,Chapter r01: rFoundations rof rMaternity, rWomen’s rHealth, rand rChild rHealth
rNursing rMcKinney: rEvolve rResources rfor rMaternal-Child rNursing, r8th rEdition
MULTIPLE rCHOICE
1. Which rfactor rsignificantly rcontributed rto rthe rshift rfrom rhome rbirths rto rhospital rbirths
r in rthe rearly r20th rcentury?
a. Puerperal rsepsis rwas ridentified ras ra rrisk rfactor rin rlabor rand rdelivery.
b. Forceps rwere rdeveloped rto rfacilitate rdifficult rbirths.
c. The rimportance rof rearly rparental-infant rcontact rwas ridentified.
d. Technologic rdevelopments rbecame ravailable rto rphysicians.
ANS: rD
Technologic rdevelopments rwere ravailable rto rphysicians, rnot rlay rmidwives. rSo rin-hospital
rbirths rincreased rin rorder rto rtake radvantage rof rthese radvancements. rPuerperal rsepsis rhas rbeen
ra rknown rproblem rfor rgenerations. rIn rthe rlate r19th rcentury, rSemmelweis rdiscovered rhow rit
rcould rbe rprevented rwith rimproved rhygienic rpractices. rThe rdevelopment rof rforceps ris ran
rexample rof ra rtechnology radvance rmade rin rthe rearly r20th rcentury rbut ris rnot rthe ronly rreason
rbirthplaces rmoved. rUnlike rhome rbirths, rearly rhospital rbirths rhindered rbonding rbetween
rparents rand rtheir rinfants.
PTS: r 1 rDIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r1 OBJ: r Integrated rProcess: rTeaching-Learning
rMSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
2. Family-centered rmaternity rcare rdeveloped rin rresponse rto
a. demands rby rphysicians rfor rfamily rinvolvement rin rchildbirth.
b. the rSheppard-Towner rAct rof r1921.
c. parental rrequests rthat rinfants rbe rallowed rto rremain rwith rthem rrather rthan
in ra rnursery.
r
d. changes rin rpharmacologic rmanagement rof rlabor.
ANS: rC
As rresearch rbegan rto ridentify rthe rbenefits rof rearly rextended rparent-infant rcontact,
rparents rbegan rto rinsist rthat rthe rinfant rremain rwith rthem. rThis rgradually rdeveloped rinto
rthe rpractice rof rrooming-in rand rfinally rto rfamily-centered rmaternity rcare. rFamily-centered
rcare rwas ra rrequest rby rparents, rnot rphysicians. rThe rSheppard-Towner rAct rof r1921
rprovided rfunds rfor rstate-managed rprograms rfor rmothers rand rchildren. rThe rchanges rin
rpharmacologic rmanagement rof rlabor rwere rnot ra rfactor rin rfamily-centered rmaternity rcare.
PTS: r 1 rDIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r2 OBJ: r Integrated rProcess: rTeaching-Learning
rMSC: r Client rNeeds: rPsychosocial rIntegrity
3. Which rsetting rfor rchildbirth rallows rthe rleast ramount rof rparent-infant rcontact?
a. Labor/delivery/recovery/postpartum r room
b. Birth rcenter
c. Traditional rhospital rbirth
d. Home rbirth
.
, ANS: rC
In rthe rtraditional rhospital rsetting, rthe rmother rmay rsee rthe rinfant rfor ronly rshort rfeeding
rperiods, rand rthe rinfant ris rcared rfor rin ra rseparate rnursery. rThe
rlabor/delivery/recovery/postpartum rroom rsetting rallows rincreased rparent-infant rcontact.
rBirth rcenters rare rset rup rto rallow ran rincrease rin rparent-infant rcontact. rHome rbirths rallow ran
rincrease rin rparent-infant rcontact.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r2 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rHealth rPromotion rand rMaintenance
4. As ra rresult rof rchanges rin rhealth rcare rdelivery rand rfunding, ra rcurrent rtrend rseen rin
the rpediatric rsetting ris
r
a. increased rhospitalization rof rchildren.
b. decreased rnumber rof rchildren rliving rin rpoverty.
c. an rincrease rin rambulatory rcare.
d. decreased ruse rof rmanaged rcare.
