,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney:
t t t t t t t t t t t
Evolve Resources for Maternal-Child Nursing, 5th Edition
t t t t t t t
MULTIPLE CHOICE t
1. Which factor significantly contributed to the shift from home births to hospital births in
t t t t t t t t t t t t t
t the early 20th century?
t t t
a. Puerperal sepsis was identified as a risk factor in labor and delivery. t t t t t t t t t t t
b. Forceps were developed to facilitate difficult births. t t t t t t
c. The importance of early parental-infant contact was identified.
t t t t t t t
d. Technologic developments became available to physicians. t t t t t
ANS: D t
Technologic developments were available to physicians, not lay midwives. So in-hospital
t t t t t t t t t t
t births increased in order to take advantage of these advancements. Puerperal sepsis has been
t t t t t t t t t t t t t
t a known problem for generations. In the late 19th century, Semmelweis discovered how it
t t t t t t t t t t t t t
t could be prevented with improved hygienic practices. The development of forceps is an
t t t t t t t t t t t t
t example of a technology advance made in the early 20th century but is not the only reason
t t t t t t t t t t t t t t t t
t birthplaces moved. Unlike home births, early hospital births hindered bonding between
t t t t t t t t t t
t parents and their infants. t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering t t
REF: p. 1
t t t OBJ: Integrated Process: Teaching-Learning
t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t t
2. Family-centered maternity care developed in response to t t t t t t
a. demands by physicians for family involvement in childbirth. t t t t t t t
b. the Sheppard-Towner Act of 1921. t t t t
c. parental requests that infants be allowed to remain with them rather than t t t t t t t t t t t
in a nursery.
t t t
d. changes in pharmacologic management of labor. t t t t t
ANS: C t
As research began to identify the benefits of early extended parent-infant contact,
t t t t t t t t t t t
t parents began to insist that the infant remain with them. This gradually developed into the
t t t t t t t t t t t t t t
t practice of rooming-in and finally to family-centered maternity care. Family-centered
t t t t t t t t t
, t care was a request by parents, not physicians. The Sheppard-Towner Act of 1921
t t t t t t t t t t t t
t provided funds for state-managed programs for mothers and children. The changes in
t t t t t t t t t t t
t pharmacologic management of labor were not a factor in family-centered maternity care.
t t t t t t t t t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering
t t
REF: p. 2
t t t OBJ: Integrated Process: Teaching-Learning
t t t
MSC: Client Needs: Psychosocial Integrity
t t t t t
3. Which setting for childbirth allows the least amount of parent-infant contact?
t t t t t t t t t t
a. Labor/delivery/recovery/postpartum room t
b. Birth center t
c. Traditional hospital birth t t
d. Home birth t
.
, ANS: C t
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
t t t t t t t t t t t t t t t
tand the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
t t t t t t t t t t t
troom setting allows increased parent-infant contact. Birth centers are set up to allow an
t t t t t t t t t t t t t
tincrease in parent-infant contact. Home births allow an increase in parent-infant contact.
t t t t t t t t t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering t t
REF: p. 2
t t t OBJ: Nursing Process: Planning t t t
MSC: Client Needs: Health Promotion and Maintenance
t t t t t t
4. As a result of changes in health care delivery and funding, a current trend seen in the
t t t t t t t t t t t t t t t t
tpediatric setting is t t
a. increased hospitalization of children. t t t
b. decreased number of children living in poverty. t t t t t t
c. an increase in ambulatory care. t t t t
d. decreased use of managed care. t t t t
ANS: C t
One effect of managed care has been that pediatric health care delivery has shifted
t t t t t t t t t t t t t
tdramatically from the acute care setting to the ambulatory setting in order to provide
t t t t t t t t t t t t t
tmore cost-efficient care. The number of hospital beds being used has decreased as more
t t t t t t t t t t t t t
tcare is given in outpatient settings and in the home. The number of children living in
t t t t t t t t t t t t t t t
tpoverty has increased over the past decade. One of the biggest changes in health care has
t t t t t t t t t t t t t t t
tbeen the growth of managed care.
t t t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering t t
REF: p. 5
t t t OBJ: Nursing Process: Planning t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t
5. The Women, Infants, and Children (WIC) program provides
t t t t t t t
a. well-child examinations for infants and children living at the poverty level. t t t t t t t t t t
b. immunizations for high-risk infants and children. t t t t t
c. screening for infants with developmental disorders. t t t t t
d. supplemental food supplies to low-income pregnant or breastfeeding women. t t t t t t t t
ANS: D t
WIC is a federal program that provides supplemental food supplies to low-income women
t t t t t t t t t t t t
twho are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
t t t t t t t t t t t t t t
t t t t t t t t t t t
Evolve Resources for Maternal-Child Nursing, 5th Edition
t t t t t t t
MULTIPLE CHOICE t
1. Which factor significantly contributed to the shift from home births to hospital births in
t t t t t t t t t t t t t
t the early 20th century?
