,Chaptera01:aFoundationsaofaMaternity,aWomen’saHealth,aandaChildaHealthaNursingaMcKi
nney:aEvolveaResourcesaforaMaternal-ChildaNursing,a5thaEdition
MULTIPLEaCHOICE
1. Whichafactorasignificantlyacontributedatoatheashiftafromahomeabirthsatoahospitalabirthsainat
heaearlya20thacentury?
a. Puerperalasepsisawasaidentifiedaasaaariskafactorainalaboraandadelivery.
b. Forcepsawereadevelopedatoafacilitateadifficultabirths.
c. Theaimportanceaofaearlyaparental-infantacontactawasaidentified.
d. Technologicadevelopmentsabecameaavailableatoaphysicians.
ANS:aD
Technologicadevelopmentsawereaavailableatoaphysicians,anotalayamidwives.aSoain-
hospitalabirthsaincreasedainaorderatoatakeaadvantageaofatheseaadvancements.aPuerperalasepsisaha
sabeenaaaknownaproblemaforagenerations.aInathealatea19thacentury,aSemmelweisadiscoveredahowai
tacouldabeapreventedawithaimprovedahygienicapractices.aTheadevelopmentaofaforcepsaisaanaexam
pleaofaaatechnologyaadvanceamadeainatheaearlya20thacenturyabutaisanotatheaonlyareasonabirthplac
esamoved.aUnlikeahomeabirths,aearlyahospitalabirthsahinderedabondingabetweenaparentsaandathei
rainfants.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a1 OBJ:a IntegratedaProcess:aTeaching-
LearningaMSC:aClientaNeeds:aSafeaandaEffectiveaCareaEnvironment
2. Family-centeredamaternityacareadevelopedainaresponseato
a. demandsabyaphysiciansaforafamilyainvolvementainachildbirth.
b. theaSheppard-TowneraActaofa1921.
c. parentalarequestsathatainfantsabeaallowedatoaremainawithathemaratherathanaina
aanursery.
d. changesainapharmacologicamanagementaofalabor.
ANS:aC
Asaresearchabeganatoaidentifyatheabenefitsaofaearlyaextendedaparent-
infantacontact,aparentsabeganatoainsistathatatheainfantaremainawithathem.aThisagraduallyadevel
opedaintoatheapracticeaofarooming-inaandafinallyatoafamily-centeredamaternityacare.aFamily-
centeredacareawasaaarequestabyaparents,anotaphysicians.aTheaSheppard-
TowneraActaofa1921aprovidedafundsaforastate-
managedaprogramsaforamothersaandachildren.aTheachangesainapharmacologicamanagementa
ofalaborawereanotaaafactorainafamily-centeredamaternityacare.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a2 OBJ:a IntegratedaProcess:aTeaching-
LearningaMSC:aClientaNeeds:aPsychosocialaIntegrity
3. Whichasettingaforachildbirthaallowsathealeastaamountaofaparent-infantacontact?
a. Labor/delivery/recovery/postpartumaroom
b. Birthacenter
c. Traditionalahospitalabirth
d. Homeabirth
.
, ANS:aC
Inatheatraditionalahospitalasetting,atheamotheramayaseeatheainfantaforaonlyashortafeedingaperiods,a
andatheainfantaisacaredaforainaaaseparateanursery.aThealabor/delivery/recovery/postpartumaroomas
ettingaallowsaincreasedaparent-
infantacontact.aBirthacentersaareasetaupatoaallowaanaincreaseainaparent-
infantacontact.aHomeabirthsaallowaanaincreaseainaparent-infantacontact.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a2 OBJ:a NursingaProcess:aPlanning
MSC:a ClientaNeeds:aHealthaPromotionaandaMaintenance
4. Asaaaresultaofachangesainahealthacareadeliveryaandafunding,aaacurrentatrendaseenainathea
pediatricasettingais
a. increasedahospitalizationaofachildren.
b. decreasedanumberaofachildrenalivingainapoverty.
c. anaincreaseainaambulatoryacare.
d. decreasedauseaofamanagedacare.
