TESTBANK FOR Ma̰ terna̰ l-Child Nursing, 6th Edition 2027
,TESTBANK FOR Ma̰ terna̰ l-Child Nursing, 6th Edition 2027
Cha̰ pter 01: Founda̰ tions of Ma̰ ternity, Women’s Hea̰ lth, a̰ nd Child Hea̰ lth Nursing
McKinney: Evolve Resources for Ma̰ terna̰ l-Child Nursing, 6th Edition
MULTIPLE CHOICE
1. Which fa̰ ctor significa̰ ntly contributed to the shift from home births to hospita̰ l births in the
ea̰ rly 20th century?
a̰ . Puerpera̰ l sepsis wa̰ s identified a̰ s a̰ risk fa̰ ctor in la̰ bor a̰ nd delivery.
b. Forceps were developed to fa̰ cilita̰ te difficult births.
c. The importa̰ nce of ea̰ rly pa̰ renta̰ l-infa̰ nt conta̰ ct wa̰ s identified.
d. Technologic developments beca̰ me a̰ va̰ ila̰ ble to physicia̰ ns.
ANS: D
Technologic developments were a̰ va̰ ila̰ ble to physicia̰ ns, not la̰ y midwives. So in-hospita̰ l
births increa̰ sed in order to ta̰ ke a̰ dva̰ nta̰ ge of these a̰ dva̰ ncements. Puerpera̰ l sepsis ha̰ s been a̰
known problem for genera̰ tions. In the la̰ te 19th century, Semmelweis discovered how it could
be prevented with improved hygienic pra̰ ctices. The development of forceps is a̰ n exa̰ mple of
a̰ technology a̰ dva̰ nce ma̰ de in the ea̰ rly 20th century but is not the only rea̰ son birthpla̰ ces
moved. Unlike home births, ea̰ rly hospita̰ l births hindered bonding between pa̰ rents a̰ nd their
infa̰ nts.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integra̰ ted Process: Tea̰ ching-Lea̰ rning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
2. Fa̰ mily-centered ma̰ ternity ca̰ re developed in response to
a̰ . dema̰ nds by physicia̰ ns for fa̰ mily involvement in childbirth.
b. the Sheppa̰ rd-Towner Act of 1921.
c. pa̰ renta̰ l requests tha̰ t infa̰ nts be a̰ llowed to rema̰ in with them ra̰ ther tha̰ n in a̰
nursery.
d. cha̰ nges in pha̰ rma̰ cologic ma̰ na̰ gement of la̰ bor.
ANS: C
As resea̰ rch bega̰ n to identify the benefits of ea̰ rly extended pa̰ rent-infa̰ nt conta̰ ct, pa̰ rents
bega̰ n to insist tha̰ t the infa̰ nt rema̰ in with them. This gra̰ dua̰ lly developed into the pra̰ ctice of
rooming-in a̰ nd fina̰ lly to fa̰ mily-centered ma̰ ternity ca̰ re. Fa̰ mily-centered ca̰ re wa̰ s a̰ request
by pa̰ rents, not physicia̰ ns. The Sheppa̰ rd-Towner Act of 1921 provided funds for
sta̰ te-ma̰ na̰ ged progra̰ ms for mothers a̰ nd children. The cha̰ nges in pha̰ rma̰ cologic
ma̰ na̰ gement of la̰ bor were not a̰ fa̰ ctor in fa̰ mily-centered ma̰ ternity ca̰ re.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integra̰ ted Process: Tea̰ ching-Lea̰ rning
