j j j j j j j j j j j
cKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
j j j j j j j
MULTIPLEjCHOICE
Whichjfactorjsignificantlyjcontributedjtojthejshiftjfromjhomejbirthsjtojhospitaljbirthsjinjthejearl
yj20thjcentury?
a. Puerperaljsepsisjwasjidentifiedjasjajriskjfactorjinjlaborjandjdelivery.
b. Forcepsjwerejdevelopedjtojfacilitatejdifficultjbirths.
c. Thejimportancejofjearlyjparental-infantjcontactjwasjidentified.
d. Technologicjdevelopmentsjbecamejavailablejtojphysicians.
ANS:j D
Technologicjdevelopmentsjwerejavailablejtojphysicians,jnotjlayjmidwives.jSojin-
hospitaljbirthsjincreasedjinjorderjtojtakejadvantagejofjthesejadvancements.jPuerperaljsepsisjhasjbe
enjajknownjproblemjforjgenerations.jInjthejlatej19thjcentury,jSemmelweisjdiscoveredjhowjitjcouldj
bejpreventedjwithjimprovedjhygienicjpractices.jThejdevelopmentjofjforcepsjisjanjexamplejofjajtec
hnologyjadvancejmadejinjthejearlyj20thjcenturyjbutjisjnotjthejonlyjreasonjbirthplacesjmoved.jUnli
kejhomejbirths,jearlyjhospitaljbirthsjhinderedjbondingjbetweenjparentsjandjtheirjinfants.
PTS:jjj 1 DIF:
CognitivejLevel:jKnowledge/RememberingjREF:jjjp
.j1 OBJ:j IntegratedjProcess:jTeaching-
LearningjMSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
Ajwomanjwhojdeliveredjherjbabyj6jhoursjagojcomplainsjofjheadachejandjdizziness.jThejnursejad
ministersjanjanalgesicjbutjdoesjnotjperformjanyjassessments.jThejwomanjthenjhasjajtonic-
clonicjseizure,jfallsjoutjofjbed,jandjfracturesjherjfemur.jHowjwouldjthejactionsjofjthejnursejbejint
erpretedjinjrelationjtojstandardsjofjcare?
a. Negligent:jthejnursejfailedjtojassessjthejwomanjforjpossiblejcomplications
b. Negligent:jbecausejthejnursejmedicatedjthejwoman
c. Notjnegligent:jthejwomanjhadjsignedjajwaiverjconcerningjthejusejofjsidejrails
d. Notjnegligent:jthejwomanjdidjnotjinformjthejnursejofjherjsymptomsjasjsoonjas
theyjoccurred
ANS:j A
TestBankWorld.org
, Therejarejfourjelementsjtojmalpractice,jwhichjisjnegligencejinjthejperformancejofjprofessionaljd
uties:jduty,jbreachjofjduty,jdamage,jandjproximatejcause.jThejnursejwasjnegligentjbecausejshejorj
hejdidjnotjperformjanyjassessments,jwhichjisjthejfirstjstepjofjthejnursingjprocessjandjisjajstandardj
ofjcare.jByjnotjassessingjthejpatient,jthejnursejdidjnotjmeetjestablishedjstandardsjofjcare,jandjthusji
sjguiltyjofjprofessionaljnegligence,jorjmalpractice.
PTS:jjj 1 DIF:
CognitivejLevel:jKnowledge/RememberingjREF:jjjp
.j16 OBJ:j NursingjProcess:jEvaluation
MSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
Whichjpatientjsituationjfailsjtojmeetjthejfirstjrequirementjofjinformedjconsent?
a. Thejpatientjdoesjnotjunderstandjthejphysician’sjexplanations.
b. Thejphysicianjgivesjthejpatientjonlyjajpartialjlistjofjpossiblejsidejeffectsjand
complications.
c. Thejpatientjisjconfusedjandjdisoriented.
d. Thejpatientjsignsjajconsentjformjbecausejherjhusbandjtellsjherjto.
