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TEST BANK
FOR
MATERNAL CHILD NURSING
7TH EDITION BY MCKINNEY
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Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
Test Bank
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.
ANS: D
Feedback
A 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.
B The development of forceps to help physicians facilitate difficult births was a
strong factor in the decrease of home births and increase of hospital births. Other
important discoveries included chloroform, drugs to initiate labor, and the
advancement of operative procedures such a cesarean birth.
C Unlike home-births, early hospital births hindered bonding between parents and
their infants.
D Technological developments were available to physicians, not lay midwives.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Nursing Process: Assessment
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
ANS: C
Feedback
A Family-centered care was a request by parents, not physicians.
B The Sheppard-Towner Act provided funds for state-managed programs for
mothers and children.
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.
D The changes in pharmacologic management of labor were not a factor in family-
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centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
3. Which vsetting vfor vchildbirth vallows vthe vleast vamount vof vparent-infant vcontact?
a. Labor/delivery/recovery/postpartum v room
b. Birth vcenter
c. Traditional vhospital vbirth
d. Home vbirth
ANS: v C
Feedback
A The vlabor/delivery/recovery/postpartum vroom vsetting vallows vincreased vparent-
vinfant vcontact.
B Birth vcenters vare vset vup vto vallow van vincrease vin vparent-infant vcontact.
C In vthe vtraditional vhospital vsetting, vthe vmother vmay vsee vthe vinfant vfor vonly
vshort
feeding vperiods, vand vthe vinfant vis vcared vfor vin va vseparate vnursery.
D Home vbirths vallow van vincrease vin vparent-infant vcontact.
PTS: v v 1 DIF: Cognitive vLevel: vKnowledge REF: v p. v3
OBJ: v v Nursing vProcess: vPlanning MSC: v Client vNeeds: vHealth vPromotion vand
vMaintenance
4. As va vresult vof vchanges vin vhealth vcare vdelivery vand vfunding, va vcurrent vtrend vseen vin vthe
vpediatric vsetting vis:
a. Increased vhospitalization vof vchildren
b. Decreased vnumber vof vchildren vliving vin vpoverty
c. An vincrease vin vambulatory vcare
d. Decreased vuse vof vmanaged vcare
ANS: v C
Feedback
A Hospitalization vfor vchildren vhas vdecreased.
B Health vcare vdelivery vhas vnot valtered vthe vnumber vof vchildren vliving vin
vpoverty.
C One veffect vof vmanaged vcare vhas vbeen vthat vpediatric vhealth vcare vdelivery
vhas vshifted vdramatically vfrom vthe vacute vcare vsetting vto vthe vambulatory
vsetting. vOne vof vthe vbiggest vchanges vin vhealth vcare vhas vbeen vthe vgrowth
vof vmanaged vcare. vThe vnumber vof vhospital vbeds vbeing vused vhas vdecreased
vas vmore vcare vis vgiven vin
outpatient vsettings vand vin vthe vhome. vThe vnumber vof vchildren vliving vin
vpoverty vhas vincreased vover vthe vlast vdecade.
D Managed vcare vhas vincreased vin vorder vto vcontrol vcost.
PTS: v 1 DIF: Cognitive vLevel: vKnowledge REF: vp.
v6 vOBJ: vNursing vProcess: vPlanning
MSC: v Client vNeeds: vSafe vand vEffective vCare vEnvironment
5. The vWomen, vInfants, vand vChildren v(WIC) vprogram vprovides:
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a. Well-child vexaminations vfor vinfants vand vchildren vliving vat vthe vpoverty vlevel
b. Immunizations vfor vhigh-risk vinfants vand vchildren
c. Screening vfor vinfants vwith vdevelopmental vdisorders
d. Supplemental vfood vsupplies vto vlow-income vwomen vwho vare
vpregnant vor vbreastfeeding
ANS: v D
Feedback
A Medicaid’s vEarly vand vPeriodic vScreening, vDiagnosis, vand vTreatment
vProgram vprovides vfor vwell-child vexaminations vand vfor vtreatment vof vany
vmedical vproblems
diagnosed vduring vsuch vcheckups.
B Children vin vthe vWIC vprogram vare voften vlinked vwith vimmunizations, vbut
vthat vis vnot vthe vprimary vfocus vof vthe vprogram.