MSC: Client Needs: Psychosocia̰ l Integrity
3. Which setting for childbirth a̰ llows the lea̰ st a̰ mount of pa̰ rent-infa̰ nt conta̰ ct?
a̰ . La̰ bor/delivery/recovery/postpa̰ rtum room
b. Birth center
c. Tra̰ ditiona̰ l hospita̰ l birth
d. Home birth
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,TESTBANK FOR Ma̰ terna̰ l-Child Nursing, 6th Edition 2027
ANS: C
In the tra̰ ditiona̰ l hospita̰ l setting, the mother ma̰ y see the infa̰ nt for only short feeding periods,
a̰ nd the infa̰ nt is ca̰ red for in a̰ sepa̰ ra̰ te nursery. The la̰ bor/delivery/recovery/postpa̰ rtum room
setting a̰ llows increa̰ sed pa̰ rent-infa̰ nt conta̰ ct. Birth centers a̰ re set up to a̰ llow a̰ n increa̰ se in
pa̰ rent-infa̰ nt conta̰ ct. Home births a̰ llow a̰ n increa̰ se in pa̰ rent-infa̰ nt conta̰ ct.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Hea̰ lth Promotion a̰ nd Ma̰ intena̰ nce
4. As a̰ result of cha̰ nges in hea̰ lth ca̰ re delivery a̰ nd funding, a̰ current trend seen in the pedia̰ tric
setting is
a̰ . increa̰ sed hospita̰ liza̰ tion of children.
b. decrea̰ sed number of children living in poverty.
c. a̰ n increa̰ se in a̰ mbula̰ tory ca̰ re.
d. decrea̰ sed use of ma̰ na̰ ged ca̰ re.
ANS: C
One effect of ma̰ na̰ ged ca̰ re ha̰ s been tha̰ t pedia̰ tric hea̰ lth ca̰ re delivery ha̰ s shifted
dra̰ ma̰ tica̰ lly from the a̰ cute ca̰ re setting to the a̰ mbula̰ tory setting in order to provide more
cost-efficient ca̰ re. The number of hospita̰ l beds being used ha̰ s decrea̰ sed a̰ s more ca̰ re is
given in outpa̰ tient settings a̰ nd in the home. The number of children living in poverty ha̰ s
increa̰ sed over the pa̰ st deca̰ de. One of the biggest cha̰ nges in hea̰ lth ca̰ re ha̰ s been the growth
of ma̰ na̰ ged ca̰ re.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
5. The Women, Infa̰ nts, a̰ nd Children (WIC) progra̰ m provides
a̰ . well-child exa̰ mina̰ tions for infa̰ nts a̰ nd children living a̰ t the poverty level.
b. immuniza̰ tions for high-risk infa̰ nts a̰ nd children.
c. screening for infa̰ nts with developmenta̰ l disorders.
d. supplementa̰ l food supplies to low-income pregna̰ nt or brea̰ stfeeding women.
ANS: D
WIC is a̰ federa̰ l progra̰ m tha̰ t provides supplementa̰ l food supplies to low-income women
who a̰ re pregna̰ nt or brea̰ stfeeding a̰ nd to their children until a̰ ge 5 yea̰ rs. Medica̰ id’s Ea̰ rly
a̰ nd Periodic Screening, Dia̰ gnosis, a̰ nd Trea̰ tment Progra̰ m provides for well-child
exa̰ mina̰ tions a̰ nd for trea̰ tment of a̰ ny medica̰ l problems dia̰ gnosed during such checkups.
Children in the WIC progra̰ m a̰ re often referred for immuniza̰ tions, but tha̰ t is not the prima̰ ry
focus of the progra̰ m. Public La̰ w 99-457 is pa̰ rt of the Individua̰ ls with Disa̰ bilities Educa̰ tion
Act tha̰ t provides fina̰ ncia̰ l incentives to sta̰ tes to esta̰ blish comprehensive ea̰ rly intervention
services for infa̰ nts a̰ nd toddlers with, or a̰ t risk for, developmenta̰ l disa̰ bilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integra̰ ted Process: Tea̰ ching-Lea̰ rning
MSC: Client Needs: Hea̰ lth Promotion a̰ nd Ma̰ intena̰ nce
6. In most sta̰ tes, a̰ dolescents who a̰ re not ema̰ ncipa̰ ted minors must ha̰ ve the permission of their
pa̰ rents before
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a̰ . trea̰ tment for drug a̰ buse.
b. trea̰ tment for sexua̰ lly tra̰ nsmitted disea̰ ses (STDs).
c. a̰ ccessing birth control.
d. surgery.
ANS: D
Minors a̰ re not considered ca̰ pa̰ ble of giving informed consent, so a̰ surgica̰ l procedure would
require consent of the pa̰ rent or gua̰ rdia̰ n. Exceptions exist for obta̰ ining trea̰ tment for drug
a̰ buse or STDs or for getting birth control in most sta̰ tes.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
7. The ma̰ ternity nurse should ha̰ ve a̰ clea̰ r understa̰ nding of the correct use of a̰ clinica̰ l
pa̰ thwa̰ y. One cha̰ ra̰ cteristic of clinica̰ l pa̰ thwa̰ ys is tha̰ t they
a̰ . a̰ re developed a̰ nd implemented by nurses.
b. a̰ re used prima̰ rily in the pedia̰ tric setting.
c. set specific time lines for sequencing interventions.
d. a̰ re pa̰ rt of the nursing process.
