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, Chapter 1: The Nurse's Role in a Changing Maternal– rl rl rl rl rl rl rl rl
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5
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th Edition rl
1. The opening up of hospital visiting policies for children and families lik
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ely resultedfrom the work of which individual?
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A. Joseph Brennaman rl
B. John Bowlby rl
C. Marshal Klaus rl
D. John Kennell rl rl
Answer: B rl
Rationale: In 1951, John Bowlby received worldwide attention with his rl rl rl rl rl r l rl r l r l
study that revealed the negative results of the separation of child and mother because of hospitaliza
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tion. His work led toa re- rl rl rl rl rl
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggested
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that a lack of stimulation for infants contributed to high infant mortality rates at the time. In the 197
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0s and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on the effe
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ct of the separation of newborns and parents.
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They established that early separation may have long-
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term effects on family relationships and that offering the new family an opportunity to be together
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at birth and for a significant period after birth may provide benefitsthat last well into early childh
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ood.
Question format: Multiple Choice r l r l rl
Chapter 1: The Nurse's Role in a Changing Maternal- rl rl rl rl rl rl rl rl
Child Health Care Environment Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated
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Process: Nursing Process
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Reference: p. 4 rl rl
2. An expectant mother states that she read that more black mothers die in childbirth than do whit
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e mothers. When responding to her questions about the reasons for this, the nurse accurately sta
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tes that which is the major reason for the high maternal mortality rate?
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A. Having formal education. rl rl
B. Being unmarried. rl
C. Income.
D. Lack of prenatal care. rl rl rl
Answer: D rl
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care sec
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ondary to lack of access to services or insurance. Income as well as educational level may play a ro
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le in the availability of health care, but they are not directly responsible. Being unmarried has no be
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aring on infant mortality. rl rl rl
Question format: Multiple Choice rl rl rl
Chapter 1: The Nurse's Role in a Changing Maternal- rl rl rl rl rl rl rl rl
Child Health Care Environment Cognitive Level: Understand
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