MATERNITY & PEDIATRIC NURSING
Introductory Maternity & Pediatric Nursing – Hatfield &
Kincheloe (5th Edition) – Test Bank with Answers
Testbankscove
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
v v v v v v v v v v v
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
v v v v v v v v
1. The opening up of hospital visiting policies for children and families
v v v v v v v v v v
likely resultedfrom the work of which individual?
v v v v v v v
A. Joseph Brennaman v
B. John Bowlby v
C. Marshal Klaus v
D. John Kennell v
Answer: B
v v
Rationale: In 1951, John Bowlby received worldwide attention with his
v v v v v v v v v
study that revealed the negative results of the separation of child and mother because of
v v v v v v v v v v v v v v
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
v v v v v v v v v v v v v
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
v v v v v v v v v v v v v
vhigh infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus
v v v v v v v v v v v v v v
vand John Kennell carried out importantstudies on the effect of the separation of
v v v v v v v v v v v v
vnewborns and parents. They established that early separation may have long-term effects
v v v v v v v v v v v
von family relationships and that offering the new family an opportunity to be together at
v v v v v v v v v v v v v v
vbirth and for a significant period after birth may provide benefitsthat last well into early
v v v v v v v v v v v v v v
vchildhood.
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Remember
v v
Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Nursing Process
v v v v
Reference: p. 4 v v
2. An expectant mother states that she read that more black mothers die in childbirth than do
v v v v v v v v v v v v v v v
white mothers. When responding to her questions about the reasons for this, the
v v v v v v v v v v v v v
vnurse accurately states that which is the major reason for the high maternal mortality
v v v v v v v v v v v v v
vrate?
A. Having formal education. v v
B. Being unmarried. v
C. Income.
D. Lack of prenatal care. v v v
Answer: D v
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
v v v v v v v v v v v v v v
secondary to lack of access to services or insurance. Income as well as educational level
v v v v v v v v v v v v v v v
may play a role in the availability of health care, but they are not directly responsible.
v v v v v v v v v v v v v v v v
Being unmarried has no bearing on infant mortality.
v v v v v v v v
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Understand
v v
,Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Nursing Process
v v v v
Reference: p. 9 v v
3. Which statement correctly defines the term "infant death rate"?
v v v v v v v v
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
v v v v v v v v v v v v v v
B. number of deaths occurring in the first 28 days of life per 1,000 live births
v v v v v v v v v v v v v v
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
v v v v v v v v v v v v v v v v v
D. death of a live-born child before his or her first birthday.
v v v v v v v v v v
Answer: D v
Rationale: The term infant death refers to the death of a live-born child before he or she
v v v v v v v v v v v v v v v v
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is
v v v v v v v v v v v v v v
the number of infant deaths during the first 28 days of life for every 1,000 live births.
v v v v v v v v v v v v v v v v v
Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live
v v v v v v v v v v v v v v v v v v
births. Question format: Multiple Choice
v v v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Remember
v v
Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Nursing Process
v v v v
Reference: p. 9 v v
4. The nursing instructor is preparing to teach a group of students about the history of maternity
v v v v v v v v v v v v v v v
care. What major development will the instructor emphasize as greatly influencing the
v v v v v v v v v v v v
vpractice of maternity care in the United States over the past century?
v v v v v v v v v v v
A. technologic advances and the use of forceps by primary care providers
v v v v v v v v v v
B. development of anesthesia and acceptance of the germ theory v v v v v v v v
C. advent of birthing centers and the development of family-centered care
v v v v v v v v v
D. development of pediatric specialty and replacement of midwives as primary birth
v v v v v v v v v v
attendants Answer: B
v v v
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
v v v v v v v v v v v v
development of anesthesia allowed women a choice for pain management in birth; the germ
v v v v v v v v v v v v v v
theory advanced the progress of general health care and decreased infections in laboring
v v v v v v v v v v v v v
women. Pediatrics as a specialty is an important step forward but is not the greatest
v v v v v v v v v v v v v v v
vdevelopment, and midwives are still in practice. Maternity care continues to evolve, and
v v v v v v v v v v v v
vbirthing centers are still under development. Forceps are not considered an advance in
v v v v v v v v v v v v
vmaternity care. v
Question format: Multiple Choice
v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Analyze
v v
Client Needs: Health Promotion and Maintenance
v v v v v
, Integrated Process: Teaching/Learning v v
vReference: p. 3 v v
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
v v v v v v v v v v v v v v
during the surgery has greatly improved client survival rates and was started by which
v v v v v v v v v v v v v v
physician?
v
A. Louis Pasteur v
B. Ignaz Philip Semmelweis v v
C. Joseph Lister v
D. Alexander Gordon v
Answer: C
v v
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory
v v v v v v v v v v v
vof microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic
v v v v v v v v v v v v v
vduring surgery and improved the survival rates of his patients. Alexander Gordon proposed
v v v v v v v v v v v v
the theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
v v v v v v v v v v v v
vhis theory.v
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Apply
v v
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
v v v v v v v v v v
Process: Nursing Process
v v v
Reference: p. 4 v v
6. A young couple are very excited to learn they are expecting their first child and
v v v v v v v v v v v v v v
question the nurse about which test they need to discover its gender. Which procedure will
v v v v v v v v v v v v v v v
best provide this information to the couple?
v v v v v v v
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling v v
D. HGP
Answer: A v
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
v v v v v v v v v v v v v v v
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
v v v v v v v v v v v v
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
v v v v v v v v v v v v v v v
information regarding gene mutations and variations.
