INTRODUCTORYmMATERNITYm&mPEDIATRICmNURSING
NANCYmHATFIELDm&mCYNTHIAmKINCHELOE
5th Edition
m
TEST BANK m
,Chapterm1:mThemNurse'smRoleminmamChangingmMaternal–
ChildmHealthmCaremEnvironmentmHatfield:mIntroductorymMaternitymandmPediatricmNursi
ng,m5thmEdition
1. Themopeningmupmofmhospitalmvisitingmpoliciesmformchildrenmandmfamili
esmlikelymresultedfrommthemworkmofmwhichmindividual?
A. Josephm Brennaman
B. JohnmBowlby
C. MarshalmKlaus
D. JohnmKennell
Answer:mB
m
Rationale:m Inm 1951,m Johnm Bowlbym receivedm worldwidem attentionm withm his
studymthatmrevealedmthemnegativemresultsmofmthemseparationmofmchildmandmmothermbecausemofmhos
pitalization.mHismworkmledmtoamre-
evaluationmandmliberalizationmofmhospitalmvisitingmpoliciesmformchildren.mJosephmBrennamanmsug
gestedmthatmamlackmofmstimulationmforminfantsmcontributedmtomhighminfantmmortalitymratesmatmthemti
me.mInmthem1970smandm1980s,mphysiciansmMarshallmKlausmandmJohnmKennellmcarriedmoutmimport
antstudiesmonmthemeffectmofmthemseparationmofmnewbornsmandmparents.
Theymestablishedmthatmearlymseparationmmaymhavemlong-
termmeffectsmonmfamilymrelationshipsmandmthatmofferingmthemnewmfamilymanmopportunitymtombemt
ogethermatmbirthmandmformamsignificantmperiodmaftermbirthmmaymprovidembenefitsthatmlastmwellmi
ntomearlymchildhood.
Questionm format:m Multiplem Choice
Chapterm1:mThemNurse'smRoleminmamChangingmMaternal-
ChildmHealthmCaremEnvironment mCognitivemLevel:mRemember
ClientmNeeds:mHealthmPromotionmandmMaintenancemIntegr
atedmProcess:mNursingmProcess
Reference:mp.m4
2. Anmexpectantmmothermstatesmthatmshemreadmthatmmoremblackmmothersmdieminmchildbirthmthan
mdom white m mothers. m Whenmresponding m tom her m questions mabout mthe mreasons m formthis, mthe m nurs
emaccuratelymstatesmthatmwhichmismthemmajormreasonmformthemhighmmaternalmmortalitymrate?
A. Havingmformalmeducation.
B. Beingm unmarried.
C. Income.
D. Lackmofmprenatalmcare.
Answer:m D
Rationale:mResearchmshowsmthatmmaternalmmortalitymratemismdirectlymrelatedmtomlackmofmprenatalmc
aremsecondarymtomlackmofmaccessmtomservicesmorminsurance.mIncomemasmwellmasmeducationalmlevel
m maym playm am roleminmthe mavailability m ofm health m care, m but mtheymarem not m directly mresponsible. m Bein
gmunmarriedmhasmnombearingmonminfantmmortality.
Questionmformat:mMultiplemChoice
Chapterm1:mThemNurse'smRoleminmamChangingmMaternal-
ChildmHealthmCaremEnvironment mCognitivemLevel:mUnderstand
,ClientmNeeds:mHealthmPromotionmandmMaintenancemIntegr
atedmProcess:mNursingmProcess
Reference:mp.m9
3. Whichmstatementmcorrectlymdefinesmthemtermm"infantmdeathmrate"?
A. numbermofmdeathsminmuteromofmfetusesm500mgmorm moremperm1,000mlivembirths
B. numbermofmdeathsmoccurringminmthemfirstm28mdaysmofmlifemperm1,000mlivembirths
C. numbermofmdeathsmoccurringmatmbirthmorminmthemfirstm12mmonthsmofmlifemperm1,000mlivembirths
D. deathmofmamlive-bornmchildmbeforemhismormhermfirstmbirthday.
Answer:m D
Rationale:mThemtermminfantmdeathmrefersmtomthemdeathmofmamlive-
bornmchildmbeforemhemormshemreachesmagem1myear.mItmalsomincludesmneonatalmmortalitymrate.mNe
onatalmmortalitymratemismthemnumbermofminfantmdeathsmduringmthemfirstm28mdaysmofmlifemformever
ym1,000mlivembirths.mInfantmmortalitymratemismthemnumbermofmdeathsmduringmthemfirstm12mmonthsm
ofmlifemperm1,000mlivembirths.mQuestionmformat:mMultiplemChoice
Chapterm1:mThemNurse'smRoleminmamChangingmMaternal-
ChildmHealthmCaremEnvironment mCognitivemLevel:mRemember
ClientmNeeds:mHealthmPromotionmandmMaintenancemIntegr
atedmProcess:mNursingmProcess
Reference:mp.m9
4. Themnursingminstructormismpreparingmtomteachmamgroupmofmstudentsmaboutmthemhistorymofmmater
nitymcare.mWhatmmajormdevelopmentmwillmtheminstructormemphasizemasmgreatlyminfluencingmthem
practicemofmmaternitymcareminmthemUnitedmStatesmovermthempastmcentury?