ANS:aC
Oneaeffectaofamanagedacareahasabeenathatapediatricahealthacareadeliveryahasashiftedadramati
callyafromatheaacuteacareasettingatoatheaambulatoryasettingainaorderatoaprovideamoreacost-
efficientacare.aTheanumberaofahospitalabedsabeingausedahasadecreasedaasamoreacareaisagivena
inaoutpatientasettingsaandainatheahome.aTheanumberaofachildrenalivingainapovertyahasaincreas
edaoveratheapastadecade.aOneaofatheabiggestachangesainahealthacareahasabeenatheagrowthaofa
managedacare.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a5 OBJ:a NursingaProcess:aPlanning
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment
5. TheaWomen,aInfants,aandaChildrena(WIC)aprogramaprovides
a. well-childaexaminationsaforainfantsaandachildrenalivingaatatheapovertyalevel.
b. immunizationsaforahigh-riskainfantsaandachildren.
c. screeningaforainfantsawithadevelopmentaladisorders.
d. supplementalafoodasuppliesatoalow-incomeapregnantaorabreastfeedingawomen.
ANS:aD
WICaisaaafederalaprogramathataprovidesasupplementalafoodasuppliesatoalow-
incomeawomenawhoaareapregnantaorabreastfeedingaandatoatheirachildrenauntilaagea5ayears.aMedi
caid’saEarlyaandaPeriodicaScreening,aDiagnosis,aandaTreatmentaProgramaprovidesaforawell-
childaexaminationsaandaforatreatmentaofaanyamedicalaproblemsadiagnosedaduringasuchacheckup
s.aChildrenainatheaWICaprogramaareaoftenareferredaforaimmunizations,abutathataisanotatheaprimar
yafocusaofatheaprogram.aPublicaLawa99-
457aisapartaofatheaIndividualsawithaDisabilitiesaEducationaActathataprovidesafinancialaincentive
satoastatesatoaestablishacomprehensiveaearlyainterventionaservicesaforainfantsaandatoddlersawith,a
oraatariskafor,adevelopmentaladisabilities.
PTS:a 1 DIF: REF:a p.a8
CognitiveaLevel:aComprehensionaOBJ:a I
ntegratedaProcess:aTeaching-Learning
MSC:aClientaNeeds:aHealthaPromotionaandaMaintenance
6. Inamostastates,aadolescentsawhoaareanotaemancipatedaminorsamustahaveatheapermissionaofat
heiraparentsabefore
, .
nney:aEvolveaResourcesaforaMaternal-ChildaNursing,a5thaEdition
MULTIPLEaCHOICE
1. Whichafactorasignificantlyacontributedatoatheashiftafromahomeabirthsatoahospitalabirthsainat
heaearlya20thacentury?
a. Puerperalasepsisawasaidentifiedaasaaariskafactorainalaboraandadelivery.
b. Forcepsawereadevelopedatoafacilitateadifficultabirths.
c. Theaimportanceaofaearlyaparental-infantacontactawasaidentified.
d. Technologicadevelopmentsabecameaavailableatoaphysicians.
ANS:aD
Technologicadevelopmentsawereaavailableatoaphysicians,anotalayamidwives.aSoain-
hospitalabirthsaincreasedainaorderatoatakeaadvantageaofatheseaadvancements.aPuerperalasepsisaha
sabeenaaaknownaproblemaforagenerations.aInathealatea19thacentury,aSemmelweisadiscoveredahowai
tacouldabeapreventedawithaimprovedahygienicapractices.aTheadevelopmentaofaforcepsaisaanaexam
pleaofaaatechnologyaadvanceamadeainatheaearlya20thacenturyabutaisanotatheaonlyareasonabirthplac
esamoved.aUnlikeahomeabirths,aearlyahospitalabirthsahinderedabondingabetweenaparentsaandathei
rainfants.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a1 OBJ:a IntegratedaProcess:aTeaching-
LearningaMSC:aClientaNeeds:aSafeaandaEffectiveaCareaEnvironment
2. Family-centeredamaternityacareadevelopedainaresponseato
a. demandsabyaphysiciansaforafamilyainvolvementainachildbirth.
b. theaSheppard-TowneraActaofa1921.
c. parentalarequestsathatainfantsabeaallowedatoaremainawithathemaratherathanaina
aanursery.
d. changesainapharmacologicamanagementaofalabor.
