,
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinne
zl zl zl zl zl zl zl zl zl zl zl
y: Evolve Resources for Maternal-Child Nursing, 6th Edition
zl zl zl zl zl zl zl
MULTIPLE CHOICE zl
1. Which factor significantly contributed to the shift from home births to hospital births in th
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e early 20th century?
zl zl zl
a. Puerperal sepsis was identified as a risk factor in labor and delivery. zl zl zl zl zl zl zl zl zl zl zl
b. Forceps were developed to facilitate difficult births. zl zl zl zl zl zl
c. The importance of early parental-infant contact was identified.
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d. Technologic developments became available to physicians. zl zl zl zl zl
ANS: D zl
Technologic developments were available to physicians, not lay midwives. So in- zl zl zl zl zl zl zl zl zl zl
hospital births increased in order to take advantage of these advancements. Puerperal sepsis has
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
been a known problem for generations. In the late 19th century, Semmelweis discovered how it co
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
uld be prevented with improved hygienic practices. The development of forceps is an example o
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
f a technology advance made in the early 20th century but is not the only reason birthplaces mov
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ed. Unlike home births, early hospital births hindered bonding between parents and their infants
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.
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 1 zl OBJ: Integrated Process: Teaching- z l zl zl
Learning MSC: Client Needs: Safe and Effective Care Environment
zl zl zl zl zl zl zl zl
2. Family-centered maternity care developed in response to zl zl zl zl zl zl
a. demands by physicians for family involvement in childbirth. zl zl zl zl zl zl zl
b. the Sheppard-Towner Act of 1921. zl zl zl zl
c. parental requests that infants be allowed to remain with them rather than in a n
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ursery.
d. changes in pharmacologic management of labor. zl zl zl zl zl
ANS: C zl
As research began to identify the benefits of early extended parent-
zl zl zl zl zl zl zl zl zl zl
infant contact, parents began to insist that the infant remain with them. This gradually develo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ped into the practice of rooming-in and finally to family-centered maternity care. Family-
zl zl zl zl zl zl zl zl zl zl zl zl
centered care was a request by parents, not physicians. The Sheppard-
zl zl zl zl zl zl zl zl zl zl
Towner Act of 1921 provided funds for state- zl zl zl zl zl zl zl
managed programs for mothers and children. The changes in pharmacologic management o
zl zl zl zl zl zl zl zl zl zl zl
f labor were not a factor in family-centered maternity care.
zl zl zl zl zl zl zl zl zl
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 2 zl OBJ: Integrated Process: Teaching- z l zl zl
Learning MSC: Client Needs: Psychosocial Integrity zl zl zl zl zl
3. Which setting for childbirth allows the least amount of parent-infant contact?
zl zl zl zl zl zl zl zl zl zl
a. Labor/delivery/recovery/postpartum room zl
b. Birth center zl
c. Traditional hospital birth zl zl
d. Home birth. zl
, ANS: C zl
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
d the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room setti
zl zl zl zl zl zl zl zl zl zl zl zl zl
ng allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
infant contact. Home births allow an increase in parent-infant contact.
