{"id":119139,"date":"2023-09-08T21:43:38","date_gmt":"2023-09-08T21:43:38","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119139"},"modified":"2023-09-08T21:43:40","modified_gmt":"2023-09-08T21:43:40","slug":"foundations-of-maternal-newborn-and-womens-health-nursing-8th-edition-murray-test-bank-chapter-1-28-complete-guide-newest-version-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/08\/foundations-of-maternal-newborn-and-womens-health-nursing-8th-edition-murray-test-bank-chapter-1-28-complete-guide-newest-version-2023\/","title":{"rendered":"Foundations of Maternal-Newborn and Women’s Health Nursing 8th Edition Murray Test Bank Chapter 1-28 | Complete Guide Newest Version 2023"},"content":{"rendered":"\n

Test Bank For Foundations of Maternal-Newborn and Women’s Health Nursing 8th Edition Murray Chapter 1-28 | Complete Guide Newest Version 2023 This is NOT a book! This is a Test Bank (Study Questions) to help you study for your Tests. No delay, the download is quick and instantaneous right after you checkout! Test banks can give you the tools you need to help you study better. This download has no waiting period so that means that you will be able to download this test bank right away.<\/p>\n\n\n\n

1
Chapter 01: Clinical Judgement and the Nursing Process
Foundations of Maternal-Newborn & Women\u2019s Health Nursing, 8th Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. A nurse educator is teaching a group of nursing students about
    the history of family-centeredmaternity care. Which statement
    should the nurse include in the teaching session?
    a. The Sheppard-Towner Act of 1921 promoted familycentered care.
    b. Changes in pharmacologic management of labor prompted
    family-centered care.
    c. Demands by physicians for family involvement in childbirth
    increased the practiceof family-centered care.
    d. Parental requests that infants be allowed to remain with them
    rather than in anursery initiated the practice of familycentered care.
    ANS: D
    As research began to identify the benefits of early, extended parent\u2013infant 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.
    DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
    MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
  2. Expectant parents ask a prenatal nurse educator, \u201cWhich setting for childbirth limits the
    amount of parent\u2013infant interaction?\u201d Which answer should the nurse provide for these
    parents in order to assist them in choosing an appropriate birth setting?
    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 separate nursery. Birth centers are set up to allow an increase in
    parent\u2013infant contact. Home births allow the greatest amount of parent\u2013infant contact. The
    labor, birth, recovery, and postpartum room setting allows for increased parent\u2013infant contact.
    DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
    MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
  3. Which statement best describes the advantage of a labor, birth, recovery, and postpartum
    (LDRP) room?
    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\u2019s support system is encouraged to stay until discharge.
    ANS: D<\/li>\n<\/ol>\n\n\n\n

    2
    Sleeping equipment is provided in a private room. A hospital setting is never a familiar
    environment to new parents. An LDRP room is not less expensive than a traditional hospital
    room. The baby remains with the mother at all times and is not removed to the nursery for
    routine care or testing. The father or other designated members of the mother\u2019s support system
    are encouraged to stay at all times.
    DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
    MSC: Patient Needs: Health Promotion and Maintenance<\/p>\n\n\n\n

      \n
    1. Which nursing intervention is an independent function of the professional 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. 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 out by a nurse. Requesting diagnostic
      studies is a dependent function. Providing wound care is a dependent function; however, the
      physician prescribes the type of wound care through direct orders or protocol.
      DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
      MSC: Patient Needs: Safe and Effective Care Environment<\/li>\n\n\n\n
    2. Which response by the nurse is the most therapeutic when the patient states, \u201cI\u2019m so afraid to
      have a cesarean birth\u201d?
      a. \u201cEverything will be OK.\u201d
      b. \u201cDon\u2019t worry about it. It will be over soon.\u201d
      c. \u201cWhat concerns you most about a cesarean birth?\u201d
      d. \u201cThe physician will be in later and you can talk to him.\u201d
      ANS: C
      The response, \u201cWhat concerns you most about a cesarean birth\u201d focuses on what the patient is
      saying and asks for clarification, which is the most therapeutic response. The response,
      \u201cEverything will be ok\u201d is belittling the patient\u2019s feelings. The response, \u201cDon\u2019t worry about
      it. It will be over soon\u201d will indicate that the patient\u2019s feelings are not important. The
      response, \u201cThe physician will be in later and you can talk to him\u201d does not allow the patient to
      verbalize her feelings when she wishes to do that.
      DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
      MSC: Patient Needs: Psychosocial Integrity<\/li>\n\n\n\n
    3. In which step of the nursing process does the nurse determine the appropriate interventions for
      the identified nursing diagnosis?
      a. Planning
      b. Evaluation
      c. Assessment
      d. Intervention
      ANS: A<\/li>\n<\/ol>\n\n\n\n

