,
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney: E
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volve Resources for Maternal-Child Nursing, 6th Edition
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MULTIPLE CHOICE rl
1. Which factor significantly contributed to the shift from home births to hospital births in the
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early 20th century? rl rl
a. Puerperal sepsis was identified as a risk factor in labor and delivery. rl rl rl rl rl rl rl rl rl rl rl
b. Forceps were developed to facilitate difficult births. rl rl rl rl rl rl
c. The importance of early parental-infant contact was identified.
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d. Technologic developments became available to physicians. rl rl rl rl rl
ANS: D rl
Technologic developments were available to physicians, not lay midwives. So in- rl rl rl rl rl rl rl rl rl rl
hospital births increased in order to take advantage of these advancements. Puerperal sepsis has b
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
een a known problem for generations. In the late 19th century, Semmelweis discovered how it coul
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
d be prevented with improved hygienic practices. The development of forceps is an example of a
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
technology advance made in the early 20th century but is not the only reason birthplaces moved.
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
Unlike home births, early hospital births hindered bonding between parents and their infants.
rl rl rl rl rl rl rl rl rl rl rl rl
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 1
rl OBJ: Integrated Process: Teaching- r l rl rl
Learning MSC: Client Needs: Safe and Effective Care Environment
rl rl rl rl rl rl rl rl
2. Family-centered maternity care developed in response to rl rl rl rl rl rl
a. demands by physicians for family involvement in childbirth. rl rl rl rl rl rl rl
b. the Sheppard-Towner Act of 1921. rl rl rl rl
c. parental requests that infants be allowed to remain with them rather than in a n rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ursery.
d. changes in pharmacologic management of labor. rl rl rl rl rl
ANS: C rl
As research began to identify the benefits of early extended parent-
rl rl rl rl rl rl rl rl rl rl
infant contact, parents began to insist that the infant remain with them. This gradually develop
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ed into the practice of rooming-in and finally to family-centered maternity care. Family-
rl rl rl rl rl rl rl rl rl rl rl rl
centered care was a request by parents, not physicians. The Sheppard-
rl rl rl rl rl rl rl rl rl rl
Towner Act of 1921 provided funds for state- rl rl rl rl rl rl rl
managed programs for mothers and children. The changes in pharmacologic management of
rl rl rl rl rl rl rl rl rl rl rl rl
labor were not a factor in family-centered maternity care.
rl rl rl rl rl rl rl rl
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 2
rl OBJ: Integrated Process: Teaching- r l rl rl
Learning MSC: Client Needs: Psychosocial Integrity rl rl rl rl rl
3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room rl
b. Birth center rl
c. Traditional hospital birth rl rl
d. Home birth rl
.
, ANS: C rl
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room setting
rl rl rl rl rl rl rl rl rl rl rl rl rl
allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
infant contact. Home births allow an increase in parent-infant contact.
rl rl rl rl rl rl rl rl rl
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 2 rl OBJ: Nursing Process: Planning r l rl rl
MSC: Client Needs: Health Promotion and Maintenancerl rl rl rl rl rl
4. As a result of changes in health care delivery and funding, a current trend seen in the pedi
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
atric setting is rl rl
a. increased hospitalization of children. rl rl rl
b. decreased number of children living in poverty. rl rl rl rl rl rl
c. an increase in ambulatory care. rl rl rl rl
d. decreased use of managed care. rl rl rl rl
ANS: C rl
One effect of managed care has been that pediatric health care delivery has shifted dramatica
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lly from the acute care setting to the ambulatory setting in order to provide more cost-
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
efficient care. The number of hospital beds being used has decreased as more care is given in
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
outpatient settings and in the home. The number of children living in poverty has increased ovrl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
er the past decade. One of the biggest changes in health care has been the growth of managed
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
care.
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 5 rl OBJ: Nursing Process: Planning r l rl rl
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. rl rl rl rl rl rl rl rl rl rl
b. immunizations for high-risk infants and children. rl rl rl rl rl
c. screening for infants with developmental disorders. rl rl rl rl rl
d. supplemental food supplies to low-income pregnant or breastfeeding women. rl rl rl rl rl rl rl rl
ANS: D rl
WIC is a federal program that provides supplemental food supplies to low-
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income women who are pregnant or breastfeeding and to their children until age 5 years. Medica
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
id‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-
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child examinations and for treatment of any medical problems diagnosed during such checkups.
rl rl rl rl rl rl rl rl rl rl rl rl rl
Children in the WIC program are often referred for immunizations, but that is not the primary focu
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
s of the program. Public Law 99-
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457 is part of the Individuals with Disabilities Education Act that provides financial incentives t
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o states to establish comprehensive early intervention services for infants and toddlers with, or a
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t risk for, developmental disabilities.
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PTS: 1 DIF: r l REF: p. 8 r l rl
CognitiveLevel:Comprehension OBJ: I rl rl rl r l
ntegrated Process: Teaching-Learning rl rl
MSC: Client Needs: Health Promotion and Maintenancerl rl rl rl rl rl
6. In most states, adolescents who are not emancipated minors must have the permission of thei
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
r parents before
rl rl
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney: E
rl rl rl rl rl rl rl rl rl rl rl rl
volve Resources for Maternal-Child Nursing, 6th Edition
rl rl rl rl rl rl
MULTIPLE CHOICE rl
1. Which factor significantly contributed to the shift from home births to hospital births in the
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
early 20th century? rl rl
a. Puerperal sepsis was identified as a risk factor in labor and delivery. rl rl rl rl rl rl rl rl rl rl rl
b. Forceps were developed to facilitate difficult births. rl rl rl rl rl rl
c. The importance of early parental-infant contact was identified.
rl rl rl rl rl rl rl
d. Technologic developments became available to physicians. rl rl rl rl rl
ANS: D rl
Technologic developments were available to physicians, not lay midwives. So in- rl rl rl rl rl rl rl rl rl rl
hospital births increased in order to take advantage of these advancements. Puerperal sepsis has b
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
een a known problem for generations. In the late 19th century, Semmelweis discovered how it coul
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
d be prevented with improved hygienic practices. The development of forceps is an example of a
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
technology advance made in the early 20th century but is not the only reason birthplaces moved.
