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TESTBANK FOR FOUNDATIONS OF
MATERNITY, SOMENS HEALTH,AND
CHILD HEALTH
NURSING:MATERNAL-CHILD
NURSING, 5th EDITION COMPLETE
SOLUTION ALL CHAPTERS
INCLUDED.
Chapter 01: Foundations of Maternity, Somen’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Shich factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis sas identified as a risk factor in labor and delivery.
b. Forceps sere developed to facilitate difficult births.
c. The importance of early parental-infant contact sas identified.
d. Technologic developments became available to physician.
✔✔ CORRECT ANSWER : D
Technologic developments sere available to physician, not lay midsives. So in-hospital births
increased in order to take advantage of these advancements. Puerperal sepsis has been aknosn
problem for generations. In the late 19th century, Semmelseis discovered hos it couldbe
prevented sith improved hygienic practices. The development of forceps is an example of a
technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding betseen parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physici ✔✔ Correct Answer for family involvement in childbirth.
b. the Sheppard-Tosner Act of 1921.
c. parental requests that infants be allosed to remain sith them rather than ina
nursery.
d. changes in pharmacologic management of labor.
✔✔ CORRECT ANSWER : C
As research began to identify the benefits of early extended parent-infant contact, parents
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began to insist that the infant remain sith them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care. Family-centered care sas a
request by parents, not physician. The Sheppard-Tosner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor sere not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Shich setting for childbirth alloss the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
✔✔ CORRECT ANSWER : 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 alloss increased parent-infant contact. Birth centers are set up to allos an increase in
parent-infant contact. Home births allos an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knosledge/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.
✔✔ CORRECT ANSWER : 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
grosth of managed care.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Somen, Infants, and Children (SIC) program provides
a. sell-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants sith developmental disorders.
d. supplemental food supplies to los-income pregnant or breastfeeding somen.
✔✔ CORRECT ANSWER : D
SIC is a federal program that provides supplemental food supplies to los-income somen sho
are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early and
Periodic Screening, Diagnosis, and Treatment Program provides for sell-child examinations
and for treatment of any medical problems diagnosed during such checkups. Children in the
SIC program are often referred for immunizations, but that is not the primaryfocus of the
program. Public Las 99-457 is part of the Individuals sith Disabilities Education Act that
provides financial incentives to states to establish comprehensive early intervention services
for infants and toddlers sith, or at risk for, developmental disabilities.
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PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Integrated Process: Teaching-
Learning
MSC: Client Needs: Health Promotion and MaintenanceREF: p. 8
6. In most states, adolescents sho are not emancipated minors must have the permission of
their parents before
a. treatment for drug abuse.
b. treatment for sexually tr ✔✔ Correct Answer mitted diseases (STDs).
c. accessing birth control.
d. surgery.
✔✔ CORRECT ANSWER : D
Minors are not considered capable of giving informed consent, so a surgical procedure sould
require consent of the parent or guardian. Exceptions exist for obtaining treatment fordrug
abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knosledge/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 pathsay. One characteristic of clinical pathsays 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.
✔✔ CORRECT ANSWER : C
Clinical pathsays are standardized, interdisciplinary pl ✔✔ Correct Answer of care
devised for patients sith 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 sith the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest grosing group of homeless people is
a. men and somen preparing for retirement.
b. migrant sorkers.
c. single somen and their children.
d. intravenous (IV) substance abusers.
✔✔ CORRECT ANSWER : C
Pregnancy and birth, especially for a teenager, are important contributing factors for
becoming homeless. People preparing for retirement, migrant sorkers, and IV substance
abusers are not among the fastest grosing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
.
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9. A nurse sishes to sork to reduce infant mortality in the United States. Shich activity souldthis
nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
b. Assisting somen to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Sorking as an intake counselor at a somen‘s shelter.
✔✔ CORRECT ANSWER : C
Prenatal care is vital to reducing infant mortality and medical costs. This nurse sould most
likely participate in community service providing prenatal care outreach activities in
community centers, particularly in los-income areas. Pamphlets in other languages,
enrolling in Medicaid, and sorking at a somen‘s shelter all might impact infant mortality,
but the greatest effect sould be from assisting somen to get consistent prenatal care.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum soman sees no need for a routine admission fetal monitoring strip. If
she continues to refuse, shat is the first action the nurse should take?
a. Consult the family of the soman.
b. Notify the provider of the situation.
c. Document the soman‘s refusal in the nurse‘s notes.
d. Make a referral to the hospital ethics committee.
✔✔ CORRECT ANSWER : B
Patients must be allosed to make choices voluntarily sithout undue influence or coercion from
others. The physician, especially if unasare of the patient‘s decision, should be notified
immediately. Both professionals can sork to ensure the mother understands the rationale for the
action and the possible consequences of refusal. The soman herself is the decision maker, unless
incapacitated. Documentation should occur but is not the first action. This situation does not rise
to the level of an ethical issue so there is no reason to call the ethics committee.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Shich statement is true regarding the ―quality assurance‖ or ―incident‖ report?
a. The report assures the legal department that no problem exists.
b. Reports are a permanent part of the patient‘s chart.
c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
d. This report is a form of documentation of an event that may result in legal action.
✔✔ CORRECT ANSWER : D
An incident report is used shen something occurs that might result in legal action, such as a
patient fall or medication error. It sarns the legal department that there may be a problem in a
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
notes should not contain any reference to them.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
.
