TESTBANK r
INTRODUCTORYMATERNITY& PEDIATRIC NURSING
r r r r
NANCYHATFIELD&CYNTHIAKINCHELOE
r r r r
5thEdition
r
TESTBANK r
,Chapter1:TheNurse'sRoleinaChangingMaternal–ChildHealthCareEnvironment r r r r r r r r r r r
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
r r r r r r r r
1. The opening up of hospital visiting policies for children and families likely
r r r r r r r r r r r
resultedfrom the work of which individual?
r r r r r r
A. Joseph Brennaman r
B. John Bowlby r
C. Marshal Klaus r
D. JohnKennell r
r Answer: B r
Rationale: In 1951, John Bowlby received worldwide attention with his r r r r r r r r r
study that revealed the negative results of the separation of child and mother because of
r r r r r r r r r r r r r r
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
r r r r r r r r r r r r r
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
r r r r r r r r r r r r r r
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
r r r r r r r r r r r r r r r r
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
r r r r r r r r r r r r r r
They established that early separation may have long-term effects on family relationships and
r r r r r r r r r r r r r
that offering the new family an opportunity to be together at birth and for a significant period
r r r r r r r r r r r r r r r r r
after birth may provide benefitsthat last well into early childhood.
r r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Remember
r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Nursing Process
r r r
Reference: p. 4 r r
2. An expectant mother states that she read that more black mothers die in childbirth than do white
r r r r r r r r r r r r r r r r
mothers. When responding to her questions about the reasons for this, the nurse accurately
r r r r r r r r r r r r r r
states that which is the major reason for the high maternal mortality rate?
r r r r r r r r r r r r r
A. Having formal education. r r
B. Being unmarried. r
C. Income.
D. Lack of prenatal care. r r r
Answer: D r
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care r r r r r r r r r r r r r r
secondary to lack of access to services or insurance. Income as well as educational level may
r r r r r r r r r r r r r r r r
play a role in the availability of health care, but they are not directly responsible. Being
r r r r r r r r r r r r r r r r
unmarried has no bearing on infant mortality.
r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Understand
r
,Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Nursing Process
r r r
Reference: p. 9 r r
3. Which statement correctly defines the term "infant death rate"? r r r r r r r r
A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths r r r r r r r r r r r r r r
B. number of deaths occurring in the first 28 days of life per 1,000 livebirths r r r r r r r r r r r r r r
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births r r r r r r r r r r r r r r r r r
D. death of a live-born child before his or her firstbirthday.
r r r r r r r r r r
Answer: D r
Rationale: The term infant death refers to the death of a live-born child before he or she reaches
r r r r r r r r r r r r r r r r r
rage 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of
r r r r r r r r r r r r r r r
infant deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the
r r r r r r r r r r r r r r r r r r r
number of deaths during the first 12 months of life per 1,000 live births. Question format: Multiple
r r r r r r r r r r r r r r r r r
Choice
r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Remember
r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Nursing Process
r r r
Reference: p. 9 r r
4. The nursing instructor is preparing to teach a group of students about the history of maternity care. What
r r r r r r r r r r r r r r r r r
major development will the instructor emphasize as greatly influencing the practice of maternity
r r r r r r r r r r r r r
care in the United States over the past century?
r r r r r r r r r
A. technologic advances and the use of forceps by primary care providers r r r r r r r r r r
B. development of anesthesia and acceptance of the germ theory r r r r r r r r
C. advent of birthing centers and the development of family-centered care r r r r r r r r r
D. development of pediatric specialty and replacement of midwives as primary birth attendants r r r r r r r r r r r
r Answer: B r
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
r r r r r r r r r r r r r r
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
r r r r r r r r r r r r r r r
progress of general health care and decreased infections in laboring women. Pediatrics as a
r r r r r r r r r r r r r r
specialty is an important step forward but is not the greatest development, and midwives are
r r r r r r r r r r r r r r r
still in practice. Maternity care continues to evolve, and birthing centers are still under
r r r r r r r r r r r r r r
development. Forceps are not considered an advance in maternity care.
r r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Analyze
r
Client Needs: Health Promotion and Maintenance
r r r r r
, IntegratedProcess:Teaching/Learning r r
Reference: p. 3
r r r
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic during the
r r r r r r r r r r r r r r r r
surgery has greatly improved client survival rates and was started by which physician?
r r r r r r r r r r r r r
A. Louis Pasteur r
B. Ignaz Philip Semmelweis r r
C. Joseph Lister r
D. AlexanderGordon r
r Answer: C r
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of r r r r r r r r r r r r
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
r r r r r r r r r r r r r r
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
r r r r r r r r r r r r r r r
infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
r r r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Apply
r
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
r r r r r r r r r r r
Nursing Process
r r
Reference: p. 4 r r
6. A young couple are very excited to learn they are expecting their first child and question the
r r r r r r r r r r r r r r r r
nurse about which test they need to discover its gender. Which procedure will best provide this
r r r r r r r r r r r r r r r r
information to the couple?