ANS: rC
One reffect rof rmanaged rcare rhas rbeen rthat rpediatric rhealth rcare rdelivery rhas rshifted
rdramatically rfrom rthe racute rcare rsetting rto rthe rambulatory rsetting rin rorder rto rprovide
rmore rcost-efficient rcare. rThe rnumber rof rhospital rbeds rbeing rused rhas rdecreased ras rmore
rcare ris rgiven rin routpatient rsettings rand rin rthe rhome. rThe rnumber rof rchildren rliving rin
rpoverty rhas rincreased rover rthe rpast rdecade. rOne rof rthe rbiggest rchanges rin rhealth rcare
rhas rbeen rthe rgrowth rof rmanaged rcare.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r5 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
5. The rWomen, rInfants, rand rChildren r(WIC) rprogram rprovides
a. well-child rexaminations rfor rinfants rand rchildren rliving rat rthe rpoverty rlevel.
b. immunizations rfor rhigh-risk rinfants rand rchildren.
c. screening rfor rinfants rwith rdevelopmental rdisorders.
d. supplemental rfood rsupplies rto rlow-income rpregnant ror rbreastfeeding rwomen.
ANS: rD
WIC ris ra rfederal rprogram rthat rprovides rsupplemental rfood rsupplies rto rlow-income rwomen
rwho rare rpregnant ror rbreastfeeding rand rto rtheir rchildren runtil rage r5 ryears. rMedicaid’s rEarly
rand rPeriodic rScreening, rDiagnosis, rand rTreatment rProgram rprovides rfor rwell-child
rexaminations rand rfor rtreatment rof rany rmedical rproblems rdiagnosed rduring rsuch rcheckups.
rChildren rin rthe rWIC rprogram rare roften rreferred rfor rimmunizations, rbut rthat ris rnot rthe
rprimary rfocus rof rthe rprogram. rPublic rLaw r99-457 ris rpart rof rthe rIndividuals rwith
rDisabilities rEducation rAct rthat rprovides rfinancial rincentives rto rstates rto restablish
rcomprehensive rearly rintervention rservices rfor rinfants rand rtoddlers rwith, ror rat rrisk rfor,
rdevelopmental rdisabilities.
PTS: r 1 DIF: Cognitive rLevel: rComprehension REF: r p. r8
rOBJ: r Integrated rProcess: rTeaching-Learning
MSC: rClient rNeeds: rHealth rPromotion rand rMaintenance
6. In rmost rstates, radolescents rwho rare rnot remancipated rminors rmust rhave rthe rpermission
of rtheir rparents rbefore
r
.
Downloaded rby: rmaster2000 r|
Distribution rof rthis rdocument ris rillegal
, a. treatment rfor rdrug rabuse.
b. treatment rfor rsexually rtransmitted rdiseases r(STDs).
c. accessing rbirth rcontrol.
d. surgery.
ANS: rD
Minors rare rnot rconsidered rcapable rof rgiving rinformed rconsent, rso ra rsurgical rprocedure
rwould rrequire rconsent rof rthe rparent ror rguardian. rExceptions rexist rfor robtaining rtreatment
rfor rdrug rabuse ror rSTDs ror rfor rgetting rbirth rcontrol rin rmost rstates.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r17 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
7. The rmaternity rnurse rshould rhave ra rclear runderstanding rof rthe rcorrect ruse rof
a rclinical rpathway. rOne rcharacteristic rof rclinical rpathways ris rthat rthey
r
a. are rdeveloped rand rimplemented rby rnurses.
b. are rused rprimarily rin rthe rpediatric rsetting.
c. set rspecific rtime rlines rfor rsequencing rinterventions.
d. are rpart rof rthe rnursing rprocess.