      3
      The third step in the nursing process involves planning care for problems that were identified
      during assessment. The evaluation phase is determining whether the goals have been met.
      During the assessment phase, data are collected. The intervention phase is when the plan of
      care is carried out.
      DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
      MSC: Patient Needs: Safe and Effective Care Environment<\/p>\n\n\n\n

        \n
      1. Which goal is most appropriate for the collaborative problem of wound infection?
        a. The patient will not exhibit further signs of infection.
        b. Maintain the patient\u2019s fluid intake at 1000 mL\/8 hour.
        c. The patient will have a temperature of 98.6\u00b0F within 2 days.
        d. Monitor the patient to detect therapeutic response to antibiotic therapy.
        ANS: D
        In a collaborative problem, the goal should be nurse-oriented and reflect the nursing
        interventions of monitoring or observing. Monitoring for complications such as further signs
        of infection is an independent nursing role. Intake and output is an independent nursing role.
        Monitoring a patient\u2019s temperature is an independent nursing role.
        DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
        MSC: Patient Needs: Safe and Effective Care Environment<\/li>\n\n\n\n
      2. Which nursing intervention is written correctly?
        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.
        ANS: D
        Interventions might not be carried out if they are not detailed and specific. \u201cForce fluids\u201d is
        not specific; it does not state how much or how often. Encouraging the patient to turn, cough,
        and breathe deeply is not detailed or specific. Observing interaction with the infant does not
        state how often this procedure should be done. Assisting the patient to ambulate for 10
        minutes within a certain timeframe is specific.
        DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
        MSC: Patient Needs: Safe and Effective Care Environment<\/li>\n\n\n\n
      3. The patient makes the statement: \u201cI\u2019m afraid to take the baby home tomorrow.\u201d Which
        response by the nurse would be the most therapeutic?
        a. \u201cYou\u2019re afraid to take the baby home?\u201d
        b. \u201cDon\u2019t you have a mother who can come and help?\u201d
        c. \u201cYou should read the literature I gave you before you leave.\u201d
        d. \u201cI was scared when I took my first baby home, but everything worked out.\u201d
        ANS: A<\/li>\n<\/ol>\n\n\n\n

        4
        This response uses reflection to show concern and open communication. The other choices are
        blocks to communication. Asking if the patient has a mother who can come and assist blocks
        further communication with the patient. Telling the patient to read the literature before leaving
        does not allow the patient to express her feelings further. Sharing your own birth experience is
        inappropriate.
        DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
        MSC: Patient Needs: Psychosocial Integrity<\/p>\n\n\n\n

          \n
        1. The nurse is writing an expected outcome for the nursing diagnosis\u2014acute pain related to
          tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
          of 10. Which expected outcome is correctly stated for this problem?
          a. Patient will state that pain is a 2 on a scale of 10.
          b. Patient will have a reduction in pain after administration of the prescribed
          analgesic.
          c. Patient will state an absence of pain 1 hour after administration of the prescribed
          analgesic.
          d. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of
          the prescribed analgesic.
          ANS: D
          The outcome should be patient-centered, measurable, realistic, and attainable and within a
          specified timeframe. Patient stating that her pain is now 2 on a scale of 10 lacks a timeframe.
          Patient having a reduction in pain after administration of the prescribed analgesic lacks a
          measurement. Patient stating an absence of pain 1 hour after the administration of prescribed
          analgesic is unrealistic.
          DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
          MSC: Patient Needs: Physiologic Integrity<\/li>\n\n\n\n
        2. Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?
          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
          ANS: D
          The nurse should determine which problem needs immediate attention. Risk for injury is the
          problem that has the priority at this time because it is a safety problem. Risk for anxiety,
          imbalanced nutrition, and altered family processes are not the priorities at this time.
          DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
          MSC: Patient Needs: Safe and Effective Care Environment<\/li>\n\n\n\n
        3. Regarding advanced roles of nursing, which statement related to clinical practice is the most
          accurate?
          a. Family nurse practitioners (FNPs) can assist with childbirth care in the hospital
          setting.
          b. Clinical nurse specialists (CNSs) provide primary care to obstetric patients.
          c. Neonatal nurse practitioners provide emergency care in the postbirth setting to<\/li>\n<\/ol>\n\n\n\n

