TEST BANK
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
NANCY HATFIELD & CYNTHIA KINCHELOE
5th Edition
TEST BANK
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
1. The opening up of hospital visiting policies for children and families
likely resultedfrom the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse
accurately states that which is the major reason for the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
secondary to lack of access to services or insurance. Income as well as educational level may
play a role in the availability of health care, but they are not directly responsible. Being
unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
,Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he or she
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history of maternity
care. What major development will the instructor emphasize as greatly influencing the practice
of maternity care in the United States over the past century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
the progress of general health care and decreased infections in laboring women. Pediatrics as a
specialty is an important step forward but is not the greatest development, and midwives are
still in practice. Maternity care continues to evolve, and birthing centers are still under
development. Forceps are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Analyze
Client Needs: Health Promotion and Maintenance
,Integrated Process: Teaching/Learning
Reference: p. 3
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
during the surgery has greatly improved client survival rates and was started by which
physician?
A. Louis Pasteur
B. Ignaz Philip Semmelweis
C. Joseph Lister
D. Alexander Gordon
Answer: C
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory
of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Process: Nursing Process
Reference: p. 4
6. A young couple are very excited to learn they are expecting their first child and question
the nurse about which test they need to discover its gender. Which procedure will best provide
this information to the couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling
D. HGP
Answer: A
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
information regarding gene mutations and variations.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 6
,7. A ffamily fis fseeking fsources ffor fpayment fof fhealth fcare fcosts. fWhen ftalking fwith fthe
ffamily, f the fnurse fdetermines fthat fthe f family f makes ftoo f much f money ftoqualify f for fthe
ffederal fprogram. f Which f source f would f the f nurse f likely frecommend?
A. Medicaid
B. Special f Supplemental f Nutrition f Program f for f Women, f Infants, f and f Children f(WIC)
C. Centers f for f Disease f Control
D. State fChild fHealth fInsurance
fProgram f Answer: f D
Rationale: fThe fState fChild fHealth fInsurance fProgram, ffirst fknown fby fits facronym
f "SCHIP" f now f referred f to f as f "CHIP," f was f enacted f in f 1997. f CHIP f provides f health
f insurance f to f newborns f and f children f in f low-income f families f who f do f not f otherwise f qualify
f for f Medicaid f and f are funinsured. f Based f on f the f information f given, f the f family f does f not
f qualify f for f Medicaid, f a f federal f program fthat fsupplies f grants f to f states fto f provide f health
f care f for f individuals f who f have f low f incomes fand f meet f other f eligibility f criteria. f The
fSpecial f Supplemental f Nutrition f Program f for f Women, f Infants, fand f Children f(WIC) fprovides
fnutritional f servides fto flow-income, fnutritionally fat-risk fpregnant, fbreast- f feeding, f and
f postpartum f women f and f their f children f (as f old f as f5 f years). f The f Centers f for f Disease
f Control f does f not f provide f funding f for f health f care fservices.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fSafe, fEffective fCare fEnvironment: fManagement fof
fCare f Integrated f Process: f Caring
Reference: fp. f8
8. After fdiscussing fthe fvarious f options fwith fa fpregnant fclient fand fpartner, f they
f have f chosen fto fstay f with ftheir f newborn fand freceive f care f from fone f nurse fat fthe
ftime fof fbirth. f This f is f referred f to f as f which f type f of fcare?
A. Regionalized f care
B. Maternal-child f care
C. Centralized f care
D. Couplet
fcare f Answer:
fD
Rationale: fCouplet fcare fis fcare fin fwhich fthe fmother fand fchild fremain fin fthe fsame froom
fafter f labor/delivery f through f the f postpartum f period. f This f has f become f the f standard f of
f care.
Regionalized for fcentralized fcare fplaces fthe ftreatment fcenters fin fcentralized flocations fand
f transfers fthe fpatient fto fthe ffacility. fMaternal fchild fcare fallows fthe fmother fto fbe fthe
fprimary f provider f of f care.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fSafe, fEffective fCare fEnvironment: fManagement fof
fCare f Integrated f Process: f Caring
,Reference: fp. f5
9. A fgroup fof f nursing fstudents fare fexamining fthe fdata fof fthe flocal fhospitals fto
f determine f the f potential fmaternal fneeds fof fthe fcommunity. fWhich ffactor f will fbe fthe fbest
fstatistical findicator fof f the f adequacy f of f prenatal f care?
