Foundations of MaternalNewborn and Women’s Health Nursing 6th Ed by Murray – Test Bank
Chapter 01: Maternity and Women’s Health Care Today
- The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family?
|a.||Adults agree on the majority of basic parenting principles.|
|b.||The parents and children have rigid assignments for all the family tasks.|
|c.||Young families assume total responsibility for the parenting tasks, refusing any assistance.|
|d.||The family is overwhelmed by the significant changes that occur as a result of childbirth.|
- Which factor significantly contributed to the shift from home births to hospital births in the early twentieth century?
|a.||The number of hospital births decreased.|
|b.||Forceps were developed to facilitate difficult births.|
|c.||The importance of early parent-infant contact was identified.|
|d.||Puerperal sepsis was identified as a risk factor in labor and birth.|
- A nurse 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?
|a.||The Sheppard-Towner Act of 1921 promoted family-centered care.|
|b.||Changes in pharmacologic management of labor prompted family-centered care.|
|c.||Demands by physicians for family involvement in childbirth increased the practice of family-centered care.|
|d.||Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.|
- Which statement explains why below poverty level African-Americans have the highest infant mortality rate in the United States?
|a.||Their diets are deficient in protein.|
|b.||Infectious diseases are more prevalent.|
|c.||More African-American infants are born with congenital anomalies.|
|d.||Inadequate prenatal care is associated with low-birth-weight infants.|
- Which situation is most representative of an extended family?
|a.||It includes adoptive children.|
|b.||It is headed by a single parent.|
|c.||It contains children from previous marriages.|
|d.||It is composed of children, parents, and grandparents living in the same house.|
- Expectant parents ask a prenatal nurse educator, “Which setting for childbirth allows for the least amount of parent-infant interaction?” Which answer should the nurse give to the parents?
|c.||Traditional hospital birth|
|d.||Labor, birth, and recovery room|
- A woman giving birth in the 1960s may have been given a narcotic plus scopolamine for pain control. What is the major problem with this medication regimen?
|a.||It lacked continuous pain control.|
|b.||It was expensive and available only to women who could afford the medications.|
|c.||The father had to assume the role of decision maker while the mother was on medication.|
|d.||It caused confusion and disorientation so that the mother could not see the infant for several hours postbirth.|
- Which is an advantage to labor, birth, recovery, and postpartum (LDRP) rooms?
|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.|
|d.||The woman’s support system is encouraged to stay until discharge.|
- A single client who has just delivered a baby asks the nurse where she can receive help in getting formula for her baby. Which is the nurse’s best response?
|a.||Medicaid can help with buying formula.|
|b.||Head Start is a program that helps provide formula.|
|c.||The Women, Infants, and Children (WIC) program can assist you in getting formula.|
|d.||The National Center for Family Planning has a program that helps with obtaining formula.|
- A client at 36 weeks of gestation states, “Why can’t I have an induction now? My sister delivered at 36 weeks and her baby is fine.” Which information about infants born at 34 to 36 weeks should the nurse consider when answering?
|a.||Birth by induction is low for this gestational age.|
|b.||Infants born at 34 to 36 weeks have mature lungs and do well at birth.|
|c.||The birth of infants between 34 to 36 weeks has declined as more births are going to term or post term.|
|d.||Infants born at 34 to 36 weeks are immature and have more health complications than infants born at term.|
- Which method would not be used by hospitals to control costs during perinatal health care for prospective birth management?
|a.||Diagnosis-related groups (DRGs)|
|b.||Prospective form of payment|
|c.||Negotiated length of stay (LOS) of 12 hours postbirth|
|d.||Acceptance of capacitation|
- The use of “twilight sleep” during the labor and birth process:
|a.||provided inadequate pain relief during the labor and birth process.|
|b.||facilitated bonding between mother and infant.|
|c.||resulted in a decreased incidence of puerperal infections.|
|d.||affected the maternal level of consciousness.|
- The Grantly Dick-Read method of prepared childbirth allows for:
|a.||the use of medication to control pain.|
|b.||advocating for the role of the father and/or significant other as labor coach.|
|c.||the use of chloroform as an analgesic during the birthing process.|
|d.||focusing on the ability of the mother to control fear of impending labor through knowledge.|
- A client who had a vaginal birth 12 hours ago without complications wants to go home. Typical discharge orders at this facility call for discharge to occur at 48 hours postbirth. The newborn and mother are considered to be stable and an order is written for discharge, with follow-up by home health. What type of variance would this discharge indicate?
