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
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Nursing
Chapter 2: The Nurse’s Role in Maternity, Women’s Health, and Pediatric
Nursing
Chapter 3: The Childbearing and Child-Rearing Family
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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
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Chapter 11: Reproductive Anatomy and Physiology
Chapter 12: Conception and Prenatal Development
Chapter 13: Adaptations to Pregnancy
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Chapter 14: Nutrition for Childbearing
Chapter 15: Prenatal Diagnostic Tests
Chapter 16: Giving Birth
Chapter 17: Intrapartum Fetal Surveillance
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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
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Chapter 22: The Normal Newborn: Nursing Care
Chapter 23: Newborn Feeding
Chapter 24: The Childbearing Family with Special Needs
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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
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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
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Chapter 34: Emergency Care of the Child
Chapter 35: The III Child in the Hospital 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 Management for Children
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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
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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 with 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
, 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 Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
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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.
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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
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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 discovered how it could
be prevented with improved hygienic practices. The development of forceps is an example of
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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.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
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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.
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d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
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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-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.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
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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
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, 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/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
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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
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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
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 more
cost-efficient care. The number of hospital beds being used has decreased as more care is
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given in outpatient settings and in the home. The number of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the
growth of managed care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
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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.
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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.
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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
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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.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of
their 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
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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
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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.
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c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
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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,
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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
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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.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
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8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
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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
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abusers are not among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
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