Test Bank for Maternal -Child Nursing 5th Edition Authors: Emily McKinney, Susan James, Sharon Murray, Kristine Nelson, Jean Ashwill Chapter 1 : Foundations of Maternity, Women’s Health, and Child Health Nursing Chapter 2 : The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing Chapter 3 : The Childbearing and Child -Rearing Family Chapter 4 : Communicating with Children and Families Chapter 5 : Health Promotion for the Developing Child Chapter 6 : Health Promotion for the Infant Chapter 7 : Health Promotion During Early Childhood Chapter 8 : Health Promotion for the School -Age Child Chapter 9 : Health Promotion for the Adolescent Chapter 10 : Heredity and Environmental Influences on Development Chapter 11 : Reproductive Anatomy and Physiology Chapter 12 : Conception and Prenatal Development Chapter 13 : Adaptations to Pregnancy Chapter 14 : Nutrition for Childbearing Chapter 15 : Prenatal Diagnostic Tests Chapter 16 : Giving Birth Chapter 17 : Intrapartum Fetal Surveillance Chapter 18 : Pain Management for Childbirth Chapter 19 : Nursing Care During Obstetric Procedures Chapter 20 : Postpartum Adaptations Chapter 21 : The Normal Newborn: Adaptation and Assessment Chapter 22 : The Normal Newborn: Nursing Care Chapter 23 : Newborn Feeding Chapter 24 : The Childbearing Family with Special Needs Chapter 25 : Pregnancy -Related Complications Chapter 26 : Concurrent Disorders During Pregnancy Chapter 27 : The Woman with an Intrapartum Complication Chapter 28 : The Woman with a Postpartum Complication Chapter 29 : The High -Risk Newborn: Problems Related to Gestational Age and Development Chapter 30 : The High -Risk Newborn: Acquired and Congenital Conditions Chapter 31 : Management of Fertility and Infertility Chapter 32 : Women’s Health Care Chapter 33 : Physical Assessment of Children Chapter 34 : Emergency Care of the Child Chapter 35 : The III Child in the Hospita l and Other Care Settings Chapter 36 : The Child with a Chronic Condition or Terminal Illness Chapter 37 : Principles and Procedures for Nursing Care of Children Chapter 38 : Medication Administration and Safety for Infants and Children Chapter 39 : Pain Manag ement for Children Chapter 40 : The Child with a Fluid and Electrolyte Alteration Chapter 41 : The Child with an Infectious Disease Chapter 42 : The Child with an Immunologic Alteration Chapter 43 : The Child with a Gastrointestinal Alteration Chapter 44 : The Child with a Genitourinary Alteration Chapter 45 : The Child with a Respiratory Alteration Chapter 46 : The Child with a Cardiovascular Alteration Chapter 47 : The Child with a Hematologic Alteration Chapter 48 : The Child with Cancer Chapter 49 : The Child wit h an Alteration in Tissue Integrity Chapter 50 : The Child with a Musculoskeletal Alteration Chapter 51 : The Child with an Endocrine or Metabolic Alteration Chapter 52 : The Child with a Neurologic Alteration Chapter 53 : Psychosocial Problems in Children and Families MEDCONNOISSEUR Chapter 54 : The Child with a Developmental Disability Chapter 55 : The Child with a Sensory Alteration Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney: Evolve Resource s for Maternal -Child Nursing, 5th Edition MULTIPLE CHOICE 1. Which factor significantly contributed to the shift from home births to hospital births in the 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 a known problem for generations. In the late 19th century, Semmelweis disco vered how it could be 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 hinder ed bonding between parents and their infants. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: p. 1 OBJ: Integrated Process: Teaching -Learning MSC: Client Needs: Safe and Effective Care Environment 2. Family -centered maternity care developed in resp onse 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 in a 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 practice of rooming -in and finally to family -centered maternity care. Family -center ed 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/Remembering REF: p. 2 OBJ: Integrated Process: Teaching -Learning MSC: Client Needs: Psychosocial Integrity 3. 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 . MEDCONNOISSEUR 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 nur sery. 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/Remembering REF: p. 2 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric 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 acu te care setting to the ambulatory setting in order to provide more cost-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 has increase d 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/Remembering REF: p. 5 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment 5. 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 suppl ies 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 o f 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: Comprehension OBJ: Integrated Process: Teaching -Learning MSC: Client Needs: Health Promotion and Maintenance REF: p. 8 6. In most states, adolescents who are not emancipated minors mu st have the permission of their parents before . MEDCONNOISSEUR 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/Remembering REF: p. 17 OBJ: Nursing Process: Planning MSC: Client Needs: Safe and Effective Care Environment 7. 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 to achieve those outcomes, direct appropriate interventions and sequencing of interventions, include inter ventions 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/Remembering REF: p. 7 OBJ: Nursing Process: Planning MSC: Cli ent Needs: Safe and Effective Care Environment 8. 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: Know ledge/Remembering REF: p. 14 OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity . MEDCONNOISSEUR