          5
          high-risk infants.
          d. A certified nurse midwife (CNM) is not considered to be an advanced practice
          nurse.
          ANS: C
          Neonatal NPs provide care for the high-risk neonate in the birth room and in the neonatal
          intensive care unit, as needed. FNPs do not participate in childbirth care; however, they can
          take care of uncomplicated pregnancies and postbirth care outside of the hospital setting.
          CNSs work in hospital settings but do not provide primary care services to patients. A CNM is
          an advanced practice nurse who receives additional certification in the specific area of
          midwifery.
          DIF: Cognitive Level: Application OBJ: Nursing Process Step: Evaluation
          MSC: Patient Needs: Management of Care: Legal Rights and Responsibilities<\/p>\n\n\n\n

            \n
          1. Which of the following statements highlights the nurse\u2019s role as a researcher?
            a. Reading peer-reviewed journal articles
            b. Working as a member of the interdisciplinary team to provide patient care
            c. Helping patient to obtain home care postdischarge from the hospital
            d. Delegating tasks to unlicensed personnel to allow for more teaching time with
            patients
            ANS: A
            A nurse in a researcher role should look to improve her or his knowledge base by reading and
            reviewing evidence-based practice information as found in peer-reviewed journals. Working
            as a member of the interdisciplinary team to provide patient care indicates that the nurse is
            working as a collaborator. Helping the patient to obtain home care postdischarge from the
            hospital indicates that the nurse is working as a patient advocate. Delegating tasks to
            unlicensed personnel in order to allow for more teaching time with patients indicates that the
            nurse is working as a manager.
            DIF: Cognitive Level: Application OBJ: Nursing Process Step: Assessment
            MSC: Patient Needs: Health Promotion: Teaching\/Learning<\/li>\n\n\n\n
          2. The nurse states to the newly pregnant patient, \u201cTell me how you feel about being pregnant.\u201d
            Which communication technique is the nurse using with this patient?
            a. Clarifying
            b. Paraphrasing
            c. Reflection
            d. Structuring
            ANS: A
            The nurse is attempting to follow up and check the accuracy of the patient\u2019s message.
            Paraphrasing is restating words other than those used by the patient. Reflection is verbalizing
            comprehension of what the patient has said. Structuring takes place when the nurse has set
            guidelines or set priorities.
            DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Analysis
            MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
          3. When reviewing a new patient\u2019s birth plan, the nurse notices that the patient will be bringing a
            doula to the hospital during labor. What does the nurse think that this means?<\/li>\n<\/ol>\n\n\n\n

            6
            a. The patient will have her grandmother as a support person.
            b. The patient will bring a paid, trained labor support person with her during labor.
            c. The patient will have a special video she will play during labor to assist with
            relaxation.
            d. The patient will have a bag that contains all the approved equipment that may help
            with the labor process.
            ANS: B
            A doula is a trained labor support person who is employed by the mother to provide labor
            support. She gives physical support such as massage, helps with relaxation, and provides
            emotional support and advocacy throughout labor. A doula is usually not a relative of the
            woman. A doula is a trained labor support person.
            DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
            MSC: Patient Needs: Health Promotion and Maintenance
            MULTIPLE RESPONSE<\/p>\n\n\n\n

              \n
            1. In consideration of the historic evolution of maternity care, which treatment options were used
              over the past century? (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.
              ANS: B, C, D
              Training of granny midwives was done by apprenticeship as opposed to formal medical
              school training. With the advent of usage of hygienic practices, improved health outcomes
              were seen with regard to a decrease in sepsis. New equipment such as forceps enabled easier
              birth. Women of privilege in the nineteenth century delivered at home, attended by a midwife.
              Chloroform was used by physicians and was not available to midwives.
              DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Implementation
              MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
            2. 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 patient 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
              ANS: C, D, E<\/li>\n<\/ol>\n\n\n\n

              7
              Patients who are at low risk and desire a safe, homelike birth are very satisfied with this type
              of care setting. The new mother may return to the birth center for postpartum follow-up care,
              breastfeeding assistance, and family planning information for 6 weeks postpartum. Because
              birth centers do not incorporate advanced technologies into their services, costs are
              significantly less than in a hospital setting. The major disadvantage of this care setting is that
              these facilities are not equipped to handle obstetric emergencies. Should unforeseen
              difficulties occur, the patient must be transported by ambulance to the nearest hospital. Birth
              centers are usually staffed by certified nurse-midwives (CNMs).
              DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Planning
              MSC: Patient Needs: Safe and Effective Care Environment<\/p>\n\n\n\n