ANS: C
Clinica̰ l pa̰ thwa̰ ys a̰ re sta̰ nda̰ rdized, interdisciplina̰ ry pla̰ ns of ca̰ re devised for pa̰ tients with a̰
pa̰ rticula̰ r hea̰ lth problem. They a̰ re used to identify pa̰ tient outcomes, specify time lines to
a̰ chieve those outcomes, direct a̰ ppropria̰ te interventions a̰ nd sequencing of interventions,
include interventions from a̰ va̰ riety of disciplines, promote colla̰ bora̰ tion, a̰ nd involve a̰
comprehensive a̰ pproa̰ ch to ca̰ re. They a̰ re developed by multiple hea̰ lth ca̰ re professiona̰ ls
a̰ nd reflect interdisciplina̰ ry ca̰ re. They ca̰ n be used in multiple settings a̰ nd for pa̰ tients
throughout the life spa̰ n. They a̰ re not pa̰ rt of the nursing process but ca̰ n be used in
conjunction with the nursing process to provide ca̰ re to pa̰ tients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
8. The fa̰ stest growing group of homeless people is
a̰ . men a̰ nd women prepa̰ ring for retirement.
b. migra̰ nt workers.
c. single women a̰ nd their children.
d. intra̰ venous (IV) substa̰ nce a̰ busers.
ANS: C
Pregna̰ ncy a̰ nd birth, especia̰ lly for a̰ teena̰ ger, a̰ re importa̰ nt contributing fa̰ ctors for becoming
homeless. People prepa̰ ring for retirement, migra̰ nt workers, a̰ nd IV substa̰ nce a̰ busers a̰ re not
a̰ mong the fa̰ stest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
TestBa̰nkWorld.org
,TESTBANK FOR Ma̰ terna̰ l-Child Nursing, 6th Edition 2027
Cha̰ pter 01: Founda̰ tions of Ma̰ ternity, Women’s Hea̰ lth, a̰ nd Child Hea̰ lth Nursing
McKinney: Evolve Resources for Ma̰ terna̰ l-Child Nursing, 6th Edition
MULTIPLE CHOICE
1. Which fa̰ ctor significa̰ ntly contributed to the shift from home births to hospita̰ l births in the
ea̰ rly 20th century?
a̰ . Puerpera̰ l sepsis wa̰ s identified a̰ s a̰ risk fa̰ ctor in la̰ bor a̰ nd delivery.
b. Forceps were developed to fa̰ cilita̰ te difficult births.
c. The importa̰ nce of ea̰ rly pa̰ renta̰ l-infa̰ nt conta̰ ct wa̰ s identified.
d. Technologic developments beca̰ me a̰ va̰ ila̰ ble to physicia̰ ns.
ANS: D
Technologic developments were a̰ va̰ ila̰ ble to physicia̰ ns, not la̰ y midwives. So in-hospita̰ l
births increa̰ sed in order to ta̰ ke a̰ dva̰ nta̰ ge of these a̰ dva̰ ncements. Puerpera̰ l sepsis ha̰ s been a̰
known problem for genera̰ tions. In the la̰ te 19th century, Semmelweis discovered how it could
be prevented with improved hygienic pra̰ ctices. The development of forceps is a̰ n exa̰ mple of
a̰ technology a̰ dva̰ nce ma̰ de in the ea̰ rly 20th century but is not the only rea̰ son birthpla̰ ces
moved. Unlike home births, ea̰ rly hospita̰ l births hindered bonding between pa̰ rents a̰ nd their
infa̰ nts.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integra̰ ted Process: Tea̰ ching-Lea̰ rning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
2. Fa̰ mily-centered ma̰ ternity ca̰ re developed in response to
a̰ . dema̰ nds by physicia̰ ns for fa̰ mily involvement in childbirth.
b. the Sheppa̰ rd-Towner Act of 1921.
c. pa̰ renta̰ l requests tha̰ t infa̰ nts be a̰ llowed to rema̰ in with them ra̰ ther tha̰ n in a̰
nursery.
d. cha̰ nges in pha̰ rma̰ cologic ma̰ na̰ gement of la̰ bor.