zl zl zl zl zl zl zl zl zl
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 2 zl OBJ: Nursing Process: Planning z l zl zl
MSC: Client Needs: Health Promotion and Maintenance
zl zl zl zl zl zl
4. As a result of changes in health care delivery and funding, a current trend seen in the ped
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
iatric setting is zl zl
a. increased hospitalization of children. zl zl zl
b. decreased number of children living in poverty. zl zl zl zl zl zl
c. an increase in ambulatory care. zl zl zl zl
d. decreased use of managed care. zl zl zl zl
ANS: C zl
One effect of managed care has been that pediatric health care delivery has shifted dramatic
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ally from the acute care setting to the ambulatory setting in order to provide more cost-
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
efficient care. The number of hospital beds being used has decreased as more care is given i
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
n outpatient settings and in the home. The number of children living in poverty has increased
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over the past decade. One of the biggest changes in health care has been the growth of mana
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ged care. zl
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 5 zl OBJ: Nursing Process: Planning z l zl zl
MSC: Client Needs: Safe and Effective Care Environment
zl zl zl zl zl zl zl
5. The Women, Infants, and Children (WIC) program provides
zl zl zl zl zl zl zl
a. well-child examinations for infants and children living at the poverty level. zl zl zl zl zl zl zl zl zl zl
b. immunizations for high-risk infants and children. zl zl zl zl zl
c. screening for infants with developmental disorders. zl zl zl zl zl
d. supplemental food supplies to low-income pregnant or breastfeeding women. zl zl zl zl zl zl zl zl
ANS: D zl
WIC is a federal program that provides supplemental food supplies to low-
zl zl zl zl zl zl zl zl zl zl zl
income women who are pregnant or breastfeeding and to their children until age 5 years. Medic
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
aid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-
zl zl zl zl zl zl zl zl zl zl zl
child examinations and for treatment of any medical problems diagnosed during such checkups
zl zl zl zl zl zl zl zl zl zl zl zl
. Children in the WIC program are often referred for immunizations, but that is not the primary fo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
cus of the program. Public Law 99-
zl zl zl zl zl zl
457 is part of the Individuals with Disabilities Education Act that provides financial incentives
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
to states to establish comprehensive early intervention services for infants and toddlers with, or
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
at risk for, developmental disabilities.
zl zl zl zl
PTS: 1 DIF: z l REF: p. 8 z l zl
Cognitive Level: Comprehension OBJ: I zl zl zl z l
ntegrated Process: Teaching-Learning zl zl
MSC: Client Needs: Health Promotion and Maintenance
zl zl zl zl zl zl
6. In most states, adolescents who are not emancipated minors must have the permission of th
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
eir parents before zl zl
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinne
zl zl zl zl zl zl zl zl zl zl zl
y: Evolve Resources for Maternal-Child Nursing, 6th Edition
zl zl zl zl zl zl zl
MULTIPLE CHOICE zl
1. Which factor significantly contributed to the shift from home births to hospital births in th
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
e early 20th century?
zl zl zl
a. Puerperal sepsis was identified as a risk factor in labor and delivery. zl zl zl zl zl zl zl zl zl zl zl
b. Forceps were developed to facilitate difficult births. zl zl zl zl zl zl
c. The importance of early parental-infant contact was identified.
zl zl zl zl zl zl zl
d. Technologic developments became available to physicians. zl zl zl zl zl
ANS: D zl
Technologic developments were available to physicians, not lay midwives. So in- zl zl zl zl zl zl zl zl zl zl
hospital births increased in order to take advantage of these advancements. Puerperal sepsis has
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
been a known problem for generations. In the late 19th century, Semmelweis discovered how it co
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
uld be prevented with improved hygienic practices. The development of forceps is an example o
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
f a technology advance made in the early 20th century but is not the only reason birthplaces mov
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ed. Unlike home births, early hospital births hindered bonding between parents and their infants
zl zl zl zl zl zl zl zl zl zl zl zl zl
.
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 1 zl OBJ: Integrated Process: Teaching- z l zl zl
Learning MSC: Client Needs: Safe and Effective Care Environment
zl zl zl zl zl zl zl zl
2. Family-centered maternity care developed in response to zl zl zl zl zl zl
a. demands by physicians for family involvement in childbirth. zl zl zl zl zl zl zl
b. the Sheppard-Towner Act of 1921. zl zl zl zl
c. parental requests that infants be allowed to remain with them rather than in a n
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ursery.
d. changes in pharmacologic management of labor. zl zl zl zl zl
ANS: C zl
As research began to identify the benefits of early extended parent-
zl zl zl zl zl zl zl zl zl zl
infant contact, parents began to insist that the infant remain with them. This gradually develo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ped into the practice of rooming-in and finally to family-centered maternity care. Family-
zl zl zl zl zl zl zl zl zl zl zl zl
centered care was a request by parents, not physicians. The Sheppard-
zl zl zl zl zl zl zl zl zl zl
Towner Act of 1921 provided funds for state- zl zl zl zl zl zl zl
managed programs for mothers and children. The changes in pharmacologic management o
zl zl zl zl zl zl zl zl zl zl zl
f labor were not a factor in family-centered maternity care.