t t t
a. Puerperal sepsis was identified as a risk factor in labor and delivery. t t t t t t t t t t t
b. Forceps were developed to facilitate difficult births. t t t t t t
c. The importance of early parental-infant contact was identified.
t t t t t t t
d. Technologic developments became available to physicians. t t t t t
ANS: D t
Technologic developments were available to physicians, not lay midwives. So in-hospital
t t t t t t t t t t
t births increased in order to take advantage of these advancements. Puerperal sepsis has been
t t t t t t t t t t t t t
t a known problem for generations. In the late 19th century, Semmelweis discovered how it
t t t t t t t t t t t t t
t could be prevented with improved hygienic practices. The development of forceps is an
t t t t t t t t t t t t
t example of a technology advance made in the early 20th century but is not the only reason
t t t t t t t t t t t t t t t t
t birthplaces moved. Unlike home births, early hospital births hindered bonding between
t t t t t t t t t t
t parents and their infants. t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering t t
REF: p. 1
t t t OBJ: Integrated Process: Teaching-Learning
t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t t
2. Family-centered maternity care developed in response to t t t t t t
a. demands by physicians for family involvement in childbirth. t t t t t t t
b. the Sheppard-Towner Act of 1921. t t t t
c. parental requests that infants be allowed to remain with them rather than t t t t t t t t t t t
in a nursery.
t t t
d. changes in pharmacologic management of labor. t t t t t
ANS: C t
As research began to identify the benefits of early extended parent-infant contact,
t t t t t t t t t t t
t parents began to insist that the infant remain with them. This gradually developed into the
t t t t t t t t t t t t t t
t practice of rooming-in and finally to family-centered maternity care. Family-centered
t t t t t t t t t
, t care was a request by parents, not physicians. The Sheppard-Towner Act of 1921
t t t t t t t t t t t t
t provided funds for state-managed programs for mothers and children. The changes in
t t t t t t t t t t t
t pharmacologic management of labor were not a factor in family-centered maternity care.
t t t t t t t t t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering
t t
REF: p. 2
t t t OBJ: Integrated Process: Teaching-Learning
t t t
MSC: Client Needs: Psychosocial Integrity
t t t t t
3. Which setting for childbirth allows the least amount of parent-infant contact?
t t t t t t t t t t
a. Labor/delivery/recovery/postpartum room t
b. Birth center t
c. Traditional hospital birth t t
d. Home birth t
.
, ANS: C t
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
t t t t t t t t t t t t t t t
tand the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
t t t t t t t t t t t
troom setting allows increased parent-infant contact. Birth centers are set up to allow an
t t t t t t t t t t t t t
tincrease in parent-infant contact. Home births allow an increase in parent-infant contact.
t t t t t t t t t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering t t
REF: p. 2
t t t OBJ: Nursing Process: Planning t t t
MSC: Client Needs: Health Promotion and Maintenance
t t t t t t
4. As a result of changes in health care delivery and funding, a current trend seen in the
t t t t t t t t t t t t t t t t
tpediatric setting is t t
a. increased hospitalization of children. t t t
b. decreased number of children living in poverty. t t t t t t
c. an increase in ambulatory care. t t t t
d. decreased use of managed care. t t t t
ANS: C t
One effect of managed care has been that pediatric health care delivery has shifted
t t t t t t t t t t t t t
tdramatically from the acute care setting to the ambulatory setting in order to provide
t t t t t t t t t t t t t
tmore cost-efficient care. The number of hospital beds being used has decreased as more
t t t t t t t t t t t t t
tcare is given in outpatient settings and in the home. The number of children living in
t t t t t t t t t t t t t t t
tpoverty has increased over the past decade. One of the biggest changes in health care has
t t t t t t t t t t t t t t t
tbeen the growth of managed care.
t t t t t
PTS: 1 t DIF: Cognitive Level: Knowledge/Remembering t t
REF: p. 5
t t t OBJ: Nursing Process: Planning t t t
MSC: Client Needs: Safe and Effective Care Environment
t t t t t t t
5. The Women, Infants, and Children (WIC) program provides
t t t t t t t
a. well-child examinations for infants and children living at the poverty level. t t t t t t t t t t
b. immunizations for high-risk infants and children. t t t t t
c. screening for infants with developmental disorders. t t t t t
d. supplemental food supplies to low-income pregnant or breastfeeding women. t t t t t t t t
ANS: D t
WIC is a federal program that provides supplemental food supplies to low-income women
t t t t t t t t t t t t
twho are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
t t t t t t t t t t t t t t