v v v v v v
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
v v v v v v v v v v v
vCognitive Level: Apply v v
Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Caring
v v v
Reference: p. 6 v v
Introductory Maternity & Pediatric Nursing – Hatfield &
Kincheloe (5th Edition) – Test Bank with Answers
Testbankscove
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
v v v v v v v v v v v
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
v v v v v v v v
1. The opening up of hospital visiting policies for children and families
v v v v v v v v v v
likely resultedfrom the work of which individual?
v v v v v v v
A. Joseph Brennaman v
B. John Bowlby v
C. Marshal Klaus v
D. John Kennell v
Answer: B
v v
Rationale: In 1951, John Bowlby received worldwide attention with his
v v v v v v v v v
study that revealed the negative results of the separation of child and mother because of
v v v v v v v v v v v v v v
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
v v v v v v v v v v v v v
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
v v v v v v v v v v v v v
vhigh infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus
v v v v v v v v v v v v v v
vand John Kennell carried out importantstudies on the effect of the separation of
v v v v v v v v v v v v
vnewborns and parents. They established that early separation may have long-term effects
v v v v v v v v v v v
von family relationships and that offering the new family an opportunity to be together at
v v v v v v v v v v v v v v
vbirth and for a significant period after birth may provide benefitsthat last well into early
v v v v v v v v v v v v v v
vchildhood.
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Remember
v v
Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Nursing Process
v v v v
Reference: p. 4 v v
2. An expectant mother states that she read that more black mothers die in childbirth than do
v v v v v v v v v v v v v v v
white mothers. When responding to her questions about the reasons for this, the
v v v v v v v v v v v v v
vnurse accurately states that which is the major reason for the high maternal mortality
v v v v v v v v v v v v v
vrate?
A. Having formal education. v v
B. Being unmarried. v
C. Income.
D. Lack of prenatal care. v v v
Answer: D v
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
v v v v v v v v v v v v v v
secondary to lack of access to services or insurance. Income as well as educational level
v v v v v v v v v v v v v v v
may play a role in the availability of health care, but they are not directly responsible.
v v v v v v v v v v v v v v v v
Being unmarried has no bearing on infant mortality.
v v v v v v v v
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Understand
v v
,Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Nursing Process
v v v v
Reference: p. 9 v v
3. Which statement correctly defines the term "infant death rate"?
v v v v v v v v
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
v v v v v v v v v v v v v v
B. number of deaths occurring in the first 28 days of life per 1,000 live births
v v v v v v v v v v v v v v
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
v v v v v v v v v v v v v v v v v
D. death of a live-born child before his or her first birthday.
v v v v v v v v v v
Answer: D v
Rationale: The term infant death refers to the death of a live-born child before he or she
v v v v v v v v v v v v v v v v
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is
v v v v v v v v v v v v v v
the number of infant deaths during the first 28 days of life for every 1,000 live births.
v v v v v v v v v v v v v v v v v
Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live
v v v v v v v v v v v v v v v v v v
births. Question format: Multiple Choice
v v v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Remember
v v
Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Nursing Process
v v v v
Reference: p. 9 v v
4. The nursing instructor is preparing to teach a group of students about the history of maternity
v v v v v v v v v v v v v v v
care. What major development will the instructor emphasize as greatly influencing the
v v v v v v v v v v v v
vpractice of maternity care in the United States over the past century?
v v v v v v v v v v v
A. technologic advances and the use of forceps by primary care providers
v v v v v v v v v v
B. development of anesthesia and acceptance of the germ theory v v v v v v v v
C. advent of birthing centers and the development of family-centered care
v v v v v v v v v
D. development of pediatric specialty and replacement of midwives as primary birth
v v v v v v v v v v
attendants Answer: B
v v v
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
v v v v v v v v v v v v
development of anesthesia allowed women a choice for pain management in birth; the germ
v v v v v v v v v v v v v v
theory advanced the progress of general health care and decreased infections in laboring
v v v v v v v v v v v v v
women. Pediatrics as a specialty is an important step forward but is not the greatest
v v v v v v v v v v v v v v v
vdevelopment, and midwives are still in practice. Maternity care continues to evolve, and
v v v v v v v v v v v v
vbirthing centers are still under development. Forceps are not considered an advance in
v v v v v v v v v v v v
vmaternity care. v
Question format: Multiple Choice
v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Analyze
v v
Client Needs: Health Promotion and Maintenance
v v v v v
, Integrated Process: Teaching/Learning v v
vReference: p. 3 v v
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
v v v v v v v v v v v v v v
during the surgery has greatly improved client survival rates and was started by which
v v v v v v v v v v v v v v
physician?
v
A. Louis Pasteur v
B. Ignaz Philip Semmelweis v v
C. Joseph Lister v
D. Alexander Gordon v
Answer: C
v v
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory
v v v v v v v v v v v
vof microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic
v v v v v v v v v v v v v
vduring surgery and improved the survival rates of his patients. Alexander Gordon proposed
v v v v v v v v v v v v
the theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
v v v v v v v v v v v v
vhis theory.v
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
v v v v v v v v v v v v
Level: Apply
v v
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
v v v v v v v v v v
Process: Nursing Process
v v v
Reference: p. 4 v v
6. A young couple are very excited to learn they are expecting their first child and
v v v v v v v v v v v v v v
question the nurse about which test they need to discover its gender. Which procedure will
v v v v v v v v v v v v v v v
best provide this information to the couple?
v v v v v v v
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling v v
D. HGP
Answer: A v
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
v v v v v v v v v v v v v v v
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
v v v v v v v v v v v v
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
v v v v v v v v v v v v v v v
information regarding gene mutations and variations.
v v v v v v
Question format: Multiple Choice v v v
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
v v v v v v v v v v v
vCognitive Level: Apply v v
Client Needs: Health Promotion and Maintenance
v v v v v
Integrated Process: Caring
v v v
Reference: p. 6 v v
