TEST BANK
Maternal-Child Nursing
EMILY SLONE MCKINNEY, SUSAN ROWEN JAMES, SHARON SMITH
MURRAY, KRISTINE NELSON, JEAN ASHWILL
6th Edition
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births
in the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been
a known problem for generations. In the late 19th century, Semmelweis discovered how it
could be prevented with improved hygienic practices. The development of forceps is an
example of a technology advance made in the early 20th century but is not the only reason
birthplaces moved. Unlike home births, early hospital births hindered bonding between
parents and their infants.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 1 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Safe and Effective Care
Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than
in a nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact,
parents began to insist that the infant remain with them. This gradually developed into
the practice of rooming-in and finally to family-centered maternity care. Family-
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
1921 provided funds for state-managed programs for mothers and children. The changes
in pharmacologic management of labor were not a factor in family-centered maternity
care.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 2 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
.
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding
periods, and the infant is cared for in a separate nursery. The
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
Birth centers are set up to allow an increase in parent-infant contact. Home births allow an
increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 2 OBJ: Nursing Process:
Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in
the pediatric setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide
more cost-efficient care. The number of hospital beds being used has decreased as more
care is given in outpatient settings and in the home. The number of children living in
poverty has increased over the past decade. One of the biggest changes in health care
has been the growth of managed care.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 5 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the
primary focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
Education Act that provides financial incentives to states to establish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission
of their parents before
.
, a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
Minors are not considered capable of giving informed consent, so a surgical procedure
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
for drug abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 17 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
7. The maternity nurse should have a clear understanding of the correct use of
a clinical pathway. One characteristic of clinical pathways is that they
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
with a particular health problem. They are used to identify patient outcomes, specify time
lines to achieve those outcomes, direct appropriate interventions and sequencing of
interventions, include interventions from a variety of disciplines, promote collaboration,
and involve a comprehensive approach to care. They are developed by multiple health care
professionals and reflect interdisciplinary care. They can be used in multiple settings and
for patients throughout the life span. They are not part of the nursing process but can be
used in conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 7 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for
becoming homeless. People preparing for retirement, migrant workers, and IV substance
abusers are not among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 14 OBJ: Nursing Process:
Assessment
MSC: Client Needs: Physiologic Integrity
.
Maternal-Child Nursing
EMILY SLONE MCKINNEY, SUSAN ROWEN JAMES, SHARON SMITH
MURRAY, KRISTINE NELSON, JEAN ASHWILL
6th Edition
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births
in the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been
a known problem for generations. In the late 19th century, Semmelweis discovered how it
could be prevented with improved hygienic practices. The development of forceps is an
example of a technology advance made in the early 20th century but is not the only reason
birthplaces moved. Unlike home births, early hospital births hindered bonding between
parents and their infants.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 1 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Safe and Effective Care
Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than
in a nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact,
parents began to insist that the infant remain with them. This gradually developed into
the practice of rooming-in and finally to family-centered maternity care. Family-
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
1921 provided funds for state-managed programs for mothers and children. The changes
in pharmacologic management of labor were not a factor in family-centered maternity
care.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 2 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
.
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding
periods, and the infant is cared for in a separate nursery. The
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
Birth centers are set up to allow an increase in parent-infant contact. Home births allow an
increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 2 OBJ: Nursing Process:
Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in
the pediatric setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide
more cost-efficient care. The number of hospital beds being used has decreased as more
care is given in outpatient settings and in the home. The number of children living in
poverty has increased over the past decade. One of the biggest changes in health care
has been the growth of managed care.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 5 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the
primary focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
Education Act that provides financial incentives to states to establish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission
of their parents before
.
, a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
Minors are not considered capable of giving informed consent, so a surgical procedure
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
for drug abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 17 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
7. The maternity nurse should have a clear understanding of the correct use of
a clinical pathway. One characteristic of clinical pathways is that they
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
with a particular health problem. They are used to identify patient outcomes, specify time
lines to achieve those outcomes, direct appropriate interventions and sequencing of
interventions, include interventions from a variety of disciplines, promote collaboration,
and involve a comprehensive approach to care. They are developed by multiple health care
professionals and reflect interdisciplinary care. They can be used in multiple settings and
for patients throughout the life span. They are not part of the nursing process but can be
used in conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 7 OBJ: Nursing Process:
Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for
becoming homeless. People preparing for retirement, migrant workers, and IV substance
abusers are not among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering REF: p. 14 OBJ: Nursing Process:
Assessment
MSC: Client Needs: Physiologic Integrity
.