A. Number fof fprenatal fvisits
B. Maternal f mortality f rate
C. Infant f mortality frate
D. Infant fmeasurements fat
fbirth f Answer: f B
Rationale: fMaternal f mortality frate fis fthe fbest findicator fof fa fcountry's flevel fof fprenatal
f care. f Increases f in f prenatal f care fresult f in f a f decrease f in f maternal f mortality. f Infant
f mortality f is fa f reflection f of f postnatal f care. f Infant f mortality f includes f all f infant f deaths
f from f birth f to f12 f months f and fcan fbe fthe fresult fof fcongenital fanomalies, fgenetic
fanomalies, for fother fproblems. fThe fnumber f of f prenatal f visits f and f measurements f of f the
f infant f at f birth f are f not f the f best f indicators fas f they fdo f not f accurately f reflect f the f health f of
f the f mother.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fHealth fPromotion fand fMaintenance
f Integrated f Process: f Nursing f Process
Reference: fp. f9
10. The fnurse fis fteaching fa fclient fabout flifestyle fchanges fthat fcould fhelp fthe fclient
freach fa f higher f level f of f wellness. f The f nurse f is f engaged f in f which f aspect f of fcare?
A. Infection f prevention
B. Cost fcontainment
C. Health f promotion
D. Illness
ftreatment f Answer:
fC
Rationale: fBy fencouraging f healthy flifestyle fchanges, fthe f nurse fis fengaging fin f health
f promotion f activities. f Health f promotion f involves f helping f people f make f lifestyle f changes
f to f move f them f to f higher f levels f of f wellness. f Health f promotion f includes fall f aspects f of
f health: f physical, f mental, f emotional, fsocial, f and f spiritual. f Although f health f promotion f can
f help fto f contain f costs f over f a f longer fspan, fthis fis fnot f what fthe fnurseis fdoing. fHealthy
flifestyle f changes fare f not fpart fof finfection f prevention f or f illness f treatment.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fHealth fPromotion fand fMaintenance
f Integrated fProcess: fTeaching/Learning fReference: fp. f7
, 11. A fyoung ffemale fclient fis fpregnant ffor fthe ffirst ftime fand fis funcertain fwho fto fseek
fprenatal f care f from. f The f nurse f should f point f out f which f health f care f provider f as f the
flikely f choice?
A. Perinatologist
B. Neonatologist
C. Family f practitioner
D. Obstetrician
f Answer: f D
Rationale: fThe fobstetrician fis fthe fcommon fchoice ffor fprenatal fcare fthrough flabor fand
fdelivery. f Perinatologists f may f care f for f women f who f have f a f high-risk f pregnancy, f and
f neonatologists f provide f care fto f infants. f Family f practitioner f physicians f may f provide f care
f but f are fless f likely f to f attend f in f labor f and f delivery.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Understand
Client fNeeds: fHealth fPromotion fand fMaintenance
f Integrated f Process: f Caring
Reference: fp. f3
12. While fpreparing fto fteach fa fgroup fof fnursing fstudents fthe fhistory fof fmaternity fcare,
f which f factor f will f the finstructor f include fto f explain fas f the fetiology f of f most f infections
fin f females fafter f birthing f in f the f 1700s?
A. Reproductive f tract f infection
B. Breast f infection
C. Kidney f infection
D. Urinary ftract
finfection f Answer: f A
Rationale: fPrior fto fthe fgerm ftheory, fwomen fmost foften fdied fof fpuerperal ffever, fan fillness
fmarked f by f high f fever f caused f by f infection f of f the f reproductive f tract fafter f delivering
f infants. f Women f who f delivered f in f hospitals f were f more f likely f to f develop f this finfection
fthan f women f who f delivered fat f home. f Breast f infections f occurred f during f breast f feeding
f but f were f not f usually f fatal. f There f was f no f greater f incidence f of f kidney f or f urinary f tract
f infections.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fSafe, fEffective fCare fEnvironment: fSafety fand fInfection fControl fIntegrated
f Process: f Teaching/Learning
Reference: fp. f3-4
13. A fgroup fof fnursing fstudents fare fcomparing fthe fvarious fchanges fin fmaternity fcare
fover fthe f course f of f history f and f discover f that f the f development f of f what fmedical
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
NANCY HATFIELD & CYNTHIA KINCHELOE
5th Edition
TEST BANK
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
1. The opening up of hospital visiting policies for children and families
likely resultedfrom the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse
accurately states that which is the major reason for the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
secondary to lack of access to services or insurance. Income as well as educational level may
play a role in the availability of health care, but they are not directly responsible. Being
unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
,Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he or she
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history of maternity
care. What major development will the instructor emphasize as greatly influencing the practice
of maternity care in the United States over the past century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
the progress of general health care and decreased infections in laboring women. Pediatrics as a
specialty is an important step forward but is not the greatest development, and midwives are
still in practice. Maternity care continues to evolve, and birthing centers are still under
development. Forceps are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Analyze
Client Needs: Health Promotion and Maintenance
,Integrated Process: Teaching/Learning
Reference: p. 3
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
during the surgery has greatly improved client survival rates and was started by which
physician?