                \n
              1. The nurse is assessing a patient\u2019s 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
                ANS: A, B, D
                Complementary and alternative (CAM) therapies can be defined as those systems, practices,
                interventions, modalities, professions, therapies, applications, theories, and claims that are
                currently not an integral part of the conventional medical system in North America. Yoga is
                considered to be a mind\u2013body alternative therapy. Green tea and aromatherapy are
                biologically based complementary therapies. Prilosec and the use of a lower back brace would
                be therapies consistent with those used by conventional medicine.
                DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Assessment
                MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
              2. The nurse is formulating a nursing care plan for a postpartum patient. Which actions by the
                nurse indicate use of critical thinking skills when formulating the care plan? (Select all that
                apply.)
                a. Using a standardized postpartum care plan
                b. Determining priorities for each diagnosis written
                c. Writing interventions from a nursing diagnosis book
                d. Reflecting and suspending judgment when writing the care plan
                e. Clustering data during the assessment process according to normal versus
                abnormal
                ANS: B, D, E
                Critical thinking focuses on appraisal of the way the individual thinks, and it emphasizes
                reflective skepticism. Determining priorities, reflecting and suspending judgment, and
                clustering data are actions that indicate the use of critical thinking. Using a standardized care
                plan and writing interventions from a nursing diagnosis book do not show that reflection
                about the patient\u2019s individual care is being done.
                DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
                MSC: Patient Needs: Physiologic Integrity<\/li>\n<\/ol>\n\n\n\n

                8
                Chapter 02: Social, Ethical, and Legal Issues
                Foundations of Maternal-Newborn & Women\u2019s Health Nursing, 8th Edition
                MULTIPLE CHOICE<\/p>\n\n\n\n

                  \n
                1. During which phase of the cycle of violence does the batterer become contrite and
                  remorseful?
                  a. Battering
                  b. Honeymoon
                  c. Tension-building
                  d. Increased drug taking
                  ANS: B
                  During the honeymoon phase, the battered person wants to believe that the battering will
                  never happen again, and the batterer will promise anything to get back into the home. During
                  the battering phase, violence actually occurs, and the victim feels powerless. During the
                  tension-building phase, the batterer becomes increasingly hostile, swears, threatens, throws
                  things, and pushes the battered person. Often, the batterer increases the use of drugs during
                  the tension-building phase.
                  DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
                  MSC: Patient Needs: Psychosocial Integrity<\/li>\n\n\n\n
                2. The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has
                  the greatest impact on decreasing the mortality rate of infants?
                  a. Providing more women\u2019s shelters
                  b. Ensuring early and adequate prenatal care
                  c. Resolving all language and cultural differences
                  d. Enrolling pregnant women in the Medicaid program by their eighth month of
                  pregnancy
                  ANS: B
                  Because preterm infants form the largest category of those needing expensive intensive care,
                  early pregnancy intervention is essential for decreasing infant mortality. The women in
                  shelters have the same difficulties in obtaining health care as other poor people, particularly
                  lack of transportation and inconvenient clinic hours. Language and cultural differences are not
                  infant mortality issues but must be addressed to improve overall health care. Medicaid
                  provides health care for poor pregnant women, but the process may take weeks to take effect.
                  The eighth month is too late to apply and receive benefits for this pregnancy.
                  DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
                  MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
                3. The nurse is planning a teaching session for staff on ethical theories. Which situation best
                  reflects the Deontologic theory?
                  a. Approving a physician-assisted suicide
                  b. Supporting the transplantation of fetal tissue and organs
                  c. Using experimental medications for the treatment of AIDS
                  d. Initiating resuscitative measures on a 90-year-old patient with terminal cancer<\/li>\n<\/ol>\n\n\n\n

                  9
                  ANS: D
                  In the Deontologic theory, life must be maintained at all costs, regardless of quality of life.
                  Approving a physician-assisted suicide, supporting the transplantation of fetal tissue and
                  organs, and using experimental medications for the treatment of AIDS are examples of a
                  utilitarian model.
                  DIF: Cognitive Level: Application OBJ: Nursing Process Step: Planning
                  MSC: Patient Needs: Psychosocial Integrity<\/p>\n\n\n\n

