COMPLETE TEST BANK FOR
EVOLVE RESOURCES FOR MATERNAL-
CHILD NURSING, 6TH EDITION
byMcKinney|COMPLETE CHAPTERS
,CHAPTER 01: FOUNDATIONS OF MATERNITY, WOMEN’S HEALTH, AND CHILD
HEALTH NURSING MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD
NURSING, 6TH EDITION
MULTIPLE CHOICE
1. WHICH FACTOR SIGNIFICANTLY CONTRIBUTED TO THE SHIFT
FROM HOME BIRTHS TO HOSPITAL BIRTHS IN THE EARLY 20TH
CENTURY?
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.
ANSWER: D
TECHNOLOGIC DEVELOPMENTS WERE AVAILABLE TO PHYSICIANS,
NOT LAY MIDWIVES. SO IN-HOSPITAL BIRTHS INCREASED IN ORDER TO
TAKE ADVANTAGE OF THESE ADVANCEMENTS. PUERPERAL SEPSIS
HAS BEEN A KNOWN PROBLEM FOR GENERATIONS. IN THE LATE 19TH
CENTURY, SEMMELWEIS DISCOVERED HOW IT COULD BE PREVENTED
WITH IMPROVED HYGIENIC PRACTICES. THE DEVELOPMENT OF
FORCEPS IS AN EXAMPLE OF A TECHNOLOGY ADVANCE MADE IN THE
EARLY 20TH CENTURY BUT IS NOT THE ONLY REASON BIRTHPLACES
MOVED. UNLIKE HOME BIRTHS, EARLY HOSPITAL BIRTHS HINDERED
BONDING BETWEEN PARENTS AND THEIR INFANTS.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 1 OBJ:
INTEGRATED PROCESS: TEACHING-LEARNING
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.
ANSWER: C
AS RESEARCH BEGAN TO IDENTIFY THE BENEFITS OF EARLY
EXTENDED PARENT-INFANT CONTACT, PARENTS BEGAN TO INSIST
THAT THE INFANT REMAIN WITH THEM. THIS GRADUALLY
DEVELOPED INTO THE PRACTICE OF ROOMING-IN AND FINALLY TO
, FAMILY-CENTERED MATERNITY CARE. FAMILY-CENTERED CARE
WAS A REQUEST BY PARENTS, NOT PHYSICIANS. THE SHEPPARD-
TOWNER ACT OF 1921 PROVIDED FUNDS FOR STATE-MANAGED
PROGRAMS FOR MOTHERS AND CHILDREN. THE CHANGES IN
PHARMACOLOGIC MANAGEMENT OF LABOR WERE NOT A FACTOR
IN FAMILY-CENTERED MATERNITY CARE.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 2 OBJ:
INTEGRATED PROCESS: TEACHING-LEARNING
MSC: CLIENT NEEDS: PSYCHOSOCIAL INTEGRITY
3. WHICH SETTING FOR CHILDBIRTH ALLOWS THE LEAST AMOUNT OF
PARENT-INFANT CONTACT?
a. LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOM
b. BIRTH CENTER
c. TRADITIONAL HOSPITAL BIRTH
d. HOME BIRTH
.
, ANSWER: C
IN THE TRADITIONAL HOSPITAL SETTING, THE MOTHER MAY SEE THE
INFANT FOR ONLY SHORT FEEDING PERIODS, AND THE INFANT IS
CARED FOR IN A SEPARATE NURSERY. THE
LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOM SETTING ALLOWS
INCREASED PARENT-INFANT CONTACT. BIRTH CENTERS ARE SET UP
TO ALLOW AN INCREASE IN PARENT-INFANT CONTACT. HOME BIRTHS
ALLOW AN INCREASE IN PARENT-INFANT CONTACT.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 2 OBJ:
NURSING PROCESS: PLANNING
MSC: CLIENT NEEDS: HEALTH PROMOTION AND MAINTENANCE
4. AS A RESULT OF CHANGES IN HEALTH CARE DELIVERY AND
FUNDING, A CURRENT TREND SEEN IN THE PEDIATRIC
SETTING IS
a. INCREASED HOSPITALIZATION OF CHILDREN.
b. DECREASED NUMBER OF CHILDREN LIVING IN POVERTY.
c. AN INCREASE IN AMBULATORY CARE.
d. DECREASED USE OF MANAGED CARE.
