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TEST BANK FOR MATERNAL-CHILD NURSING 6TH EDITION BY MCKINNEY COMPLETE QUESTIONS AND ANSWERS A+

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TEST BANK FOR MATERNAL-CHILD NURSING 6TH EDITION BY MCKINNEY COMPLETE QUESTIONS AND ANSWERS A+

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  • January 29, 2024
  • 909
  • 2023/2024
  • Exam (elaborations)
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TEST BANK FOR MATERNAL-CHILD
NURSING 6TH EDITION BY MCKINNEY
COMPLETE QUESTIONS AND ANSWERS A+

,Chapter 1: Foundations of Maternity, Women’s Health, and Child
Health NursingTest Bank


MULTIPLE CHOICE

• Which factor significantly contributed to the shift from home births to
hospital births in theearly 20th century?
• Puerperal sepsis was identified as a risk factor in labor and delivery.
• Forceps were developed to facilitate difficult births.
• The importance of early parental-infant contact was identified.
• Technologic developments became available to physicians.
ANS: D


Feedback
A Puerperal sepsis has been a known problem for generations. In the late 19th
century, Semmelweis discovered how it could be prevented with improved
hygienic practices.
B The development of forceps to help physicians facilitate difficult births
was a strong factor in the decrease of home births and increase of hospital
births. Other important discoveries included chloroform, drugs to initiate
labor, and the
advancement of operative procedures such a cesarean birth.
C Unlike home-births, early hospital births hindered bonding between parents
and
their infants.
D Technological developments were available to physicians, not lay
midwives.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2OBJ: Nursing Process: A
MSC: Client Needs: Safe and Effective Care Environment

• Family-centered maternity care developed in response to:
• Demands by physicians for family involvement in childbirth
• The Sheppard-Towner Act of 1921
• Parental requests that infants be allowed to remain with them
rather than in anursery
• Changes in pharmacologic management of labor
ANS: C


Feedback

, A Family-centered care was a request by parents, not physicians.
B The Sheppard-Towner Act provided funds for state-managed programs for
mothers and children.
C 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.
D The changes in pharmacologic management of labor were not a factor in
family-

centered maternity care.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial
Integrity

• Which setting for childbirth allows the least amount of parent-infant contact?
• Labor/delivery/recovery/postpartum room
• Birth center
• Traditional hospital birth
• Home birth
ANS: C


Feedback
A The labor/delivery/recovery/postpartum room setting allows increased
parent-infant contact.
B Birth centers are set up to allow an increase in parent-infant contact.
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.
D Home births allow an increase in parent-infant contact.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion
and Maintenance

• As a result of changes in health care delivery and funding, a current trend seen
in the pediatricsetting is:
• Increased hospitalization of children
• Decreased number of children living in poverty
• An increase in ambulatory care
• Decreased use of managed care

, ANS: C


Feedback
A Hospitalization for children has decreased.
B Health care delivery has not altered the number of children living in
poverty.
C One effect of managed care has been that pediatric health care delivery
has shifted dramatically from the acute care setting to the ambulatory
setting. One ofthe biggest changes in health care has been the growth of
managed care. The number of hospital beds being used has decreased as
more care is given in
outpatient settings and in the home. The number of children living in
poverty has increased over the last decade.
D Managed care has increased in order to control cost.

PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6OBJ: Nursing Process: P
MSC: Client Needs: Safe and Effective Care Environment

• The Women, Infants, and Children (WIC) program provides:

• Well-child examinations for infants and children living at the poverty level
• Immunizations for high-risk infants and children
• Screening for infants with developmental disorders
• Supplemental food supplies to low-income women who
are pregnant orbreastfeeding
ANS: D


Feedback
A Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment
Program
provides for well-child examinations and for treatment of any medical
problemsdiagnosed during such checkups.
B Children in the WIC program are often linked with immunizations, but
that isnot the primary focus of the program.
C Public Law 99-457 provides financial incentives to states to establish
comprehensive early intervention services for infants and toddlers with, or
at risk for, developmental disabilities.
D WIC is a federal program that provides supplemental food supplies to low-
income women who are pregnant or breastfeeding and to their children
until age
5 years.

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