ANS:j C
Thejfirstjrequirementjofjinformedjconsentjisjthatjthejpatientjmustjbejcompetentjtojmakejdecisionsj
aboutjhealthjcare.jFulljdisclosurejofjinformationjisjanjimportantjelementjofjthejconsent,jbutjfirstjt
hejpatientjhasjtojbejcompetentjtojsign.jUnderstandingjisjanjimportantjelementjofjthejconsent,jbutjfi
rstjthejpatientjhasjtojbejcompetentjtojsign.jVoluntaryjconsentjisjanjimportantjelementjofjthejconsen
t,jbutjfirstjthejpatientjhasjtojbejcompetentjtojsign.
PTS:jjj 1 DIF:
CognitivejLevel:jKnowledge/RememberingjREF:jjjp
.j17 OBJ:j NursingjProcess:jAssessment
MSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
Whichjsituationjreflectsjajpotentialjethicaljdilemmajforjthejnurse?
a. Ajnursejadministersjanalgesicsjtojajpatientjwithjcancerjasjoftenjasjthejprovider’s
orderjallows.
b. Ajneonataljnursejprovidesjnourishmentjandjcarejtojajnewbornjwhojhasjajdefect
thatjisjincompatiblejwithjlife.
c. Ajlaborjnurse,jwhosejreligionjopposesjabortion,jisjaskedjtojassistjwithjanjelective
abortion.
d. Ajpostpartumjnursejprovidesjinformationjaboutjadoptionjtojajnewjmotherjwho
feelsjshejcannotjadequatelyjcarejforjherjinfant.
ANS:j C
Ajdilemmajexistsjinjthisjsituationjbecausejthejnursejisjbeingjaskedjtojassistjwithjajprocedurejthatjsh
ejorjhejbelievesjisjmorallyjwrong.jThejotherjsituationsjdojnotjcontainjelementsjofjconflictjforjthejn
urse.
PTS:jjj 1 DIF:
CognitivejLevel:jComprehension/UnderstandingjREF:jjjp
.j11 OBJ:j NursingjProcess:jAssessment
MSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
Whenjplanningjajparentingjclass,jthejnursejshouldjexplainjthatjthejleadingjcausejofjdeathjinjchild
renj1jtoj4jyearsjofjagejinjthejUnitedjStatesjis
a. prematurejbirth.
b. congenitaljanomalies.
TestBankWorld.org
c. accidentaljdeath.
,TEST BANK EXAM Foundations of Maternity, Women’s Hea
j j j j j j j
lth, and Child Health NursingMcKinney: Evolve Resources for
j j j j j j j j j
Maternal-Child Nursing, 5th Edition
j j j
d. respiratoryjtractjillness.
ANS:j C
Althoughjthejratesjhavejdropped,junintentionaljinjuryj(accidents)jarejstilljthejleadingjcausejofjdeathjf
orjchildrenjagedj1jtoj19.jThejotherjoptionsjcontributejtojmorbidityjandjmortalityjinjchildrenjbutjarejn
otjthejleadingjcause.
PTS:jjj 1 DIF: CognitivejLevel:jKnowledge/Remembering
REF:jjjp.j10j|jTablej1.3 OBJ:jIntegratedjProcess:jTeaching-
LearningjMSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
Family-centeredjmaternityjcarejdevelopedjinjresponsejto
a. demandsjbyjphysiciansjforjfamilyjinvolvementjinjchildbirth.
b. thejSheppard-TownerjActjofj1921.
c. parentaljrequestsjthatjinfantsjbejallowedjtojremainjwithjthemjratherjthanjinja
nursery.
d. changesjinjpharmacologicjmanagementjofjlabor.
ANS:j C
Asjresearchjbeganjtojidentifyjthejbenefitsjofjearlyjextendedjparent-
infantjcontact,jparentsjbeganjtojinsistjthatjthejinfantjremainjwithjthem.jThisjgraduallyjdevelopedji
ntojthejpracticejofjrooming-injandjfinallyjtojfamily-centeredjmaternityjcare.jFamily-
centeredjcarejwasjajrequestjbyjparents,jnotjphysicians.jThejSheppard-
TownerjActjofj1921jprovidedjfundsjfor
state-
managedjprogramsjforjmothersjandjchildren.jThejchangesjinjpharmacologicjmanage
mentjofjlaborjwerejnotjajfactorjinjfamily-centeredjmaternityjcare.
