TESTBANK r
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
r r r r
NANCY HATFIELD & CYNTHIA KINCHELOE
r r r r
5th Edition
r
TESTBANK r
,Chapter 1: The Nurse's Role in aChanging Maternal–
r r r r r r r r
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
r r r r r r r r r r r
1. The opening up of hospital visiting policies for children and families likel
r r r r r r r r r r r
y resultedfrom the work of which individual?
r r r r r r
A. Joseph Brennaman r
B. John Bowlby r
C. Marshal Klaus r
D. John Kennell r r
Answer: B r
Rationale: In 1951, John Bowlby received worldwide attention with his
r r r r r r r r r
study that revealed the negative results of the separation of child and mother because of hospitaliza
r r r r r r r r r r r r r r r
tion. His work led toa re-
r r r r r
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggested th
r r r r r r r r r r r r
at a lack of stimulation for infants contributed to high infant mortality rates at the time. In the 1970s
r r r r r r r r r r r r r r r r r r r
and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on the effect
r r r r r r r r r r r r r r
of the separation of newborns and parents. They established that early separation may have long-
r r r r r r r r r r r r r r
term effects on family relationships and that offering the new family an opportunity to be together a
r r r r r r r r r r r r r r r r
t birth and for a significant period after birth may provide benefitsthat last well into early childhoo
r r r r r r r r r r r r r r r r
d.
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Remember
r r r r r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Nursing Process r r
Reference: p. 4 r r
2. An expectant mother states that she read that more black mothers die in childbirth than do white
r r r r r r r r r r r r r r r r r
mothers. When responding to her questions about the reasons for this, the nurse accurately state
r r r r r r r r r r r r r r
s that which is the major reason for the high maternal mortality rate?
r r r r r r r r r r r r
A. Having formal education. r r
B. Being unmarried. r
C. Income.
D. Lack of prenatal care. r r r
Answer: D r
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care secon
r r r r r r r r r r r r r r r
dary to lack of access to services or insurance. Income as well as educational level may play a role
r r r r r r r r r r r r r r r r r r r
in the availability of health care, but they are not directly responsible. Being unmarried has no bearin
r r r r r r r r r r r r r r r r
g on infant mortality.
r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Understand
r r r r r r
,Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Nursing Process r r
Reference: p. 9 r r
3. Which statement correctly defines the term "infant death rate"?
r r r r r r r r
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
r r r r r r r r r r r r r r
B. number of deaths occurring in the first 28 days of life per 1,000 live births
r r r r r r r r r r r r r r
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
r r r r r r r r r r r r r r r r r
D. death of a live-born child before his or her first birthday.
r r r r r r r r r r
Answer: D r
Rationale: The term infant death refers to the death of a live- r r r r r r r r r r r
born child before he or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal mo
r r r r r r r r r r r r r r r r r
rtality rate is the number of infant deaths during the first 28 days of life for every 1,000 live births. I
r r r r r r r r r r r r r r r r r r r r
nfant mortality rate is the number of deaths during the first 12 months of life per 1,000 live births. Questi
r r r r r r r r r r r r r r r r r r r
on format: Multiple Choice
r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Remember
r r r r r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Nursing Process r r
Reference: p. 9 r r
4. The nursing instructor is preparing to teach a group of students about the history of maternity care. W
r r r r r r r r r r r r r r r r r
hat major development will the instructor emphasize as greatly influencing the practice of maternit
r r r r r r r r r r r r r
y care in the United States over the past century?
r r r r r r r r r
A. technologic advances and the use of forceps by primary care providers r r r r r r r r r r
B. development of anesthesia and acceptance of the germ theory r r r r r r r r
C. advent of birthing centers and the development of family-centered care
r r r r r r r r r
D. development of pediatric specialty and replacement of midwives as primary birth attendants Ans r r r r r r r r r r r r
wer: B r
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of ane
r r r r r r r r r r r r r r r
sthesia allowed women a choice for pain management in birth; the germ theory advanced the progress
r r r r r r r r r r r r r r r r
of general health care and decreased infections in laboring women. Pediatrics as a specialty is an im
r r r r r r r r r r r r r r r r
portant step forward but is not the greatest development, and midwives are still in practice. Matern
r r r r r r r r r r r r r r r
ity care continues to evolve, and birthing centers are still under development. Forceps are not consi
r r r r r r r r r r r r r r r
dered an advance in maternity care.
