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Test Bank -
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ho Introductory Maternity and Pediatric Nursing, 5th
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Edition by Hatfield, Chapter 1-
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42 | All Chapters Graded A+
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Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
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1. The opening up of hospital visiting policies for children and families likely resultedfro
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m the work of which individual?
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A. Joseph Brennaman ho
B. John Bowlby ho
C. Marshal Klaus ho
D. John Kennell Answer: B ho ho ho
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 hosp
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italization. His work led toa re- ho ho ho ho ho
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman sugg
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ested that a lack of stimulation for infants contributed to high infant mortality rates at the tim
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e. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out important
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studies on the effect of the separation of newborns and parents.
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They established that early separation may have long-
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term effects on family relationships and that offering the new family an opportunity to be t
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ogether at birth and for a significant period after birth may provide benefitsthat last well in
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to early childhood.
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Question format: Multiple Choice ho ho ho
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 Integrated Process: Nursing Process Referen
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2. An expectant mother states that she read that more black mothers die in childbirth than
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do white mothers. When responding to her questions about the reasons for this, the nurse accu
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rately states that which is the major reason for the high maternal mortality rate?
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A. Having formal education. ho ho
B. Being unmarried. ho
C. Income.
D. Lack of prenatal care. ho ho ho
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Answer: D
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Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal ca
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re secondary to lack of access to services or insurance. Income as well as educational level m
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ay play a role in the availability of health care, but they are not directly responsible. Being u
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nmarried has no bearing on infant mortality.
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Question format: Multiple Choiceho ho ho
Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Understand
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Referen
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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
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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 birth
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s
D. death of a live-born child before his or her first birthday.
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Answer: D ho
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. Neona
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tal mortality rate is the number of infant deaths during the first 28 days of life for every 1,00
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0 live births. Infant mortality rate is the number of deaths during the first 12 months of life pe
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r 1,000 live births. Question format: Multiple Choice
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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 Integrated Process: Nursing Process Referen
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ce: p. 9 ho ho
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