TESTBANK FOR FOUNDATIONS OF MATERNITY,
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kWOMENS HEALTH,AND CHILD HEALTH
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NURSING:MATERNAL-CHILD NURSING,5th EDITION
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COMPLETE SOLUTION 100% VERIFIED.
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TESTBANK FOR FOU NDATIONS OF M ATER NITY, WOMENS k k
HEALTH,AND CHILDof HEALTH
Chapter 01: Foundations
k NURSING:MATERNAL-CHILD
Maternity, Women’s Health, and Child Health Nursing
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McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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k NURSING,5th EDITION k
MULTIPLE CHOICE k
1. Which factor significantly contributed to the shift from home births to hospital births in
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the early 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. k k k k k k
c. The importance of early parental-infant contact was identified.
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d. Technologic developments became available to physicians. k k k k k
ANS: D k
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
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aknown problem for generations. In the late 19th century, Semmelweis discovered how it
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couldbe prevented with improved hygienic practices. The development of forceps is an
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example of a technology advance made in the early 20th century but is not the only reason
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birthplaces moved. Unlike home births, early hospital births hindered bonding between
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parents and their infants.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 1
k OBJ: Integrated Process: Teaching-Learning
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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 k k k k k k
a. demands by physicians for family involvement in childbirth. k k k k k k k
b. the Sheppard-Towner Act of 1921.
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c. parental requests that infants be allowed to remain with them rather than in
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a nursery.
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d. changes in pharmacologic management of labor. k k k k k
ANS: C k
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
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practiceof rooming-in and finally to family-centered maternity care. Family-centered care
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was a request by parents, not physicians. The Sheppard-Towner Act of 1921 provided
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funds for state-managed programs for mothers and children. The changes in
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pharmacologic management of labor were not a factor in family-centered maternity care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 2
k OBJ: Integrated Process: Teaching-Learning
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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 k
b. Birth center k
c. Traditional hospital birth k k
d. Home birth k
.
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ANS: C k
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
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and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
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setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
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kparent-infant contact. Home births allow an increase in parent-infant contact.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 2
k OBJ: Nursing Process: Planning
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MSC: Client Needs: Health Promotion and Maintenance
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4. As a result of changes in health care delivery and funding, a current trend seen in the
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pediatric setting is
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a. increased hospitalization of children. k k k
b. decreased number of children living in poverty. k k k k k k
c. an increase in ambulatory care.
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d. decreased use of managed care. k k k k
ANS: C k
One effect of managed care has been that pediatric health care delivery has shifted
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dramatically from the acute care setting to the ambulatory setting in order to provide
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morecost-efficient care. The number of hospital beds being used has decreased as more
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care is given in outpatient settings and in the home. The number of children living in
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poverty hasincreased over the past decade. One of the biggest changes in health care has
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been the growth of managed care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 5
k 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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a. well-child examinations for infants and children living at the poverty level.k k k k k k k k k k
b. immunizations for high-risk infants and children. k k k k k
c. screening for infants with developmental disorders. k k k k k
d. supplemental food supplies to low-income pregnant or breastfeeding women. k k k k k k k k
ANS: D k
WIC is a federal program that provides supplemental food supplies to low-income women
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kwho are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
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kand Periodic Screening, Diagnosis, and Treatment Program provides for well-child
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kexaminations and for treatment of any medical problems diagnosed during such checkups.
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kChildren in the WIC program are often referred for immunizations, but that is not the primary
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focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
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kEducation Act that provides financial incentives to states to establish comprehensive early
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kintervention services for infants and toddlers with, or at risk for, developmental disabilities.
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PTS: 1 DIF: Cognitive Level: Comprehension
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OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Health Promotion and Maintenance
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6. In most states, adolescents who are not emancipated minors must have the permission of
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their parents before
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.
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a. treatment for drug abuse. k k k
b. treatment for sexually transmitted diseases (STDs).
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c. accessing birth control. k k
d. surgery.
ANS: D k
Minors are not considered capable of giving informed consent, so a surgical procedure
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would require consent of the parent or guardian. Exceptions exist for obtaining treatment
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fordrug abuse or STDs or for getting birth control in most states.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 17
k OBJ: Nursing Process: Planning
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MSC: Client Needs: Safe and Effective Care Environment
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7. The maternity nurse should have a clear understanding of the correct use of a
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clinical pathway. One characteristic of clinical pathways is that they
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a. are developed and implemented by nurses.
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b. are used primarily in the pediatric setting.
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c. set specific time lines for sequencing interventions.
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d. are part of the nursing process.
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ANS: C k
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
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a particular health problem. They are used to identify patient outcomes, specify time lines to
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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
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comprehensive approach to care. They are developed by multiple health care professionals
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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
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conjunction with the nursing process to provide care to patients.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 7
k OBJ: Nursing Process: Planning
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MSC: Client Needs: Safe and Effective Care Environment
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8. The fastest growing group of homeless people is
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a. men and women preparing for retirement.
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b. migrant workers. k
c. single women and their children. k k k k
d. intravenous (IV) substance abusers. k k k
ANS: C k
Pregnancy and birth, especially for a teenager, are important contributing factors for
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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.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 14
k OBJ: Nursing Process: Assessment
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MSC: Client Needs: Physiologic Integrity
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.
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