TESTBANK FOR FOUNDATIONS OF MATERNITY,
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WOMENS HEALTH,AND CHILD HEALTH
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NURSING:MATERNAL-CHILD NURSING,5th
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EDITION COMPLETE SOLUTION 100% VERIFIED.
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written by nn
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, S t u v i a . c o m - nnThe Marketplace tonnBuy and Sell nnyour nnStudy Material
TESTBANK FOR F O U NDATIO NS OF M ATER NITY,
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HEALTH,AND
Chapter 01: CHILD
Foundations of Maternity,
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Women’s
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WOMENS
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Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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NURSING:MATERNAL-CHILD NURSING,5th EDITION
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MULTIPLE CHOICE nn
1. Which factor significantly contributed to the shift from home births to hospital
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nn births in 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.
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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. nn nn nn nn nn
ANS: D nn
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
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been a known problem for generations. In the late 19th century, Semmelweis discovered
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how it could be prevented with improved hygienic practices. The development of
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forceps is an example of a technology advance made in the early 20th century but is
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not the only reason birthplaces moved. Unlike home births, early hospital births
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hindered bonding between parents and their infants.
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PTS: 1 DIF: Cognitive Level:
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Knowledge/Remembering REF:
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Teaching-Learning MSC: Client Needs: Safe and Effective Care
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Environment
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2. Family-centered maternity care developed in response to nn nn nn nn nn nn
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 rather
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than in a nursery.
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d. changes in pharmacologic management of labor. nn nn nn nn nn
ANS: C nn
As research began to identify the benefits of early extended parent-infant contact,
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parents began to insist that the infant remain with them. This gradually developed
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into the practice of rooming-in and finally to family-centered maternity care. Family-
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centered care was a request by parents, not physicians. The Sheppard-Towner Act of
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1921 provided funds for state-managed programs for mothers and children. The
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changes in pharmacologic management of labor were not a factor in family-centered
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maternity care.
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PTS: 1 DIF: Cognitive Level:
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Knowledge/Remembering REF:
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Teaching-Learning 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 n n
b. Birth center nn
c. Traditional hospital birth nn nn
d. Home birth nn
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Material
ANS: C nn
In the traditional hospital setting, the mother may see the infant for only short feeding
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periods, and the infant is cared for in a separate nursery. The
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labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
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Birth centers are set up to allow an increase in parent-infant contact. Home births allow
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an increase in parent-infant contact.
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PTS: 1 DIF: Cognitive Level:
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Knowledge/Remembering REF:
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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
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in the pediatric setting is
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a. increased hospitalization of children. nn nn nn
b. decreased number of children living in poverty. nn nn nn nn nn nn
c. an increase in ambulatory care.
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d. decreased use of managed care. nn nn nn nn
ANS: C nn
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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more cost-efficient care. The number of hospital beds being used has decreased as
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more care is given in outpatient settings and in the home. The number of children
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living in poverty has increased over the past decade. One of the biggest changes in
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health care has been the growth of managed care.
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PTS: 1 DIF: Cognitive Level:
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Knowledge/Remembering REF:
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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.
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b. immunizations for high-risk infants and children. nn nn nn nn nn
c. screening for infants with developmental disorders. nn nn nn nn nn
d. supplemental food supplies to low-income pregnant or breastfeeding women. nn nn nn nn nn nn nn nn
ANS: D nn
WIC is a federal program that provides supplemental food supplies to low-income
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women who are pregnant or breastfeeding and to their children until age 5 years.
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Medicaid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides
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for well-child examinations and for treatment of any medical problems diagnosed
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during such checkups. Children in the WIC program are often referred for
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immunizations, but that is not the primary focus of the program. Public Law 99-457 is
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part of the Individuals with Disabilities Education Act that provides financial incentives
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to states to establish comprehensive early intervention services for infants and toddlers
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with, or at risk for, developmental disabilities.
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PTS: 1 DIF: Cognitive Level:
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Comprehension OBJ:
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Learning
MSC: Client Needs: Health Promotion and Maintenance
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6. In most states, adolescents who are not emancipated minors must have the
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nn permission of their parents before nn nn nn nn
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Material
a. treatment for drug abuse. nn nn nn
b. treatment for sexually transmitted diseases (STDs).nn nn nn nn nn
c. accessing birth control. nn nn
d. surgery.
ANS: D nn
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
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treatment for drug abuse or STDs or for getting birth control in most states.
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PTS: 1 DIF: Cognitive Level:
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Knowledge/Remembering REF:
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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
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of a clinical pathway. One characteristic of clinical pathways is that
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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 nn
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
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with a particular health problem. They are used to identify patient outcomes, specify
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time lines to achieve those outcomes, direct appropriate interventions and sequencing
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of interventions, include interventions from a variety of disciplines, promote
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collaboration, and involve a comprehensive approach to care. They are developed by
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multiple health care professionals and reflect interdisciplinary care. They can be used
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in multiple settings and for patients throughout the life span. They are not part of the
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nursing process but can be used in conjunction with the nursing process to provide
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care to patients.
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PTS: 1 DIF: Cognitive Level:
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Knowledge/Remembering REF:
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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. nn
c. single women and their children. nn nn nn nn
d. intravenous (IV) substance abusers. nn nn nn
ANS: C nn
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:
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Knowledge/Remembering REF:
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Assessment
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MSC: Client Needs: Physiologic Integrity
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