McKinney, Susan Rowen James, Sharon Smith
Murray, Kristine Nelson & Jean Ashwill | Complete
Test Bank All Units & Chapters
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health
Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 6th
Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from
home births to hospital births in the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and
delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was
identified.
d. Technologic developments became available to physicians.
CORRECT ANSWER
D
Technologic developments were available to physicians, not
lay midwives. So in-hospital births increased in order to take
advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century,
, Semmelweis discovered how it could be prevented with
improved hygienic practices. The development of forceps is
an example of a technology advance made in the early 20th
century but is not the only reason birthplaces moved. Unlike
home births, early hospital births hindered bonding between
parents and their infants.
PTS:1 DIF: Cognitive Level:
Remembering OBJ:Integrated
Process: Teaching-Learning
MSC:Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain
with them rather than in a nursery.
d. changes in pharmacologic management of labor.
CORRECT ANSWER
C
, As research began to identify the benefits of early extended
parent-infant contact, parents began to insist that the infant
remain with them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care.
Family-centered care was a request by parents, not
physicians. The Sheppard-Towner Act of 1921 provided
funds for
state-managed programs for mothers and children. The
changes in pharmacologic management of labor were not a
factor in family-centered maternity care.
PTS:1 DIF: Cognitive Level:
Remembering OBJ:Integrated
Process: Teaching-Learning
MSC:Client Needs:
Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-
infant contact?
a. Labor/delivery/recovery/postpartum room