ANS:aC
Asaresearchabeganatoaidentifyatheabenefitsaofaearlyaextendedaparent-
infantacontact,aparentsabeganatoainsistathatatheainfantaremainawithathem.aThisagraduallyadevel
opedaintoatheapracticeaofarooming-inaandafinallyatoafamily-centeredamaternityacare.aFamily-
centeredacareawasaaarequestabyaparents,anotaphysicians.aTheaSheppard-
TowneraActaofa1921aprovidedafundsaforastate-
managedaprogramsaforamothersaandachildren.aTheachangesainapharmacologicamanagementa
ofalaborawereanotaaafactorainafamily-centeredamaternityacare.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a2 OBJ:a IntegratedaProcess:aTeaching-
LearningaMSC:aClientaNeeds:aPsychosocialaIntegrity
3. Whichasettingaforachildbirthaallowsathealeastaamountaofaparent-infantacontact?
a. Labor/delivery/recovery/postpartumaroom
b. Birthacenter
c. Traditionalahospitalabirth
d. Homeabirth
.
, ANS:aC
Inatheatraditionalahospitalasetting,atheamotheramayaseeatheainfantaforaonlyashortafeedingaperiods,a
andatheainfantaisacaredaforainaaaseparateanursery.aThealabor/delivery/recovery/postpartumaroomas
ettingaallowsaincreasedaparent-
infantacontact.aBirthacentersaareasetaupatoaallowaanaincreaseainaparent-
infantacontact.aHomeabirthsaallowaanaincreaseainaparent-infantacontact.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a2 OBJ:a NursingaProcess:aPlanning
MSC:a ClientaNeeds:aHealthaPromotionaandaMaintenance
4. Asaaaresultaofachangesainahealthacareadeliveryaandafunding,aaacurrentatrendaseenainathea
pediatricasettingais
a. increasedahospitalizationaofachildren.
b. decreasedanumberaofachildrenalivingainapoverty.
c. anaincreaseainaambulatoryacare.
d. decreasedauseaofamanagedacare.
ANS:aC
Oneaeffectaofamanagedacareahasabeenathatapediatricahealthacareadeliveryahasashiftedadramati
callyafromatheaacuteacareasettingatoatheaambulatoryasettingainaorderatoaprovideamoreacost-
efficientacare.aTheanumberaofahospitalabedsabeingausedahasadecreasedaasamoreacareaisagivena
inaoutpatientasettingsaandainatheahome.aTheanumberaofachildrenalivingainapovertyahasaincreas
edaoveratheapastadecade.aOneaofatheabiggestachangesainahealthacareahasabeenatheagrowthaofa
managedacare.
PTS:aaa 1 DIF:
CognitiveaLevel:aKnowledge/RememberingaREF:a p
.a5 OBJ:a NursingaProcess:aPlanning
MSC:a ClientaNeeds:aSafeaandaEffectiveaCareaEnvironment
5. TheaWomen,aInfants,aandaChildrena(WIC)aprogramaprovides
a. well-childaexaminationsaforainfantsaandachildrenalivingaatatheapovertyalevel.
b. immunizationsaforahigh-riskainfantsaandachildren.
c. screeningaforainfantsawithadevelopmentaladisorders.
d. supplementalafoodasuppliesatoalow-incomeapregnantaorabreastfeedingawomen.
ANS:aD
WICaisaaafederalaprogramathataprovidesasupplementalafoodasuppliesatoalow-
incomeawomenawhoaareapregnantaorabreastfeedingaandatoatheirachildrenauntilaagea5ayears.aMedi
caid’saEarlyaandaPeriodicaScreening,aDiagnosis,aandaTreatmentaProgramaprovidesaforawell-
childaexaminationsaandaforatreatmentaofaanyamedicalaproblemsadiagnosedaduringasuchacheckup
s.aChildrenainatheaWICaprogramaareaoftenareferredaforaimmunizations,abutathataisanotatheaprimar
yafocusaofatheaprogram.aPublicaLawa99-
457aisapartaofatheaIndividualsawithaDisabilitiesaEducationaActathataprovidesafinancialaincentive
satoastatesatoaestablishacomprehensiveaearlyainterventionaservicesaforainfantsaandatoddlersawith,a
oraatariskafor,adevelopmentaladisabilities.
PTS:a 1 DIF: REF:a p.a8
CognitiveaLevel:aComprehensionaOBJ:a I
ntegratedaProcess:aTeaching-Learning
MSC:aClientaNeeds:aHealthaPromotionaandaMaintenance
6. Inamostastates,aadolescentsawhoaareanotaemancipatedaminorsamustahaveatheapermissionaofat
heiraparentsabefore
, .
