TESTBANK #t
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
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NANCY HATFIELD & CYNTHIA KINCHELOE
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5th Edition
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TESTBANK t
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,Chapter 1: The Nurse's Role in a Changing Maternal–
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Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing
#t #t #t #t #t #t #t #t #t
, 5th Edition
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1. The opening up of hospital visiting policies for children and families l
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ikely resultedfrom the work of which individual?
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A. Joseph Brennaman #t
B. John Bowlby #t
C. Marshal Klaus #t
D. John Kennell #t #
Answer: B
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Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother because of
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hospitalization. His work led toa re-
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evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggest
#t #t #t #t # t #t #t #t #t #t # t
ed that a lack of stimulation for infants contributed to high infant mortality rates at the tim
# t #t #t #t #t # t #t #t # t # t #t # t #t # t #t #t
e. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out impor
#t #t # t #t # t # t # t # t # t #t #t # t # t # t
tantstudies on the effect of the separation of newborns and parents. They established that
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early separation may have long-
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term effects on family relationships and that offering the new family an opportunity to b
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e together at birth and for a significant period after birth may provide benefitsthat last w
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ell into early childhood.
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Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrat
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ed Process: Nursing Process
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Reference: p. 4 #t #t
2. An expectant mother states that she read that more black mothers die in childbirth than d
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o white mothers. When responding to her questions about the reasons for this, the nu
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rse accurately states that which is the major reason for the high maternal mortality ra
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te?
A. Having formal education. #t #t
B. Being unmarried. #t
C. Income.
D. Lack of prenatal care. #t #t #t
Answer: D #t
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal car
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e secondary to lack of access to services or insurance. Income as well as educational lev
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el may play a role in the availability of health care, but they are not directly responsible.
# t #t # t # t #t #t # t # t # t # t # t # t # t # t #t # t
Being unmarried has no bearing on infant mortality.
# t #t #t #t #t #t #t #t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Understand
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,Client Needs: Health Promotion and Maintenance Integrat
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ed Process: Nursing Process
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Reference: p. 9 #t #t
3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
#t #t #t #t #t #t #t #t #t #t #t #t #t #t
B. number of deaths occurring in the first 28 days of life per 1,000 live births
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C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D #t
Rationale: The term infant death refers to the death of a live-
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born child before he or she reaches age 1 year. It also includes neonatal mortality rate.
# t # t # t #t #t #t # t # t # t # t # t # t # t # t # t # t
Neonatal mortality rate is the number of infant deaths during the first 28 days of life for
# t # t # t # t #t # t #t # t # t # t # t # t # t # t #t #t #
tevery 1,000 live births. Infant mortality rate is the number of deaths during the first 12 months
# t # t # t # t #t #t #t #t #t #t #t #t #t #t #t #t
of life per 1,000 live births. Question format: Multiple Choice
#t #t #t #t #t #t # t #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Remember
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance Integrat
#t #t #t #t #t #t
ed Process: Nursing Process
#t #t #t
Reference: p. 9 #t #t
4. The nursing instructor is preparing to teach a group of students about the history of maternity ca
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re. What major development will the instructor emphasize as greatly influencing the pract
# t # t # t # t # t # t # t # t #t # t # t # t
ice of maternity care in the United States over the past century?
#t # t # t # t # t # t # t # t # t # t # t
A. technologic advances and the use of forceps by primary care providers #t #t #t #t #t #t #t #t #t #t
B. development of anesthesia and acceptance of the germ theory #t #t #t #t #t #t #t #t
C. advent of birthing centers and the development of family-centered care
#t #t #t #t #t #t #t #t #t
D. development of pediatric specialty and replacement of midwives as primary birth attendan
#t #t # t #t # t # t # t # t #t #t #t
ts Answer: B
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Rationale: The emphasis should be placed on anesthesia and the germ theory. The developme
#t #t #t #t #t #t #t #t #t #t #t #t #t
nt of anesthesia allowed women a choice for pain management in birth; the germ theory advan
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
ced the progress of general health care and decreased infections in laboring women. Pediatr
#t #t #t #t #t # t #t # t # t # t #t # t # t
ics as a specialty is an important step forward but is not the greatest development, and
#t #t #t # t # t # t # t # t # t # t # t # t # t # t # t # t
midwives are still in practice. Maternity care continues to evolve, and birthing centers ar
# t #t # t # t # t # t # t # t # t # t # t # t # t
e still under development. Forceps are not considered an advance in maternity care.
#t # t #t # t # t # t # t # t # t # t # t # t
Question format: Multiple Choice # t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Analyze
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance
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, Integrated Process: Teaching/Learning #t #t #t
Reference: p. 3 #t #t
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic d
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
uring the surgery has greatly improved client survival rates and was started by which phy
#t #t #t #t #t #t #t #t #t #t #t #t #t #t
sician?
A. Louis Pasteur #t
B. Ignaz Philip Semmelweis #t #t
C. Joseph Lister #t
D. Alexander Gordon #t #
Answer: C
t #t
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory o
# t # t # t # t # t # t # t # t # t # t # t # t
f microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic d
#t # t #t # t # t # t # t # t # t # t # t # t # t # t
uring surgery and improved the survival rates of his patients. Alexander Gordon proposed t
#t #t #t #t #t #t #t #t #t #t #t #t #t
he theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
#t #t # t # t # t # t # t # t # t # t # t #
this theory. # t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Apply
#t #t #t # t #t #t
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Proce
# t # t #t #t #t #t #t #t #t #t #t
ss: Nursing Process
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Reference: p. 4 #t #t
6. A young couple are very excited to learn they are expecting their first child and qu
# t # t # t # t # t # t # t # t # t # t # t # t # t #t # t
estion the nurse about which test they need to discover its gender. Which procedure will best p
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
rovide this information to the couple?
#t #t #t #t #t
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling #t #t
D. HGP
Answer: A #t
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
# t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
information about the gender. Amniocentesis and chorionic villus sampling provide the entire g
#t #t #t #t #t # t #t #t # t # t #t #t
enetic code of the fetus. HGP refers to the Human Genome Project, which can provide i
# t # t # t # t # t # t # t # t # t # t # t # t # t # t #t
nformation regarding gene mutations and variations.
# t # t # t # t # t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Apply
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance Integrat
#t #t #t #t #t #t
ed Process: Caring
#t #t
Reference: p. 6 #t #t
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
#t #t #t #t
NANCY HATFIELD & CYNTHIA KINCHELOE
#t #t #t #t
5th Edition
#t
TESTBANK t
#
,Chapter 1: The Nurse's Role in a Changing Maternal–
#t #t #t #t #t #t #t #t
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing
#t #t #t #t #t #t #t #t #t
, 5th Edition
#t #t
1. The opening up of hospital visiting policies for children and families l
#t #t #t #t #t #t #t #t #t #t #t
ikely resultedfrom the work of which individual?
# t #t # t # t #t # t
A. Joseph Brennaman #t
B. John Bowlby #t
C. Marshal Klaus #t
D. John Kennell #t #
Answer: B
t #t
Rationale: In 1951, John Bowlby received worldwide attention with his
#t #t #t #t #t #t #t #t #t
study that revealed the negative results of the separation of child and mother because of
# t # t # t # t # t # t # t # t # t # t # t # t # t # t #
hospitalization. His work led toa re-
t #t # t # t #t #t
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggest
#t #t #t #t # t #t #t #t #t #t # t
ed that a lack of stimulation for infants contributed to high infant mortality rates at the tim
# t #t #t #t #t # t #t #t # t # t #t # t #t # t #t #t
e. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out impor
#t #t # t #t # t # t # t # t # t #t #t # t # t # t
tantstudies on the effect of the separation of newborns and parents. They established that
# t # t # t # t # t # t # t # t # t # t #t # t # t
early separation may have long-
# t # t # t # t #t
term effects on family relationships and that offering the new family an opportunity to b
# t # t # t # t # t #t # t # t # t # t # t # t # t # t
e together at birth and for a significant period after birth may provide benefitsthat last w
#t # t # t # t # t # t # t # t #t # t # t # t # t # t # t
ell into early childhood.
# t # t # t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Remember
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance Integrat
#t #t #t #t #t #t
ed Process: Nursing Process
#t #t #t
Reference: p. 4 #t #t
2. An expectant mother states that she read that more black mothers die in childbirth than d
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
o white mothers. When responding to her questions about the reasons for this, the nu
#t # t # t # t # t # t # t # t # t # t # t # t # t # t
rse accurately states that which is the major reason for the high maternal mortality ra
#t # t # t # t # t # t # t # t # t # t # t # t # t # t
te?
A. Having formal education. #t #t
B. Being unmarried. #t
C. Income.
D. Lack of prenatal care. #t #t #t
Answer: D #t
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal car
#t #t #t # t # t #t #t #t #t #t #t #t #t #t
e secondary to lack of access to services or insurance. Income as well as educational lev
#t # t # t # t # t # t # t # t # t # t # t # t # t # t # t
el may play a role in the availability of health care, but they are not directly responsible.
# t #t # t # t #t #t # t # t # t # t # t # t # t # t #t # t
Being unmarried has no bearing on infant mortality.
# t #t #t #t #t #t #t #t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Understand
#t #t #t # t #t #t
,Client Needs: Health Promotion and Maintenance Integrat
#t #t #t #t #t #t
ed Process: Nursing Process
#t #t #t
Reference: p. 9 #t #t
3. Which statement correctly defines the term "infant death rate"?
#t #t #t #t #t #t #t #t
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
#t #t #t #t #t #t #t #t #t #t #t #t #t #t
B. number of deaths occurring in the first 28 days of life per 1,000 live births
#t #t #t #t #t #t #t #t #t #t #t #t #t #t
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
D. death of a live-born child before his or her first birthday.
#t #t #t #t #t #t #t #t #t #t
Answer: D #t
Rationale: The term infant death refers to the death of a live-
# t #t #t # t # t # t # t # t #t # t #t
born child before he or she reaches age 1 year. It also includes neonatal mortality rate.