- The nurse is reviewing the principles of family-centered care with a primipara. Which client statement will the nurse need to correct?
|a.||“Remaining focused on my family will help benefit me and my baby.”|
|b.||“Most of the time, childbirth is uncomplicated and a healthy event for the family.”|
|c.||“Because childbirth is normal, after my baby’s birth our family dynamics will not change.”|
|d.||“With correct information, I am able to make decisions regarding my health care while I am pregnant.”|
- The nurse is reviewing a health history of a newly pregnant woman at a local health fair. Which statement made by the nurse will most likely improve the woman’s outcome for a healthy pregnancy?
|a.||“Make sure you eat four servings of calcium-rich foods like milk, cheese, or yogurt every day.”|
|b.||“Include 30 minutes of walking three times per week to make sure you get enough exercise.”|
|c.||“Report any changes in vision or headaches that do not subside to your health care provider.”|
|d.||“Throughout your pregnancy, it is important to see your health care provider as scheduled.”|
- In consideration of the historic evolution of maternity care, which treatment options were used? (Select all that apply.)
|a.||During the nineteenth century, women of privilege were delivered by midwives in a hospital setting.|
|b.||Granny midwives received their training through a period of apprenticeship.|
|c.||The recognition of improved obstetric outcomes was related to increased usage of hygienic practices.|
|d.||A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth.|
|e.||The use of chloroform by midwives led to decreased pain during birth.|
- Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant client regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)
|a.||Staffing by lay midwives|
|b.||Equipped for obstetric emergencies|
|c.||Less expensive than acute care hospitals|
|d.||Safe, homelike births in a familiar setting|
|e.||Access to follow-up care for 6 weeks postpartum|
- The nurse is assessing a client’s use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice? (Select all that apply.)
|a.||Practicing yoga daily|
|b.||Drinking green tea in the morning|
|c.||Taking omeprazole (Prilosec) once a day|
|d.||Using aromatherapy during a relaxing bath|
|e.||Wearing a lower back brace when lifting heavy objects|
- The prenatal clinic nurse is assessing a newly pregnant Hispanic client. Her husband is present. Which communication techniques should the nurse use with regard to the client’s culture? (Select all that apply.)
|a.||Establish full eye contact.|
|b.||Begin the assessment with some small talk.|
|c.||Ask the client if the family uses a curandero.|
|d.||Ask the husband to wait in the waiting area until the assessment is completed.|
|e.||Determine the client’s understanding of English and explain that a Spanish interpreter can be available, if needed.|
Match each term with the correct definition.
|a.||This includes health maintenance organizations (HMOs), point of service plans (POSs), and preferred provider organizations (PPOs).|
|b.||The payer of the health insurance (usually the employer or the government) pays a set amount of money each year to a network of primary care providers (PCPs).|
|c.||Medical diagnoses are classified based on the type of complexity of services generally required.|
Match each term with the correct definition.
|a.||A practice model that uses a systematic approach to identify specific patients and manage their care in a coordinated way|
|b.||Identifies desired patient outcomes, specifies timelines for achievement of those outcomes, directs appropriate interventions and sequencing of interventions, includes interventions from a variety of disciplines, promotes collaboration, and involves a comprehensive approach to care|
|c.||Develops clinical practice guidelines to provide safe and effective care|
Chapter 02: The Nurse’s Role in Maternity and Women’s Health Care
- Which principle of teaching should the nurse use to ensure learning in a family situation?
|a.||Motivate the family with praise and positive feedback.|
|b.||Learning is best accomplished with the lecture format.|
|c.||Present complex subject material first while the family is alert and ready to learn.|
|d.||Families should be taught using medical jargon so they will be able to understand the technical language used by physicians.|
- Which nursing intervention is an independent function of the nurse?
|a.||Administering oral analgesics|
|b.||Requesting diagnostic studies|
|c.||Teaching the client perineal care|
|d.||Providing wound care to a surgical incision|
- Which most therapeutic response to the client’s statement, “I’m afraid to have a cesarean birth” should be made by the nurse?
|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.”|
- Which action should the nurse take to evaluate the client’s learning about performing infant care?
|a.||Demonstrate infant care procedures.|
|b.||Allow the client to verbalize the procedure.|
|c.||Routinely assess the infant for cleanliness.|
|d.||Observe the client as she performs the procedure.|
- A nurse is reviewing teaching and learning principles. Which situation is most conducive to learning?
|a.||An auditorium is being used as a classroom for 300 students.|
|b.||A teacher who speaks very little Spanish is teaching a class of Hispanic students.|
|c.||A class is composed of students of various ages and educational backgrounds.|
|d.||An Asian nurse provides nutritional information to a group of pregnant Asian women.|
- Which is the step of the nursing process in which the nurse determines the appropriate interventions for the identified nursing diagnosis?
