c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL- c c c c
CHILD NURSING, 5TH EDITION
c c c
Chapter 01: Foundations of Maternity, Women’s Health, and Child He
c c c c c c c c c
althNursing McKinney: Evolve Resources for Maternal-
c c c c c c
Child Nursing, 5th Edition
c c c
MULTIPLE CHOICE c
• Which factor significantly contributed to the shift from home births t
c c c c c c c c c c
o hospitalbirths in the early 20th century?
c c c c c c c
a. Puerperalc sepsis c was c identified c as c ac riskc factorc in c laborc andc delivery.
b. Forceps c were c developed c toc facilitate c difficultc births.
c. The c importance c of c early c parental-infantc contactc was c identified.
d. Technologic c developments c became c available c to c physicians.
ANS: D c
Technologic developments were available to physicians, not lay mid
c c c c c c c c
wives. So in- c c
hospital births increased in order to take advantage of these advance
c c c c c c c c c c
ments.
Puerperal sepsis has been a known problem for generations. In the late 19t
c c c c c c c c c c c c
h century,Semmelweis discovered how it could be prevented with improve
c c c c c c c c c c
d hygienic practices.The development of forceps is an example of a techno
c c c c c c c c c c c c
MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021-
c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL- c c c c
CHILD NURSING, 5TH EDITION
c c c
,MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021- c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL- c c c c
CHILD NURSING, 5TH EDITION
c c c
logy advance made in the early 20th century but is not the only reason birth
c c c c c c c c c c c c c c
places moved. Unlike home births, early hospital births hindered bonding b
c c c c c c c c c c
etween parents and their infants. c c c c
PTS: 1 DIF: Cognitive Level: Knowledge/Reme
c c c c c
mbering REF: p. 1 OBJ: Integrated Process: Tea
c c c c c c c
ching-
Learning MSC: Client Needs: Safe and Effective c c c c c c c
Care Environment c
• A woman who delivered her baby 6 hours ago complains of headache a
c c c c c c c c c c c c
nd dizziness. The nurse administers an analgesic but does not perform
c c c c c c c c c c c
any assessments. The woman then has a tonic-
c c c c c c c
clonic seizure, falls out of bed, and fractures her femur. How would the a
c c c c c c c c c c c c c
ctions of the nurse be interpreted in relationto standards of care?
c c c c c c c c c c c
a. Negligent:cthec nursec failedc toc assess cthecwoman cforcpossib
le complications b. Negligent: because the nurse medicated
c c c c c c c c
the woman c
c. Not negligent: the woman had signed a waiver concerning th
c c c c c c c c c c
e use ofside rails d. Not negligent: the woman did not inform th
c c c c c c c c c c c c c
e nurse of her symptoms as soon as they occurred
c c c c c c c c c
ANS: A c
MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021- c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL- c c c c
CHILD NURSING, 5TH EDITION
c c c
,MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021-
c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL- c c c c
CHILD NURSING, 5TH EDITION
c c c
.
There are four elements to malpractice, which is negligence in the perfor
c c c c c c c c c c c
mance of professional duties: duty, breach of duty, damage, and proxima
c c c c c c c c c c
te cause. The nurse was negligent because she or he did not perform any
c c c c c c c c c c c c c
c assessments, which is the first step of the nursing process and is a stand
c c c c c c c c c c c c c
ard of care. By not assessing the patient, the nurse did not meet establish
c c c c c c c c c c c c c
ed standards of care, and thus is guilty of professional negligence, or mal
c c c c c c c c c c c c
practice.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
c c c c c
REF: p. 16 OBJ: Nursing Process: Evaluation
c c c c c c
MSC: Client Needs: Safe and Effective Care Environment
c c c c c c c
• Which patient situation fails to meet the first requirement of i
c c c c c c c c c c
nformed consent? a. The patient does not understand the p
c c c c c c c c c
hysician’s explanations. c
b. The c physicianc givesc the cpatientconly cac partialc listcof c possi
ble sideeffects and complications.
c c c c
MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021-
c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL- c c c c
CHILD NURSING, 5TH EDITION
c c c
, MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021-
c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-
c c c c
CHILD NURSING, 5TH EDITION
c c c
c. The c patientc is c confused c andc disoriented.
d. The c patientc signs c ac consentc formc because c herc husband c tells c herc to.
ANS: C c
The first requirement of informed consent is that the patient must be com
c c c c c c c c c c c c
petent tomake decisions about health care. Full disclosure of informatio
c c c c c c c c c c
n is an important element of the consent, but first the patient has to be co
c c c c c c c c c c c c c c c
mpetent to sign. c c
Understanding is an important element of the consent, but first the patient ha
c c c c c c c c c c c c
s to c
MATERNAL CHILD NURSING 5TH EDITIONT EST-BANK 2021-
c c c c c c
2022 COMMUNICATING WITH CHILDREN AND FAMILIES
c c c c c
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-
c c c c
CHILD NURSING, 5TH EDITION
c c c