M M M M M M
Emily Slone McKinney & Susan R. James & Sharon Smith Murray
M M M M M M M M M M M
& Kristine Nelson & Jean Ashwill ISBN- 978-0323697880
M M M M M M M
Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursi
M M M M M M M M M M
ng Test Bank
.
M M
MULTIPLEMCHOICE
1. WhichMfactorMsignificantlyMcontributedMtoMtheMshiftMfromMhomeMbirthsMtoMhospitalMbirthsMin
MtheMearlyM20thMcentury?
a. PuerperalMsepsisMwasMidentifiedMasMaMriskMfactorMinMlaborMandMdelivery.
b. ForcepsMwereMdevelopedMtoMfacilitateMdifficultMbirths.
c. TheMimportanceMofMearlyMparental-infantMcontactMwasMidentified.
d. TechnologicMdevelopmentsMbecameMavailableMtoMphysicians.
ANS:M D
Feedback
A PuerperalMsepsisMhasMbeenMaMknownMproblemMforMgenerations.MInMtheMlateM19thMce
ntury,MSemmelweisMdiscoveredMhowMitMcouldMbeMpreventedMwithMimprovedMhygie
nicMpractices.
B TheMdevelopmentMofMforcepsMtoMhelpMphysiciansMfacilitateMdifficultMbirthsMwasMaM
strongMfactorMinMtheMdecreaseMofMhomeMbirthsMandMincreaseMofMhospitalMbirths.MOt
her
importantMdiscoveriesMincludedMchloroform,MdrugsMtoMinitiateMlabor,MandMtheMadva
ncementMofMoperativeMproceduresMsuchMaMcesareanMbirth.
C UnlikeMhome-
births,MearlyMhospitalMbirthsMhinderedMbondingMbetweenMparentsMandMtheirMinfants.
D TechnologicalMdevelopmentsMwereMavailableMtoMphysicians,MnotMlayMmidwives.
PTS:M 1 DIF: CognitiveMLevel:MKnowledge
REF:Mp.M2MOBJ:MNursingMProcess:MAssessment
MSC:M ClientMNeeds:MSafeMandMEffectiveMCareMEnvironment
2. Family-centeredMmaternityMcareMdevelopedMinMresponseMto:
a. DemandsMbyMphysiciansMforMfamilyMinvolvementMinMchildbirth
b. TheMSheppard-TownerMActMofM1921
c. ParentalMrequestsMthatMinfantsMbeMallowedMtoMremainMwithMthemMratherMthanM
inMaMnursery
d. ChangesMinMpharmacologicMmanagementMofMlabor
ANS:M C
Feedback
A Family-centeredMcareMwasMaMrequestMbyMparents,MnotMphysicians.
B TheMSheppard-TownerMActMprovidedMfundsMforMstate-
managedMprogramsMforMmothersMandMchildren.
C AsMresearchMbeganMtoMidentifyMtheMbenefitsMofMearlyMextendedMparent-
infantMcontact,MparentsMbeganMtoMinsistMthatMtheMinfantMremainMwithMthem.MThisM
graduallyMdevelopedMintoMtheMpracticeMofMrooming-inMandMfinallyMtoMfamily-
centered
maternityMcare.
,D TheMchangesMinMpharmacologicMmanagementMofMlaborMwereMnotMaMfactorMinMfamil
y-
, centeredMmaternityMcare.
PTS:M M 1 DIF: CognitiveMLevel:MKnowledge REF:Mp.M3
OBJ:M NursingMProcess:MAssessment MSC:M ClientMNeeds:MPsychosocialMIntegrity
3. WhichMsettingMforMchildbirthMallowsMtheMleastMamountMofMparent-infantMcontact?
a. Labor/delivery/recovery/postpartumM room
b. BirthMcenter
c. TraditionalMhospitalMbirth
d. HomeMbirth
ANS:M C
Feedback
A TheMlabor/delivery/recovery/postpartumMroomMsettingMallowsMincreasedMparent-
infantMcontact.
B BirthMcentersMareMsetMupMtoMallowManMincreaseMinMparent-infantMcontact.
C InMtheMtraditionalMhospitalMsetting,MtheMmotherMmayMseeMtheMinfantMforMonlyMshortM
feedingMperiods,MandMtheMinfantMisMcaredMforMinMaMseparateMnursery.
D HomeMbirthsMallowManMincreaseMinMparent-infantMcontact.
PTS:M M 1 DIF: CognitiveMLevel:MKnowledge REF:Mp.M3
OBJ:M NursingMProcess:MPlanning MSC:M ClientMNeeds:MHealthMPromotionMandMMaintenance
4. AsMaMresultMofMchangesMinMhealthMcareMdeliveryMandMfunding,MaMcurrentMtrendMseenMinMtheMped
iatricMsettingMis:
a. IncreasedMhospitalizationMofMchildren
b. DecreasedMnumberMofMchildrenMlivingMinMpoverty
c. AnMincreaseMinMambulatoryMcare
d. DecreasedMuseMofMmanagedMcare
ANS:M C
Feedback
A HospitalizationMforMchildrenMhasMdecreased.
B HealthMcareMdeliveryMhasMnotMalteredMtheMnumberMofMchildrenMlivingMinMpoverty.
C OneMeffectMofMmanagedMcareMhasMbeenMthatMpediatricMhealthMcareMdeliveryMhasM
shiftedMdramaticallyMfromMtheMacuteMcareMsettingMtoMtheMambulatoryMsetting.MOn
eMofMtheMbiggestMchangesMinMhealthMcareMhasMbeenMtheMgrowthMofMmanagedMcare
.MTheMnumberMofMhospitalMbedsMbeingMusedMhasMdecreasedMasMmoreMcareMisMgiv
enMin
outpatientMsettingsMandMinMtheMhome.MTheMnumberMofMchildrenMlivingMinMpovertyMh
asMincreasedMoverMtheMlastMdecade.
D ManagedMcareMhasMincreasedMinMorderMtoMcontrolMcost.
PTS:M 1 DIF: CognitiveMLevel:MKnowledge
REF:Mp.M6MOBJ:MNursingMProcess:MPlanning
MSC:M ClientMNeeds:MSafeMandMEffectiveMCareMEnvironment
5. TheMWomen,MInfants,MandMChildrenM(WIC)MprogramMprovides: