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Test Bank for Maternal Child Nursing, 6th Edition (McKinney, 2022), Chapter 1-55 All Chapters.pdf
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Test Bank for Maternal Child Nursing, 6th Edition (McKinney, 2022), Chapter 1-55 All C
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MATERNAL-CHILD NURSING, 6TH EDITION TEST BANK Byr r r r r r
Emily Slone McKinney & Susan R. James & Sharon Smith
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Murray& Kristine Nelson & Jean Ashwill ISBN- 978-0323697880
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Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
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,Test Bank
.
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MULTIPLE CHOICE r
1. Which factor significantly contributed to the shift from home births to
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hospital births in theearly 20th century?
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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.
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c. The importance of early parental-infant contact was identified.
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d. Technologic developments became available to physicians. r r r r r
ANS: D r
Feedback
A Puerperal sepsis has been a known problem for generations. In the
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late 19th
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century, Semmelweis discovered how it could be prevented with
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improvedhygienic practices.
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B The development of forceps to help physicians facilitate difficult
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births was a strong factor in the decrease of home births and
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increase of hospital births. Other
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important discoveries included chloroform, drugs to initiate labor,
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and theadvancement of operative procedures such a cesarean
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birth.
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C Unlike home-births, early hospital births hindered bonding between
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parents andtheir infants.
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D Technological developments were available to physicians, not lay r r r r r r r
rmidwives.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. r r r
r2 OBJ: Nursing Process: Assessment
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MSC: Client Needs: Safe and Effective Care Environment
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2. Family-centered maternity care developed in response to: r r r r r r
a. Demands by physicians for family involvement in childbirth
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b. The Sheppard-Towner Act of 1921
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c. Parental requests that infants be allowed to remain with them
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rather than in anursery
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d. Changes in pharmacologic management of labor r r r r r
ANS: C r
Feedback
A Family-centered care was a request by parents, not physicians. r r r r r r r r
B The Sheppard-Towner Act provided funds for state-managed
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programs forhmothers and children.
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C As research began to identify the benefits of early extended parent-
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infant contact, parents began to insist that the infant remain with
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rthem.
This gradually r
developed into the practice of rooming-in and finally to family-
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, r centeredmaternity care. r
D The changes in pharmacologic management of labor were not a factor
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rin
family-
centered maternity care. r r
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3 r r r r
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room r
b. Birth center r
c. Traditional hospital birth r r
d. Home birth r
ANS: C r
Feedback
A The labor/delivery/recovery/postpartum room setting allows
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increased parent-infant contact.
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B Birth centers are set up to allow an increase in parent-infant contact.
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C In the traditional hospital setting, the mother may see the infant
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for only shortfeeding periods, and the infant is cared for in a
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separate
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nursery.
D Home births allow an increase in parent-infant contact.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3 r r r r
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion r r r r r
rand Maintenance
r
4. As a result of changes in health care delivery and funding, a current trend seen
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rin the pediatricsetting is:
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a. Increased hospitalization of children r r r
b. Decreased number of children living in poverty r r r r r r
c. An increase in ambulatory care
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d. Decreased use of managed care r r r r
ANS: C r
Feedback
A Hospitalization for children has decreased. r r r r
B Health care delivery has not altered the number of children living in
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poverty.
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, C One effect of managed care has been that pediatric health care
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delivery has shifted dramatically from the acute care setting to the
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ambulatory setting. One ofthe biggest changes in health care has been
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the growth of managed care. The number of hospital beds being used
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has decreased as more care is given in
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outpatient settings and in the home. The number of children living
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in poverty hasincreased over the last decade.
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D Managed care has increased in order to control cost.
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PTS: 1 DIF: Cognitive Level: Knowledge REF: p. r r r
r6 OBJ: Nursing Process: Planning
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MSC: Client Needs: Safe and Effective Care Environment
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5. The Women, Infants, and Children (WIC) program provides:
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