PTS:jjj 1 DIF:
CognitivejLevel:jKnowledge/RememberingjREF:jjjp
.j2 OBJ:j IntegratedjProcess:jTeaching-
LearningjMSC:j ClientjNeeds:jPsychosocialjIntegrity
Whichjsettingjforjchildbirthjallowsjthejleastjamountjofjparent-infantjcontact?
a. Labor/delivery/recovery/postpartumjroom
b. Birthjcenter
c. Traditionaljhospitaljbirth
d. Homejbirth
TestBankWorld.org
TEST BANK EXAM Foundations of Maternity, Women’s Hea
j j j j j j j
lth, and Child Health NursingMcKinney: Evolve Resources for
j j j j j j j j j
Maternal-Child Nursing, 5th Edition
j j j
, TEST BANK EXAM Foundations of Maternity, Women’s Hea
j j j j j j j
lth, and Child Health NursingMcKinney: Evolve Resources for
j j j j j j j j j
Maternal-Child Nursing, 5th Edition
j j j
ANS:j C
Injthejtraditionaljhospitaljsetting,jthejmotherjmayjseejthejinfantjforjonlyjshortjfeedingjperiods,jandjt
hejinfantjisjcaredjforjinjajseparatejnursery.jThejlabor/delivery/recovery/postpartumjroomjsettingjal
lowsjincreasedjparent-infantjcontact.jBirthjcentersjarejsetjupjtojallowjanjincreasejinjparent-
infantjcontact.jHomejbirthsjallowjanjincreasejinjparent-infantjcontact.
PTS:jjj 1 DIF:
CognitivejLevel:jKnowledge/RememberingjREF:jjjp
.j2 OBJ:j NursingjProcess:jPlanning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
Asjajresultjofjchangesjinjhealthjcarejdeliveryjandjfunding,jajcurrentjtrendjseenjinjthejpediatricjsettin
gjis
a. increasedjhospitalizationjofjchildren.
b. decreasedjnumberjofjchildrenjlivingjinjpoverty.
c. anjincreasejinjambulatoryjcare.
d. decreasedjusejofjmanagedjcare.
ANS:j C
Onejeffectjofjmanagedjcarejhasjbeenjthatjpediatricjhealthjcarejdeliveryjhasjshiftedjdramaticallyjfr
omjthejacutejcarejsettingjtojthejambulatoryjsettingjinjorderjtojprovidejmorejcost-
efficientjcare.jThejnumberjofjhospitaljbedsjbeingjusedjhasjdecreasedjasjmorejcarejisjgivenjinjoutp
atientjsettingsjandjinjthejhome.jThejnumberjofjchildrenjlivingjinjpovertyjhasjincreasedjoverjthejpa
stjdecade.jOnejofjthejbiggestjchangesjinjhealthjcarejhasjbeenjthejgrowthjofjmanagedjcare.
PTS:jjj 1 DIF:
CognitivejLevel:jKnowledge/RememberingjREF:jjjp
.j5 OBJ:j NursingjProcess:jPlanning
MSC:j ClientjNeeds:jSafejandjEffectivejCarejEnvironment
ThejWomen,jInfants,jandjChildrenj(WIC)jprogramjprovides
a. well-childjexaminationsjforjinfantsjandjchildrenjlivingjatjthejpovertyjlevel.
b. immunizationsjforjhigh-riskjinfantsjandjchildren.
c. screeningjforjinfantsjwithjdevelopmentaljdisorders.
d. supplementaljfoodjsuppliesjtojlow-incomejpregnantjorjbreastfeedingjwomen.
ANS:j D
WICjisjajfederaljprogramjthatjprovidesjsupplementaljfoodjsuppliesjtojlow-
incomejwomenjwhojarejpregnantjorjbreastfeedingjandjtojtheirjchildrenjuntiljagej5jyears.jMedicaid
’sjEarlyjandjPeriodicjScreening,jDiagnosis,jandjTreatmentjProgramjprovidesjforjwell-
childjexaminationsjandjforjtreatmentjofjanyjmedicaljproblemsjdiagnosedjduringjsuchjcheckups.jC
hildrenjinjthejWICjprogramjarejoftenjreferredjforjimmunizations,jbutjthatjisjnotjthejprimaryjfocusjo
TEST BANK EXAM Foundations of Maternity, Women’s Hea
j j j j j j j
lth, and Child Health NursingMcKinney: Evolve Resources for
j j j j j j j j j
Maternal-Child Nursing, 5th Edition
j j j