r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Analyze
r r r r r r
Client Needs: Health Promotion and Maintenance
r r r r r
, Integrated Process: Teaching/Learning R r r r
eference: p. 3 r r
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic during t
r r r r r r r r r r r r r r r r
he surgery has greatly improved client survival rates and was started by which physician?
r r r r r r r r r r r r r
A. Louis Pasteur r
B. Ignaz Philip Semmelweis r r
C. Joseph Lister r
D. Alexander Gordon r r
Answer: C r
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of microor
r r r r r r r r r r r r r
ganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery and i
r r r r r r r r r r r r r r r r
mproved the survival rates of his patients. Alexander Gordon proposed the theory of infection. Oli
r r r r r r r r r r r r r r
ver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Apply
r r r r r r
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process: N
r r r r r r r r r r r r
ursing Process r
Reference: p. 4 r r
6. A young couple are very excited to learn they are expecting their first child and question the nu
r r r r r r r r r r r r r r r r r
rse about which test they need to discover its gender. Which procedure will best provide this informat
r r r r r r r r r r r r r r r r
ion to the couple?
r r r
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling r r
D. HGP
Answer: A r
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide informat
r r r r r r r r r r r r r r r r
ion about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic code of t
r r r r r r r r r r r r r r r
he fetus. HGP refers to the Human Genome Project, which can provide information regarding gene
r r r r r r r r r r r r r r
rmutations and variations. r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Apply
r r r r r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Caring r
Reference: p. 6 r r
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
r r r r
NANCY HATFIELD & CYNTHIA KINCHELOE
r r r r
5th Edition
r
TESTBANK r
,Chapter 1: The Nurse's Role in aChanging Maternal–
r r r r r r r r
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
r r r r r r r r r r r
1. The opening up of hospital visiting policies for children and families likel
r r r r r r r r r r r
y resultedfrom the work of which individual?
r r r r r r
A. Joseph Brennaman r
B. John Bowlby r
C. Marshal Klaus r
D. John Kennell r r
Answer: B r
Rationale: In 1951, John Bowlby received worldwide attention with his
r r r r r r r r r
study that revealed the negative results of the separation of child and mother because of hospitaliza
r r r r r r r r r r r r r r r
tion. His work led toa re-
r r r r r
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggested th
r r r r r r r r r r r r
at a lack of stimulation for infants contributed to high infant mortality rates at the time. In the 1970s
r r r r r r r r r r r r r r r r r r r
and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on the effect
r r r r r r r r r r r r r r
of the separation of newborns and parents. They established that early separation may have long-
r r r r r r r r r r r r r r
term effects on family relationships and that offering the new family an opportunity to be together a
r r r r r r r r r r r r r r r r
t birth and for a significant period after birth may provide benefitsthat last well into early childhoo
r r r r r r r r r r r r r r r r
d.
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Remember
r r r r r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Nursing Process r r
Reference: p. 4 r r
2. An expectant mother states that she read that more black mothers die in childbirth than do white
r r r r r r r r r r r r r r r r r
mothers. When responding to her questions about the reasons for this, the nurse accurately state
r r r r r r r r r r r r r r
s that which is the major reason for the high maternal mortality rate?
r r r r r r r r r r r r
A. Having formal education. r r
B. Being unmarried. r
C. Income.
D. Lack of prenatal care. r r r
Answer: D r
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care secon
r r r r r r r r r r r r r r r
dary to lack of access to services or insurance. Income as well as educational level may play a role
r r r r r r r r r r r r r r r r r r r
in the availability of health care, but they are not directly responsible. Being unmarried has no bearin
r r r r r r r r r r r r r r r r
g on infant mortality.