ANS: rC
Clinical rpathways rare rstandardized, rinterdisciplinary rplans rof rcare rdevised rfor rpatients
rwith ra rparticular rhealth rproblem. rThey rare rused rto ridentify rpatient routcomes, rspecify rtime
rlines rto rachieve rthose routcomes, rdirect rappropriate rinterventions rand rsequencing rof
rinterventions, rinclude rinterventions rfrom ra rvariety rof rdisciplines, rpromote rcollaboration,
rand rinvolve ra rcomprehensive rapproach rto rcare. rThey rare rdeveloped rby rmultiple rhealth
rcare rprofessionals rand rreflect rinterdisciplinary rcare. rThey rcan rbe rused rin rmultiple rsettings
rand rfor rpatients rthroughout rthe rlife rspan. rThey rare rnot rpart rof rthe rnursing rprocess rbut rcan
rbe rused rin rconjunction rwith rthe rnursing rprocess rto rprovide rcare rto rpatients.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r7 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
8. The rfastest rgrowing rgroup rof rhomeless rpeople ris
a. men rand rwomen rpreparing rfor rretirement.
b. migrant rworkers.
c. single rwomen rand rtheir rchildren.
d. intravenous r(IV) rsubstance rabusers.
ANS: rC
Pregnancy rand rbirth, respecially rfor ra rteenager, rare rimportant rcontributing rfactors rfor
r becoming rhomeless. rPeople rpreparing rfor rretirement, rmigrant rworkers, rand rIV rsubstance
rabusers rare rnot ramong rthe rfastest rgrowing rgroups rof rhomeless rpeople.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r14 OBJ: r Nursing rProcess: rAssessment
MSC: r Client rNeeds: rPhysiologic rIntegrity
.
Downloaded rby: rmaster2000 r|
Distribution rof rthis rdocument ris rillegal
rNursing rMcKinney: rEvolve rResources rfor rMaternal-Child rNursing, r8th rEdition
MULTIPLE rCHOICE
1. Which rfactor rsignificantly rcontributed rto rthe rshift rfrom rhome rbirths rto rhospital rbirths
r in rthe rearly r20th rcentury?
a. Puerperal rsepsis rwas ridentified ras ra rrisk rfactor rin rlabor rand rdelivery.
b. Forceps rwere rdeveloped rto rfacilitate rdifficult rbirths.
c. The rimportance rof rearly rparental-infant rcontact rwas ridentified.
d. Technologic rdevelopments rbecame ravailable rto rphysicians.
ANS: rD
Technologic rdevelopments rwere ravailable rto rphysicians, rnot rlay rmidwives. rSo rin-hospital
rbirths rincreased rin rorder rto rtake radvantage rof rthese radvancements. rPuerperal rsepsis rhas rbeen
ra rknown rproblem rfor rgenerations. rIn rthe rlate r19th rcentury, rSemmelweis rdiscovered rhow rit
rcould rbe rprevented rwith rimproved rhygienic rpractices. rThe rdevelopment rof rforceps ris ran
rexample rof ra rtechnology radvance rmade rin rthe rearly r20th rcentury rbut ris rnot rthe ronly rreason
rbirthplaces rmoved. rUnlike rhome rbirths, rearly rhospital rbirths rhindered rbonding rbetween
rparents rand rtheir rinfants.
PTS: r 1 rDIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r1 OBJ: r Integrated rProcess: rTeaching-Learning
rMSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
2. Family-centered rmaternity rcare rdeveloped rin rresponse rto
a. demands rby rphysicians rfor rfamily rinvolvement rin rchildbirth.
b. the rSheppard-Towner rAct rof r1921.
c. parental rrequests rthat rinfants rbe rallowed rto rremain rwith rthem rrather rthan
in ra rnursery.
r
d. changes rin rpharmacologic rmanagement rof rlabor.
