Maternal Child Nursing 7th Edition
by McKinney.docx
Maternal Child Nursing 6th Editionby McKinney.docx
, Maternal Child Nursing 7th Editionby
McKinney.docx
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th 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
, Maternal Child Nursing 7th Editionby
McKinney.docx
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
.
, Maternal Child Nursing 7th Editionby
McKinney.docx
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-
by McKinney.docx
Maternal Child Nursing 6th Editionby McKinney.docx
, Maternal Child Nursing 7th Editionby
McKinney.docx
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th 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
, Maternal Child Nursing 7th Editionby
McKinney.docx
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
.
, Maternal Child Nursing 7th Editionby
McKinney.docx
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-