                    \n
                  1. Which step of the nursing process is being used when the nurse decides whether an ethical
                    dilemma exists?
                    a. Analysis
                    b. Planning
                    c. Evaluation
                    d. Assessment
                    ANS: A
                    When a nurse uses the collected data to determine whether an ethical dilemma exists, the data
                    are being analyzed. Planning is done after the data have been analyzed. Evaluation occurs
                    once the outcome has been achieved. Assessment is the data collection phase.
                    DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Evaluation
                    MSC: Patient Needs: Safe and Effective Care Environment: Coordinated Care<\/li>\n\n\n\n
                  2. At the present time, which agency governs surrogate parenting?
                    a. State law
                    b. Federal law
                    c. Individual court decision
                    d. Protective child services
                    ANS: C
                    Each surrogacy case is decided individually in a court of law. Surrogate parenting is not
                    governed by either state or federal law. Protective child services do not make decisions related
                    to surrogacy.
                    DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
                    MSC: Patient Needs: Health Promotion and Maintenance<\/li>\n\n\n\n
                  3. Which patient will most likely seek prenatal care?
                    a. A 15-year-old patient who tells her friends, \u201cI just don\u2019t believe that I am
                    pregnant\u201d
                    b. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol
                    c. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic
                    d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home
                    with the help of her mother and sister
                    ANS: C
                    The patient who acknowledges the pregnancy early, has access to health care, and has no
                    reason to avoid health care is most likely to seek prenatal care. Being in denial regarding the
                    pregnancy will prevent a patient from seeking health care. Patients who abuse substances are
                    less likely to seek health care. Some women see pregnancy and birth as a natural occurrence
                    and do not seek health care.<\/li>\n<\/ol>\n\n\n\n

                    10
                    DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
                    MSC: Patient Needs: Health Promotion and Maintenance<\/p>\n\n\n\n

                      \n
                    1. With regard to an obstetric litigation case, a nurse working in labor and birth is found to be
                      negligent. Which intervention performed by the nurse indicates that a breach of duty has
                      occurred?
                      a. The nurse did not document fetal heart tones (FHR) during the second stage of
                      labor.
                      b. The patient was only provided ice chips during the labor period, which lasted 8
                      hours.
                      c. The nurse allowed the patient to use the bathroom rather than a bedpan during the
                      first stage of labor.
                      d. The nurse asked family members to leave the room when she prepared to do a
                      pelvic exam on the patient.
                      ANS: A
                      A breach of duty has occurred when a nurse or health care provider fails to provide treatment
                      relative to the standard of care. In this case, documentation of FHR during the second stage of
                      labor is a recognized standard of care. Providing ice chips to laboring patients is within the
                      standard of care. The time period of 8 hours is not excessive. A patient without any risk
                      factors can use the bathroom and be ambulatory during the first stage of labor. Asking family
                      members to leave during a vaginal exam helps maintain patient privacy.
                      DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Implementation
                      MSC: Patient Needs: Safe and Effective Care: Legal Rights and Responsibilities<\/li>\n\n\n\n
                    2. A nurse is working with an active labor patient who is in preterm labor and has been
                      designated as high risk. The patient is very apprehensive and asks the nurse, \u201cIs everything
                      going to be all right?\u201d The nurse replies, \u201cYes, everything will be okay.\u201d Following delivery
                      via an emergency cesarean birth, the newborn undergoes resuscitation and does not survive.
                      The patient is distraught over the outcome and blames the nurse for telling her that everything
                      would be okay. Which ethical principle did the nurse violate?
                      a. Autonomy
                      b. Fidelity
                      c. Beneficence
                      d. Accountability
                      ANS: B
                      In this type of situation, the nurse (and\/or health care provider) cannot make statements or
                      promises that cannot be kept. Telling the patient that everything will be okay is not based on
                      the accuracy of medical diagnosis and should not be conveyed to the patient. The other ethical
                      principles of autonomy (self-determination), beneficence (greatest good), and accountability
                      (accepting responsibility) do not apply in this situation.
                      DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Implementation
                      MSC: Patient Needs: Safe and Effective Care: Legal Rights and Responsibilities<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                      Test Bank For Foundations of Maternal-Newborn and Women’s Health Nursing 8th Edition Murray Chapter 1-28 | Complete Guide Newest Version 2023 This is NOT a book! This is a Test Bank (Study Questions) to help you study for your Tests. No delay, the download is quick and instantaneous right after you checkout! Test banks can […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119139","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119139"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119139\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}