Foundations of Maternal Newborn and Women’s Health Nursing, 6th edition by Murray – Test Bank

Foundations of Maternal Newborn and Women’s Health Nursing, 6th edition by Murray – Test Bank

MULTIPLE CHOICE

1. 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?

ANS: A

Adults in a healthy family communicate with each other, so there is minimal discord in areas such as discipline and sleep schedules. Healthy families remain flexible in their role assignments. Members of a healthy family accept assistance without feeling guilty. Healthy families can tolerate irregular sleep and meal schedules, which are common during the months after childbirth.

PTS: 1 DIF: Cognitive Level: Application REF: 9

OBJ:Nursing Process Step: Implementation

MSC: Client Needs: Health Promotion and Maintenance

2. Which factor significantly contributed to the shift from home births to hospital births in the early twentieth century?

ANS: B

The development of forceps to facilitate difficult births by physicians was a strong factor in the decrease of home births and increase of hospital births. With the shift toward hospital births, the numbers increased. The shift to hospital births decreased the amount of parental-infant contact. Puerperal sepsis has been a known problem for generations. In the late nineteenth century, Semmelweis discovered how it could be prevented.

PTS: 1 DIF: Cognitive Level: Understanding REF: 1

OBJ:Nursing Process Step: Assessment

MSC: Client Needs: Safe and Effective Care Environment

3. 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?

ANS: D

As research began to identify the benefits of early extended parent-infant contact, parents began to insist that the infant remain with them. This gradually developed into the practice of rooming-in and finally to family-centered maternity care. The Sheppard-Towner Act provided funds for state-managed programs for mothers and children but did not promote family-centered care. The changes in pharmacologic management of labor were not a factor in family-centered maternity care. Family-centered care was a request by parents, not physicians.

PTS: 1 DIF: Cognitive Level: Application REF: 2, 3

OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance

4. Which statement explains why below poverty level African-Americans have the highest infant mortality rate in the United States?

ANS: D

Inadequate prenatal care is the major factor associated with low-birth-weight infants, who are less likely to survive. A deficiency in protein is not a risk factor associated with infant mortality. Infectious disease is not more prevalent in the African-American population. There is not a higher incidence of congenital anomalies in the African-American population.

PTS: 1 DIF: Cognitive Level: Understanding REF: 2

OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance

5. Which situation is most representative of an extended family?

ANS: D

An extended family is defined as a family having members from three generations living under the same roof. A family with adoptive children is a nuclear family. A single-parent family is headed by a single parent. A blended family is one that contains children from previous marriages.

PTS: 1 DIF: Cognitive Level: Understanding REF: 9

OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance

6. 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?

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 separate nursery. Birth centers are set up to allow an increase in parent-infant contact. Home births allow an increase in parent-infant contact. The labor, birth, recovery, and postpartum room setting allows increased parent-infant contact.

PTS: 1 DIF: Cognitive Level: Understanding REF: 3

OBJ: Nursing Process Step: Planning MSC: Client Needs: Health Promotion and Maintenance

7. 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?

ANS: D

The combination of narcotics and scopolamine produced heavy sedation and disorientation. The new mother was not fully awake and oriented for several hours postbirth. The bonding process had to be delayed. The narcotic plus scopolamine did allow for continuous pain control. The combination was not expensive and would be given to any mother. The father was almost always the decision maker during the 1960s.

PTS: 1 DIF: Cognitive Level: Understanding REF: 2

OBJ: Nursing Process Step: Assessment MSC: Client Needs: Physiologic Integrity

8. Which is an advantage to labor, birth, recovery, and postpartum (LDRP) rooms?

ANS: D

Sleeping equipment is provided and the support system is encouraged to stay. A hospital setting is never a familiar environment. An LDRP room is not less expensive than a traditional hospital room. The concept is to have the baby with the mother at all times.