ANSWER: C
ONE EFFECT OF MANAGED CARE HAS BEEN THAT PEDIATRIC
HEALTH CARE DELIVERY HAS SHIFTED DRAMATICALLY FROM THE
ACUTE CARE SETTING TO THE AMBULATORY SETTING IN ORDER TO
PROVIDE MORE COST-EFFICIENT CARE. THE NUMBER OF
HOSPITAL BEDS BEING USED HAS DECREASED AS MORE CARE IS
GIVEN IN OUTPATIENT SETTINGS AND IN THE HOME. THE NUMBER
OF CHILDREN LIVING IN POVERTY HAS INCREASED OVER THE PAST
DECADE. ONE OF THE BIGGEST CHANGES IN HEALTH CARE HAS
BEEN THE GROWTH OF MANAGED CARE.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 5 OBJ:
NURSING PROCESS: PLANNING
MSC: CLIENT NEEDS: SAFE AND EFFECTIVE CARE ENVIRONMENT
5. THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM PROVIDES
a. WELL-CHILD EXAMINATIONS FOR INFANTS AND CHILDREN LIVING AT
THE POVERTY LEVEL.
b. IMMUNIZATIONS FOR HIGH-RISK INFANTS AND CHILDREN.
c. SCREENING FOR INFANTS WITH DEVELOPMENTAL DISORDERS.
d. SUPPLEMENTAL FOOD SUPPLIES TO LOW-INCOME PREGNANT OR
BREASTFEEDING WOMEN.
ANSWER: D
EVOLVE RESOURCES FOR MATERNAL-
CHILD NURSING, 6TH EDITION
byMcKinney|COMPLETE CHAPTERS
,CHAPTER 01: FOUNDATIONS OF MATERNITY, WOMEN’S HEALTH, AND CHILD
HEALTH NURSING MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD
NURSING, 6TH EDITION
MULTIPLE CHOICE
1. WHICH FACTOR SIGNIFICANTLY CONTRIBUTED TO THE SHIFT
FROM HOME BIRTHS TO HOSPITAL BIRTHS IN THE EARLY 20TH
CENTURY?
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.
ANSWER: D
TECHNOLOGIC DEVELOPMENTS WERE AVAILABLE TO PHYSICIANS,
NOT LAY MIDWIVES. SO IN-HOSPITAL BIRTHS INCREASED IN ORDER TO
TAKE ADVANTAGE OF THESE ADVANCEMENTS. PUERPERAL SEPSIS
HAS BEEN A KNOWN PROBLEM FOR GENERATIONS. IN THE LATE 19TH
CENTURY, SEMMELWEIS DISCOVERED HOW IT COULD BE PREVENTED
WITH IMPROVED HYGIENIC PRACTICES. THE DEVELOPMENT OF
FORCEPS IS AN EXAMPLE OF A TECHNOLOGY ADVANCE MADE IN THE
EARLY 20TH CENTURY BUT IS NOT THE ONLY REASON BIRTHPLACES
MOVED. UNLIKE HOME BIRTHS, EARLY HOSPITAL BIRTHS HINDERED
BONDING BETWEEN PARENTS AND THEIR INFANTS.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 1 OBJ:
INTEGRATED PROCESS: TEACHING-LEARNING
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.
