Evolve Resources for Maternal-Child Nursing – Complete Test Bank and Study Materials

EVOLVE
RESOURCES
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FOR
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MATERNAL-
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CHILD
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,NURSING,5TH trIl̀e




EDITION TEST
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BANK BY
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MCKINNEY
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,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
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McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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MULTIPLE CHOICE ertIl`




1. Which factor significantly contributed to the shift from home births to hospital births in
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the early 20th century?
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a. Puerperal sepsis was identified as a risk factor in labor and ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




delivery. ertIl`




b. Forceps were developed to facilitate difficult births. ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




c. The importance of early parental-infant contact was identified.ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




d. Technologic developments became available to physicians. ertIl` ertIl` ertIl` ertIl` ertIl`




ANS: e r t I l ` D
Technologic developments were available to physicians, not lay midwives. So in-hospital ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




births increased in order to take advantage of these advancements. Puerperal sepsis has
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been a known problem for generations. In the late 19th century, Semmelweis discovered
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how it could be prevented with improved hygienic practices. The development of forceps
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is an example of a technology advance made in the early 20th century but is not the
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only reason birthplaces moved. Unlike home births, early hospital births hindered
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bonding between parents and their infants.
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PTS: 1 e r t I l ` DIF: CognitiveLevel:Knowledge/Remembering eIl̀rt eIl̀rt




REF:
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Learning MSC: ertIl` e r t I l ` Client Needs: Safe and Effective Care ertIl` ertIl` ertIl` ertIl` ertIl`




Environment
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2. Family-centered maternity care developed in response to ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




a. demands by physicians for family involvement in childbirth. ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




b. the Sheppard-Towner Act of 1921. ertIl` ertIl` ertIl` ertIl`




c. parental requests that infants be allowed to remain with them rather than in ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




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nursery.
d. changes in pharmacologic management of labor. ertIl` ertIl` ertIl` ertIl` ertIl`




ANS: e r t I l ` C
As research began to identify the benefits of early extended parent-infant contact, parents
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began to insist that the infant remain with them. This gradually developed into the practice
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of rooming-in and finally to family-centered maternity care. Family-centered care was a
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request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds
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for
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state-managed programs for mothers and children. The changes in pharmacologic ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




management of labor were not a factor in family-centered maternity care.
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PTS: 1 e r t I l ` DIF: CognitiveLevel:Knowledge/Remembering eIl̀rt eIl̀rt




REF:
ertIl` p. 2 e r t I l ` ertIl` OBJ: Integrated Process: Teaching- e r t I l ` ertIl` ertIl`




Learning MSC: ertIl` e r t I l ` Client Needs: Psychosocial Integrity ertIl` ertIl` ertIl`




3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room ertIl̀




b. Birth center ertIl`




c. Traditional hospital birth ertIl` ertIl`




d. Home birth ertIl`




TestBankWorld.org

, ANS: e r t I l ` C
In the traditional hospital setting, the mother may see the infant for only short feeding
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periods, and the infant is cared for in a separate nursery. The
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labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
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Birth centers are set up to allow an increase in parent-infant contact. Home births allow
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an increase in parent-infant contact.
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PTS: e r t I l1 `DIF: CognitiveLevel:Knowledge/Remembering eIl̀rt eIl̀rt




REF:
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I OBJ:
l ` Nursing Process: Planning ertIl` e r t I l ` ertIl` ertIl`




MSC: e r t I l ` Client Needs: Health Promotion and Maintenance ertIl` ertIl` ertIl` ertIl` ertIl`




4. As a result of changes in health care delivery and funding, a current trend seen in the
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pediatric setting is
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a. increased hospitalization of children. ertIl` ertIl` ertIl`




b. decreased number of children living in ertIl` ertIl` ertIl` ertIl` ertIl`




poverty. ertIl`




c. an increase in ambulatory care. ertIl` ertIl` ertIl` ertIl`




d. decreased use of managed care. ertIl` ertIl` ertIl` ertIl`




ANS: e r t I l ` C
One effect of managed care has been that pediatric health care delivery has shifted
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dramatically from the acute care setting to the ambulatory setting in order to provide
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more cost-efficient care. The number of hospital beds being used has decreased as more
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care is given in outpatient settings and in the home. The number of children living in
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poverty has increased over the past decade. One of the biggest changes in health care has
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been the growth of managed care.
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PTS: e r t I l 1 ` DIF: CognitiveLevel:Knowledge/Remembering eIl̀rt eIl̀rt




REF:
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I OBJ:
l ` Nursing Process: Planning ertIl` e r t I l ` ertIl` ertIl`




MSC: e r t I l ` Client Needs: Safe and Effective Care Environment ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




5. The Women, Infants, and Children (WIC) program provides
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a. well-child examinations for infants and children living at the poverty level. ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




b. immunizations for high-risk infants and children. ertIl` ertIl` ertIl` ertIl` ertIl`




c. screening for infants with developmental disorders. ertIl` ertIl` ertIl` ertIl` ertIl`




d. supplemental food supplies to low-income pregnant or breastfeeding ertIl` ertIl` ertIl` ertIl` ertIl` ertIl` ertIl`




ertIl` women.
ANS: e r t I l ` D
WIC is a federal program that provides supplemental food supplies to low-income women
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who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s
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Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
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examinations and for treatment of any medical problems diagnosed during such
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checkups. Children in the WIC program are often referred for immunizations, but that is
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not the primary focus of the program. Public Law 99-457 is part of the Individuals with
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Disabilities Education Act that provides financial incentives to states to establish
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comprehensive early intervention services for infants and toddlers with, or at risk for,
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developmental disabilities.
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PTS: 1 DIF: Cognitive Level: Comprehension
e r t I l ` ertIl` ertIl` REF:
e p. 8 OBJ:
r t Integrated Process: Teaching-Learning
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MSC: Client Needs: Health Promotion and Maintenance e r t I l ` ertIl` ertIl` ertIl` ertIl` ertIl`




6. In most states, adolescents who are not emancipated minors must have the permission of
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their parents before
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