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Test Bank -
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ud 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 resultedfrom
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the work of which individual?
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A. Joseph Brennaman ud




B. John Bowlby ud




C. Marshal Klaus ud




D. John Kennell Answer: B ud ud ud




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 hospital
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ization. His work led toa re- ud ud ud ud ud




evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggest
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ed that a lack of stimulation for infants contributed to high infant mortality rates at the time. In t
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he 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies o
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n 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 toge
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ther at birth and for a significant period after birth may provide benefitsthat last well into earl
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y childhood.
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Question format: Multiple Choice ud ud ud




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 Reference
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: p. 4
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2. An expectant mother states that she read that more black mothers die in childbirth than do
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white mothers. When responding to her questions about the reasons for this, the nurse accurately
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states that which is the major reason for the high maternal mortality rate?
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A. Having formal education. ud ud




B. Being unmarried. ud




C. Income.
D. Lack of prenatal care. ud ud ud




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Answer: D
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Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
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secondary to lack of access to services or insurance. Income as well as educational level may pla
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y a role in the availability of health care, but they are not directly responsible. Being unmarried
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has no bearing on infant mortality.
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Question format: Multiple Choice ud ud ud




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 Reference
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: p. 9
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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 births
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D. death of a live-born child before his or her first birthday.
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Answer: D ud




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. Neonatal
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mortality rate is the number of infant deaths during the first 28 days of life for every 1,000 live b
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irths. Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live
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ud 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 Reference
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: p. 9
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