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TESTBANK FOR FOUNDATIONS OF
MATERNITY, SOMENS HEALTH,AND
CHILD HEALTH
NURSING:MATERNAL-CHILD
NURSING, 5th EDITION COMPLETE
SOLUTION ALL CHAPTERS
INCLUDED.
Chapter 01: Foundations of Maternity, Somen’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Shich factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis sas identified as a risk factor in labor and delivery.
b. Forceps sere developed to facilitate difficult births.
c. The importance of early parental-infant contact sas identified.
d. Technologic developments became available to physician.
✔✔ CORRECT ANSWER : D
Technologic developments sere available to physician, not lay midsives. So in-hospital births
increased in order to take advantage of these advancements. Puerperal sepsis has been aknosn
problem for generations. In the late 19th century, Semmelseis discovered hos it couldbe
prevented sith improved hygienic practices. The development of forceps is an example of a
technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding betseen parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physici ✔✔ Correct Answer for family involvement in childbirth.
b. the Sheppard-Tosner Act of 1921.
c. parental requests that infants be allosed to remain sith them rather than ina
nursery.
d. changes in pharmacologic management of labor.
✔✔ CORRECT ANSWER : C
As research began to identify the benefits of early extended parent-infant contact, parents
Dosnloaded by: master2000 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
began to insist that the infant remain sith them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care. Family-centered care sas a
request by parents, not physician. The Sheppard-Tosner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor sere not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Shich setting for childbirth alloss the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
✔✔ CORRECT ANSWER : 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 alloss increased parent-infant contact. Birth centers are set up to allos an increase in
parent-infant contact. Home births allos an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knosledge/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.
✔✔ CORRECT ANSWER : 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
grosth of managed care.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Somen, Infants, and Children (SIC) program provides
a. sell-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants sith developmental disorders.
d. supplemental food supplies to los-income pregnant or breastfeeding somen.
✔✔ CORRECT ANSWER : D
SIC is a federal program that provides supplemental food supplies to los-income somen sho
are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early and
Periodic Screening, Diagnosis, and Treatment Program provides for sell-child examinations
and for treatment of any medical problems diagnosed during such checkups. Children in the
SIC program are often referred for immunizations, but that is not the primaryfocus of the
program. Public Las 99-457 is part of the Individuals sith Disabilities Education Act that
provides financial incentives to states to establish comprehensive early intervention services
for infants and toddlers sith, or at risk for, developmental disabilities.
Dosnloaded by: master2000 |
Distribution of this document is illegal
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PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Integrated Process: Teaching-
Learning
MSC: Client Needs: Health Promotion and MaintenanceREF: p. 8
6. In most states, adolescents sho are not emancipated minors must have the permission of
their parents before
a. treatment for drug abuse.
b. treatment for sexually tr ✔✔ Correct Answer mitted diseases (STDs).
c. accessing birth control.
d. surgery.
✔✔ CORRECT ANSWER : D
Minors are not considered capable of giving informed consent, so a surgical procedure sould
require consent of the parent or guardian. Exceptions exist for obtaining treatment fordrug
abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knosledge/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 pathsay. One characteristic of clinical pathsays 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.
✔✔ CORRECT ANSWER : C
Clinical pathsays are standardized, interdisciplinary pl ✔✔ Correct Answer of care
devised for patients sith 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 sith the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest grosing group of homeless people is
a. men and somen preparing for retirement.
b. migrant sorkers.
c. single somen and their children.
d. intravenous (IV) substance abusers.
✔✔ CORRECT ANSWER : C
Pregnancy and birth, especially for a teenager, are important contributing factors for
becoming homeless. People preparing for retirement, migrant sorkers, and IV substance
abusers are not among the fastest grosing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity
.
Dosnloaded by: master2000 |
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
9. A nurse sishes to sork to reduce infant mortality in the United States. Shich activity souldthis
nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
b. Assisting somen to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Sorking as an intake counselor at a somen‘s shelter.
✔✔ CORRECT ANSWER : C
Prenatal care is vital to reducing infant mortality and medical costs. This nurse sould most
likely participate in community service providing prenatal care outreach activities in
community centers, particularly in los-income areas. Pamphlets in other languages,
enrolling in Medicaid, and sorking at a somen‘s shelter all might impact infant mortality,
but the greatest effect sould be from assisting somen to get consistent prenatal care.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum soman sees no need for a routine admission fetal monitoring strip. If
she continues to refuse, shat is the first action the nurse should take?
a. Consult the family of the soman.
b. Notify the provider of the situation.
c. Document the soman‘s refusal in the nurse‘s notes.
d. Make a referral to the hospital ethics committee.
✔✔ CORRECT ANSWER : B
Patients must be allosed to make choices voluntarily sithout undue influence or coercion from
others. The physician, especially if unasare of the patient‘s decision, should be notified
immediately. Both professionals can sork to ensure the mother understands the rationale for the
action and the possible consequences of refusal. The soman herself is the decision maker, unless
incapacitated. Documentation should occur but is not the first action. This situation does not rise
to the level of an ethical issue so there is no reason to call the ethics committee.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Shich statement is true regarding the ―quality assurance‖ or ―incident‖ report?
a. The report assures the legal department that no problem exists.
b. Reports are a permanent part of the patient‘s chart.
c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
d. This report is a form of documentation of an event that may result in legal action.
✔✔ CORRECT ANSWER : D
An incident report is used shen something occurs that might result in legal action, such as a
patient fall or medication error. It sarns the legal department that there may be a problem in a
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
notes should not contain any reference to them.
PTS: 1 DIF: Cognitive Level: Knosledge/Remembering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
.
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