PTS: 1 DIF: Cognitive Level: Understanding REF: 3

OBJ: Nursing Process Step: Assessment MSC: Client Needs: Health Promotion and Maintenance

9. 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?

ANS: C

The Women, Infants, and Children (WIC) program provides supplemental food and nutrition for single mothers with children up to 5 years old. Medicaid provides funds to facilitate access to care by pregnant women and young children. Head Start provides educational opportunities for low-income children of preschool age. The National Center for Family Planning is a clearinghouse for contraceptive information.

PTS: 1 DIF: Cognitive Level: Application REF: 2

OBJ:Nursing Process Step: Implementation

MSC: Client Needs: Health Promotion and Maintenance

10. 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?

ANS: D

Late preterm births (34 to 36 completed weeks of gestation) have more health complications and higher death rates than infants born at term because the babies are immature. Birth by induction of labor or cesarean has risen markedly in this group. Infants born at 34 to 36 weeks may not have mature lungs and may need assistance with ventilation after birth. Late preterm births (34 to 36 weeks of gestation) increased 20% from 1990 to 2006.

PTS: 1 DIF: Cognitive Level: Application REF: 13

OBJ: Nursing Process Step: Evaluation MSC: Client Needs: Health Promotion and Maintenance

Test Bank for Foundations of Maternal Newborn and Women’s Health Nursing, 6th Edition by Murray

The “Test Bank for Foundations of Maternal Newborn and Women’s Health Nursing, 6th Edition” by Sharon Smith Murray, Emily Slone McKinney, and Karen M. Holub is an essential educational resource designed to support educators and students in mastering the principles and practices of maternal, newborn, and women’s health nursing. This comprehensive test bank complements the textbook by offering a variety of questions that assess and reinforce understanding of key concepts and practical skills in this specialized field of nursing, making it an invaluable tool for both teaching and learning. Below is a detailed overview of the components and benefits of this test bank:

