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INTRODUCTORY ,MATERNITY ,& ,PEDIATRIC ,NURSING ,
NANCY ,HATFIELD ,& ,CYNTHIA ,KINCHELOE
5th Edition
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TEST BANK ,
,Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal–Child ,Health ,Care ,Environment
,Hatfield: ,Introductory ,Maternity ,and ,Pediatric ,Nursing, ,5th ,Edition
1.The ,opening ,up ,of ,hospital ,visiting ,policies ,for ,children ,and ,families ,
likely ,resultedfrom ,the ,work ,of ,which ,individual?
,A.Joseph ,Brennaman ,
B.John ,Bowlby ,
C.Marshal ,Klaus ,
D.John ,Kennell ,
Answer: ,B
Rationale: ,In ,1951, ,John ,Bowlby ,received ,worldwide ,attention ,with ,his ,
study ,that ,revealed ,the ,negative ,results ,of ,the ,separation ,of ,child ,and ,mother ,because ,of
,hospitalization. ,His ,work ,led ,toa ,re-evaluation ,and ,liberalization ,of ,hospital ,visiting ,policies ,for
,children. ,Joseph ,Brennaman ,suggested ,that ,a ,lack ,of ,stimulation ,for ,infants ,contributed ,to ,high
,infant ,mortality ,rates ,at ,the ,time. ,In ,the ,1970s ,and ,1980s, ,physicians ,Marshall ,Klaus ,and ,John
,Kennell ,carried ,out ,important studies ,on ,the ,effect ,of ,the ,separation ,of ,newborns ,and ,parents.
,They ,established ,that ,early ,separation ,may ,have ,long-term ,effects ,on ,family ,relationships ,and
,that ,offering ,the ,new ,family ,an ,opportunity ,to ,be ,together ,at ,birth ,and ,for ,a ,significant ,period
,after ,birth ,may ,provide ,benefitsthat ,last ,well ,into ,early ,childhood.
Question ,format: ,Multiple ,Choice ,
Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal-Child ,Health ,Care ,Environment ,Cognitive
, Level: ,Remember ,
Client ,Needs: ,Health ,Promotion ,and ,Maintenance ,
Integrated ,Process: ,Nursing ,Process ,
Reference: ,p. ,4
2.An ,expectant ,mother ,states ,that ,she ,read ,that ,more ,black ,mothers ,die ,in ,childbirth ,than ,do
,white ,mothers. , When ,responding ,to ,her ,questions ,about ,the ,reasons ,for ,this, ,the ,nurse
,accurately ,states ,that ,which ,is ,the ,major ,reason ,for ,the ,high ,maternal ,mortality ,rate?
,A.Having ,formal ,education.
B.Being ,unmarried. ,
C.Income.
D.Lack ,of ,prenatal ,care.
Answer: ,D ,
Rationale: ,Research ,shows ,that ,maternal ,mortality ,rate ,is ,directly ,related ,to ,lack ,of ,prenatal ,care
,secondary ,to ,lack ,of ,access ,to ,services ,or ,insurance. ,Income ,as ,well ,as ,educational ,level ,may
,play ,a ,role ,in ,the ,availability ,of ,health ,care, ,but ,they ,are ,not ,directly ,responsible. ,Being
,unmarried ,has ,no ,bearing ,on ,infant ,mortality.
Question ,format: ,Multiple ,Choice ,
Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal-Child ,Health ,Care ,Environment ,Cognitive
, Level: ,Understand
,Client ,Needs: ,Health ,Promotion ,and ,Maintenance
,Integrated ,Process: ,Nursing ,Process ,
Reference: ,p. ,9
3.Which ,statement ,correctly ,defines ,the ,term ,"infant ,death ,rate"?
A.number ,of ,deaths ,in ,utero ,of ,fetuses ,500 ,g ,or ,more ,per ,1,000 ,live ,births ,
B.number ,of ,deaths ,occurring ,in ,the ,first ,28 ,days ,of ,life ,per ,1,000 ,live ,births ,
C.number ,of ,deaths ,occurring ,at ,birth ,or ,in ,the ,first ,12 ,months ,of ,life ,per ,1,000 ,live ,births
,D.death ,of ,a ,live-born ,child ,before ,his ,or ,her ,first ,birthday.
Answer: ,D ,
Rationale: ,The ,term ,infant ,death ,refers ,to ,the ,death ,of ,a ,live-born ,child ,before ,he ,or ,she
,reaches ,age ,1 ,year. ,It ,also ,includes ,neonatal ,mortality ,rate. ,Neonatal ,mortality ,rate ,is ,the
,number ,of ,infant ,deaths ,during ,the ,first ,28 ,days ,of ,life ,for ,every ,1,000 ,live ,births. ,Infant
,mortality ,rate ,is ,the ,number ,of ,deaths ,during ,the ,first ,12 ,months ,of ,life ,per ,1,000 ,live
,births. ,
Question ,format: ,Multiple ,Choice ,
Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal-Child ,Health ,Care ,Environment ,Cognitive
, Level: ,Remember ,
Client ,Needs: ,Health ,Promotion ,and ,Maintenance ,
Integrated ,Process: ,Nursing ,Process ,
Reference: ,p. ,9
4.The ,nursing ,instructor ,is ,preparing ,to ,teach ,a ,group ,of ,students ,about ,the ,history ,of ,maternity
,care. , What ,major ,development ,will ,the ,instructor ,emphasize ,as ,greatly ,influencing ,the ,practice
,of ,maternity ,care ,in ,the ,United ,States ,over ,the ,past ,century?