C Public vLaw v99-457 vprovides vfinancial vincentives vto vstates vto vestablish
comprehensive vearly vintervention vservices vfor vinfants vand vtoddlers vwith, vor
vat vrisk vfor, vdevelopmental vdisabilities.
D WIC vis va vfederal vprogram vthat vprovides vsupplemental vfood vsupplies vto vlow-
vincome vwomen vwho vare vpregnant vor vbreastfeeding vand vto vtheir vchildren
vuntil vage
5 vyears.
PTS: v 1 DIF: Cognitive vLevel: vComprehension REF: vp. v2 v| vTables v1-1,
v1-9 vOBJ: v Nursing vProcess: vAssessment MSC: v Client vNeeds:
vPhysiologic vIntegrity
6. In vmost vstates, vadolescents vwho vare vnot vemancipated vminors vmust vhave vthe vpermission
vof vtheir vparents vbefore:
a. Treatment vfor vdrug vabuse
b. Treatment vfor vsexually vtransmitted vdiseases v(STDs)
c. Accessing vbirth vcontrol
d. Surgery
ANS: v D
Feedback
A Most vstates vallow vminors vto vobtain vtreatment vfor vdrug vor valcohol vabuse
vwithout
parental vconsent.
B Most vstates vallow vminors vto vobtain vtreatment vfor vSTDs vwithout vparental
vconsent.
C In vmost vstates, vminors vare vallowed vaccess vto vbirth vcontrol vwithout vparental
consent.
D If va vminor vreceives vsurgery vwithout vproper vinformed vconsent, vassault vand
vbattery vcharges vagainst vthe vcare vprovider vcan vresult. vThis vdoes vnot vapply
vto van vemancipated vminor v(a vminor vchild vwho vhas vthe vlegal vcompetency vof
van vadult vbecause vof vcircumstances vinvolving vmarriage, vdivorce, vparenting
vof va vchild,
living vindependently vwithout vparents, vor venlistment vin vthe varmed vservices).
PTS: v 1 DIF: Cognitive vLevel: vApplication REF: vp.
v19 vOBJ: vNursing vProcess: vPlanning
MSC: v Client vNeeds: vSafe vand vEffective vCare vEnvironment
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TEST BANK
FOR
MATERNAL CHILD NURSING
7TH EDITION BY MCKINNEY
Downloaded by: Ariah |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
Test Bank
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.
ANS: D
Feedback
A 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.
B The development of forceps to help physicians facilitate difficult births was a
strong factor in the decrease of home births and increase of hospital births. Other
important discoveries included chloroform, drugs to initiate labor, and the
advancement of operative procedures such a cesarean birth.
C Unlike home-births, early hospital births hindered bonding between parents and
their infants.
D Technological developments were available to physicians, not lay midwives.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Nursing Process: Assessment
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
ANS: C
Feedback
A Family-centered care was a request by parents, not physicians.
B The Sheppard-Towner Act provided funds for state-managed programs for
mothers and children.
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.
D The changes in pharmacologic management of labor were not a factor in family-
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centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
3. Which vsetting vfor vchildbirth vallows vthe vleast vamount vof vparent-infant vcontact?
a. Labor/delivery/recovery/postpartum v room
b. Birth vcenter
c. Traditional vhospital vbirth
d. Home vbirth
ANS: v C
Feedback
A The vlabor/delivery/recovery/postpartum vroom vsetting vallows vincreased vparent-
vinfant vcontact.
B Birth vcenters vare vset vup vto vallow van vincrease vin vparent-infant vcontact.
C In vthe vtraditional vhospital vsetting, vthe vmother vmay vsee vthe vinfant vfor vonly
vshort
feeding vperiods, vand vthe vinfant vis vcared vfor vin va vseparate vnursery.
D Home vbirths vallow van vincrease vin vparent-infant vcontact.
PTS: v v 1 DIF: Cognitive vLevel: vKnowledge REF: v p. v3
OBJ: v v Nursing vProcess: vPlanning MSC: v Client vNeeds: vHealth vPromotion vand
vMaintenance
4. As va vresult vof vchanges vin vhealth vcare vdelivery vand vfunding, va vcurrent vtrend vseen vin vthe
vpediatric vsetting vis:
a. Increased vhospitalization vof vchildren
b. Decreased vnumber vof vchildren vliving vin vpoverty
c. An vincrease vin vambulatory vcare
d. Decreased vuse vof vmanaged vcare
ANS: v C
Feedback
A Hospitalization vfor vchildren vhas vdecreased.
