McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition Test Bank (All 55 Chapters)

,Chapter01: Foundations of Maternity,Women’s Health, and Child Health Nursing
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McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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MULTIPLE CHOICE ff




1. Which factor significantly contributed to the shift from home births to hospital births in
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the early 20th century?
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a. Puerperal sepsis was identified as a risk factor in labor and delivery. ff ff ff ff ff ff ff ff ff ff ff


b. Forceps were developed to facilitate difficult births. ff ff ff ff ff ff


c. The importance of early parental-infant contact was identified.
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d. Technologic developments became available to physicians. ff ff f f ff




ANS: D ff


Technologic developments were available to physicians, not lay midwives. So in-hospital
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births increased in order to take advantage of these advancements. Puerperal sepsis has
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been a known problem for generations. In the late 19th century, Semmelweis discovered
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how it could be prevented with improved hygienic practices. The development of forceps
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is an example of a technology advance made in the early 20th century but is not the only
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reason birthplaces moved. Unlike home births, early hospital births hindered bonding
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between parents and their infants.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 1
ff OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Safe and Effective Care Environment
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2. Family-centered maternity care developed in response to ff ff ff ff ff ff


a. demands by physicians for family involvement in childbirth. ff ff ff ff ff ff ff


b. theSheppard-TownerAct of 1921.
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c. parental requests that infants be allowed to remain with them rather than in
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ff a nursery.
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d. changes in pharmacologic management of labor. ff ff ff ff ff




ANS: C ff


As research began to identify the benefits of early extended parent-infant contact,
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parents began to insist that the infant remain with them. This gradually developed into
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the practice of rooming-in and finally to family-centered maternity care. Family-
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centered care was a request by parents, not physicians. The Sheppard-Towner Act of
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1921 provided funds for state-managed programs for mothers and children. The
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changes in pharmacologic management of labor were not a factor in family-centered
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maternity care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 2
ff OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Psychosocial Integrity
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3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room
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c. Traditional hospital birth ff ff


d. Home birth ff




.

, ANS: C ff


In the traditional hospital setting, the mother may see the infant for only short feeding periods,
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and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
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room setting allows increased parent-infant contact. Birth centers are set up to allow an
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increase in parent-infant contact. Home births allow an increase in parent-infant contact.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 2
ff OBJ: Nursing Process: Planning ff ff ff


MSC: Client Needs: Health Promotion and Maintenance ff ff ff ff ff




4. As a result of changes in health care delivery and funding, a current trend seen in
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the pediatric setting is
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a. increased hospitalization of children. ff ff ff


b. decreased number of children living in poverty. ff ff ff ff ff ff


c. an increase in ambulatory care. ff ff ff ff


d. decreased use of managed care. ff ff ff ff




ANS: C ff


One effect of managed care has been that pediatric health care delivery has shifted
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dramatically from the acute care setting to the ambulatory setting in order to provide
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more cost-efficient care. The number of hospital beds being used has decreased as
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more care is given in outpatient settings and in the home. The number of children
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living in poverty has increased over the past decade. One of the biggest changes in
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health care has been the growth of managed care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 5
ff OBJ: Nursing Process: Planning ff ff ff


MSC: Client Needs: Safe and Effective Care Environment ff ff ff ff ff ff




5. TheWomen, Infants, and Children (WIC) program provides
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a. well-child examinations for infants and children living at the poverty level. ff ff ff ff ff ff ff ff ff ff


b. immunizations for high-risk infants and children. ff ff ff ff ff


c. screening for infants with developmental disorders. ff ff ff ff ff


d. supplemental food supplies to low-income pregnant or breastfeeding women. ff ff ff ff ff ff ff ff




ANS: D ff


WIC is a federal program that provides supplemental food supplies to low-income
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women who are pregnant or breastfeeding and to their children until age 5 years.
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Medicaid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides
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for well-child examinations and for treatment of any medical problems diagnosed during
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such checkups. Children in the WIC program are often referred for immunizations, but
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that is not the primary focus of the program. Public Law 99-457 is part of the
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Individuals with Disabilities Education Act that provides financial incentives to states
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to establish comprehensive early intervention services for infants and toddlers with, or at
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risk for, developmental disabilities.
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PTS: 1 DIF: CognitiveLevel:Comprehension f f REF: p. 8 ff


OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Health Promotion and Maintenance
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6. In most states, adolescents who are not emancipated minors must have the permission of
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ff their parents before ff ff


.

, a. treatment for drug abuse. ff ff ff


b. treatment for sexually transmitted diseases (STDs). ff ff ff ff ff


c. accessing birth control. ff ff


d. surgery.
ANS: D ff


Minors are not considered capable of giving informed consent, so a surgical procedure
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would require consent of the parent or guardian. Exceptions exist for obtaining treatment
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for drug abuse or STDs or for getting birth control in most states.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 17
ff OBJ: Nursing Process: Planning
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MSC: Client Needs: Safe and Effective Care Environment ff ff ff ff ff ff




7. The maternity nurse should have a clear understanding of the correct use of a
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ff clinical pathway. One characteristic of clinical pathways is that they
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a. are developed and implemented by nurses.
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b. are used primarily in the pediatric setting.
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c. set specific time lines for sequencing interventions.
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d. are part of the nursing process.
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ANS: C ff


Clinical pathways are standardized, interdisciplinary plans of care devised for patients
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with a particular health problem. They are used to identify patient outcomes, specify
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time lines to achieve those outcomes, direct appropriate interventions and sequencing of
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interventions, include interventions from a variety of disciplines, promote collaboration,
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and involve a comprehensive approach to care. They are developed by multiple
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health care professionals and reflect interdisciplinary care. They can be used in multiple
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settings and for patients throughout the life span. They are not part of the nursing
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process but can be used in conjunction with the nursing process to provide care to
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patients.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 7
ff OBJ: Nursing Process: Planning
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MSC: Client Needs: Safe and Effective Care Environment ff ff ff ff ff ff




8. The fastest growing group of homeless people is
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a. men and women preparing for retirement.
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b. migrant workers. ff


c. single women and their children. ff ff ff ff


d. intravenous (IV) substance abusers. ff ff ff




ANS: C ff


Pregnancy and birth, especially for a teenager, are important contributing factors for
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becoming homeless. People preparing for retirement, migrant workers, and IV substance
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abusers are not among the fastest growing groups of homeless people.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ff ff


REF: p. 14
ff OBJ: Nursing Process: Assessment
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MSC: Client Needs: Physiologic Integrity ff ff ff




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