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
Unlike home births, early hospital births hindered bonding between parents and their infants.
rl rl rl rl rl rl rl rl rl rl rl rl
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 1
rl OBJ: Integrated Process: Teaching- r l rl rl
Learning MSC: Client Needs: Safe and Effective Care Environment
rl rl rl rl rl rl rl rl
2. Family-centered maternity care developed in response to rl rl rl rl rl rl
a. demands by physicians for family involvement in childbirth. rl rl rl rl rl rl rl
b. the Sheppard-Towner Act of 1921. rl rl rl rl
c. parental requests that infants be allowed to remain with them rather than in a n rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ursery.
d. changes in pharmacologic management of labor. rl rl rl rl rl
ANS: C rl
As research began to identify the benefits of early extended parent-
rl rl rl rl rl rl rl rl rl rl
infant contact, parents began to insist that the infant remain with them. This gradually develop
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ed into the practice of rooming-in and finally to family-centered maternity care. Family-
rl rl rl rl rl rl rl rl rl rl rl rl
centered care was a request by parents, not physicians. The Sheppard-
rl rl rl rl rl rl rl rl rl rl
Towner Act of 1921 provided funds for state- rl rl rl rl rl rl rl
managed programs for mothers and children. The changes in pharmacologic management of
rl rl rl rl rl rl rl rl rl rl rl rl
labor were not a factor in family-centered maternity care.
rl rl rl rl rl rl rl rl
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 2
rl OBJ: Integrated Process: Teaching- r l rl rl
Learning MSC: Client Needs: Psychosocial Integrity rl rl rl rl rl
3. Which setting for childbirth allows the least amount of parent-infant contact?
rl rl rl rl rl rl rl rl rl rl
a. Labor/delivery/recovery/postpartum room rl
b. Birth center rl
c. Traditional hospital birth rl rl
d. Home birth rl
.
, ANS: C rl
In the traditional hospital setting, the mother may see the infant for only short feeding periods, and
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room setting
rl rl rl rl rl rl rl rl rl rl rl rl rl
allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
infant contact. Home births allow an increase in parent-infant contact.
rl rl rl rl rl rl rl rl rl
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 2 rl OBJ: Nursing Process: Planning r l rl rl
MSC: Client Needs: Health Promotion and Maintenancerl rl rl rl rl rl
4. As a result of changes in health care delivery and funding, a current trend seen in the pedi
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
atric setting is rl rl
a. increased hospitalization of children. rl rl rl
b. decreased number of children living in poverty. rl rl rl rl rl rl
c. an increase in ambulatory care. rl rl rl rl
d. decreased use of managed care. rl rl rl rl
ANS: C rl
One effect of managed care has been that pediatric health care delivery has shifted dramatica
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
lly from the acute care setting to the ambulatory setting in order to provide more cost-
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
efficient care. The number of hospital beds being used has decreased as more care is given in
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
outpatient settings and in the home. The number of children living in poverty has increased ovrl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
er the past decade. One of the biggest changes in health care has been the growth of managed
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
care.
PTS: 1 DIF: r l
Cognitive Level: Knowledge/Remembering REF: rl rl rl r l
p. 5 rl OBJ: Nursing Process: Planning r l rl rl
MSC: Client Needs: Safe and Effective Care Environment
rl rl rl rl rl rl rl
5. The Women, Infants, and Children (WIC) program provides
rl rl rl rl rl rl rl
a. well-child examinations for infants and children living at the poverty level. rl rl rl rl rl rl rl rl rl rl
b. immunizations for high-risk infants and children. rl rl rl rl rl
c. screening for infants with developmental disorders. rl rl rl rl rl
d. supplemental food supplies to low-income pregnant or breastfeeding women. rl rl rl rl rl rl rl rl
ANS: D rl
WIC is a federal program that provides supplemental food supplies to low-
rl rl rl rl rl rl rl rl rl rl rl
income women who are pregnant or breastfeeding and to their children until age 5 years. Medica
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
id‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-
rl rl rl rl rl rl rl rl rl rl rl
child examinations and for treatment of any medical problems diagnosed during such checkups.
rl rl rl rl rl rl rl rl rl rl rl rl rl
Children in the WIC program are often referred for immunizations, but that is not the primary focu
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
s of the program. Public Law 99-
rl rl rl rl rl rl
457 is part of the Individuals with Disabilities Education Act that provides financial incentives t
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
o states to establish comprehensive early intervention services for infants and toddlers with, or a
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
t risk for, developmental disabilities.
rl rl rl rl
PTS: 1 DIF: r l REF: p. 8 r l rl
CognitiveLevel:Comprehension OBJ: I rl rl rl r l
ntegrated Process: Teaching-Learning rl rl
MSC: Client Needs: Health Promotion and Maintenancerl rl rl rl rl rl
6. In most states, adolescents who are not emancipated minors must have the permission of thei
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
r parents before
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