A. Louis Pasteur
B. Ignaz Philip Semmelweis
C. Joseph Lister
D. Alexander Gordon
Answer: C
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory
of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Process: Nursing Process
Reference: p. 4
6. A young couple are very excited to learn they are expecting their first child and question
the nurse about which test they need to discover its gender. Which procedure will best provide
this information to the couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling
D. HGP
Answer: A
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
information regarding gene mutations and variations.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 6
,7. A ffamily fis fseeking fsources ffor fpayment fof fhealth fcare fcosts. fWhen ftalking fwith fthe
ffamily, f the fnurse fdetermines fthat fthe f family f makes ftoo f much f money ftoqualify f for fthe
ffederal fprogram. f Which f source f would f the f nurse f likely frecommend?
A. Medicaid
B. Special f Supplemental f Nutrition f Program f for f Women, f Infants, f and f Children f(WIC)
C. Centers f for f Disease f Control
D. State fChild fHealth fInsurance
fProgram f Answer: f D
Rationale: fThe fState fChild fHealth fInsurance fProgram, ffirst fknown fby fits facronym
f "SCHIP" f now f referred f to f as f "CHIP," f was f enacted f in f 1997. f CHIP f provides f health
f insurance f to f newborns f and f children f in f low-income f families f who f do f not f otherwise f qualify
f for f Medicaid f and f are funinsured. f Based f on f the f information f given, f the f family f does f not
f qualify f for f Medicaid, f a f federal f program fthat fsupplies f grants f to f states fto f provide f health
f care f for f individuals f who f have f low f incomes fand f meet f other f eligibility f criteria. f The
fSpecial f Supplemental f Nutrition f Program f for f Women, f Infants, fand f Children f(WIC) fprovides
fnutritional f servides fto flow-income, fnutritionally fat-risk fpregnant, fbreast- f feeding, f and
f postpartum f women f and f their f children f (as f old f as f5 f years). f The f Centers f for f Disease
f Control f does f not f provide f funding f for f health f care fservices.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fSafe, fEffective fCare fEnvironment: fManagement fof
fCare f Integrated f Process: f Caring
Reference: fp. f8
8. After fdiscussing fthe fvarious f options fwith fa fpregnant fclient fand fpartner, f they
f have f chosen fto fstay f with ftheir f newborn fand freceive f care f from fone f nurse fat fthe
ftime fof fbirth. f This f is f referred f to f as f which f type f of fcare?
A. Regionalized f care
B. Maternal-child f care
C. Centralized f care
D. Couplet
fcare f Answer:
fD
Rationale: fCouplet fcare fis fcare fin fwhich fthe fmother fand fchild fremain fin fthe fsame froom
fafter f labor/delivery f through f the f postpartum f period. f This f has f become f the f standard f of
f care.
Regionalized for fcentralized fcare fplaces fthe ftreatment fcenters fin fcentralized flocations fand
f transfers fthe fpatient fto fthe ffacility. fMaternal fchild fcare fallows fthe fmother fto fbe fthe
fprimary f provider f of f care.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fSafe, fEffective fCare fEnvironment: fManagement fof
fCare f Integrated f Process: f Caring
,Reference: fp. f5
9. A fgroup fof f nursing fstudents fare fexamining fthe fdata fof fthe flocal fhospitals fto
f determine f the f potential fmaternal fneeds fof fthe fcommunity. fWhich ffactor f will fbe fthe fbest
fstatistical findicator fof f the f adequacy f of f prenatal f care?
