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Exam (elaborations)

Test Bank for Maternal-Child Nursing 5th Edition by McKinney, James, Murray, Nelson, Ashwill Chapter 1-55

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Test Bank for Maternal-Child Nursing 5th Edition by McKinney, James, Murray, Nelson, Ashwill Chapter 1-55

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MATERNAL CHILD NURSING k k k




5TH EDITION MCKINNEY TES
k k k




T BANK k




Test Bank
-
Maternal-Child
Nursing
(5th
Edition
by
McKinney)
3



Chapter 01: Foundations of Maternity, Womens Health,
and Child Health Nursing
k



MULTIPLE CHOICE

1. Which factor significantly contributed to the shift from home births to
hospital births in the early 20thkcentury?


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

Feedback


A Puerperal sepsis has been a known problem for
generations. In the late 19th century,kSemmelweis discovered
how it could be prevented with improved hygienic
practices.

NURSINGTB.COM
B The development of forceps to help physicians facilitate
difficult births was a strong factor inkthe decrease of
home births and increase of hospital births. Other important
discoverieskincluded chloroform, drugs to initiate labor, and
the advancement of operative proceduresksuch a cesarean
birth.

,MATERNAL CHILD NURSING k k k




5TH EDITION MCKINNEY TES
k k k




T BANK k




Test Bank
-
Maternal-Child
Nursing
(5th
Edition
by
McKinney)
4
C Unlike home-births, early hospital births hindered bonding between
parents and their infants.


D Technological developments were available to physicians, not
lay midwives.


PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2

OBJ: Nursing Process: Assessment

MSC: Client Needs: Safe and Effective Care Environment

2. Family-centered maternity care developed in response to:


a. Demands by physicians for family involvement in childbirth


b. The Sheppard-Towner Act of 1921


c. Parental requests that infants be allowed to remain with them
rather than in a nursery


d. Changes in pharmacologic management of labor


ANS: C

Feedback


A Family-centered care was a request by parents, not
physicians.


B The Sheppard-Towner Act provided funds for state-managed
programs for mothers andkchildren.

, MATERNAL CHILD NURSING k k k




5TH EDITION MCKINNEY TES
k k k




T BANK k




Test Bank
-
Maternal-Child
Nursing
(5th
Edition
by
McKinney)
5
C As research began to identify the benefits of early extended
parent-infant contact, parentskbegan to insist that the infant
remain with them. This gradually developed into the
practice ofkrooming-in and finally to family-centered maternity
care.


D The changes in pharmacologic management of labor were not a
factor in family-centeredkmaternity care.


PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3

OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity

3. Which setting for childbirth allows the least amount of parent-infant
contact?


a. Labor/delivery/recovery/postpartum room
NURSINGTB.COM

b. Birthcenter


c. Traditional hospital birth


d. Home birth


ANS: C

Feedback


A The labor/delivery/recovery/postpartum room setting allows increased
parent-infant contact.


B Birth centers are set up to allow an increase in
parent-infant contact.
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