Overview of Test Bank Content

1. Chapter-by-Chapter Organization
   • The test bank is meticulously organized to align with each chapter of the textbook, ensuring comprehensive coverage of all critical topics. This structure facilitates easy integration into the curriculum and enables targeted assessments.
2. Types of Questions
   • Multiple-Choice Questions (MCQs): These questions cover a wide range of knowledge, from basic recall to complex application and critical thinking. Each question includes well-crafted distractors to challenge students’ understanding.
   • True/False Questions: These questions assess students’ ability to distinguish between correct and incorrect statements, reinforcing factual knowledge and addressing common misconceptions.
   • Fill-in-the-Blank Questions: These questions focus on recalling specific details such as key terms, physiological processes, and important concepts, testing students’ memory and understanding.
   • Short Answer Questions: These questions require detailed yet concise responses, evaluating students’ ability to explain nursing concepts clearly and accurately.
   • Essay Questions: These questions assess students’ ability to synthesize and articulate complex ideas, demonstrating a deep understanding of maternal, newborn, and women’s health nursing principles and their applications.
   • Case Studies and Scenarios: Real-world scenarios and case studies help students apply theoretical knowledge to practical situations, enhancing their critical thinking and problem-solving skills.
   • Diagram-Based Questions: These questions involve interpreting, analyzing, or creating diagrams related to nursing concepts, reinforcing visual and analytical skills.
3. Difficulty Levels
   • Questions are categorized by difficulty to provide a range of challenges and assess students’ proficiency at different levels, including:
     • Basic: Testing foundational knowledge and comprehension.
     • Intermediate: Requiring application of knowledge to practical nursing scenarios.
     • Advanced: Involving critical thinking, analysis, and synthesis of complex nursing information.
4. Core Focus Areas
   • Introduction to Maternal Newborn and Women’s Health Nursing: Questions covering the basic principles and scope of this nursing specialty, including the roles and responsibilities of nurses in this field.
   • Reproductive Health: Detailed coverage of reproductive anatomy and physiology, contraception, and reproductive health education.
   • Pregnancy and Prenatal Care: Assessing knowledge of the stages of pregnancy, prenatal care, fetal development, and common complications.
   • Labor and Delivery: Focus on the nursing care of women during labor and delivery, including pain management, labor stages, and delivery techniques.
   • Postpartum Care: Examining postpartum care for mothers, including physical and emotional changes, breastfeeding, and postpartum complications.
   • Newborn Care: Questions on the care of newborns, including neonatal assessment, common neonatal conditions, and early infant care practices.
   • Women’s Health Issues: Coverage of common health issues affecting women, including menstrual disorders, menopause, and gynecological conditions.
   • High-Risk Pregnancies: Assessing understanding of high-risk pregnancies, including risk factors, management strategies, and nursing care for complications.
   • Pediatric Nursing: Focus on the principles of pediatric nursing as they relate to maternal and newborn health, including growth and development, common childhood illnesses, and pediatric assessments.
   • Ethical and Legal Issues in Maternal and Newborn Nursing: Examining ethical and legal considerations in this field, including patient rights, informed consent, and ethical dilemmas in maternal and newborn care.
   • Cultural Competence in Maternal and Newborn Nursing: Questions on providing culturally competent care to diverse populations, including cultural assessments and interventions.
   • Health Promotion and Disease Prevention: Coverage of strategies for promoting health and preventing disease in women, pregnant women, and newborns, including vaccinations, screenings, and health education.
   • Mental Health in Maternal and Newborn Nursing: Assessing understanding of mental health issues related to pregnancy and childbirth, including postpartum depression and anxiety.
   • Evidence-Based Practice in Maternal and Newborn Nursing: Focus on the principles of evidence-based practice, including research utilization and clinical decision-making.
   • Family-Centered Care: Examining the principles of family-centered care, including the involvement of family members in the care process and support for family dynamics.
5. Alignment with Learning Objectives
   • Each question in the test bank is aligned with the learning objectives outlined in the textbook, ensuring that assessments are relevant and targeted toward achieving the intended educational outcomes. This alignment helps in accurately measuring students’ progress and comprehension.
6. Educational Support and Utility
   • For educators, the test bank provides a comprehensive resource for creating quizzes, exams, and other assessments. It simplifies the process of test creation and ensures consistency and alignment with the curriculum.
   • For students, the test bank serves as a valuable tool for self-assessment and study, helping them identify areas of strength and weakness and focus their efforts on areas needing improvement.

Benefits of Using the Test Bank

1. Enhanced Learning and Retention
   • The diverse range of question types and difficulty levels helps reinforce learning through varied and repeated exposure to key concepts, enhancing retention and understanding.
2. Preparation for Real-World Applications
   • By focusing on real-world scenarios and practical applications, the test bank prepares students for the practical aspects of maternal, newborn, and women’s health nursing, ensuring they are ready to apply their knowledge in clinical settings.
3. Comprehensive Assessment
   • The test bank allows for thorough and multi-faceted evaluation of students’ knowledge and skills, from basic understanding to advanced application, ensuring a well-rounded educational experience.
4. Efficient Teaching Resource
   • For educators, the test bank simplifies the process of creating assessments, providing a consistent and reliable tool for evaluating students’ progress and readiness for advanced studies in maternal, newborn, and women’s health nursing.

Conclusion

The “Test Bank for Foundations of Maternal Newborn and Women’s Health Nursing, 6th Edition” by Sharon Smith Murray, Emily Slone McKinney, and Karen M. Holub is an essential resource for nursing education. It provides structured, comprehensive, and versatile tools for assessing and enhancing students’ knowledge and skills in maternal, newborn, and women’s health nursing. By aligning closely with the textbook and emphasizing real-world application, the test bank supports the development of competent, confident nursing professionals ready to excel in their understanding and application of maternal, newborn, and women’s health nursing principles in various healthcare settings.