r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Understand
r r r r r r
,Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Nursing Process r r
Reference: p. 9 r r
3. Which statement correctly defines the term "infant death rate"?
r r r r r r r r
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
r r r r r r r r r r r r r r
B. number of deaths occurring in the first 28 days of life per 1,000 live births
r r r r r r r r r r r r r r
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
r r r r r r r r r r r r r r r r r
D. death of a live-born child before his or her first birthday.
r r r r r r r r r r
Answer: D r
Rationale: The term infant death refers to the death of a live- r r r r r r r r r r r
born child before he or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal mo
r r r r r r r r r r r r r r r r r
rtality rate is the number of infant deaths during the first 28 days of life for every 1,000 live births. I
r r r r r r r r r r r r r r r r r r r r
nfant mortality rate is the number of deaths during the first 12 months of life per 1,000 live births. Questi
r r r r r r r r r r r r r r r r r r r
on format: Multiple Choice
r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Remember
r r r r r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Nursing Process r r
Reference: p. 9 r r
4. The nursing instructor is preparing to teach a group of students about the history of maternity care. W
r r r r r r r r r r r r r r r r r
hat major development will the instructor emphasize as greatly influencing the practice of maternit
r r r r r r r r r r r r r
y care in the United States over the past century?
r r r r r r r r r
A. technologic advances and the use of forceps by primary care providers r r r r r r r r r r
B. development of anesthesia and acceptance of the germ theory r r r r r r r r
C. advent of birthing centers and the development of family-centered care
r r r r r r r r r
D. development of pediatric specialty and replacement of midwives as primary birth attendants Ans r r r r r r r r r r r r
wer: B r
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of ane
r r r r r r r r r r r r r r r
sthesia allowed women a choice for pain management in birth; the germ theory advanced the progress
r r r r r r r r r r r r r r r r
of general health care and decreased infections in laboring women. Pediatrics as a specialty is an im
r r r r r r r r r r r r r r r r
portant step forward but is not the greatest development, and midwives are still in practice. Matern
r r r r r r r r r r r r r r r
ity care continues to evolve, and birthing centers are still under development. Forceps are not consi
r r r r r r r r r r r r r r r
dered an advance in maternity care.
r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Analyze
r r r r r r
Client Needs: Health Promotion and Maintenance
r r r r r
, Integrated Process: Teaching/Learning R r r r
eference: p. 3 r r
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic during t
r r r r r r r r r r r r r r r r
he surgery has greatly improved client survival rates and was started by which physician?
r r r r r r r r r r r r r
A. Louis Pasteur r
B. Ignaz Philip Semmelweis r r
C. Joseph Lister r
D. Alexander Gordon r r
Answer: C r
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of microor
r r r r r r r r r r r r r
ganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery and i
r r r r r r r r r r r r r r r r
mproved the survival rates of his patients. Alexander Gordon proposed the theory of infection. Oli
r r r r r r r r r r r r r r
ver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
r r r r r r r r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Apply
r r r r r r
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process: N
r r r r r r r r r r r r
ursing Process r
Reference: p. 4 r r
6. A young couple are very excited to learn they are expecting their first child and question the nu
r r r r r r r r r r r r r r r r r
rse about which test they need to discover its gender. Which procedure will best provide this informat
r r r r r r r r r r r r r r r r
ion to the couple?
r r r
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling r r
D. HGP
Answer: A r
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide informat
r r r r r r r r r r r r r r r r
ion about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic code of t
r r r r r r r r r r r r r r r
he fetus. HGP refers to the Human Genome Project, which can provide information regarding gene
r r r r r r r r r r r r r r
rmutations and variations. r r
Question format: Multiple Choice r r r
Chapter 1: The Nurse's Role in a Changing Maternal-
r r r r r r r r
Child Health Care Environment Cognitive Level: Apply
r r r r r r
Client Needs: Health Promotion and Maintenance Integrated
r r r r r r r
Process: Caring r
Reference: p. 6 r r
