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>>>.
ANS>>>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.
ANS>>>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
.
, ANS>>>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.
ANS>>>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.
ANS>>>D
WIC IS A FEDERAL PROGRAM THAT PROVIDES SUPPLEMENTAL FOOD
SUPPLIES TO LOW-INCOME WOMEN WHO ARE PREGNANT OR
BREASTFEEDING AND TO THEIR CHILDREN UNTIL AGE 5 YEARS. MEDICAID’S
EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT PROGRAM
PROVIDES FOR WELL-CHILD EXAMINATIONS AND FOR TREATMENT OF ANY
MEDICAL PROBLEMS DIAGNOSED DURING SUCH CHECKUPS. CHILDREN IN
THE WIC PROGRAM ARE OFTEN REFERRED FOR IMMUNIZATIONS, BUT THAT IS
NOT THE PRIMARY FOCUS OF THE PROGRAM. PUBLIC LAW 99-457 IS PART OF
THE INDIVIDUALS WITH DISABILITIES EDUCATION ACT THAT PROVIDES
FINANCIAL INCENTIVES TO STATES TO ESTABLISH COMPREHENSIVE EARLY
INTERVENTION SERVICES FOR INFANTS AND TODDLERS WITH, OR AT RISK
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>>>.
ANS>>>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.
ANS>>>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
.
, ANS>>>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.
ANS>>>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.
ANS>>>D
WIC IS A FEDERAL PROGRAM THAT PROVIDES SUPPLEMENTAL FOOD
SUPPLIES TO LOW-INCOME WOMEN WHO ARE PREGNANT OR
BREASTFEEDING AND TO THEIR CHILDREN UNTIL AGE 5 YEARS. MEDICAID’S
EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT PROGRAM
PROVIDES FOR WELL-CHILD EXAMINATIONS AND FOR TREATMENT OF ANY
MEDICAL PROBLEMS DIAGNOSED DURING SUCH CHECKUPS. CHILDREN IN
THE WIC PROGRAM ARE OFTEN REFERRED FOR IMMUNIZATIONS, BUT THAT IS
NOT THE PRIMARY FOCUS OF THE PROGRAM. PUBLIC LAW 99-457 IS PART OF
THE INDIVIDUALS WITH DISABILITIES EDUCATION ACT THAT PROVIDES
FINANCIAL INCENTIVES TO STATES TO ESTABLISH COMPREHENSIVE EARLY
INTERVENTION SERVICES FOR INFANTS AND TODDLERS WITH, OR AT RISK