- Which goal is most appropriate for the collaborative problem of wound infection?
|a.||The client will not exhibit further signs of infection.|
|b.||Maintain the client’s fluid intake at 1000 mL/8 hr.|
|c.||The client will have a temperature of 98.6° F within 2 days.|
|d.||Monitor the client to detect therapeutic response to antibiotic therapy.|
- Which nursing intervention is correctly written?
|a.||Force fluids as necessary.|
|b.||Observe interaction with the infant.|
|c.||Encourage turning, coughing, and deep breathing.|
|d.||Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.|
- The client makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
|a.||“You’re afraid to take the baby home?”|
|b.||“Don’t you have a mother who can come and help?”|
|c.||“You should read the literature I gave you before you leave.”|
|d.||“I was scared when I took my first baby home, but everything worked out.”|
- The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to trauma of tissue, secondary to vaginal birth, as evidenced by client stating pain of 8 on a scale of 10. Which is a correctly stated expected outcome for this problem?
|a.||Client will state that pain is a 2 on a scale of 10.|
|b.||Client will have a reduction in pain after administration of the prescribed analgesic.|
|c.||Client will state an absence of pain 1 hour after administration of the prescribed analgesic.|
|d.||Client will state that pain is a 2 on a scale of 10, 1 hour after the administration of the prescribed analgesic.|
- Which nursing diagnosis should the nurse set as a priority for a laboring client?
|a.||Risk for anxiety related to upcoming birth|
|b.||Risk for imbalanced nutrition related to NPO status|
|c.||Risk for altered family processes related to new addition to the family|
|d.||Risk for injury (maternal) related to altered sensations and positional or physical changes|
- Regarding advanced roles of nursing, which statement is true with regard to clinical practice?
|a.||Family nurse practitioners (FNPs) can assist with childbirth care in the hospital setting.|
|b.||Clinical nurse specialists provide primary care to obstetric clients.|
|c.||Neonatal nurse practitioners provide emergency care in the postbirth setting to high-risk infants.|
|d.||A certified nurse midwife (CNM) is not considered to be an advanced practice nurse.|
- You are taking care of a couple postbirth who are very eager to learn about bathing techniques that they can use for their newborn. Which teaching technique could the nurse use to facilitate parents learning about giving a bath to their newborn infant?
|a.||Provide direct, step-by-step demonstration to each parent separately to foster individual retention and comprehension.|
|b.||Present information to parents prior to discharge so that the information will be current.|
|c.||Have each parent bathe the newborn each time the infant comes to the room and provide commentary after the skill repetition.|
|d.||Demonstrate bathing techniques on the newborn infant with parents in attendance.|
- Which statement is true regarding the shortage of nurses in the United States?
|a.||There are a larger proportion of younger nurses in the workforce as compared with older nurses.|
|b.||As a result of decreased RN-to-client ratios, there is a decrease in client mortality in the clinical setting.|
|c.||Increased needs for baccalaureate nurses are not being met by current enrollment.|
|d.||There are adequate classroom and clinical facilities for training RNs.|
- A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?
|a.||There is stratification of communication in a directed manner between nursing staff and administration.|
|b.||There is increased job satisfaction of nurses, with a low staff turnover rate.|
|c.||Physicians are certified in their respective specialty areas.|
|d.||All nurses have baccalaureate degrees and certification in their clinical specialty area.|
- Which of the following indicates a nurse’s role as a researcher?
|a.||Reading peer-reviewed journal articles|
|b.||Working as a member of the interdisciplinary team to provide client care|
|c.||Helping client to obtain home care post-discharge from the hospital|
|d.||Delegating tasks to unlicensed personnel to allow for more teaching time with clients|
- A 16-year-old primipara has just completed her first prenatal visit with the health care provider. The nurse is preparing to teach her about nutrition during pregnancy. What must the nurse include in the patient’s teaching plan?
|a.||Provide her with pictures of dairy products.|
|b.||Ask her, “Are you ready to hear this information now?”|
|c.||Read directly from the pamphlet prepared for teen mothers.|
|d.||Provide a comfortable and warm setting after she has put on her street clothes.|
- The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?