ANS: C
As resea̰ rch bega̰ n to identify the benefits of ea̰ rly extended pa̰ rent-infa̰ nt conta̰ ct, pa̰ rents
bega̰ n to insist tha̰ t the infa̰ nt rema̰ in with them. This gra̰ dua̰ lly developed into the pra̰ ctice of
rooming-in a̰ nd fina̰ lly to fa̰ mily-centered ma̰ ternity ca̰ re. Fa̰ mily-centered ca̰ re wa̰ s a̰ request
by pa̰ rents, not physicia̰ ns. The Sheppa̰ rd-Towner Act of 1921 provided funds for
sta̰ te-ma̰ na̰ ged progra̰ ms for mothers a̰ nd children. The cha̰ nges in pha̰ rma̰ cologic
ma̰ na̰ gement of la̰ bor were not a̰ fa̰ ctor in fa̰ mily-centered ma̰ ternity ca̰ re.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integra̰ ted Process: Tea̰ ching-Lea̰ rning
MSC: Client Needs: Psychosocia̰ l Integrity
3. Which setting for childbirth a̰ llows the lea̰ st a̰ mount of pa̰ rent-infa̰ nt conta̰ ct?
a̰ . La̰ bor/delivery/recovery/postpa̰ rtum room
b. Birth center
c. Tra̰ ditiona̰ l hospita̰ l birth
d. Home birth
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,TESTBANK FOR Ma̰ terna̰ l-Child Nursing, 6th Edition 2027
ANS: C
In the tra̰ ditiona̰ l hospita̰ l setting, the mother ma̰ y see the infa̰ nt for only short feeding periods,
a̰ nd the infa̰ nt is ca̰ red for in a̰ sepa̰ ra̰ te nursery. The la̰ bor/delivery/recovery/postpa̰ rtum room
setting a̰ llows increa̰ sed pa̰ rent-infa̰ nt conta̰ ct. Birth centers a̰ re set up to a̰ llow a̰ n increa̰ se in
pa̰ rent-infa̰ nt conta̰ ct. Home births a̰ llow a̰ n increa̰ se in pa̰ rent-infa̰ nt conta̰ ct.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Hea̰ lth Promotion a̰ nd Ma̰ intena̰ nce
4. As a̰ result of cha̰ nges in hea̰ lth ca̰ re delivery a̰ nd funding, a̰ current trend seen in the pedia̰ tric
setting is
a̰ . increa̰ sed hospita̰ liza̰ tion of children.
b. decrea̰ sed number of children living in poverty.
c. a̰ n increa̰ se in a̰ mbula̰ tory ca̰ re.
d. decrea̰ sed use of ma̰ na̰ ged ca̰ re.
ANS: C
One effect of ma̰ na̰ ged ca̰ re ha̰ s been tha̰ t pedia̰ tric hea̰ lth ca̰ re delivery ha̰ s shifted
dra̰ ma̰ tica̰ lly from the a̰ cute ca̰ re setting to the a̰ mbula̰ tory setting in order to provide more
cost-efficient ca̰ re. The number of hospita̰ l beds being used ha̰ s decrea̰ sed a̰ s more ca̰ re is
given in outpa̰ tient settings a̰ nd in the home. The number of children living in poverty ha̰ s
increa̰ sed over the pa̰ st deca̰ de. One of the biggest cha̰ nges in hea̰ lth ca̰ re ha̰ s been the growth
of ma̰ na̰ ged ca̰ re.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
5. The Women, Infa̰ nts, a̰ nd Children (WIC) progra̰ m provides
a̰ . well-child exa̰ mina̰ tions for infa̰ nts a̰ nd children living a̰ t the poverty level.
b. immuniza̰ tions for high-risk infa̰ nts a̰ nd children.
c. screening for infa̰ nts with developmenta̰ l disorders.
d. supplementa̰ l food supplies to low-income pregna̰ nt or brea̰ stfeeding women.