B Health vcare vdelivery vhas vnot valtered vthe vnumber vof vchildren vliving vin
vpoverty.
C One veffect vof vmanaged vcare vhas vbeen vthat vpediatric vhealth vcare vdelivery
vhas vshifted vdramatically vfrom vthe vacute vcare vsetting vto vthe vambulatory
vsetting. vOne vof vthe vbiggest vchanges vin vhealth vcare vhas vbeen vthe vgrowth
vof vmanaged vcare. vThe vnumber vof vhospital vbeds vbeing vused vhas vdecreased
vas vmore vcare vis vgiven vin
outpatient vsettings vand vin vthe vhome. vThe vnumber vof vchildren vliving vin
vpoverty vhas vincreased vover vthe vlast vdecade.
D Managed vcare vhas vincreased vin vorder vto vcontrol vcost.
PTS: v 1 DIF: Cognitive vLevel: vKnowledge REF: vp.
v6 vOBJ: vNursing vProcess: vPlanning
MSC: v Client vNeeds: vSafe vand vEffective vCare vEnvironment
5. The vWomen, vInfants, vand vChildren v(WIC) vprogram vprovides:
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a. Well-child vexaminations vfor vinfants vand vchildren vliving vat vthe vpoverty vlevel
b. Immunizations vfor vhigh-risk vinfants vand vchildren
c. Screening vfor vinfants vwith vdevelopmental vdisorders
d. Supplemental vfood vsupplies vto vlow-income vwomen vwho vare
vpregnant vor vbreastfeeding
ANS: v D
Feedback
A Medicaid’s vEarly vand vPeriodic vScreening, vDiagnosis, vand vTreatment
vProgram vprovides vfor vwell-child vexaminations vand vfor vtreatment vof vany
vmedical vproblems
diagnosed vduring vsuch vcheckups.
B Children vin vthe vWIC vprogram vare voften vlinked vwith vimmunizations, vbut
vthat vis vnot vthe vprimary vfocus vof vthe vprogram.
C Public vLaw v99-457 vprovides vfinancial vincentives vto vstates vto vestablish
comprehensive vearly vintervention vservices vfor vinfants vand vtoddlers vwith, vor
vat vrisk vfor, vdevelopmental vdisabilities.
D WIC vis va vfederal vprogram vthat vprovides vsupplemental vfood vsupplies vto vlow-
vincome vwomen vwho vare vpregnant vor vbreastfeeding vand vto vtheir vchildren
vuntil vage
5 vyears.
PTS: v 1 DIF: Cognitive vLevel: vComprehension REF: vp. v2 v| vTables v1-1,
v1-9 vOBJ: v Nursing vProcess: vAssessment MSC: v Client vNeeds:
vPhysiologic vIntegrity
6. In vmost vstates, vadolescents vwho vare vnot vemancipated vminors vmust vhave vthe vpermission
vof vtheir vparents vbefore:
a. Treatment vfor vdrug vabuse
b. Treatment vfor vsexually vtransmitted vdiseases v(STDs)
c. Accessing vbirth vcontrol
d. Surgery
ANS: v D
Feedback
A Most vstates vallow vminors vto vobtain vtreatment vfor vdrug vor valcohol vabuse
vwithout
parental vconsent.
B Most vstates vallow vminors vto vobtain vtreatment vfor vSTDs vwithout vparental
vconsent.
C In vmost vstates, vminors vare vallowed vaccess vto vbirth vcontrol vwithout vparental
consent.
D If va vminor vreceives vsurgery vwithout vproper vinformed vconsent, vassault vand
vbattery vcharges vagainst vthe vcare vprovider vcan vresult. vThis vdoes vnot vapply
vto van vemancipated vminor v(a vminor vchild vwho vhas vthe vlegal vcompetency vof
van vadult vbecause vof vcircumstances vinvolving vmarriage, vdivorce, vparenting
vof va vchild,
living vindependently vwithout vparents, vor venlistment vin vthe varmed vservices).
PTS: v 1 DIF: Cognitive vLevel: vApplication REF: vp.
v19 vOBJ: vNursing vProcess: vPlanning
MSC: v Client vNeeds: vSafe vand vEffective vCare vEnvironment
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