Test bank for introductory maternity pediatric nursing 5th edition all chapters covered graded A+ |latest update| |2025-26|

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INTRODUCTORY MATERNITY & PEDIATRIC NURSING
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NANCY HATFIELD & CYNTHIA KINCHELOE
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5th Edition
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,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
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Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
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1. The opening up of hospital visiting policies for children and families
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likely resultedfrom the work of which individual?
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A. Joseph Brennaman N




B. John Bowlby N




C. Marshal Klaus N




D. John Kennell N




Answer: B
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Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother because of
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hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
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children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
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infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
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Kennell carried out importantstudies on the effect of the separation of newborns and parents.
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They established that early separation may have long-term effects on family relationships and
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that offering the new family an opportunity to be together at birth and for a significant period
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after birth may provide benefitsthat last well into early childhood.
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Question format: Multiple Choice N N N




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Remember
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process
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Reference: p. 4 N N




2. An expectant mother states that she read that more black mothers die in childbirth than do
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white mothers. When responding to her questions about the reasons for this, the nurse
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accurately states that which is the major reason for the high maternal mortality rate?
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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
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secondary to lack of access to services or insurance. Income as well as educational level may play
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a role in the availability of health care, but they are not directly responsible. Being unmarried has
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no bearing on infant mortality.
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Question format: Multiple Choice N N N




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Understand
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,Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process
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Reference: p. 9 N N




3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
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B. number of deaths occurring in the first 28 days of life per 1,000 live births
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C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D N




Rationale: The term infant death refers to the death of a live-born child before he or she reaches
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age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of
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infant deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the
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number of deaths during the first 12 months of life per 1,000 live births. Question format:
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Multiple Choice
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Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Remember
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Nursing Process
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Reference: p. 9 N N




4. The nursing instructor is preparing to teach a group of students about the history of maternity
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care. What major development will the instructor emphasize as greatly influencing the practice of
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maternity care in the United States over the past century?
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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
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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
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anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
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progress of general health care and decreased infections in laboring women. Pediatrics as a
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specialty is an important step forward but is not the greatest development, and midwives are still
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in practice. Maternity care continues to evolve, and birthing centers are still under development.
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Forceps are not considered an advance in maternity care.
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Question format: Multiple Choice N N N




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Analyze
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Client Needs: Health Promotion and Maintenance
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, Integrated Process: Teaching/Learning N N




Reference: p. 3
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5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
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during the surgery has greatly improved client survival rates and was started by which
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physician?
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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
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microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
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surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
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infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
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Question format: Multiple Choice N N N




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Apply
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Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
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Nursing Process
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Reference: p. 4 N N




6. A young couple are very excited to learn they are expecting their first child and question the
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nurse about which test they need to discover its gender. Which procedure will best provide this
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information to the couple?
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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
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information about the gender. Amniocentesis and chorionic villus sampling provide the entire
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genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
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information regarding gene mutations and variations.
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Question format: Multiple Choice N N N




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Apply
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Client Needs: Health Promotion and Maintenance
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Integrated Process: Caring
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Reference: p. 6 N N