,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
v v v v v v v v v v
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. Which factor significantly contributed to the shift from home births to hospital births in
v v v v v v v v v v v v v
v the early 20th century?
v v v
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
v v v v v v v v v v v
b. Forceps were developed to facilitate difficult births.
v v v v v v
c. The importance of early parental-infant contact was identified.
v v v v v v v
d. Technologic developments became available to physicians. v v v v v
ANS: D v
Technologic developments were available to physicians, not lay midwives. So in-hospital
v v v v v v v v v v
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
v v v v v v v v v v v v v v v
known problem for generations. In the late 19th century, Semmelweis discovered how it could
v v v v v v v v v v v v v v
be prevented with improved hygienic practices. The development of forceps is an example of
v v v v v v v v v v v v v v
a technology advance made in the early 20th century but is not the only reason birthplaces
v v v v v v v v v v v v v v v v
moved. Unlike home births, early hospital births hindered bonding between parents and their
v v v v v v v v v v v v v
infants.
v
PTS: 1 vDIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 1
v OBJ: Integrated Process: Teaching-Learning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v v
2. Family-centered maternity care developed in response to v v v v v v
a. demands by physicians for family involvement in childbirth.
v v v v v v v
b. the Sheppard-Towner Act of 1921.
v v v v
c. parental requests that infants be allowed to remain with them rather than in
v v v v v v v v v v v v
v a nursery.
v
d. changes in pharmacologic management of labor. v v v v v
ANS: C v
As research began to identify the benefits of early extended parent-infant contact, parents
v v v v v v v v v v v v
began to insist that the infant remain with them. This gradually developed into the practice
v v v v v v v v v v v v v v v
of rooming-in and finally to family-centered maternity care. Family-centered care was a
v v v v v v v v v v v v
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
v v v v v v v v v v v v v
state-managed programs for mothers and children. The changes in pharmacologic
v v v v v v v v v v
management of labor were not a factor in family-centered maternity care.
v v v v v v v v v v v
PTS: 1 vDIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 2
v OBJ: Integrated Process: Teaching-Learning
v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v v
3. Which setting for childbirth allows the least amount of parent-infant contact?
v v v v v v v v v v
a. Labor/delivery/recovery/postpartum room v
b. Birth center v
c. Traditional hospital birth v v
d. Home birth v
.
, ANS: C v
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
v v v v v v v v v v v v v v v
vand the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
v v v v v v v v v v v v
vsetting allows increased parent-infant contact. Birth centers are set up to allow an increase in
v v v v v v v v v v v v v v
vparent-infant contact. Home births allow an increase in parent-infant contact.
v v v v v v v v v
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v v
REF: p. 2
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Health Promotion and Maintenance
v v v v v v
4. As a result of changes in health care delivery and funding, a current trend seen in the
v v v v v v v v v v v v v v v v
pediatric setting is
v v v
a. increased hospitalization of children. v v v
b. decreased number of children living in poverty. v v v v v v
c. an increase in ambulatory care.
v v v v
d. decreased use of managed care. v v v v
ANS: C v
One effect of managed care has been that pediatric health care delivery has shifted
v v v v v v v v v v v v v
dramatically from the acute care setting to the ambulatory setting in order to provide more
v v v v v v v v v v v v v v v
cost-efficient care. The number of hospital beds being used has decreased as more care is
v v v v v v v v v v v v v v v
given in outpatient settings and in the home. The number of children living in poverty has
v v v v v v v v v v v v v v v v
increased over the past decade. One of the biggest changes in health care has been the
v v v v v v v v v v v v v v v v
growth of managed care.
v v v v
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v v
REF: p. 5
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
5. The Women, Infants, and Children (WIC) program provides
v v v v v v v
a. well-child examinations for infants and children living at the poverty level.
v v v v v v v v v v
b. immunizations for high-risk infants and children. v v v v v
c. screening for infants with developmental disorders. v v v v v
d. supplemental food supplies to low-income pregnant or breastfeeding women. v v v v v v v v
ANS: D v
WIC is a federal program that provides supplemental food supplies to low-income women
v v v v v v v v v v v v
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
v v v v v v v v v v v v v v v
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
v v v v v v v v v v
examinations and for treatment of any medical problems diagnosed during such checkups.
v v v v v v v v v v v v
Children in the WIC program are often referred for immunizations, but that is not the primary
v v v v v v v v v v v v v v v v
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
v v v v v v v v v v v v v v
Education Act that provides financial incentives to states to establish comprehensive early
v v v v v v v v v v v v
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
v v v v v v v v v v v v v
PTS: 1 DIF: Cognitive Level: Comprehension
v v v REF: p. 8 v v
OBJ: Integrated Process: Teaching-Learning
v v v v
MSC: Client Needs: Health Promotion and Maintenance
v v v v v v
6. In most states, adolescents who are not emancipated minors must have the permission of
v v v v v v v v v v v v v
vtheir parents before
v v
.