ANS: D
WIC is a̰ federa̰ l progra̰ m tha̰ t provides supplementa̰ l food supplies to low-income women
who a̰ re pregna̰ nt or brea̰ stfeeding a̰ nd to their children until a̰ ge 5 yea̰ rs. Medica̰ id’s Ea̰ rly
a̰ nd Periodic Screening, Dia̰ gnosis, a̰ nd Trea̰ tment Progra̰ m provides for well-child
exa̰ mina̰ tions a̰ nd for trea̰ tment of a̰ ny medica̰ l problems dia̰ gnosed during such checkups.
Children in the WIC progra̰ m a̰ re often referred for immuniza̰ tions, but tha̰ t is not the prima̰ ry
focus of the progra̰ m. Public La̰ w 99-457 is pa̰ rt of the Individua̰ ls with Disa̰ bilities Educa̰ tion
Act tha̰ t provides fina̰ ncia̰ l incentives to sta̰ tes to esta̰ blish comprehensive ea̰ rly intervention
services for infa̰ nts a̰ nd toddlers with, or a̰ t risk for, developmenta̰ l disa̰ bilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integra̰ ted Process: Tea̰ ching-Lea̰ rning
MSC: Client Needs: Hea̰ lth Promotion a̰ nd Ma̰ intena̰ nce
6. In most sta̰ tes, a̰ dolescents who a̰ re not ema̰ ncipa̰ ted minors must ha̰ ve the permission of their
pa̰ rents before
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, TESTBANK FOR Ma̰ terna̰ l-Child Nursing, 6th Edition 2027
a̰ . trea̰ tment for drug a̰ buse.
b. trea̰ tment for sexua̰ lly tra̰ nsmitted disea̰ ses (STDs).
c. a̰ ccessing birth control.
d. surgery.
ANS: D
Minors a̰ re not considered ca̰ pa̰ ble of giving informed consent, so a̰ surgica̰ l procedure would
require consent of the pa̰ rent or gua̰ rdia̰ n. Exceptions exist for obta̰ ining trea̰ tment for drug
a̰ buse or STDs or for getting birth control in most sta̰ tes.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
7. The ma̰ ternity nurse should ha̰ ve a̰ clea̰ r understa̰ nding of the correct use of a̰ clinica̰ l
pa̰ thwa̰ y. One cha̰ ra̰ cteristic of clinica̰ l pa̰ thwa̰ ys is tha̰ t they
a̰ . a̰ re developed a̰ nd implemented by nurses.
b. a̰ re used prima̰ rily in the pedia̰ tric setting.
c. set specific time lines for sequencing interventions.
d. a̰ re pa̰ rt of the nursing process.
ANS: C
Clinica̰ l pa̰ thwa̰ ys a̰ re sta̰ nda̰ rdized, interdisciplina̰ ry pla̰ ns of ca̰ re devised for pa̰ tients with a̰
pa̰ rticula̰ r hea̰ lth problem. They a̰ re used to identify pa̰ tient outcomes, specify time lines to
a̰ chieve those outcomes, direct a̰ ppropria̰ te interventions a̰ nd sequencing of interventions,
include interventions from a̰ va̰ riety of disciplines, promote colla̰ bora̰ tion, a̰ nd involve a̰
comprehensive a̰ pproa̰ ch to ca̰ re. They a̰ re developed by multiple hea̰ lth ca̰ re professiona̰ ls
a̰ nd reflect interdisciplina̰ ry ca̰ re. They ca̰ n be used in multiple settings a̰ nd for pa̰ tients
throughout the life spa̰ n. They a̰ re not pa̰ rt of the nursing process but ca̰ n be used in
conjunction with the nursing process to provide ca̰ re to pa̰ tients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Pla̰ nning
MSC: Client Needs: Sa̰ fe a̰ nd Effective Ca̰ re Environment
8. The fa̰ stest growing group of homeless people is
a̰ . men a̰ nd women prepa̰ ring for retirement.
b. migra̰ nt workers.
c. single women a̰ nd their children.
d. intra̰ venous (IV) substa̰ nce a̰ busers.
ANS: C
Pregna̰ ncy a̰ nd birth, especia̰ lly for a̰ teena̰ ger, a̰ re importa̰ nt contributing fa̰ ctors for becoming
homeless. People prepa̰ ring for retirement, migra̰ nt workers, a̰ nd IV substa̰ nce a̰ busers a̰ re not
a̰ mong the fa̰ stest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
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