A. Number fof fprenatal fvisits
B. Maternal f mortality f rate
C. Infant f mortality frate
D. Infant fmeasurements fat
fbirth f Answer: f B
Rationale: fMaternal f mortality frate fis fthe fbest findicator fof fa fcountry's flevel fof fprenatal
f care. f Increases f in f prenatal f care fresult f in f a f decrease f in f maternal f mortality. f Infant
f mortality f is fa f reflection f of f postnatal f care. f Infant f mortality f includes f all f infant f deaths
f from f birth f to f12 f months f and fcan fbe fthe fresult fof fcongenital fanomalies, fgenetic
fanomalies, for fother fproblems. fThe fnumber f of f prenatal f visits f and f measurements f of f the
f infant f at f birth f are f not f the f best f indicators fas f they fdo f not f accurately f reflect f the f health f of
f the f mother.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fHealth fPromotion fand fMaintenance
f Integrated f Process: f Nursing f Process
Reference: fp. f9
10. The fnurse fis fteaching fa fclient fabout flifestyle fchanges fthat fcould fhelp fthe fclient
freach fa f higher f level f of f wellness. f The f nurse f is f engaged f in f which f aspect f of fcare?
A. Infection f prevention
B. Cost fcontainment
C. Health f promotion
D. Illness
ftreatment f Answer:
fC
Rationale: fBy fencouraging f healthy flifestyle fchanges, fthe f nurse fis fengaging fin f health
f promotion f activities. f Health f promotion f involves f helping f people f make f lifestyle f changes
f to f move f them f to f higher f levels f of f wellness. f Health f promotion f includes fall f aspects f of
f health: f physical, f mental, f emotional, fsocial, f and f spiritual. f Although f health f promotion f can
f help fto f contain f costs f over f a f longer fspan, fthis fis fnot f what fthe fnurseis fdoing. fHealthy
flifestyle f changes fare f not fpart fof finfection f prevention f or f illness f treatment.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fHealth fPromotion fand fMaintenance
f Integrated fProcess: fTeaching/Learning fReference: fp. f7
, 11. A fyoung ffemale fclient fis fpregnant ffor fthe ffirst ftime fand fis funcertain fwho fto fseek
fprenatal f care f from. f The f nurse f should f point f out f which f health f care f provider f as f the
flikely f choice?
A. Perinatologist
B. Neonatologist
C. Family f practitioner
D. Obstetrician
f Answer: f D
Rationale: fThe fobstetrician fis fthe fcommon fchoice ffor fprenatal fcare fthrough flabor fand
fdelivery. f Perinatologists f may f care f for f women f who f have f a f high-risk f pregnancy, f and
f neonatologists f provide f care fto f infants. f Family f practitioner f physicians f may f provide f care
f but f are fless f likely f to f attend f in f labor f and f delivery.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Understand
Client fNeeds: fHealth fPromotion fand fMaintenance
f Integrated f Process: f Caring
Reference: fp. f3
12. While fpreparing fto fteach fa fgroup fof fnursing fstudents fthe fhistory fof fmaternity fcare,
f which f factor f will f the finstructor f include fto f explain fas f the fetiology f of f most f infections
fin f females fafter f birthing f in f the f 1700s?
A. Reproductive f tract f infection
B. Breast f infection
C. Kidney f infection
D. Urinary ftract
finfection f Answer: f A
Rationale: fPrior fto fthe fgerm ftheory, fwomen fmost foften fdied fof fpuerperal ffever, fan fillness
fmarked f by f high f fever f caused f by f infection f of f the f reproductive f tract fafter f delivering
f infants. f Women f who f delivered f in f hospitals f were f more f likely f to f develop f this finfection
fthan f women f who f delivered fat f home. f Breast f infections f occurred f during f breast f feeding
f but f were f not f usually f fatal. f There f was f no f greater f incidence f of f kidney f or f urinary f tract
f infections.
Question fformat: fMultiple fChoice
Chapter f1: fThe fNurse's fRole fin fa fChanging fMaternal-Child fHealth fCare fEnvironment
fCognitive f Level: f Apply
Client fNeeds: fSafe, fEffective fCare fEnvironment: fSafety fand fInfection fControl fIntegrated
f Process: f Teaching/Learning
Reference: fp. f3-4
13. A fgroup fof fnursing fstudents fare fcomparing fthe fvarious fchanges fin fmaternity fcare
fover fthe f course f of f history f and f discover f that f the f development f of f what fmedical
