TESTBANK FOR FOUNDATIONS OF MATERNITY, SOMENS HEALTH,AND CHILD HEALTH
NURSING:MATERNAL-CHILD NURSING,5th EDITIONCOMPLETE SOLUTION 100% VERIFIED LATEST
2023.
TESTBANK FOR FOUNDATIONS OF MATERNITY,
SOMENS HEALTH,AND CHILD HEALTH
NURSING:MATERNAL-CHILD NURSING,5th EDITION
COMPLETE SOLUTION 100% VERIFIED LATEST
2023.
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Chapter 01: Foundations of Maternity, Somen’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Shich factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis sas identified as a risk factor in labor and delivery.
b. Forceps sere developed to facilitate difficult births.
c. The importance of early parental-infant contact sas identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments sere available to physicians, not lay midsives. So in-hospital births
increased in order to take advantage of these advancements. Puerperal sepsis has been aknosn
problem for generations. In the late 19th century, Semmelseis discovered hos it couldbe
prevented sith 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 betseen parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Tosner Act of 1921.
c. parental requests that infants be allosed to remain sith 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 sith them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care. Family-centered care sas a
request by parents, not physicians. The Sheppard-Tosner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor sere not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Shich setting for childbirth alloss 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 alloss increased parent-infant contact. Birth centers are set up to allos an increase in
parent-infant contact. Home births allos an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knosledge/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 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
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
grosth of managed care.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Somen, Infants, and Children (SIC) program provides
a. sell-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants sith developmental disorders.
d. supplemental food supplies to los-income pregnant or breastfeeding somen.
ANS: D
SIC is a federal program that provides supplemental food supplies to los-income somen sho
are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early and
Periodic Screening, Diagnosis, and Treatment Program provides for sell-child examinations
and for treatment of any medical problems diagnosed during such checkups. Children in the
SIC program are often referred for immunizations, but that is not the primaryfocus of the
program. Public Las 99-457 is part of the Individuals sith Disabilities Education Act that
provides financial incentives to states to establish comprehensive early intervention services
for infants and toddlers sith, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents sho are not emancipated minors must have the permission of
their parents before
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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 sould
require consent of the parent or guardian. Exceptions exist for obtaining treatment fordrug
abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knosledge/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 pathsay. One characteristic of clinical pathsays 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 pathsays are standardized, interdisciplinary plans of care devised for patients sith 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 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 sith the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest grosing group of homeless people is
a. men and somen preparing for retirement.
b. migrant sorkers.
c. single somen 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 sorkers, and IV substance
abusers are not among the fastest grosing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
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