INTRODUCTORYMMATERNITYM&MPEDIATRICMNURSING
NANCYMHATFIELDM&MCYNTHIAMKINCHELOE
5th Edition
M
TEST BANK M
,ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal–
ChildMHealthMCareMEnvironmentMHatfield:MIntroductoryMMaternityMandMPediatricMNursi
ng,M5thMEdition
1. TheMopeningMupMofMhospitalMvisitingMpoliciesMforMchildrenMandMfami
liesMlikelyMresultedfromMtheMworkMofMwhichMindividual?
A. JosephM Brennaman
B. JohnMBowlby
C. MarshalMKlaus
D. JohnMKennel
lMAnswer:MB
Rationale:M InM 1951,M JohnM BowlbyM receivedM worldwideM attentionM withM his
studyMthatMrevealedMtheMnegativeMresultsMofMtheMseparationMofMchildMandMmotherMbecauseMofMh
ospitalization.MHisMworkMledMtoaMre-
evaluationMandMliberalization MofMhospitalMvisitingMpoliciesMforMchildren.MJosephMBrennamanMsu
ggestedMthatMaMlackMofMstimulationMforMinfantsMcontributed MtoMhighMinfantMmortalityMratesMatMth
eMtime.MInMtheM1970sMandM1980s,MphysiciansMMarshallMKlausMandMJohnMKennellMcarriedMoutMi
mportantstudies MonMtheMeffectMofMtheMseparationMofMnewbornsMandMparents.
TheyMestablishedMthatMearlyMseparationMmayMhaveMlong-
termMeffectsMonMfamilyMrelationshipsMandMthatMofferingMtheMnewMfamilyManMopportunity MtoMb
eMtogetherMatMbirthMandMforMaMsignificantMperiodMafterMbirthMmayMprovideMbenefitsthatMlastMw
ellMintoMearlyMchildhood.
QuestionM format:M MultipleM Choice
ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal-
ChildMHealthMCareMEnvironmentMCognitiveMLevel:MRemember
ClientMNeeds:MHealthMPromotionMandMMaintenanceMIntegr
atedMProcess:MNursingMProcess
Reference:Mp.M4
2. AnMexpectantMmotherMstatesMthatMsheMreadMthatMmoreMblackMmothersMdieMinMchildbirthMtha
nMdoMwhiteMmothers.MWhenMrespondingMtoMherMquestionsMaboutMtheMreasonsMforMthis,MtheMn
urseMaccuratelyMstatesMthatMwhichMisMtheMmajorMreasonMforMtheMhighMmaternalMmortalityMrate
?
A. HavingMformalMeducation.
B. BeingM unmarried.
C. Income.
D. LackMofMprenatalMcare.
Answer:M D
Rationale:MResearchMshowsMthatMmaternalMmortalityMrateMisMdirectlyMrelatedMtoMlackMofMprenatal
Mcare Msecondary Mto Mlack M ofMaccessMto Mservices MorM insurance. MIncome M as M wellM as M educational Ml
evelMmayMplayMaMroleMinMtheMavailabilityMofMhealthMcare,MbutMtheyMareMnotMdirectlyMresponsible
.MBeingMunmarriedMhasMnoMbearingMonMinfantMmortality.
QuestionMformat:MMultipleMChoice
ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal-
ChildMHealthMCareMEnvironmentMCognitiveMLevel:MUnderstand
,ClientMNeeds:MHealthMPromotionMandMMaintenanceMIntegr
atedMProcess:MNursingMProcess
Reference:Mp.M9
3. WhichMstatementMcorrectlyMdefinesMtheMtermM"infantMdeathMrate"?
A. numberMofMdeathsMinMuteroMofMfetusesM500M gMorM moreMperM1,000MliveMbirths
B. numberMofMdeathsMoccurringMinMtheMfirstM28MdaysMofMlifeMperM1,000MliveMbirths
C. numberMofMdeathsMoccurringMatMbirthMorMinMtheMfirstM12MmonthsMofMlifeMperM1,000MliveMbirths
D. deathMofMaMlive-bornMchildMbeforeMhisMorMherMfirstMbirthday.
Answer:M D
Rationale:MTheMtermMinfantMdeathMrefersMtoMtheMdeathMofMaMlive-
bornMchildMbeforeMheMorMsheMreachesMageM1Myear.MItMalsoMincludesMneonatalMmortalityMrate.MN
eonatalMmortalityMrateMisMtheMnumberMofMinfantMdeathsMduringMtheMfirstM28MdaysMofMlifeMforMe
veryM1,000MliveMbirths.MInfantMmortalityMrateMisMtheMnumberMofMdeathsMduringMtheMfirstM12Mmo
nthsMofMlifeMperM1,000MliveMbirths.MQuestionMformat:MMultipleMChoice
ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal-
ChildMHealthMCareMEnvironmentMCognitiveMLevel:MRemember
ClientMNeeds:MHealthMPromotionMandMMaintenanceMIntegr
atedMProcess:MNursingMProcess
Reference:Mp.M9
4. TheMnursingMinstructorMisMpreparingMtoMteachMaMgroupMofMstudentsMaboutMtheMhistoryMofMmate
rnityMcare.MWhatMmajorMdevelopmentMwillMtheMinstructorMemphasizeMasMgreatlyMinfluencingMth
eMpracticeMofMmaternityMcareMinMtheMUnitedMStatesMoverMtheMpastMcentury?
