TESTBANK
INTRODUCTORYMATERNITY& PEDIATRIC NURSING
NANCYHATFIELD & CYNTHIAKINCHELOE
5th Edition
TESTBANK
,Chapter 1: The Nurse's Role in a Changing Maternal–
c c c c c c c c
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5
c c c c c c c c c c
th Edition
c
1. The opening up of hospital visiting policies for children and families likel
y resultedfrom the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. JohnKennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
c c c
study that revealed the negative results of the separation of child and mother because of hospitaliz
c
ation. His work led toa re- c
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggested t
c c
hat a lack of stimulation for infants contributed to high infant mortality rates at the time. In the 197
0s and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on the eff
c c
ect of the separation of newborns and parents. They established that early separation may have lo
c c c c
ng-
term effects on family relationships and that offering the new family an opportunity to be together
c c c
at birth and for a significant period after birth may provide benefitsthat last well into early child
c
hood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal- c
Child Health Care Environment Cognitive Level: Remember
c
Client Needs: Health Promotion and Maintenance Integrate
d Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do whit
e mothers. When responding to her questions about the reasons for this, the nurse accurately st c
ates 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 seco
c c
ndary to lack of access to services or insurance. Income as well as educational level may play a r
c
ole in the availability of health care, but they are not directly responsible. Being unmarried has no c
bearing on infant mortality.
c
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal- c
Child Health Care Environment Cognitive Level: Understand
c
,Client Needs: Health Promotion and Maintenance Integrate
c c
d Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
c c
A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths c
B. number of deaths occurring in the first 28 days of life per 1,000 livebirths c c
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births c
D. death of a live-born child before his or her first birthday.
c
Answer: D
Rationale: The term infant death refers to the death of a live-
c c c
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 bir
c
ths. Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
c c c c c
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Remember
c
Client Needs: Health Promotion and Maintenance Integrate
d Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
c c c c
What major development will the instructor emphasize as greatly influencing the practice of mate c
rnity care in the United States over the past century? c
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
c c
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 An c
swer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of a c
nesthesia allowed women a choice for pain management in birth; the germ theory advanced the progr
c c
ess of general health care and decreased infections in laboring women. Pediatrics as a specialty is a c
n important step forward but is not the greatest development, and midwives are still in practice.
c c c
Maternity care continues to evolve, and birthing centers are still under development. Forceps are c c
not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Analyze
c
Client Needs: Health Promotion and Maintenance
, Integrated Process: Teaching/Learning c
Reference: p. 3
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic during
c c c
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 c
Answer: C
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of microo
c
rganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery and
c
improved the survival rates of his patients. Alexander Gordon proposed the theory of infection. O
c c
liver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
c
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Apply
c
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
c c c c
nurse about which test they need to discover its gender. Which procedure will best provide this infor
c
mation to the couple?c
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 inform
c c
ation about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic code
c
of the fetus. HGP refers to the Human Genome Project, which can provide information regarding
c
gene mutations and variations.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Apply
c
Client Needs: Health Promotion and Maintenance Integrate
d Process: Caring
Reference: p. 6
INTRODUCTORYMATERNITY& PEDIATRIC NURSING
NANCYHATFIELD & CYNTHIAKINCHELOE
5th Edition
TESTBANK
,Chapter 1: The Nurse's Role in a Changing Maternal–
c c c c c c c c
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5
c c c c c c c c c c
th Edition
c
1. The opening up of hospital visiting policies for children and families likel
y resultedfrom the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. JohnKennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
c c c
study that revealed the negative results of the separation of child and mother because of hospitaliz
c
ation. His work led toa re- c
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggested t
c c
hat a lack of stimulation for infants contributed to high infant mortality rates at the time. In the 197
0s and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on the eff
c c
ect of the separation of newborns and parents. They established that early separation may have lo
c c c c
ng-
term effects on family relationships and that offering the new family an opportunity to be together
c c c
at birth and for a significant period after birth may provide benefitsthat last well into early child
c
hood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal- c
Child Health Care Environment Cognitive Level: Remember
c
Client Needs: Health Promotion and Maintenance Integrate
d Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do whit
e mothers. When responding to her questions about the reasons for this, the nurse accurately st c
ates 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 seco
c c
ndary to lack of access to services or insurance. Income as well as educational level may play a r
c
ole in the availability of health care, but they are not directly responsible. Being unmarried has no c
bearing on infant mortality.
c
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal- c
Child Health Care Environment Cognitive Level: Understand
c
,Client Needs: Health Promotion and Maintenance Integrate
c c
d Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
c c
A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths c
B. number of deaths occurring in the first 28 days of life per 1,000 livebirths c c
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births c
D. death of a live-born child before his or her first birthday.
c
Answer: D
Rationale: The term infant death refers to the death of a live-
c c c
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 bir
c
ths. Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
c c c c c
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Remember
c
Client Needs: Health Promotion and Maintenance Integrate
d Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
c c c c
What major development will the instructor emphasize as greatly influencing the practice of mate c
rnity care in the United States over the past century? c
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
c c
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 An c
swer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of a c
nesthesia allowed women a choice for pain management in birth; the germ theory advanced the progr
c c
ess of general health care and decreased infections in laboring women. Pediatrics as a specialty is a c
n important step forward but is not the greatest development, and midwives are still in practice.
c c c
Maternity care continues to evolve, and birthing centers are still under development. Forceps are c c
not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Analyze
c
Client Needs: Health Promotion and Maintenance
, Integrated Process: Teaching/Learning c
Reference: p. 3
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic during
c c c
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 c
Answer: C
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of microo
c
rganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery and
c
improved the survival rates of his patients. Alexander Gordon proposed the theory of infection. O
c c
liver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
c
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Apply
c
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
c c c c
nurse about which test they need to discover its gender. Which procedure will best provide this infor
c
mation to the couple?c
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 inform
c c
ation about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic code
c
of the fetus. HGP refers to the Human Genome Project, which can provide information regarding
c
gene mutations and variations.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-
c
Child Health Care Environment Cognitive Level: Apply
c
Client Needs: Health Promotion and Maintenance Integrate
d Process: Caring
Reference: p. 6