zl zl zl zl zl zl zl zl zl
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 2 zl OBJ: Integrated Process: Teaching- z l zl zl
Learning MSC: Client Needs: Psychosocial Integrity zl zl zl zl zl
3. Which setting for childbirth allows the least amount of parent-infant contact?
zl zl zl zl zl zl zl zl zl zl
a. Labor/delivery/recovery/postpartum room zl
b. Birth center zl
c. Traditional hospital birth zl zl
d. Home birth. zl
, ANS: C zl
In the traditional hospital setting, the mother may see the infant for only short feeding periods, an
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
d the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room setti
zl zl zl zl zl zl zl zl zl zl zl zl zl
ng allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
infant contact. Home births allow an increase in parent-infant contact.
zl zl zl zl zl zl zl zl zl
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 2 zl OBJ: Nursing Process: Planning z l zl zl
MSC: Client Needs: Health Promotion and Maintenance
zl zl zl zl zl zl
4. As a result of changes in health care delivery and funding, a current trend seen in the ped
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
iatric setting is zl zl
a. increased hospitalization of children. zl zl zl
b. decreased number of children living in poverty. zl zl zl zl zl zl
c. an increase in ambulatory care. zl zl zl zl
d. decreased use of managed care. zl zl zl zl
ANS: C zl
One effect of managed care has been that pediatric health care delivery has shifted dramatic
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
ally from the acute care setting to the ambulatory setting in order to provide more cost-
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
efficient care. The number of hospital beds being used has decreased as more care is given i
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
n outpatient settings and in the home. The number of children living in poverty has increased
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl z
over the past decade. One of the biggest changes in health care has been the growth of mana
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ged care. zl
PTS: 1 DIF: z l
Cognitive Level: Knowledge/Remembering REF: zl zl zl z l
p. 5 zl OBJ: Nursing Process: Planning z l zl zl
MSC: Client Needs: Safe and Effective Care Environment
zl zl zl zl zl zl zl
5. The Women, Infants, and Children (WIC) program provides
zl zl zl zl zl zl zl
a. well-child examinations for infants and children living at the poverty level. zl zl zl zl zl zl zl zl zl zl
b. immunizations for high-risk infants and children. zl zl zl zl zl
c. screening for infants with developmental disorders. zl zl zl zl zl
d. supplemental food supplies to low-income pregnant or breastfeeding women. zl zl zl zl zl zl zl zl
ANS: D zl
WIC is a federal program that provides supplemental food supplies to low-
zl zl zl zl zl zl zl zl zl zl zl
income women who are pregnant or breastfeeding and to their children until age 5 years. Medic
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
aid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-
zl zl zl zl zl zl zl zl zl zl zl
child examinations and for treatment of any medical problems diagnosed during such checkups
zl zl zl zl zl zl zl zl zl zl zl zl
. Children in the WIC program are often referred for immunizations, but that is not the primary fo
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
cus of the program. Public Law 99-
zl zl zl zl zl zl
457 is part of the Individuals with Disabilities Education Act that provides financial incentives
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
to states to establish comprehensive early intervention services for infants and toddlers with, or
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
at risk for, developmental disabilities.
zl zl zl zl
PTS: 1 DIF: z l REF: p. 8 z l zl
Cognitive Level: Comprehension OBJ: I zl zl zl z l
ntegrated Process: Teaching-Learning zl zl
MSC: Client Needs: Health Promotion and Maintenance
zl zl zl zl zl zl
6. In most states, adolescents who are not emancipated minors must have the permission of th
zl zl zl zl zl zl zl zl zl zl zl zl zl zl
eir parents before zl zl
