The baby remains with the mother at all times and is not removed to the nursery for routine
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care or testing. The father or other designated members of the mother’s support system are enc
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ouraged to stay at all times. zq zq zq zq zq
DIF: Cognitive Level: Understanding zq zq
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Health Prom
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otion and Maintenance zq zq
4. Which nursing intervention is an independent function of the professional nurse?
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a. Administering oral analgesics zq zq
b. Requesting diagnostic studies zq zq
c. Teaching the patient perineal care zq zq zq zq
d. Providing wound care to a surgical incision zq zq zq zq zq zq
ANS: C zq
Nurses are now responsible for various independent functions, including teaching, counseling
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, and intervening in nonmedical problems. Interventions initiated by the physician and carri
zq zq zq zq zq zq zq zq zq zq zq zq
ed out by the nurse are called dependent functions. Administrating oral analgesics is a depen
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dent function; it is initiated by a physician and carried out by a nurse. Requesting diagnosti
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
c studies is a dependent function. Providing wound care is a dependent function; however,
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the physician prescribes the type of wound care through direct orders or protocol.
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DIF: Cognitive Level: Understanding zq zq
OBJ: Nursing Process Step: Assessment MSC: Patient Needs: Safe and Eff
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ective Care Environment zq zq
5. Which response by the nurse is the most therapeutic when the patient states, ―I’m so afraid t
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o have a cesarean birth‖? .
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a. ―Everything will be OK.‖ zq zq zq
b. ―Don’t worry about it. It will be over soon.‖ zq zq zq zq zq zq zq zq
c. ―What concerns you most about a cesarean birth?‖ zq zq zq zq zq zq zq
d. ―The physician will be in later and you can talk to him.‖
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ANS: C zq
The response, ―What concerns you most about a cesarean birth‖ focuses on what the patient
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is saying and asks for clarification, which is the most therapeutic response. The response, ―
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Everything will be ok‖ is belittling the patient’s feelings. The response, ―Don’t worry about
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qit. It will be over soon‖ will indicate that the patient’s feelings are not important. The respo
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nse, ―The physician will be in later and you can talk to him‖ does not allow the patient to ve
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rbalize her feelings when she wishes to do that.
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DIF: Cognitive Level: Application zq zq
OBJ: Nursing Process Step: Implementation MSC: Patient Needs: Psychosocial
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zq Integrity
6. In which step of the nursing process does the nurse determine the appropriate interventions fo
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r the identified nursing diagnosis?
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a. Planning
b. Evaluation
c. Assessment
d. Intervention
ANS: A zq
