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TEST BANK FOR MATERNAL CHILD NURSING 6TH EDITION/COMPLETE GUIDE/EXAM PRACTICE 2024/.
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Test bank for maternal child nursing 6th edition chapter 1-55.
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TEST BANK FOR MATERNAL CHILD NURSING 6THEDITION.
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
• Which factor significantly contributed to the shift from home births to hospital
births inthe early 20th century?
A. Puerperal sepsis was identified as a risk factor in labor and delivery.
B. Forceps were developed to facilitate difficult births.
C. The importance of early parental-infant contact was identified.
D. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-
hospital births increased in order to take advantage of these advancements. Puerperal
sepsis has been aknown problem for generations. In the late 19th century, Semmelweis
discovered how it couldbe prevented with improved hygienic practices. The
development of forceps is an example of a technology advance made in the early 20th
century but is not the only reason birthplaces moved. Unlike home births, early
hospital births hindered bonding between parents and their infants.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 1 OBJ: Integrated
Process: Teaching-Learning MSC: Client Needs: Safe and
Effective Care Environment
• Family-centered maternity care developed in response to
A. demands by physicians for family involvement in childbirth.
B. the Sheppard-Towner Act of 1921.
C. parental requests that infants be allowed to remain with them rather
than ina nursery.
D. changes in pharmacologic management of labor.
ANS: 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 practiceof rooming-in and finally to family-centered maternity care.
, Family-centered care was a request by parents, not physicians. The Sheppard-
Towner Act of 1921 provided funds for state-managed programs for mothers and
children. The changes in pharmacologic management of labor were not a factor in
family-centered maternity care.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 2 OBJ: Integrated
Process: Teaching-Learning MSC: Client Needs: Psychosocial
Integrity
• Which setting for childbirth allows the least amount of parent-infant contact?
A. Labor/delivery/recovery/postpartum room
B. Birth center
C. Traditional hospital birth
D. Home birth
.
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. The
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
Birth centers are set up to allow an increase in parent-infant contact. Home births allow
an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 2 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 thepediatric setting is
A. increased hospitalization of children.
B. decreased number of children living in poverty.
C. an increase in ambulatory care.
D. decreased use of managed care.
ANS: 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 in order to
provide morecost-efficient 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 hasincreased over the past decade. One of the biggest
changes in health care has been the growth of managed care.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 5 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
,• The Women, Infants, and Children (WIC) program provides
A. well-child examinations for infants and children living at the poverty level.
B. immunizations for high-risk infants and children.
C. screening for infants with developmental disorders.
D. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: 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.
Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program provides
for well-child examinations and for treatment of any medical problems diagnosed
during such checkups. Children in the WIC program are often referred for
immunizations, but that is not the primary focus of the program. Public Law 99-457 is
part of the Individuals with Disabilities Education Act that provides financial
incentives to states to establish comprehensive early intervention services for infants
and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: ComprehensionOBJ: Integrated Process: Teaching-
Learning
MSC: Client Needs: Health Promotion and Maintenance
REF: p. 8
• In most states, adolescents who are not emancipated minors must have the
permission oftheir parents before
.
A. treatment for drug abuse.
B. treatment for sexually transmitted diseases (STDs).
C. accessing birth control.
D. surgery.
ANS: D
Minors are not considered capable of giving informed consent, so a surgical
procedure would require consent of the parent or guardian. Exceptions exist for
obtaining treatment for drug abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 17 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
• The maternity nurse should have a clear understanding of the correct
use of a clinical pathway. One characteristic of clinical pathways is
that they
, A. are developed and implemented by nurses.
B. are used primarily in the pediatric setting.
C. set specific time lines for sequencing interventions.
D. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for
patients with a particular health problem. They are used to identify patient outcomes,
specify time lines toachieve those outcomes, direct appropriate interventions and
sequencing of interventions, include interventions from a variety of disciplines,
promote collaboration, and involve a comprehensive approach to care. They are
developed by multiple health care professionals and reflect interdisciplinary care.
They can be used in multiple settings and for patients throughout the life span. They
are not part of the nursing process but can be used in conjunction with the nursing
process to provide care to patients.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 7 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
• The fastest growing group of homeless people is
A. men and women preparing for retirement.
B. migrant workers.
C. single women and their children.
D. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for
becoming homeless. People preparing for retirement, migrant workers, and IV
substance abusers are not among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememberingREF: p. 14 OBJ: Nursing Process:
Assessment
MSC: Client Needs: Physiologic Integrity
.
• A nurse wishes to work to reduce infant mortality in the United States. Which activity
wouldthis nurse most likely participate in?
A. Creating pamphlets in several different languages using an interpreter.
B. Assisting women to enroll in Medicaid by their third trimester.
C. Volunteering to provide prenatal care at community centers.
D. Working as an intake counselor at a women’s shelter.
ANS: C
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