,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it could
be prevented with improved hygienic practices. The development of forceps is an example of
პატარა ბაღის ბოლოს
a technology advanceცხოვრობდა ნატალია,
made in the early რომელიც
20th century but isხელით ამზადებდა
not the only ფერად ქარის ზარებს
reason birthplaces
მისი moved.
სახელოსნოUnlikeსავსე იყო მინის
home births, ნაჭრებით,
early hospital birthsძაფებით და ხის between
hindered bonding რგოლებით.parents and their
infants.
ერთ დღეს სოფლის ზაფხულის ფესტივალი მოეწყო და ნატალიას სთხოვეს, მოედნისთვის ქარ
ზარები
PTS:შეექმნა.
1 მან თითოეული
DIF: Cognitiveზარი განსხვავებული
Level: ფერებით და ფორმებით გააფორმა.
Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
როდესაც ნაზი ქარი დაუბერა, ზარები სასიამოვნოდ ჟღერდა და ყველას თბილ განწყობას
უქმნიდა. ნატალიამmaternity
2. Family-centered გაიაზრა, რომ
care მისი ხელოვნება
developed ბუნებასთან ჰარმონიას ქმნიდა.
in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
ქალაქის პატარაrequests
c. parental ქუჩაზეthat
ცხოვრობდა ლევანი,
infants be allowed რომელიც
to remain ხელით
with them ამზადებდა
rather than in a პატარა კერამიკულ
ყუთებს nursery.
საჩუქრებისთვის. მისი სამუშაო სივრცე სავსე იყო თიხით, ფორმებით და ფერადი
მინანქრებით.
d. changes in pharmacologic management of labor.
ANS: C
ერთ დღეს ბიბლიოთეკამ სთხოვა, რომ ყუთები სპეციალური ღონისძიებისთვის შექმნან. ლევა
As research began to identify the benefits of early extended parent-infant contact, parents
თითოეულ
began toყუთზე ტრადიციული ორნამენტი ამოკვეთა დაdeveloped
ლამაზადinto გააფორმა.
insist that the infant remain with them. This gradually the practice of
rooming-in and finally to family-centered maternity care. Family-centered care was a request
როდესაც ყუთები
by parents, ღონისძიებაზე
not physicians. განათავსეს, სტუმრები
The Sheppard-Towner Act of 1921ინტერესით ათვალიერებდნენ.
provided funds for ლევან
გააცნობიერა, რომ მისი ხელოვნება ადამიანების მოგონებებს განსაკუთრებულ
state-managed programs for mothers and children. The changes in pharmacologic მნიშვნელობას
ანიჭებდა
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide more
cost-efficient care. The number of hospital beds being used has decreased as more care is
given in outpatient settings and in the home. The number of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities Education
Act that provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents before
TestBankWorld.org
, a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
Minors are not considered capable of giving informed consent, so a surgical procedure would
require consent of the parent or guardian. Exceptions exist for obtaining treatment for drug
abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. The maternity nurse should have a clear understanding of the correct use of a clinical
pathway. One characteristic of clinical pathways is that they
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular health problem. They are used to identify patient outcomes, specify time lines to
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
comprehensive approach to care. They are developed by multiple health care professionals
and reflect interdisciplinary care. They can be used in multiple settings and for patients
throughout the life span. They are not part of the nursing process but can be used in
conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
homeless. People preparing for retirement, migrant workers, and IV substance abusers are not
among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
TestBankWorld.org
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it could
be prevented with improved hygienic practices. The development of forceps is an example of
პატარა ბაღის ბოლოს
a technology advanceცხოვრობდა ნატალია,
made in the early რომელიც
20th century but isხელით ამზადებდა
not the only ფერად ქარის ზარებს
reason birthplaces
მისი moved.
სახელოსნოUnlikeსავსე იყო მინის
home births, ნაჭრებით,
early hospital birthsძაფებით და ხის between
hindered bonding რგოლებით.parents and their
infants.
ერთ დღეს სოფლის ზაფხულის ფესტივალი მოეწყო და ნატალიას სთხოვეს, მოედნისთვის ქარ
ზარები
PTS:შეექმნა.
1 მან თითოეული
DIF: Cognitiveზარი განსხვავებული
Level: ფერებით და ფორმებით გააფორმა.
Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
როდესაც ნაზი ქარი დაუბერა, ზარები სასიამოვნოდ ჟღერდა და ყველას თბილ განწყობას
უქმნიდა. ნატალიამmaternity
2. Family-centered გაიაზრა, რომ
care მისი ხელოვნება
developed ბუნებასთან ჰარმონიას ქმნიდა.
in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
ქალაქის პატარაrequests
c. parental ქუჩაზეthat
ცხოვრობდა ლევანი,
infants be allowed რომელიც
to remain ხელით
with them ამზადებდა
rather than in a პატარა კერამიკულ
ყუთებს nursery.
საჩუქრებისთვის. მისი სამუშაო სივრცე სავსე იყო თიხით, ფორმებით და ფერადი
მინანქრებით.
d. changes in pharmacologic management of labor.
ANS: C
ერთ დღეს ბიბლიოთეკამ სთხოვა, რომ ყუთები სპეციალური ღონისძიებისთვის შექმნან. ლევა
As research began to identify the benefits of early extended parent-infant contact, parents
თითოეულ
began toყუთზე ტრადიციული ორნამენტი ამოკვეთა დაdeveloped
ლამაზადinto გააფორმა.
insist that the infant remain with them. This gradually the practice of
rooming-in and finally to family-centered maternity care. Family-centered care was a request
როდესაც ყუთები
by parents, ღონისძიებაზე
not physicians. განათავსეს, სტუმრები
The Sheppard-Towner Act of 1921ინტერესით ათვალიერებდნენ.
provided funds for ლევან
გააცნობიერა, რომ მისი ხელოვნება ადამიანების მოგონებებს განსაკუთრებულ
state-managed programs for mothers and children. The changes in pharmacologic მნიშვნელობას
ანიჭებდა
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide more
cost-efficient care. The number of hospital beds being used has decreased as more care is
given in outpatient settings and in the home. The number of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities Education
Act that provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents before
TestBankWorld.org
, a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
Minors are not considered capable of giving informed consent, so a surgical procedure would
require consent of the parent or guardian. Exceptions exist for obtaining treatment for drug
abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. The maternity nurse should have a clear understanding of the correct use of a clinical
pathway. One characteristic of clinical pathways is that they
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular health problem. They are used to identify patient outcomes, specify time lines to
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
comprehensive approach to care. They are developed by multiple health care professionals
and reflect interdisciplinary care. They can be used in multiple settings and for patients
throughout the life span. They are not part of the nursing process but can be used in
conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
ANS: C
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
homeless. People preparing for retirement, migrant workers, and IV substance abusers are not
among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
TestBankWorld.org
