Updated test bank for maternal child nursing 5th edition

TESTjBANKjFORjMATERNAL-CHILDjNURSINGj5THjEDITIONjBYjMCKINNEY




TEST BANK FOR MATERNAL-
j j j




CHILD NURSING 5TH EDITION BY MCKI
j j j j j




NNEY
Chapterj01:jFoundationsjofjMaternity,jWomen’sjHealth,jandjChildjHealthjNursingjM

ULTIPLEjCHOICE



1. Whichjfactorjsignificantlyjcontributedjtojthejshiftjfromjhomejbirthsjtojhospitaljbirthsjinjthejearl
yj20thjcentury?

a. Puerperaljsepsisjwasjidentifiedjasjajriskjfactorjinjlaborjandjdelivery.

b. Forcepsjwerejdevelopedjtojfacilitatejdifficultjbirths.

c. Thejimportancejofjearlyjparental-infantjcontactjwasjidentified.

d. Technologicjdevelopmentsjbecamejavailablejtojphysicians.jA

NS:jD

Technologicjdevelopmentsjwerejavailablejtojphysicians,jnotjlayjmidwives.jSojin-
hospitaljbirthsjincreasedjinjorderjtojtakejadvantagejofjthesejadvancements.jPuerperaljsepsisjhasjbeenjajkno
wnjproblemjforjgenerations.jInjthejlatej19thjcentury,jSemmelweisjdiscoveredjhowjitjcouldjbejpreventedjwit
hjimprovedjhygienicjpractices.jThejdevelopmentjofjforcepsjisjanjexamplejofjajtechnologyjadvancejmadejinjth
ejearlyj20thjcenturyjbutjisjnotjthejonlyjreasonjbirthplacesjmoved.jUnlikejhomejbirths,jearlyjhospitaljbirthsjhin
deredjbondingjbetweenjparentsjandjtheirjinfants.

PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j1
OBJ:jIntegratedjProcess:jTeaching-
LearningjMSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment

2. Family-centeredjmaternityjcarejdevelopedjinjresponsejto

a. demandsjbyjphysiciansjforjfamilyjinvolvementjinjchildbirth.

b. thejSheppard-TownerjActjofj1921.

c. parentaljrequestsjthatjinfantsjbejallowedjtojremainjwithjthemjratherjthanjinjajnursery.

d. changesjinjpharmacologicjmanagementjofjlabor.jA

NS:jC

Asjresearchjbeganjtojidentifyjthejbenefitsjofjearlyjextendedjparent-
infantjcontact,jparentsjbeganjtojinsistjthatjthejinfantjremainjwithjthem.jThisjgraduallyjdevelopedjintojthejpr
acticejofjrooming-injandjfinallyjtojfamily-centeredjmaternityjcare.jFamily-
centeredjcarejwasjajrequestjbyjparents,jnotjphysicians.jThejSheppard-
TownerjActjofj1921jprovidedjfundsjforjstate-
managedjprogramsjforjmothersjandjchildren.jThejchangesjinjpharmacologicjmanagementjofjlaborjwerejnotj
ajfactorjinjfamily-centeredjmaternityjcare.

,TESTjBANKjFORjMATERNAL-CHILDjNURSINGj5THjEDITIONjBYjMCKINNEY



PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j2
OBJ:jIntegratedjProcess:jTeaching-
LearningjMSC:jClientjNeeds:jPsychosocialjIntegrity

3. Whichjsettingjforjchildbirthjallowsjthejleastjamountjofjparent-infantjcontact?

a. Labor/delivery/recovery/postpartumjroom

b. Birthjcenter

c. Traditionaljhospitaljbirth

d. Homejbirth

.



ANS:jC

Injthejtraditionaljhospitaljsetting,jthejmotherjmayjseejthejinfantjforjonlyjshortjfeedingjperiods,jandjthejinfan
tjisjcaredjforjinjajseparatejnursery.jThejlabor/delivery/recovery/postpartumjroomjsettingjallowsjincreasedj
parent-infantjcontact.jBirthjcentersjarejsetjupjtojallowjanjincreasejinjparent-
infantjcontact.jHomejbirthsjallowjanjincreasejinjparent-infantjcontact.

PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j2

OBJ:jNursingjProcess:jPlanningjMSC:jClientjNeeds:jHealthjPromotionjandjMaintenance

4. Asjajresultjofjchangesjinjhealthjcarejdeliveryjandjfunding,jajcurrentjtrendjseenjinjthejpediatricjsetti
ngjis

a. increasedjhospitalizationjofjchildren.

b. decreasedjnumberjofjchildrenjlivingjinjpoverty.

c. anjincreasejinjambulatoryjcare.

d. decreasedjusejofjmanagedjcare.j

ANS:jC

Onejeffectjofjmanagedjcarejhasjbeenjthatjpediatricjhealthjcarejdeliveryjhasjshiftedjdramaticallyjfromjthej
acutejcarejsettingjtojthejambulatoryjsettingjinjorderjtojprovidejmorejcost-
efficientjcare.jThejnumberjofjhospitaljbedsjbeingjusedjhasjdecreasedjasjmorejcarejisjgivenjinjoutpatientjs
ettingsjandjinjthejhome.jThejnumberjofjchildrenjlivingjinjpovertyjhasjincreasedjoverjthejpastjdecade.jOnej
ofjthejbiggestjchangesjinjhealthjcarejhasjbeenjthejgrowthjofjmanagedjcare.

PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j5

OBJ:jNursingjProcess:jPlanningjMSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment

5. ThejWomen,jInfants,jandjChildrenj(WIC)jprogramjprovides

,TESTjBANKjFORjMATERNAL-CHILDjNURSINGj5THjEDITIONjBYjMCKINNEY



a. well-childjexaminationsjforjinfantsjandjchildrenjlivingjatjthejpovertyjlevel.

b. immunizationsjforjhigh-riskjinfantsjandjchildren.

c. screeningjforjinfantsjwithjdevelopmentaljdisorders.

d. supplementaljfoodjsuppliesjtojlow-

incomejpregnantjorjbreastfeedingjwomen.jANS:jD

WICjisjajfederaljprogramjthatjprovidesjsupplementaljfoodjsuppliesjtojlow-
incomejwomenjwhojarejpregnantjorjbreastfeedingjandjtojtheirjchildrenjuntiljagej5jyears.jMedicaid’sjEarlyja
ndjPeriodicjScreening,jDiagnosis,jandjTreatmentjProgramjprovidesjforjwell-
childjexaminationsjandjforjtreatmentjofjanyjmedicaljproblemsjdiagnosedjduringjsuchjcheckups.jChildrenjinj
thejWICjprogramjarejoftenjreferredjforjimmunizations,jbutjthatjisjnotjthejprimaryjfocusjofjthejprogram.jPub
licjLawj99-
457jisjpartjofjthejIndividualsjwithjDisabilitiesjEducationjActjthatjprovidesjfinancialjincentivesjtojstatesjtojest
ablishjcomprehensivejearlyjinterventionjservicesjforjinfantsjandjtoddlersjwith,jorjatjriskjfor,jdevelopmentalj
disabilities.



PTS:j1jjj DIF: CognitivejLevel:jComprehensionjOBJ:jIntegratedjProcess:jTeaching-

LearningjMSC:jClientjNeeds:jHealthjPromotionjandjMaintenance



REF:jp.j8




6. Injmostjstates,jadolescentsjwhojarejnotjemancipatedjminorsjmustjhavejthejpermissionjofjtheirjpar
entsjbefore

.



a. treatmentjforjdrugjabuse.

b. treatmentjforjsexuallyjtransmittedjdiseasesj(STDs).

c. accessingjbirthjcontrol.

d. surgery.j

ANS:jD

Minorsjarejnotjconsideredjcapablejofjgivingjinformedjconsent,jsojajsurgicaljprocedurejwouldjrequirejconsen
tjofjthejparentjorjguardian.jExceptionsjexistjforjobtainingjtreatmentjforjdrugjabusejorjSTDsjorjforjgettingjbirth
jcontroljinjmostjstates.

, TESTjBANKjFORjMATERNAL-CHILDjNURSINGj5THjEDITIONjBYjMCKINNEY



PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j17

OBJ:jNursingjProcess:jPlanningjMSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment

7. Thejmaternityjnursejshouldjhavejajclearjunderstandingjofjthejcorrectjusejofjajclinicaljpathway.
Onejcharacteristicjofjclinicaljpathwaysjisjthatjthey

a. arejdevelopedjandjimplementedjbyjnurses.

b. arejusedjprimarilyjinjthejpediatricjsetting.

c. setjspecificjtimejlinesjforjsequencingjinterventions.

d. arejpartjofjthejnursingjprocess.jA

NS:jC

Clinicaljpathwaysjarejstandardized,jinterdisciplinaryjplansjofjcarejdevisedjforjpatientsjwithjajparticularjheal
thjproblem.jTheyjarejusedjtojidentifyjpatientjoutcomes,jspecifyjtimejlinesjtojachievejthosejoutcomes,jdirect
jappropriatejinterventionsjandjsequencingjofjinterventions,jincludejinterventionsjfromjajvarietyjofjdisciplin

es,jpromotejcollaboration,jandjinvolvejajcomprehensivejapproachjtojcare.jTheyjarejdevelopedjbyjmultiplejh
ealthjcarejprofessionalsjandjreflectjinterdisciplinaryjcare.jTheyjcanjbejusedjinjmultiplejsettingsjandjforjpatie
ntsjthroughoutjthejlifejspan.jTheyjarejnotjpartjofjthejnursingjprocessjbutjcanjbejusedjinjconjunctionjwithjthej
nursingjprocessjtojprovidejcarejtojpatients.

PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j7

OBJ:jNursingjProcess:jPlanningjMSC:jClientjNeeds:jSafejandjEffectivejCarejEnvironment

8. Thejfastestjgrowingjgroupjofjhomelessjpeoplejis

a. menjandjwomenjpreparingjforjretirement.

b. migrantjworkers.

c. singlejwomenjandjtheirjchildren.

d. intravenousj(IV)jsubstancejabusers.j

ANS:jC

Pregnancyjandjbirth,jespeciallyjforjajteenager,jarejimportantjcontributingjfactorsjforjbecomingjhomeless.j
Peoplejpreparingjforjretirement,jmigrantjworkers,jandjIVjsubstancejabusersjarejnotjamongjthejfastestjgro
wingjgroupsjofjhomelessjpeople.

PTS:j 1j DIF: CognitivejLevel:jKnowledge/RememberingjREF:jp.j14
OBJ:jNursingjProcess:jAssessment

MSC:jClientjNeeds:jPhysiologicjIntegrity