ANS: rC
As rresearch rbegan rto ridentify rthe rbenefits rof rearly rextended rparent-infant rcontact,
rparents rbegan rto rinsist rthat rthe rinfant rremain rwith rthem. rThis rgradually rdeveloped rinto
rthe rpractice rof rrooming-in rand rfinally rto rfamily-centered rmaternity rcare. rFamily-centered
rcare rwas ra rrequest rby rparents, rnot rphysicians. rThe rSheppard-Towner rAct rof r1921
rprovided rfunds rfor rstate-managed rprograms rfor rmothers rand rchildren. rThe rchanges rin
rpharmacologic rmanagement rof rlabor rwere rnot ra rfactor rin rfamily-centered rmaternity rcare.
PTS: r 1 rDIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r2 OBJ: r Integrated rProcess: rTeaching-Learning
rMSC: r Client rNeeds: rPsychosocial rIntegrity
3. Which rsetting rfor rchildbirth rallows rthe rleast ramount rof rparent-infant rcontact?
a. Labor/delivery/recovery/postpartum r room
b. Birth rcenter
c. Traditional rhospital rbirth
d. Home rbirth
.
, ANS: rC
In rthe rtraditional rhospital rsetting, rthe rmother rmay rsee rthe rinfant rfor ronly rshort rfeeding
rperiods, rand rthe rinfant ris rcared rfor rin ra rseparate rnursery. rThe
rlabor/delivery/recovery/postpartum rroom rsetting rallows rincreased rparent-infant rcontact.
rBirth rcenters rare rset rup rto rallow ran rincrease rin rparent-infant rcontact. rHome rbirths rallow ran
rincrease rin rparent-infant rcontact.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r2 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rHealth rPromotion rand rMaintenance
4. As ra rresult rof rchanges rin rhealth rcare rdelivery rand rfunding, ra rcurrent rtrend rseen rin
the rpediatric rsetting ris
r
a. increased rhospitalization rof rchildren.
b. decreased rnumber rof rchildren rliving rin rpoverty.
c. an rincrease rin rambulatory rcare.
d. decreased ruse rof rmanaged rcare.
ANS: rC
One reffect rof rmanaged rcare rhas rbeen rthat rpediatric rhealth rcare rdelivery rhas rshifted
rdramatically rfrom rthe racute rcare rsetting rto rthe rambulatory rsetting rin rorder rto rprovide
rmore rcost-efficient rcare. rThe rnumber rof rhospital rbeds rbeing rused rhas rdecreased ras rmore
rcare ris rgiven rin routpatient rsettings rand rin rthe rhome. rThe rnumber rof rchildren rliving rin
rpoverty rhas rincreased rover rthe rpast rdecade. rOne rof rthe rbiggest rchanges rin rhealth rcare
rhas rbeen rthe rgrowth rof rmanaged rcare.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r5 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
5. The rWomen, rInfants, rand rChildren r(WIC) rprogram rprovides
a. well-child rexaminations rfor rinfants rand rchildren rliving rat rthe rpoverty rlevel.
b. immunizations rfor rhigh-risk rinfants rand rchildren.
c. screening rfor rinfants rwith rdevelopmental rdisorders.
d. supplemental rfood rsupplies rto rlow-income rpregnant ror rbreastfeeding rwomen.
ANS: rD
WIC ris ra rfederal rprogram rthat rprovides rsupplemental rfood rsupplies rto rlow-income rwomen
rwho rare rpregnant ror rbreastfeeding rand rto rtheir rchildren runtil rage r5 ryears. rMedicaid’s rEarly
rand rPeriodic rScreening, rDiagnosis, rand rTreatment rProgram rprovides rfor rwell-child
rexaminations rand rfor rtreatment rof rany rmedical rproblems rdiagnosed rduring rsuch rcheckups.
rChildren rin rthe rWIC rprogram rare roften rreferred rfor rimmunizations, rbut rthat ris rnot rthe
rprimary rfocus rof rthe rprogram. rPublic rLaw r99-457 ris rpart rof rthe rIndividuals rwith
rDisabilities rEducation rAct rthat rprovides rfinancial rincentives rto rstates rto restablish
rcomprehensive rearly rintervention rservices rfor rinfants rand rtoddlers rwith, ror rat rrisk rfor,
rdevelopmental rdisabilities.
