TESTBANK n
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
n n n n
NANCYHATFIELD & CYNTHIA KINCHELOE
n n n n
5th Edition
n
TESTBANK n
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
n n n n n n n n n n n
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
n n n n n n n n
1. The opening up of hospital visiting policies for children and families
n n n n n n n n n n
likely resultedfrom the work of which individual?
n n n n n n n
A. Joseph Brennaman n
B. John Bowlby n
C. Marshal Klaus n
D. John Kennell n
Answer: B
n n
Rationale: In 1951, John Bowlby received worldwide attention with his
n n n n n n n n n
study that revealed the negative results of the separation of child and mother because of
n n n n n n n n n n n n n n
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
n n n n n n n n n n n n n
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
n n n n n n n n n n n n n n
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
n n n n n n n n n n n n n n n n
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
n n n n n n n n n n n n n n
They established that early separation may have long-term effects on family relationships and that
n n n n n n n n n n n n n
offering the new family an opportunity to be together at birth and for a significant period after
n n n n n n n n n n n n n n n n n
birth may provide benefitsthat last well into early childhood.
n n n n n n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Remember
n n
Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Nursing Process
n n n
Reference: p. 4 n n
2. An expectant mother states that she read that more black mothers die in childbirth than do white
n n n n n n n n n n n n n n n n
mothers. When responding to her questions about the reasons for this, the nurse accurately states
n n n n n n n n n n n n n n n
that which is the major reason for the high maternal mortality rate?
n n n n n n n n n n n n
A. Having formal education. n n
B. Being unmarried. n
C. Income.
D. Lack of prenatal care. n n n
Answer: D n
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
n n n n n n n n n n n n n n
secondary to lack of access to services or insurance. Income as well as educational level may play a
n n n n n n n n n n n n n n n n n n
role in the availability of health care, but they are not directly responsible. Being unmarried has no
n n n n n n n n n n n n n n n n n
bearing on infant mortality.
n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Understand
n n
,Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Nursing Process
n n n
Reference: p. 9 n n
3. Which statement correctly defines the term "infant death rate"?
n n n n n n n n
A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths
n n n n n n n n n n n n n n
B. number of deaths occurring in the first 28 days of life per 1,000 livebirths
n n n n n n n n n n n n n n
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
n n n n n n n n n n n n n n n n n
D. death of a live-born child before his or her first birthday.
n n n n n n n n n n
Answer: D n
Rationale: The term infant death refers to the death of a live-born child before he or she reaches
n n n n n n n n n n n n n n n n n
age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of infant
n n n n n n n n n n n n n n n n n
deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the number
n n n n n n n n n n n n n n n n n n n
of deaths during the first 12 months of life per 1,000 live births. Question format: Multiple Choice
n n n n n n n n n n n n n n n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Remember
n n
Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Nursing Process
n n n
Reference: p. 9 n n
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
n n n n n n n n n n n n n n n n
What major development will the instructor emphasize as greatly influencing the practice of
n n n n n n n n n n n n n
maternity care in the United States over the past century?
n n n n n n n n n n
A. technologic advances and the use of forceps by primary care providers n n n n n n n n n n
B. development of anesthesia and acceptance of the germ theory n n n n n n n n
C. advent of birthing centers and the development of family-centered care
n n n n n n n n n
D. development of pediatric specialty and replacement of midwives as primary birth attendants n n n n n n n n n n n
n Answer: B n
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
n n n n n n n n n n n n n n
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
n n n n n n n n n n n n n n n
progress of general health care and decreased infections in laboring women. Pediatrics as a
n n n n n n n n n n n n n n
specialty is an important step forward but is not the greatest development, and midwives are still in
n n n n n n n n n n n n n n n n n
practice. Maternity care continues to evolve, and birthing centers are still under development.
n n n n n n n n n n n n n
Forceps are not considered an advance in maternity care.
n n n n n n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Analyze
n n
Client Needs: Health Promotion and Maintenance
n n n n n
, Integrated Process: Teaching/Learning n n
Reference: p. 3
n n n
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
n n n n n n n n n n n n n n
during the surgery has greatly improved client survival rates and was started by which
n n n n n n n n n n n n n n
physician?
n
A. Louis Pasteur n
B. Ignaz Philip Semmelweis n n
C. Joseph Lister n
D. Alexander Gordon n
n Answer: C n
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
n n n n n n n n n n n n
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery
n n n n n n n n n n n n n n n
and improved the survival rates of his patients. Alexander Gordon proposed the theory of infection.
n n n n n n n n n n n n n n n
Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
n n n n n n n n n n
Questionformat: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Apply
n n
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
n n n n n n n n n n n
Nursing Process
n n
Reference: p. 4 n n
6. A young couple are very excited to learn they are expecting their first child and question the
n n n n n n n n n n n n n n n n
nurse about which test they need to discover its gender. Which procedure will best provide this
n n n n n n n n n n n n n n n n
information to the couple?
n n n n
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling n n
D. HGP
Answer: A n
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
n n n n n n n n n n n n n n n
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
n n n n n n n n n n n n
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
n n n n n n n n n n n n n n n
information regarding gene mutations and variations.
