Test Bank - Introductory Maternity and Pediatric Nursing 5th Edition Hatfield | All Chapters | Complete Questions &Detailed answers with Rationales.

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INTRODUCTORY MATERNITY & PEDIATRIC NURSING
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NANCY HATFIELD & CYNTHIA KINCHELOE
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5th Edition
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TEST BANK b - g

,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
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Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
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1. The opening up of hospital visiting policies for children and families
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likely resultedfrom the work of which individual?
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A. Joseph Brennaman b-g




B. John Bowlby b-g




C. Marshal Klaus b-g




D. John Kennell b-g b-




Answer: B
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Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother
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gbecause of hospitalization. His work led toa re-evaluation and liberalization of hospital
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gvisiting policies for children. Joseph Brennaman suggested that a lack of stimulation for
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ginfants contributed to high infant mortality rates at the time. In the 1970s and
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g1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on
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gthe effect of the separation of newborns and parents. They established that early
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gseparation may have long-term effects on family relationships and that offering the
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gnew family an opportunity to be together at birth and for a significant period after
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gbirth may provide benefitsthat last well into early childhood.
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Question format: Multiple Choice b - g b - g b-g




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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gCognitive Level: Remember b-g b-g




Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process
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Reference: p. 4 b-g b-g




2. An expectant mother states that she read that more black mothers die in childbirth than
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do white mothers. When responding to her questions about the reasons for this,
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the nurse accurately states that which is the major reason for the high maternal
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mortality rate?
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A. Having formal education. b-g b-g




B. Being unmarried. b-g




C. Income.
D. Lack of prenatal care. b-g b-g b-g




Answer: D b-g




Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal
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care secondary to lack of access to services or insurance. Income as well as
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educational level may play a role in the availability of health care, but they are
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not directly responsible. Being unmarried has no bearing on infant mortality.
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Question format: Multiple Choice b-g b-g b-g




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Understand
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,Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process
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Reference: p. 9 b-g b-g




3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
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B. number of deaths occurring in the first 28 days of life per 1,000 live births
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C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D b-g




Rationale: The term infant death refers to the death of a live-born child before he
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or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal
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gmortality rate is the number of infant deaths during the first 28 days of life for
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every 1,000 live births. Infant mortality rate is the number of deaths during the first 12
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months of life per 1,000 live births. Question format: Multiple Choice
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Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process
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Reference: p. 9 b-g b-g




4. The nursing instructor is preparing to teach a group of students about the history of maternity
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care. What major development will the instructor emphasize as greatly influencing
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the practice of maternity care in the United States over the past century?
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A. technologic advances and the use of forceps by primary care providers b- g b-g b-g b-g b- g b-g b-g b-g b-g b-g




B. development of anesthesia and acceptance of the germ theory b-g b-g b-g b-g b - g b-g b-g b-g




C. advent of birthing centers and the development of family-centered care
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D. development of pediatric specialty and replacement of midwives as primary birth b-g b-g b - g b-g b - g b - g b - g b - g b-g b-g b-




attendants Answer: B
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Rationale: The emphasis should be placed on anesthesia and the germ theory. The
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development of anesthesia allowed women a choice for pain management in birth; the
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germ theory advanced the progress of general health care and decreased infections in
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laboring women. Pediatrics as a specialty is an important step forward but is not
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the greatest development, and midwives are still in practice. Maternity care
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continues to evolve, and birthing centers are still under development. Forceps are
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not considered an advance in maternity care.
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Question format: Multiple Choice b - g b-g b-g




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Analyze
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Client Needs: Health Promotion and Maintenance
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, Integrated Process: Teaching/Learning b-g b-g b-




Reference: p. 3
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5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
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during the surgery has greatly improved client survival rates and was started by which
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physician?
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A. Louis Pasteur b-g




B. Ignaz Philip Semmelweis b- g b-g




C. Joseph Lister b-g




D. Alexander Gordon b-g b-




Answer: C
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Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's
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theory of microorganisms as the cause of infection. Lister used carbolic acid as
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an antiseptic during surgery and improved the survival rates of his patients. Alexander
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Gordon proposed the theory of infection. Oliver Wendell Holmes and Ignaz Philip
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Semmelweis confirmed his theory.
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Question format: Multiple Choice b-g b-g b-g




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
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Process: Nursing Process
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Reference: p. 4 b-g b- g




6. A young couple are very excited to learn they are expecting their first child
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and question the nurse about which test they need to discover its gender. Which procedure
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will best provide this information to the couple?
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A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling b-g b-g




D. HGP

Answer: A b-g




Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will
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provide information about the gender. Amniocentesis and chorionic villus sampling provide
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the entire genetic code of the fetus. HGP refers to the Human Genome Project,
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which can provide information regarding gene mutations and variations.
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Question format: Multiple Choice b-g b-g b-g




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Caring
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Reference: p. 6 b-g b-g