ANSWER: C
AS RESEARCH BEGAN TO IDENTIFY THE BENEFITS OF EARLY
EXTENDED PARENT-INFANT CONTACT, PARENTS BEGAN TO INSIST
THAT THE INFANT REMAIN WITH THEM. THIS GRADUALLY
DEVELOPED INTO THE PRACTICE OF ROOMING-IN AND FINALLY TO
, FAMILY-CENTERED MATERNITY CARE. FAMILY-CENTERED CARE
WAS A REQUEST BY PARENTS, NOT PHYSICIANS. THE SHEPPARD-
TOWNER ACT OF 1921 PROVIDED FUNDS FOR STATE-MANAGED
PROGRAMS FOR MOTHERS AND CHILDREN. THE CHANGES IN
PHARMACOLOGIC MANAGEMENT OF LABOR WERE NOT A FACTOR
IN FAMILY-CENTERED MATERNITY CARE.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 2 OBJ:
INTEGRATED PROCESS: TEACHING-LEARNING
MSC: CLIENT NEEDS: PSYCHOSOCIAL INTEGRITY
3. WHICH SETTING FOR CHILDBIRTH ALLOWS THE LEAST AMOUNT OF
PARENT-INFANT CONTACT?
a. LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOM
b. BIRTH CENTER
c. TRADITIONAL HOSPITAL BIRTH
d. HOME BIRTH
.
, ANSWER: C
IN THE TRADITIONAL HOSPITAL SETTING, THE MOTHER MAY SEE THE
INFANT FOR ONLY SHORT FEEDING PERIODS, AND THE INFANT IS
CARED FOR IN A SEPARATE NURSERY. THE
LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOM SETTING ALLOWS
INCREASED PARENT-INFANT CONTACT. BIRTH CENTERS ARE SET UP
TO ALLOW AN INCREASE IN PARENT-INFANT CONTACT. HOME BIRTHS
ALLOW AN INCREASE IN PARENT-INFANT CONTACT.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 2 OBJ:
NURSING PROCESS: PLANNING
MSC: CLIENT NEEDS: HEALTH PROMOTION AND MAINTENANCE
4. AS A RESULT OF CHANGES IN HEALTH CARE DELIVERY AND
FUNDING, A CURRENT TREND SEEN IN THE PEDIATRIC
SETTING IS
a. INCREASED HOSPITALIZATION OF CHILDREN.
b. DECREASED NUMBER OF CHILDREN LIVING IN POVERTY.
c. AN INCREASE IN AMBULATORY CARE.
d. DECREASED USE OF MANAGED CARE.
ANSWER: C
ONE EFFECT OF MANAGED CARE HAS BEEN THAT PEDIATRIC
HEALTH CARE DELIVERY HAS SHIFTED DRAMATICALLY FROM THE
ACUTE CARE SETTING TO THE AMBULATORY SETTING IN ORDER TO
PROVIDE MORE COST-EFFICIENT CARE. THE NUMBER OF
HOSPITAL BEDS BEING USED HAS DECREASED AS MORE CARE IS
GIVEN IN OUTPATIENT SETTINGS AND IN THE HOME. THE NUMBER
OF CHILDREN LIVING IN POVERTY HAS INCREASED OVER THE PAST
DECADE. ONE OF THE BIGGEST CHANGES IN HEALTH CARE HAS
BEEN THE GROWTH OF MANAGED CARE.
PTS: 1 DIF: COGNITIVE LEVEL:
KNOWLEDGE/REMEMBERING REF: P. 5 OBJ:
NURSING PROCESS: PLANNING
MSC: CLIENT NEEDS: SAFE AND EFFECTIVE CARE ENVIRONMENT
5. THE WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM PROVIDES
a. WELL-CHILD EXAMINATIONS FOR INFANTS AND CHILDREN LIVING AT
THE POVERTY LEVEL.
b. IMMUNIZATIONS FOR HIGH-RISK INFANTS AND CHILDREN.
c. SCREENING FOR INFANTS WITH DEVELOPMENTAL DISORDERS.
d. SUPPLEMENTAL FOOD SUPPLIES TO LOW-INCOME PREGNANT OR
BREASTFEEDING WOMEN.
ANSWER: D