A. technologicMadvancesMandMtheMuseMofMforcepsMbyMprimaryMcareMproviders
B. developmentMofManesthesiaMandMacceptanceMofMtheMgermMtheory
C. adventMofMbirthing McentersMandMtheMdevelopmentMofMfamily-centeredMcare
D. developmentMofMpediatricMspecialtyMandMreplacementMofMmidwivesMasMprimaryMbirthMattend
antsMAnswer:MB
Rationale:MTheMemphasisMshouldMbeMplacedMonManesthesiaMandMtheMgermMtheory.MTheMdevelop
mentMofManesthesiaMallowedMwomenMaMchoiceMforMpainMmanagementMinMbirth;MtheMgermMtheory
Madvanced MtheMprogress MofMgeneral M health M care Mand Mdecreased Minfections MinMlaboring M women. M
PediatricsMasMaMspecialtyMisManMimportantMstepMforwardMbutMisMnotMtheMgreatestMdevelopment,Ma
ndMmidwivesMareMstillMinMpractice.MMaternityMcareMcontinuesMtoMevolve,MandMbirthingMcentersMa
reMstillMunderMdevelopment.MForcepsMareMnotMconsideredManMadvanceMinMmaternityMcare.
QuestionM format:M MultipleM Choice
ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal-
ChildMHealthMCareMEnvironmentMCognitiveMLevel:MAnalyze
ClientMNeeds:MHealthMPromotionMandMMaintenance
, IntegratedMProcess:MTeaching/LearningM
Reference:Mp.M3
5. WhenMpreparingMaMclientMforMsurgery,MtheMnurseMexplainsMthatMtheMuseMofManMantis
epticMduringMtheMsurgeryMhasMgreatlyMimprovedMclientMsurvivalMratesMandMwasMstarted
Mby Mwhich M physician?
A. LouisM Pasteur
B. IgnazMPhilipMSemmelweis
C. JosephM Lister
D. AlexanderMGordon
M Answer:MC
Rationale:MJosephMListerMwasMaMBritishMsurgeonMwhoMembracedMLouisMPasteur'sMtheoryMofM
microorganismsMasMtheMcauseMofMinfection.MListerMusedMcarbolicMacidMasManMantisepticMdurin
gMsurgeryMandMimprovedMtheMsurvivalMratesMofMhisMpatients.MAlexanderMGordonMproposedMtheM
theoryMofMinfection.MOliverMWendellMHolmesMandMIgnazMPhilipMSemmelweisMconfirmedMhisMt
heory.
QuestionMformat:MMultipleMChoice
ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal-
ChildMHealthMCareMEnvironmentMCognitiveMLevel:MApply
ClientMNeeds:MSafe,MEffectiveMCareMEnvironment:MSafetyMandMInfectionMControlMIntegratedMPro
cess:MNursingMProcess
Reference:Mp.M4
6. AMyoungMcoupleMareMveryMexcitedMtoMlearnMtheyMareMexpectingMtheirMfirstMchildMandMquesti
onMtheMnurseMaboutMwhichMtestMtheyMneedMtoMdiscoverMitsMgender.MWhichMprocedureMwillMbest
Mprovide Mthis Minformation Mto Mthe M couple?
A. Ultrasound
B. Amniocentesis
C. ChorionicMvillusMsampling
D. HGP
Answer:M A
Rationale:MUltrasound MisMaMvisualMmethodMforMassessingMtheMfetusMinMtheMuterusMandMwillMprovi
deMinformationMaboutMtheMgender.MAmniocentesis MandMchorionicMvillusMsamplingMprovideMtheMe
ntireMgeneticMcodeMofMtheMfetus.MHGPMrefersMtoMtheMHumanMGenomeMProject,MwhichMcanMprov
ideMinformationMregardingMgeneMmutationsMandMvariations.
QuestionMformat:MMultipleMChoice
ChapterM1:MTheMNurse'sMRoleMinMaMChangingMMaternal-
ChildMHealthMCareMEnvironmentMCognitiveMLevel:MApply
ClientMNeeds:MHealthMPromotionMandMMaintenanceMIntegr
atedMProcess:MCaring
Reference:Mp.M6