A. technologicmadvancesmandmthemusemofmforcepsmbymprimarymcaremproviders
B. developmentmofmanesthesiamandmacceptancemofmthemgermmtheory
C. adventmofmbirthingmcentersmandmthemdevelopmentmofmfamily-centeredmcare
D. developmentmofmpediatricmspecialtymandmreplacementmofmmidwivesmasmprimarymbirthmattenda
ntsmAnswer:mB
Rationale:mThememphasismshouldmbemplacedmonmanesthesiamandmthemgermmtheory.mThemdevelopme
ntmofmanesthesiamallowedmwomenmamchoicemformpainmmanagementminmbirth;mthemgermmtheorymadva
ncedmthemprogressmofmgeneralmhealthmcaremandmdecreasedminfectionsminmlaboringmwomen.mPediatr
icsmasmamspecialtymismanmimportantmstepmforwardmbutmismnotmthemgreatestmdevelopment,mandmmidw
ivesmaremstillminmpractice.mMaternitymcaremcontinuesmtomevolve,mandmbirthingmcentersmaremstillmun
dermdevelopment.mForcepsmaremnotmconsideredmanmadvanceminmmaternitymcare.
Questionm format:m Multiplem Choice
Chapterm1:mThemNurse'smRoleminmamChangingmMaternal-
ChildmHealthmCaremEnvironment mCognitivemLevel:mAnalyze
ClientmNeeds:mHealthmPromotionmandmMaintenance
, IntegratedmProcess:mTeaching/Learningm
Reference:mp.m3
5. Whenmpreparingmamclientmformsurgery,mthemnursemexplainsmthatmthemusemofmanmantise
pticmduringmthemsurgerymhasmgreatlymimprovedmclientmsurvivalmratesmandmwasmstartedmb
ymwhichmphysician?
A. Louism Pasteur
B. IgnazmPhilipmSemmelweis
C. Josephm Lister
D. AlexandermGordon
m Answer:mC
Rationale:mJosephmListermwasmamBritishmsurgeonmwhomembracedmLouismPasteur'smtheorymofmmi
croorganismsmasmthemcausemofminfection.mListermusedmcarbolicmacidmasmanmantisepticmduringmsur
gerymandmimprovedmthemsurvivalmratesmofmhismpatients.mAlexandermGordonmproposedmthemtheory
m ofminfection. m Oliver m Wendell m Holmesm andm Ignaz m Philipm Semmelweis m confirmed m hismtheory.
Questionmformat:mMultiplemChoice
Chapterm1:mThemNurse'smRoleminmamChangingmMaternal-
ChildmHealthmCaremEnvironment mCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment: mSafetymandmInfectionmControlmIntegratedmProc
ess:mNursingmProcess
Reference:mp.m4
6. Amyoungmcouplemaremverymexcitedmtomlearnmtheymaremexpectingmtheirmfirstmchildmandmquestio
nmthemnursemaboutmwhichmtestmtheymneedmtomdiscovermitsmgender.mWhichmproceduremwillmbestmpr
ovidemthisminformationmtomthemcouple?
A. Ultrasound
B. Amniocentesis
C. Chorionicmvillusmsampling
D. HGP
Answer:m A
Rationale:mUltrasoundmismamvisualmmethodmformassessingmthemfetusminmthemuterusmandmwillmprovid
eminformationmaboutmthemgender.mAmniocentesismandmchorionicmvillusmsamplingmprovidemthementi
remgeneticmcodemofmthemfetus.mHGPmrefersmtomthemHumanmGenomemProject,mwhichmcanmprovidemi
nformationmregardingmgenemmutationsmandmvariations.
Questionmformat:mMultiplemChoice
Chapterm1:mThemNurse'smRoleminmamChangingmMaternal-
ChildmHealthmCaremEnvironment mCognitivemLevel:mApply
ClientmNeeds:mHealthmPromotionmandmMaintenancemIntegr
atedmProcess:mCaring
Reference:mp.m6