PTS: r 1 DIF: Cognitive rLevel: rComprehension REF: r p. r8
rOBJ: r Integrated rProcess: rTeaching-Learning
MSC: rClient rNeeds: rHealth rPromotion rand rMaintenance
6. In rmost rstates, radolescents rwho rare rnot remancipated rminors rmust rhave rthe rpermission
of rtheir rparents rbefore
r
.
Downloaded rby: rmaster2000 r|
Distribution rof rthis rdocument ris rillegal
, a. treatment rfor rdrug rabuse.
b. treatment rfor rsexually rtransmitted rdiseases r(STDs).
c. accessing rbirth rcontrol.
d. surgery.
ANS: rD
Minors rare rnot rconsidered rcapable rof rgiving rinformed rconsent, rso ra rsurgical rprocedure
rwould rrequire rconsent rof rthe rparent ror rguardian. rExceptions rexist rfor robtaining rtreatment
rfor rdrug rabuse ror rSTDs ror rfor rgetting rbirth rcontrol rin rmost rstates.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r17 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
7. The rmaternity rnurse rshould rhave ra rclear runderstanding rof rthe rcorrect ruse rof
a rclinical rpathway. rOne rcharacteristic rof rclinical rpathways ris rthat rthey
r
a. are rdeveloped rand rimplemented rby rnurses.
b. are rused rprimarily rin rthe rpediatric rsetting.
c. set rspecific rtime rlines rfor rsequencing rinterventions.
d. are rpart rof rthe rnursing rprocess.
ANS: rC
Clinical rpathways rare rstandardized, rinterdisciplinary rplans rof rcare rdevised rfor rpatients
rwith ra rparticular rhealth rproblem. rThey rare rused rto ridentify rpatient routcomes, rspecify rtime
rlines rto rachieve rthose routcomes, rdirect rappropriate rinterventions rand rsequencing rof
rinterventions, rinclude rinterventions rfrom ra rvariety rof rdisciplines, rpromote rcollaboration,
rand rinvolve ra rcomprehensive rapproach rto rcare. rThey rare rdeveloped rby rmultiple rhealth
rcare rprofessionals rand rreflect rinterdisciplinary rcare. rThey rcan rbe rused rin rmultiple rsettings
rand rfor rpatients rthroughout rthe rlife rspan. rThey rare rnot rpart rof rthe rnursing rprocess rbut rcan
rbe rused rin rconjunction rwith rthe rnursing rprocess rto rprovide rcare rto rpatients.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r7 OBJ: r Nursing rProcess: rPlanning
MSC: r Client rNeeds: rSafe rand rEffective rCare rEnvironment
8. The rfastest rgrowing rgroup rof rhomeless rpeople ris
a. men rand rwomen rpreparing rfor rretirement.
b. migrant rworkers.
c. single rwomen rand rtheir rchildren.
d. intravenous r(IV) rsubstance rabusers.
ANS: rC
Pregnancy rand rbirth, respecially rfor ra rteenager, rare rimportant rcontributing rfactors rfor
r becoming rhomeless. rPeople rpreparing rfor rretirement, rmigrant rworkers, rand rIV rsubstance
rabusers rare rnot ramong rthe rfastest rgrowing rgroups rof rhomeless rpeople.
PTS: r 1 DIF: Cognitive rLevel: rKnowledge/Remembering
rREF: r p. r14 OBJ: r Nursing rProcess: rAssessment
MSC: r Client rNeeds: rPhysiologic rIntegrity
.
Downloaded rby: rmaster2000 r|
Distribution rof rthis rdocument ris rillegal
