RESOURCE
n
S FOR
n
MATERNAL-
n
CHILD
n
,NURSING,
5TH EDITION
n n
TEST BANK
n n
BY
n
MCKINNEY
n
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health
n n n n n n n n n
Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th
n n n n n n n n
Edition
n
MULTIPLE nCHOICE
1. Which nfactor nsignificantly ncontributed nto nthe nshift nfrom nhome nbirths nto nhospital
births nin nthe nearly n20th ncentury?
n
a. Puerperal nsepsis nwas nidentified nas na nrisk nfactor nin nlabor
nand ndelivery.
b. Forceps nwere ndeveloped nto nfacilitate ndifficult nbirths.
c. The nimportance nof nearly nparental-infant ncontact nwas
nidentified.
d. Technologic ndevelopments nbecame navailable nto nphysicians.
ANS: n D
Technologic ndevelopments nwere navailable nto nphysicians, nnot nlay nmidwives. nSo
nin-hospital nbirths nincreased nin norder nto ntake nadvantage nof nthese nadvancements.
nPuerperal nsepsis nhas nbeen na nknown nproblem nfor ngenerations. nIn nthe nlate n19th
ncentury, nSemmelweis ndiscovered nhow nit ncould nbe nprevented nwith nimproved
nhygienic npractices. nThe ndevelopment nof nforceps nis nan nexample nof na ntechnology
nadvance nmade nin nthe nearly n20th n century nbut nis nnot n the n only nreason nbirthplaces
nmoved. nUnlike nhome nbirths, nearly nhospital nbirths nhindered nbonding nbetween
nparents nand ntheir ninfants.
PTS: n 1 DIF: Cognitive nLevel:
nKnowledge/Remembering nREF: n p. n1 OBJ: n Integrated
nProcess: nTeaching-Learning nMSC: n Client nNeeds: nSafe nand
nEffective nCare nEnvironment
2. Family-centered nmaternity ncare ndeveloped nin nresponse nto
a. demands nby nphysicians nfor nfamily ninvolvement nin nchildbirth.
b. the nSheppard-Towner nAct nof n1921.
c. parental nrequests nthat ninfants nbe nallowed nto nremain nwith nthem
rather nthan nin na
n
nursery.
d. changes nin npharmacologic nmanagement nof nlabor.
ANS: n C
As nresearch nbegan nto nidentify nthe nbenefits nof nearly nextended nparent-infant
ncontact, nparents nbegan nto ninsist nthat nthe ninfant nremain nwith nthem. nThis
ngradually ndeveloped ninto nthe npractice nof nrooming-in nand nfinally nto nfamily-
centered nmaternity ncare. nFamily-centered ncare nwas na nrequest nby nparents, nnot
nphysicians. nThe nSheppard-Towner nAct nof n1921 nprovided nfunds nfor
state-managed nprograms nfor nmothers nand nchildren. nThe nchanges nin
npharmacologic nmanagement n of nlabor nwere n not na nfactor nin nfamily-centered
nmaternity ncare.
PTS: n 1 DIF: Cognitive nLevel:
nKnowledge/Remembering nREF: n p. n2 OBJ: n Integrated
nProcess: nTeaching-Learning nMSC: n Client nNeeds: nPsychosocial
nIntegrity
, 3. Which nsetting nfor nchildbirth nallows nthe nleast namount nof nparent-infant ncontact?
a. Labor/delivery/recovery/postpartu
m nroom
b. Birth ncenter
c. Traditional nhospital nbirth
d. Home nbirth
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