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