, a. treatment for drug abuse. v v v
b. treatment for sexually transmitted diseases (STDs). v v v v v
c. accessing birth control. v v
d. surgery.
ANS: D v
Minors are not considered capable of giving informed consent, so a surgical procedure
v v v v v v v v v v v v
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
v v v v v v v v v v v v v v
drug abuse or STDs or for getting birth control in most states.
v v v v v v v v v v v v
PTS: 1 v DIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 17
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
7. The maternity nurse should have a clear understanding of the correct use of a
v v v v v v v v v v v v v
vclinical pathway. One characteristic of clinical pathways is that they
v v v v v v v v v
a. are developed and implemented by nurses.
v v v v v
b. are used primarily in the pediatric setting.
v v v v v v
c. set specific time lines for sequencing interventions.
v v v v v v
d. are part of the nursing process.
v v v v v
ANS: C v
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
v v v v v v v v v v v
a particular health problem. They are used to identify patient outcomes, specify time lines to
v v v v v v v v v v v v v v v
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
v v v v v v v v v v
include interventions from a variety of disciplines, promote collaboration, and involve a
v v v v v v v v v v v v
comprehensive approach to care. They are developed by multiple health care professionals
v v v v v v v v v v v v
and reflect interdisciplinary care. They can be used in multiple settings and for patients
v v v v v v v v v v v v v v
throughout the life span. They are not part of the nursing process but can be used in
v v v v v v v v v v v v v v v v v
conjunction with the nursing process to provide care to patients.
v v v v v v v v v v
PTS: 1 v DIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 7
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
8. The fastest growing group of homeless people is
v v v v v v v
a. men and women preparing for retirement.
v v v v v
b. migrant workers. v
c. single women and their children. v v v v
d. intravenous (IV) substance abusers. v v v
ANS: C v
Pregnancy and birth, especially for a teenager, are important contributing factors for
v v v v v v v v v v v
becoming homeless. People preparing for retirement, migrant workers, and IV substance
v v v v v v v v v v v
abusers are not among the fastest growing groups of homeless people.
v v v v v v v v v v v
PTS: 1 v DIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 14
v OBJ: Nursing Process: Assessment
v v v v v
MSC: Client Needs: Physiologic Integrity
v v v v
.
v v v v v v v v v v
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
v v v v v v v v
MULTIPLE CHOICE v
1. Which factor significantly contributed to the shift from home births to hospital births in
v v v v v v v v v v v v v
v the early 20th century?
v v v
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
v v v v v v v v v v v
b. Forceps were developed to facilitate difficult births.
v v v v v v
c. The importance of early parental-infant contact was identified.
v v v v v v v
d. Technologic developments became available to physicians. v v v v v
ANS: D v
Technologic developments were available to physicians, not lay midwives. So in-hospital
v v v v v v v v v v
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
v v v v v v v v v v v v v v v
known problem for generations. In the late 19th century, Semmelweis discovered how it could
v v v v v v v v v v v v v v
be prevented with improved hygienic practices. The development of forceps is an example of
v v v v v v v v v v v v v v
a technology advance made in the early 20th century but is not the only reason birthplaces
v v v v v v v v v v v v v v v v
moved. Unlike home births, early hospital births hindered bonding between parents and their
v v v v v v v v v v v v v
infants.
v
PTS: 1 vDIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 1
v OBJ: Integrated Process: Teaching-Learning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v v
2. Family-centered maternity care developed in response to v v v v v v
a. demands by physicians for family involvement in childbirth.
v v v v v v v
b. the Sheppard-Towner Act of 1921.
v v v v
c. parental requests that infants be allowed to remain with them rather than in
v v v v v v v v v v v v
v a nursery.
v
d. changes in pharmacologic management of labor. v v v v v
ANS: C v
As research began to identify the benefits of early extended parent-infant contact, parents
v v v v v v v v v v v v
began to insist that the infant remain with them. This gradually developed into the practice
v v v v v v v v v v v v v v v
of rooming-in and finally to family-centered maternity care. Family-centered care was a
v v v v v v v v v v v v
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
v v v v v v v v v v v v v
state-managed programs for mothers and children. The changes in pharmacologic
v v v v v v v v v v
management of labor were not a factor in family-centered maternity care.
v v v v v v v v v v v
PTS: 1 vDIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 2
v OBJ: Integrated Process: Teaching-Learning
v v v v v
MSC: Client Needs: Psychosocial Integrity
v v v v v
3. Which setting for childbirth allows the least amount of parent-infant contact?
v v v v v v v v v v
a. Labor/delivery/recovery/postpartum room v
b. Birth center v
c. Traditional hospital birth v v
d. Home birth v
.