# t # t # t #t #t #t # t # t # t # t # t # t # t # t # t # t
Neonatal mortality rate is the number of infant deaths during the first 28 days of life for
# t # t # t # t #t # t #t # t # t # t # t # t # t # t #t #t #
tevery 1,000 live births. Infant mortality rate is the number of deaths during the first 12 months
# t # t # t # t #t #t #t #t #t #t #t #t #t #t #t #t
of life per 1,000 live births. Question format: Multiple Choice
#t #t #t #t #t #t # t #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Remember
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance Integrat
#t #t #t #t #t #t
ed Process: Nursing Process
#t #t #t
Reference: p. 9 #t #t
4. The nursing instructor is preparing to teach a group of students about the history of maternity ca
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
re. What major development will the instructor emphasize as greatly influencing the pract
# t # t # t # t # t # t # t # t #t # t # t # t
ice of maternity care in the United States over the past century?
#t # t # t # t # t # t # t # t # t # t # t
A. technologic advances and the use of forceps by primary care providers #t #t #t #t #t #t #t #t #t #t
B. development of anesthesia and acceptance of the germ theory #t #t #t #t #t #t #t #t
C. advent of birthing centers and the development of family-centered care
#t #t #t #t #t #t #t #t #t
D. development of pediatric specialty and replacement of midwives as primary birth attendan
#t #t # t #t # t # t # t # t #t #t #t
ts Answer: B
#t #t
Rationale: The emphasis should be placed on anesthesia and the germ theory. The developme
#t #t #t #t #t #t #t #t #t #t #t #t #t
nt of anesthesia allowed women a choice for pain management in birth; the germ theory advan
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
ced the progress of general health care and decreased infections in laboring women. Pediatr
#t #t #t #t #t # t #t # t # t # t #t # t # t
ics as a specialty is an important step forward but is not the greatest development, and
#t #t #t # t # t # t # t # t # t # t # t # t # t # t # t # t
midwives are still in practice. Maternity care continues to evolve, and birthing centers ar
# t #t # t # t # t # t # t # t # t # t # t # t # t
e still under development. Forceps are not considered an advance in maternity care.
#t # t #t # t # t # t # t # t # t # t # t # t
Question format: Multiple Choice # t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Analyze
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance
#t #t #t #t #t
, Integrated Process: Teaching/Learning #t #t #t
Reference: p. 3 #t #t
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic d
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
uring the surgery has greatly improved client survival rates and was started by which phy
#t #t #t #t #t #t #t #t #t #t #t #t #t #t
sician?
A. Louis Pasteur #t
B. Ignaz Philip Semmelweis #t #t
C. Joseph Lister #t
D. Alexander Gordon #t #
Answer: C
t #t
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory o
# t # t # t # t # t # t # t # t # t # t # t # t
f microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic d
#t # t #t # t # t # t # t # t # t # t # t # t # t # t
uring surgery and improved the survival rates of his patients. Alexander Gordon proposed t
#t #t #t #t #t #t #t #t #t #t #t #t #t
he theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
#t #t # t # t # t # t # t # t # t # t # t #
this theory. # t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Apply
#t #t #t # t #t #t
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Proce
# t # t #t #t #t #t #t #t #t #t #t
ss: Nursing Process
#t #t
Reference: p. 4 #t #t
6. A young couple are very excited to learn they are expecting their first child and qu
# t # t # t # t # t # t # t # t # t # t # t # t # t #t # t
estion the nurse about which test they need to discover its gender. Which procedure will best p
#t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
rovide this information to the couple?
#t #t #t #t #t
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling #t #t
D. HGP
Answer: A #t
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
# t #t #t #t #t #t #t #t #t #t #t #t #t #t #t #t
information about the gender. Amniocentesis and chorionic villus sampling provide the entire g
#t #t #t #t #t # t #t #t # t # t #t #t
enetic code of the fetus. HGP refers to the Human Genome Project, which can provide i
# t # t # t # t # t # t # t # t # t # t # t # t # t # t #t
nformation regarding gene mutations and variations.
# t # t # t # t # t
Question format: Multiple Choice #t #t #t
Chapter 1: The Nurse's Role in a Changing Maternal-
#t #t #t #t #t #t #t # t
Child Health Care Environment Cognitive Level: Apply
#t #t #t # t #t #t
Client Needs: Health Promotion and Maintenance Integrat
#t #t #t #t #t #t
ed Process: Caring
#t #t
Reference: p. 6 #t #t