A.technologic ,advances ,and ,the ,use ,of ,forceps ,by ,primary ,care ,providers ,
B.development ,of ,anesthesia ,and ,acceptance ,of ,the ,germ ,theory ,
C.advent ,of ,birthing ,centers ,and ,the ,development ,of ,family-centered ,care ,
D.development ,of ,pediatric ,specialty ,and ,replacement ,of ,midwives ,as ,primary ,birth ,attendants ,
Answer: ,B
Rationale: ,The ,emphasis ,should ,be ,placed ,on ,anesthesia ,and ,the ,germ ,theory. ,The ,development
,of ,anesthesia ,allowed ,women ,a ,choice ,for ,pain ,management ,in ,birth; ,the ,germ ,theory ,advanced
,the ,progress ,of ,general ,health ,care ,and ,decreased ,infections ,in ,laboring ,women. ,Pediatrics ,as ,a
,specialty ,is ,an ,important ,step ,forward ,but ,is ,not ,the ,greatest ,development, ,and ,midwives ,are
,still ,in ,practice. ,Maternity ,care ,continues ,to ,evolve, ,and ,birthing ,centers ,are ,still ,under
,development. ,Forceps ,are ,not ,considered ,an ,advance ,in ,maternity ,care.
Question ,format: ,Multiple ,Choice ,
Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal-Child ,Health ,Care ,Environment ,Cognitive
, Level: ,Analyze ,
Client ,Needs: ,Health ,Promotion ,and ,Maintenance
, Integrated ,Process: ,Teaching/Learning ,
Reference: ,p. ,3
5.When ,preparing ,a ,client ,for ,surgery, ,the ,nurse ,explains ,that ,the ,use ,of ,an ,antiseptic
,during ,the ,surgery ,has ,greatly ,improved ,client ,survival ,rates ,and ,was ,started ,by ,which
,physician?
A.Louis ,Pasteur ,
B.Ignaz ,Philip ,Semmelweis ,
C.Joseph ,Lister ,
D.Alexander ,Gordon ,
Answer: ,C
Rationale: ,Joseph ,Lister ,was ,a ,British ,surgeon ,who ,embraced ,Louis ,Pasteur's ,theory ,of
,microorganisms ,as ,the ,cause ,of ,infection. , Lister ,used ,carbolic ,acid ,as ,an ,antiseptic ,during
,surgery ,and ,improved ,the ,survival ,rates ,of ,his ,patients. ,Alexander ,Gordon ,proposed ,the ,theory
,of ,infection. ,Oliver , Wendell ,Holmes ,and ,Ignaz ,Philip ,Semmelweis ,confirmed ,his ,theory.
Question ,format: ,Multiple ,Choice ,
Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal-Child ,Health ,Care ,Environment ,Cognitive
, Level: ,Apply ,
Client ,Needs: ,Safe, ,Effective ,Care ,Environment: ,Safety ,and ,Infection ,Control ,Integrated
,Process: ,Nursing ,Process ,
Reference: ,p. ,4
6.A ,young ,couple ,are ,very ,excited ,to ,learn ,they ,are ,expecting ,their ,first ,child ,and ,question ,the
,nurse ,about ,which ,test ,they ,need ,to ,discover ,its ,gender. , Which ,procedure ,will ,best ,provide ,this
,information ,to ,the ,couple?
A.Ultrasound ,
B.Amniocentesis ,
C.Chorionic ,villus ,sampling ,
D.HGP
Answer: ,A ,
Rationale: ,Ultrasound ,is ,a ,visual ,method ,for ,assessing ,the ,fetus ,in ,the ,uterus ,and ,will ,provide
,information ,about ,the ,gender. ,Amniocentesis ,and ,chorionic ,villus ,sampling ,provide ,the ,entire
,genetic ,code ,of ,the ,fetus. ,HGP ,refers ,to ,the ,Human ,Genome ,Project, ,which ,can ,provide
,information ,regarding ,gene ,mutations ,and ,variations.
Question ,format: ,Multiple ,Choice ,
Chapter ,1: ,The ,Nurse's ,Role ,in ,a ,Changing ,Maternal-Child ,Health ,Care ,Environment ,Cognitive
, Level: ,Apply ,
Client ,Needs: ,Health ,Promotion ,and ,Maintenance ,
Integrated ,Process: ,Caring ,
Reference: ,p. ,6