, ANS: C v
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
v v v v v v v v v v v v v v v
vand the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
v v v v v v v v v v v v
vsetting allows increased parent-infant contact. Birth centers are set up to allow an increase in
v v v v v v v v v v v v v v
vparent-infant contact. Home births allow an increase in parent-infant contact.
v v v v v v v v v
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v v
REF: p. 2
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Health Promotion and Maintenance
v v v v v v
4. As a result of changes in health care delivery and funding, a current trend seen in the
v v v v v v v v v v v v v v v v
pediatric setting is
v v v
a. increased hospitalization of children. v v v
b. decreased number of children living in poverty. v v v v v v
c. an increase in ambulatory care.
v v v v
d. decreased use of managed care. v v v v
ANS: C v
One effect of managed care has been that pediatric health care delivery has shifted
v v v v v v v v v v v v v
dramatically from the acute care setting to the ambulatory setting in order to provide more
v v v v v v v v v v v v v v v
cost-efficient care. The number of hospital beds being used has decreased as more care is
v v v v v v v v v v v v v v v
given in outpatient settings and in the home. The number of children living in poverty has
v v v v v v v v v v v v v v v v
increased over the past decade. One of the biggest changes in health care has been the
v v v v v v v v v v v v v v v v
growth of managed care.
v v v v
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v v
REF: p. 5
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
5. The Women, Infants, and Children (WIC) program provides
v v v v v v v
a. well-child examinations for infants and children living at the poverty level.
v v v v v v v v v v
b. immunizations for high-risk infants and children. v v v v v
c. screening for infants with developmental disorders. v v v v v
d. supplemental food supplies to low-income pregnant or breastfeeding women. v v v v v v v v
ANS: D v
WIC is a federal program that provides supplemental food supplies to low-income women
v v v v v v v v v v v v
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
v v v v v v v v v v v v v v v
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
v v v v v v v v v v
examinations and for treatment of any medical problems diagnosed during such checkups.
v v v v v v v v v v v v
Children in the WIC program are often referred for immunizations, but that is not the primary
v v v v v v v v v v v v v v v v
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
v v v v v v v v v v v v v v
Education Act that provides financial incentives to states to establish comprehensive early
v v v v v v v v v v v v
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
v v v v v v v v v v v v v
PTS: 1 DIF: Cognitive Level: Comprehension
v v v REF: p. 8 v v
OBJ: Integrated Process: Teaching-Learning
v v v v
MSC: Client Needs: Health Promotion and Maintenance
v v v v v v
6. In most states, adolescents who are not emancipated minors must have the permission of
v v v v v v v v v v v v v
vtheir parents before
v v
.
, a. treatment for drug abuse. v v v
b. treatment for sexually transmitted diseases (STDs). v v v v v
c. accessing birth control. v v
d. surgery.
ANS: D v
Minors are not considered capable of giving informed consent, so a surgical procedure
v v v v v v v v v v v v
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
v v v v v v v v v v v v v v
drug abuse or STDs or for getting birth control in most states.
v v v v v v v v v v v v
PTS: 1 v DIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 17
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
7. The maternity nurse should have a clear understanding of the correct use of a
v v v v v v v v v v v v v
vclinical pathway. One characteristic of clinical pathways is that they
v v v v v v v v v
a. are developed and implemented by nurses.
v v v v v
b. are used primarily in the pediatric setting.
v v v v v v
c. set specific time lines for sequencing interventions.
v v v v v v
d. are part of the nursing process.
v v v v v
ANS: C v
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
v v v v v v v v v v v
a particular health problem. They are used to identify patient outcomes, specify time lines to
v v v v v v v v v v v v v v v
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
v v v v v v v v v v
include interventions from a variety of disciplines, promote collaboration, and involve a
v v v v v v v v v v v v
comprehensive approach to care. They are developed by multiple health care professionals
v v v v v v v v v v v v
and reflect interdisciplinary care. They can be used in multiple settings and for patients
v v v v v v v v v v v v v v
throughout the life span. They are not part of the nursing process but can be used in
v v v v v v v v v v v v v v v v v
conjunction with the nursing process to provide care to patients.
v v v v v v v v v v
PTS: 1 v DIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 7
v OBJ: Nursing Process: Planning
v v v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
8. The fastest growing group of homeless people is
v v v v v v v
a. men and women preparing for retirement.
v v v v v
b. migrant workers. v
c. single women and their children. v v v v
d. intravenous (IV) substance abusers. v v v
ANS: C v
Pregnancy and birth, especially for a teenager, are important contributing factors for
v v v v v v v v v v v
becoming homeless. People preparing for retirement, migrant workers, and IV substance
v v v v v v v v v v v
abusers are not among the fastest growing groups of homeless people.
v v v v v v v v v v v
PTS: 1 v DIF: Cognitive Level: Knowledge/Remembering v v
REF: p. 14
v OBJ: Nursing Process: Assessment
v v v v v
MSC: Client Needs: Physiologic Integrity
v v v v
.
