Introductory Maternity & Pediatric Nursing (5th Edition) – Test Bank – Practice Questions and Answers for Nursing Students

TESTBANK K
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INTRODUCTORY MATERNITY & PEDIATRIC NURSING
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NANCY HATFIELD & CYNTHIA KINCHELOE
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6th Edition
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TEST BANK K H

,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 K H




B. John Bowlby KH




C. Marshal Klaus KH




D. John Kennell KH




KH Answer: B KH




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 because of
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hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
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children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
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high infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and
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John Kennell carried out importantstudies on the effect of the separation of newborns and
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parents.
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They established that early separation may have long-term effects on family relationships and
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that offering the new family an opportunity to be together at birth and for a significant
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period after birth may provide benefitsthat last well into early childhood.
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Question format: Multiple Choice K H K H K H




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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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. 4 KH KH




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




B. Being unmarried. KH




C. Income.
D. Lack of prenatal care. KH KH KH




Answer: D K H




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




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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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 KH KH




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 per1,000 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 K H




Rationale: The term infant death refers to the death of a live-born child before he or she
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reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
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number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
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mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
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Question format: Multiple Choice
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Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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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 KH KH




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 the
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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 KH KH KH KH KH KH KH KH KH KH




B. development of anesthesia and acceptance of the germ theory KH KH KH KH KH KH KH KH




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 attendants KH KH KH KH KH KH KH KH KH KH KH




KH Answer: B KH




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




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




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 K H




B. Ignaz Philip Semmelweis KH KH




C. Joseph Lister K H




D. Alexander Gordon KH




KH Answer: C KH




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




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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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 KH KH




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




D. HGP

Answer: A K H




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




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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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 KH KH