n n n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Apply
n n
Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Caring
n n
Reference: p. 6 n n
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
n n n n
NANCYHATFIELD & CYNTHIA KINCHELOE
n n n n
5th Edition
n
TESTBANK n
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
n n n n n n n n n n n
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
n n n n n n n n
1. The opening up of hospital visiting policies for children and families
n n n n n n n n n n
likely resultedfrom the work of which individual?
n n n n n n n
A. Joseph Brennaman n
B. John Bowlby n
C. Marshal Klaus n
D. John Kennell n
Answer: B
n n
Rationale: In 1951, John Bowlby received worldwide attention with his
n n n n n n n n n
study that revealed the negative results of the separation of child and mother because of
n n n n n n n n n n n n n n
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
n n n n n n n n n n n n n
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
n n n n n n n n n n n n n n
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
n n n n n n n n n n n n n n n n
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
n n n n n n n n n n n n n n
They established that early separation may have long-term effects on family relationships and that
n n n n n n n n n n n n n
offering the new family an opportunity to be together at birth and for a significant period after
n n n n n n n n n n n n n n n n n
birth may provide benefitsthat last well into early childhood.
n n n n n n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Remember
n n
Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Nursing Process
n n n
Reference: p. 4 n n
2. An expectant mother states that she read that more black mothers die in childbirth than do white
n n n n n n n n n n n n n n n n
mothers. When responding to her questions about the reasons for this, the nurse accurately states
n n n n n n n n n n n n n n n
that which is the major reason for the high maternal mortality rate?
n n n n n n n n n n n n
A. Having formal education. n n
B. Being unmarried. n
C. Income.
D. Lack of prenatal care. n n n
Answer: D n
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
n n n n n n n n n n n n n n
secondary to lack of access to services or insurance. Income as well as educational level may play a
n n n n n n n n n n n n n n n n n n
role in the availability of health care, but they are not directly responsible. Being unmarried has no
n n n n n n n n n n n n n n n n n
bearing on infant mortality.
n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Understand
n n
,Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Nursing Process
n n n
Reference: p. 9 n n
3. Which statement correctly defines the term "infant death rate"?
n n n n n n n n
A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths
n n n n n n n n n n n n n n
B. number of deaths occurring in the first 28 days of life per 1,000 livebirths
n n n n n n n n n n n n n n
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
n n n n n n n n n n n n n n n n n
D. death of a live-born child before his or her first birthday.
n n n n n n n n n n
Answer: D n
Rationale: The term infant death refers to the death of a live-born child before he or she reaches
n n n n n n n n n n n n n n n n n
age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of infant
n n n n n n n n n n n n n n n n n
deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the number
n n n n n n n n n n n n n n n n n n n
of deaths during the first 12 months of life per 1,000 live births. Question format: Multiple Choice
n n n n n n n n n n n n n n n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Remember
n n
Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Nursing Process
n n n
Reference: p. 9 n n
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
n n n n n n n n n n n n n n n n
What major development will the instructor emphasize as greatly influencing the practice of
n n n n n n n n n n n n n
maternity care in the United States over the past century?
n n n n n n n n n n
A. technologic advances and the use of forceps by primary care providers n n n n n n n n n n
B. development of anesthesia and acceptance of the germ theory n n n n n n n n
C. advent of birthing centers and the development of family-centered care
n n n n n n n n n
D. development of pediatric specialty and replacement of midwives as primary birth attendants n n n n n n n n n n n
n Answer: B n
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
n n n n n n n n n n n n n n
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
n n n n n n n n n n n n n n n
progress of general health care and decreased infections in laboring women. Pediatrics as a
n n n n n n n n n n n n n n
specialty is an important step forward but is not the greatest development, and midwives are still in
n n n n n n n n n n n n n n n n n
practice. Maternity care continues to evolve, and birthing centers are still under development.
n n n n n n n n n n n n n
Forceps are not considered an advance in maternity care.
n n n n n n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Analyze
n n
Client Needs: Health Promotion and Maintenance
n n n n n
, Integrated Process: Teaching/Learning n n
Reference: p. 3
n n n
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
n n n n n n n n n n n n n n
during the surgery has greatly improved client survival rates and was started by which
n n n n n n n n n n n n n n
physician?
n
A. Louis Pasteur n
B. Ignaz Philip Semmelweis n n
C. Joseph Lister n
D. Alexander Gordon n
n Answer: C n
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
n n n n n n n n n n n n
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery
n n n n n n n n n n n n n n n
and improved the survival rates of his patients. Alexander Gordon proposed the theory of infection.
n n n n n n n n n n n n n n n
Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
n n n n n n n n n n
Questionformat: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Apply
n n
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
n n n n n n n n n n n
Nursing Process
n n
Reference: p. 4 n n
6. A young couple are very excited to learn they are expecting their first child and question the
n n n n n n n n n n n n n n n n
nurse about which test they need to discover its gender. Which procedure will best provide this
n n n n n n n n n n n n n n n n
information to the couple?
n n n n
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling n n
D. HGP
Answer: A n
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
n n n n n n n n n n n n n n n
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
n n n n n n n n n n n n
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
n n n n n n n n n n n n n n n
information regarding gene mutations and variations.
n n n n n n
Question format: Multiple Choice n n n
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n
Level: Apply
n n
Client Needs: Health Promotion and Maintenance Integrated
n n n n n n
Process: Caring
n n
Reference: p. 6 n n
