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