, FULL TEST BANK For Evolve Resources for Maternal-Child Nursing, 5th
Ed By McKinney 2024 A+ SCORED Latest Version
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
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.
ANS: 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: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then has a
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
b. Negligent: because the nurse medicated the woman
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
they occurred
ANS: A
, There are four elements to malpractice, which is negligence in the performance of
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
negligent because she or he did not perform any assessments, which is the first step of the
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
established standards of care, and thus is guilty of professional negligence, or malpractice.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician’s explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
The first requirement of informed consent is that the patient must be competent to make
decisions about health care. Full disclosure of information is an important element of the
consent, but first the patient has to be competent to sign. Understanding is an important
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
an important element of the consent, but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the provider’s
order allows.
b. A neonatal nurse provides nourishment and care to a newborn who has a defect
that is incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
abortion.
d. A postpartum nurse provides information about adoption to a new mother who
feels she cannot adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to assist with a procedure
that she or he believes is morally wrong. The other situations do not contain elements of
conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 11 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is
a. premature birth.
b. congenital anomalies.
c. accidental death.
, d. respiratory tract illness.
ANS: C
Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
death for children aged 1 to 19. The other options contribute to morbidity and mortality in
children but are not the leading cause.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 10 | Table 1.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
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.
ANS: 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: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
Ed By McKinney 2024 A+ SCORED Latest Version
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
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.
ANS: 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: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
nurse administers an analgesic but does not perform any assessments. The woman then has a
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
nurse be interpreted in relation to standards of care?
a. Negligent: the nurse failed to assess the woman for possible complications
b. Negligent: because the nurse medicated the woman
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
they occurred
ANS: A
, There are four elements to malpractice, which is negligence in the performance of
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
negligent because she or he did not perform any assessments, which is the first step of the
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
established standards of care, and thus is guilty of professional negligence, or malpractice.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 16 OBJ: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment
Which patient situation fails to meet the first requirement of informed consent?
a. The patient does not understand the physician’s explanations.
b. The physician gives the patient only a partial list of possible side effects and
complications.
c. The patient is confused and disoriented.
d. The patient signs a consent form because her husband tells her to.
ANS: C
The first requirement of informed consent is that the patient must be competent to make
decisions about health care. Full disclosure of information is an important element of the
consent, but first the patient has to be competent to sign. Understanding is an important
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
an important element of the consent, but first the patient has to be competent to sign.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the provider’s
order allows.
b. A neonatal nurse provides nourishment and care to a newborn who has a defect
that is incompatible with life.
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
abortion.
d. A postpartum nurse provides information about adoption to a new mother who
feels she cannot adequately care for her infant.
ANS: C
A dilemma exists in this situation because the nurse is being asked to assist with a procedure
that she or he believes is morally wrong. The other situations do not contain elements of
conflict for the nurse.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 11 OBJ: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment
When planning a parenting class, the nurse should explain that the leading cause of death in
children 1 to 4 years of age in the United States is
a. premature birth.
b. congenital anomalies.
c. accidental death.
, d. respiratory tract illness.
ANS: C
Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
death for children aged 1 to 19. The other options contribute to morbidity and mortality in
children but are not the leading cause.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 10 | Table 1.3 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
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.
ANS: 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: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
