Chapter wz01: wzFoundations wzof wzMaternity, wzWomen’s wzHealth, wzand wzChild wzHealth wzNursingMcKinney: wzEvolve
wzResources wzfor wzMaternal- wChild wzNursing, w 5th wzEdition
Chapterz01:wzFoundationswzofwzMaternity,wzWomen’szHealth,wzand wzChild wzHealth
zNursingzMcKinney: w zEvolve w zResources w zforzMaternal-Child w zNursing, wz5th w zEdition
MULTIPLE w CHOICE
1. Which w factor w significantly w contributed w to w the w shift w from w home
w births w to w hospitalwbirths w inthe wearly w 20th w century?
a. Puerperal w sepsis w was w identified w as w a w risk w factor w in w labor w and w delivery.
b. Forceps w were w developed w to w facilitate w difficult w births.
c. The w importance w of w early w parental-infant w contact w was w identified.
d. Technologic w developments w became w available w to w physicians.
ANS: wD
Technologic wdevelopments w were w available w to w physicians, w not w lay
wmidwives. w So w in- whospital wbirths wincreased win worder wto w take w advantage
w of w these w advancements. w Puerperal wsepsis whas wbeen waknown wproblem wfor
wgenerations. wIn wthe wlate w19th wcentury, wSemmelweis wdiscovered w how w it
w couldbe w prevented w with w improved w hygienic w practices. w The wdevelopment
wof wforceps wis wan wexample wof wa wtechnology wadvance wmade win wthe w early w 20th
wcentury w but w is w not w the w only w reason w birthplaces w moved. w Unlike w home
w births, w early
hospital w births w hindered w bonding w between w parents w and w their w infants.
PTS: 1 DIF:
Cognitive wLevel:
wKnowledge/RememberingwREF:p. w 1 OBJ: wIntegrated wProcess:
wTeaching-Learning wMSC: wClient wNeeds: wSafe w and wEffective
wCare w Environment
2. Family-centered w maternity w care w developed w in w response w to
a. demands w by w physicians w for w family w involvement w in w childbirth.
b. the w Sheppard-Towner w Act w of w 1921.
c. parental w requests w that w infants w be w allowed w to w remain w with
w them w ratherwthan w ina w nursery.
d. changes w in w pharmacologic w management w of w labor.
ANS: w C
As wresearch wbegan wto widentify wthe wbenefits wof wearly wextended wparent-infant
wcontact, wparents wbegan wto winsist wthat wthe w infant wremain wwith wthem. wThis
w gradually w developed winto w the w practiceof w rooming-in w and w finally w to
w family-centered w maternity w care.
Family-centered wcare wwas wa wrequest w by wparents, w not w physicians. w The
w Sheppard- wTowner wAct wof w1921 wprovided wfunds wfor wstate-managed wprograms
wfor wmothers wand wchildren. w The w changes w in w pharmacologic w management
w of w labor w were w not w a w factor w in wfamily-centered w maternity w care.
,Chapter wz01: wzFoundations wzof wzMaternity, wzWomen’s wzHealth, wzand wzChild wzHealth wzNursingMcKinney: wzEvolve
wzResources wzfor wzMaternal- wChild wzNursing, w 5th wzEdition
PTS: 1 DIF: Cognitive w Level:
w Knowledge/Remembering
REF: p. w2 OBJ: w Integrated w Process: w Teaching-
Learning
,Chapter wz01: wzFoundations wzof wzMaternity, wzWomen’s wzHealth, wzand wzChild wzHealth wzNursingMcKinney: wzEvolve
wzResources wzfor wzMaternal- wChild wzNursing, w 5th wzEdition
MSC: w Client w Needs: w Psychosocial wIntegrity
3. Which w setting w for w childbirth w allows w the w least w amount w of w parent-infant w contact?
a. Labor/delivery/recovery/postpartum w room
b. Birth w center
c. Traditional w hospital w birth
d. Home w birth
.
, Chapter wz01: wzFoundations wzof wzMaternity, wzWomen’s wzHealth, wzand wzChild wzHealth wzNursingMcKinney: wzEvolve
wzResources wzfor wzMaternal- wChild wzNursing, w 5th wzEdition
ANS: w C
In w the w traditional w hospital w setting, w the w mother w
may w see w the w infant w for
w only w short w feedingwperiods,and wthe winfant wis wcared wfor win wa wseparate wnursery.
wThe wlabor/delivery/recovery/postpartum w roomsetting w allows w increased w parent-
infant w contact.
Birth w centers w are w set w up w to w allow w an w increase w in w parent-infant
w contact. wHome w birthswallow wan w increase w in w parent-infant w contact.
PTS: 1 DIF: Cognitive w Level:
w Knowledge/Remembering
REF: p. w2 OBJ: w Nursing w Process: w Planning
MSC: Client w Needs: wHealth w Promotion w and w Maintenance
4. As w a w result w of w changes w in w health w care w delivery w and w funding,
w a w current w trendwseen w in w thepediatric w setting w is
a. increased w hospitalization w of w children.
b. decreased w number w of w children w living w in w poverty.
c. an w increase w in w ambulatory w care.
d. decreased w use w of w managed w care.
ANS: w C
One w effect w of w managed w care w has w been w that w pediatric w health w care
w delivery w has w shiftedwdramatically wfrom wthe wacute w care w setting w to w the
w ambulatory wsetting w in w order w to wprovide wmorecost-efficient wcare. wThe
wnumber wof whospital w beds w being w used w has wdecreased was wmore wcare w is
w given w in w outpatient w settings w and w in w the w home. w The wnumber wof
w children w living w in w poverty w hasincreased w over w the w past w decade. w One
w of wthe w biggest w changes w in w health w care w has w been w the w growth w of
w managed wcare.
PTS: 1 DIF:
Cognitive w Level:
w Knowledge/Remembering
REF: p. w5 OBJ: Nursing w Process: wPlanning
MSC: w Client w Needs: w Safe w and w Effective w Care w Environment
5. The w Women, w Infants, w and w Children w (WIC) w program w provides
a. well-child w examinations w for w infants w and w children w living w at w the w poverty
w level.
b. immunizations w for w high-risk w infants w and w children.
c. screening w for w infants w with w developmental w disorders.
d. supplemental w food w supplies w to w low-income w pregnant w or w breastfeeding w women.
ANS: w D
WIC wis wa wfederal wprogram wthat w provides w supplemental w food w supplies w to
w low-income wwomen wwho ware wpregnant wor wbreastfeeding wand wto wtheir wchildren
wuntil wage w 5 w years. wMedicaid‘s wEarly wand wPeriodic w Screening, w Diagnosis, w and
w Treatment w Program w provideswfor wwell-child w examinations w and w for w treatment
w of w any wmedical w problems w diagnosed wduring wsuch wcheckups. wChildren w in w the
wWIC w program w are w often wreferred w for wimmunizations, wbut wthat wis wnot wthe
wprimaryzfocus wof wthe w program. w Public w Law w 99-457 wiswpart w of w the
w Individuals w with wDisabilities w Education w Act w that w provides w financial
wincentives wto w states w to w establish w comprehensive w early w intervention wservices
w for w infants wand w toddlers w with, w or w at w risk w for, w developmental w disabilities.