r r r r
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling r r
D. HGP
Answer: A r
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
r r r r r r r r r r r r r r r
information about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic
r r r r r r r r r r r r r
rcode of the fetus. HGP refers to the Human Genome Project, which can provide information
r r r r r r r r r r r r r r
rregarding gene mutations and variations. r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
r r r r r r r r r r r r
Level: Apply
r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Caring
r r
Reference: p. 6 r r
INTRODUCTORYMATERNITY& PEDIATRIC NURSING
r r r r
NANCYHATFIELD&CYNTHIAKINCHELOE
r r r r
5thEdition
r
TESTBANK r
,Chapter1:TheNurse'sRoleinaChangingMaternal–ChildHealthCareEnvironment r r r r r r r r r r r
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
r r r r r r r r
1. The opening up of hospital visiting policies for children and families likely
r r r r r r r r r r r
resultedfrom the work of which individual?
r r r r r r
A. Joseph Brennaman r
B. John Bowlby r
C. Marshal Klaus r
D. JohnKennell r
r Answer: B r
Rationale: In 1951, John Bowlby received worldwide attention with his r r r r r r r r r
study that revealed the negative results of the separation of child and mother because of
r r r r r r r r r r r r r r
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
r r r r r r r r r r r r r
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
r r r r r r r r r r r r r r
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
r r r r r r r r r r r r r r r r
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
r r r r r r r r r r r r r r
They established that early separation may have long-term effects on family relationships and
r r r r r r r r r r r r r
that offering the new family an opportunity to be together at birth and for a significant period
r r r r r r r r r r r r r r r r r
after birth may provide benefitsthat last well into early childhood.
r r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Remember
r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Nursing Process
r r r
Reference: p. 4 r r
2. An expectant mother states that she read that more black mothers die in childbirth than do white
r r r r r r r r r r r r r r r r
mothers. When responding to her questions about the reasons for this, the nurse accurately
r r r r r r r r r r r r r r
states that which is the major reason for the high maternal mortality rate?
r r r r r r r r r r r r r
A. Having formal education. r r
B. Being unmarried. r
C. Income.
D. Lack of prenatal care. r r r
Answer: D r
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care r r r r r r r r r r r r r r
secondary to lack of access to services or insurance. Income as well as educational level may
r r r r r r r r r r r r r r r r
play a role in the availability of health care, but they are not directly responsible. Being
r r r r r r r r r r r r r r r r
unmarried has no bearing on infant mortality.
r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Understand
r
,Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Nursing Process
r r r
Reference: p. 9 r r
3. Which statement correctly defines the term "infant death rate"? r r r r r r r r
A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths r r r r r r r r r r r r r r
B. number of deaths occurring in the first 28 days of life per 1,000 livebirths r r r r r r r r r r r r r r
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births r r r r r r r r r r r r r r r r r
D. death of a live-born child before his or her firstbirthday.
r r r r r r r r r r
Answer: D r
Rationale: The term infant death refers to the death of a live-born child before he or she reaches
r r r r r r r r r r r r r r r r r
rage 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of
r r r r r r r r r r r r r r r
infant deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the
r r r r r r r r r r r r r r r r r r r
number of deaths during the first 12 months of life per 1,000 live births. Question format: Multiple
r r r r r r r r r r r r r r r r r
Choice
r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Remember
r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Nursing Process
r r r
Reference: p. 9 r r
4. The nursing instructor is preparing to teach a group of students about the history of maternity care. What
r r r r r r r r r r r r r r r r r
major development will the instructor emphasize as greatly influencing the practice of maternity
r r r r r r r r r r r r r
care in the United States over the past century?
r r r r r r r r r
A. technologic advances and the use of forceps by primary care providers r r r r r r r r r r
B. development of anesthesia and acceptance of the germ theory r r r r r r r r
C. advent of birthing centers and the development of family-centered care r r r r r r r r r
D. development of pediatric specialty and replacement of midwives as primary birth attendants r r r r r r r r r r r
r Answer: B r
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
r r r r r r r r r r r r r r
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
r r r r r r r r r r r r r r r
progress of general health care and decreased infections in laboring women. Pediatrics as a
r r r r r r r r r r r r r r
specialty is an important step forward but is not the greatest development, and midwives are
r r r r r r r r r r r r r r r
still in practice. Maternity care continues to evolve, and birthing centers are still under
r r r r r r r r r r r r r r
development. Forceps are not considered an advance in maternity care.
r r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Analyze
r
Client Needs: Health Promotion and Maintenance
r r r r r
, IntegratedProcess:Teaching/Learning r r
Reference: p. 3
r r r
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic during the
r r r r r r r r r r r r r r r r
surgery has greatly improved client survival rates and was started by which physician?
r r r r r r r r r r r r r
A. Louis Pasteur r
B. Ignaz Philip Semmelweis r r
C. Joseph Lister r
D. AlexanderGordon r
r Answer: C r
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of r r r r r r r r r r r r
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
r r r r r r r r r r r r r r
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
r r r r r r r r r r r r r r r
infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
r r r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level:
r r r r r r r r r r r r r
Apply
r
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
r r r r r r r r r r r
Nursing Process
r r
Reference: p. 4 r r
6. A young couple are very excited to learn they are expecting their first child and question the
r r r r r r r r r r r r r r r r
nurse about which test they need to discover its gender. Which procedure will best provide this
r r r r r r r r r r r r r r r r
information to the couple?
r r r r
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling r r
D. HGP
Answer: A r
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
r r r r r r r r r r r r r r r
information about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic
r r r r r r r r r r r r r
rcode of the fetus. HGP refers to the Human Genome Project, which can provide information
r r r r r r r r r r r r r r
rregarding gene mutations and variations. r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
r r r r r r r r r r r r
Level: Apply
r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r
Process: Caring
r r
Reference: p. 6 r r
