EVOLVE
RESOURCES
Il`
FOR
Il`
MATERNAL-
Il`
CHILD
Il`
,NURSING,5TH Il̀
EDITION TEST
Il` Il`
BANK BY
Il` Il`
MCKINNEY
Il`
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
Il` Il` Il` Il` Il` Il` Il` Il`
MULTIPLE CHOICE Il`
1. Which factor significantly contributed to the shift from home births to hospital births in the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
early 20th century?
Il` Il` Il`
a. Puerperal sepsis was identified as a risk factor in labor and delivery. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. Forceps were developed to facilitate difficult births. Il` Il` Il` Il` Il` Il`
c. The importance of early parental-infant contact was identified.
Il` Il` Il` Il` Il` Il` Il`
d. Technologic developments became available to physicians. Il` Il` Il` Il` Il`
ANS: I l ` D
Technologic developments were available to physicians, not lay midwives. So in-hospital Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
known problem for generations. In the late 19th century, Semmelweis discovered how it could be
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
prevented with improved hygienic practices. The development of forceps is an example of a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
technology advance made in the early 20th century but is not the only reason birthplaces
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
moved. Unlike home births, early hospital births hindered bonding between parents and their
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
infants.
Il`
PTS: 1 IDIF: CognitiveLevel:Knowledge/Remembering
l ` Il̀ Il̀
REF:
Il` p. 1 OBJ: Integrated Process: Teaching-Learning
I l ` Il` I l ` Il` Il`
MSC: Client Needs: Safe and Effective Care Environment
Il` I l ` Il` Il` Il` Il` Il` Il`
2. Family-centered maternity care developed in response to Il` Il` Il` Il` Il` Il`
a. demands by physicians for family involvement in childbirth. Il` Il` Il` Il` Il` Il` Il`
b. the Sheppard-Towner Act of 1921. Il` Il` Il` Il`
c. parental requests that infants be allowed to remain with them rather than in a Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
nursery.
d. changes in pharmacologic management of labor. Il` Il` Il` Il` Il`
ANS: I l ` C
As research began to identify the benefits of early extended parent-infant contact, parents
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
began to insist that the infant remain with them. This gradually developed into the practice of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
rooming-in and finally to family-centered maternity care. Family-centered care was a request
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
state-managed programs for mothers and children. The changes in pharmacologic Il` Il` Il` Il` Il` Il` Il` Il` Il`
management of labor were not a factor in family-centered maternity care.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
PTS: 1 IDIF: CognitiveLevel:Knowledge/Remembering
l ` Il̀ Il̀
REF:
Il` p. 2 OBJ: Integrated Process: Teaching-Learning
I l ` Il` I l ` Il` Il`
MSC: Client Needs: Psychosocial Integrity
Il` I l ` Il` Il` Il`
3. Which setting for childbirth allows the least amount of parent-infant contact?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
a. Labor/delivery/recovery/postpartum room Il`
b. Birth center Il`
c. Traditional hospital birth Il` Il`
d. Home birth Il`
TestBankWorld.org
, ANS: I l ` C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
parent-infant contact. Home births allow an increase in parent-infant contact.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
PTS: 1 DIF: CognitiveLevel:Knowledge/Remembering
I l ` Il̀ Il̀
REF:
Il` p. 2 OBJ: Nursing Process: Planning I l ` Il` I l ` Il` Il`
MSC: Client Needs: Health Promotion and Maintenance I l ` Il` Il` Il` Il` Il`
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
setting is
Il` Il`
a. increased hospitalization of children. Il` Il` Il`
b. decreased number of children living in poverty. Il` Il` Il` Il` Il` Il`
c. an increase in ambulatory care. Il` Il` Il` Il`
d. decreased use of managed care. Il` Il` Il` Il`
ANS: I l ` C
One effect of managed care has been that pediatric health care delivery has shifted
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
dramatically from the acute care setting to the ambulatory setting in order to provide more
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
cost-efficient care. The number of hospital beds being used has decreased as more care is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
given in outpatient settings and in the home. The number of children living in poverty has
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
increased over the past decade. One of the biggest changes in health care has been the growth of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
managed care.
Il` Il`
PTS: 1 DIF: CognitiveLevel:Knowledge/Remembering
I l ` Il̀ Il̀
REF:
Il` p. 5 OBJ: Nursing Process: Planning I l ` Il` I l ` Il` Il`
MSC: Client Needs: Safe and Effective Care Environment I l ` Il` Il` Il` Il` Il` Il`
5. The Women, Infants, and Children (WIC) program provides
Il` Il` Il` Il` Il` Il` Il`
a. well-child examinations for infants and children living at the poverty level. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. immunizations for high-risk infants and children. Il` Il` Il` Il` Il`
c. screening for infants with developmental disorders. Il` Il` Il` Il` Il`
d. supplemental food supplies to low-income pregnant or breastfeeding women. Il` Il` Il` Il` Il` Il` Il` Il`
ANS: I l ` D
WIC is a federal program that provides supplemental food supplies to low-income women who
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Periodic Screening, Diagnosis, and Treatment Program provides for well-child examinations
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
and for treatment of any medical problems diagnosed during such checkups. Children in the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
WIC program are often referred for immunizations, but that is not the primary focus of the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
program. Public Law 99-457 is part of the Individuals with Disabilities Education Act that
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
provides financial incentives to states to establish comprehensive early intervention services
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
for infants and toddlers with, or at risk for, developmental disabilities.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
PTS: 1 DIF: Cognitive Level: Comprehension
I l ` Il` Il` REF:
I p. 8 OBJ:
l ` Integrated Process: Teaching-Learning
Il` Il` I l ` Il` Il`
MSC: Client Needs: Health Promotion and Maintenance I l ` Il` Il` Il` Il` Il`
6. In most states, adolescents who are not emancipated minors must have the permission of their
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` parents before Il`
TestBankWorld.org
RESOURCES
Il`
FOR
Il`
MATERNAL-
Il`
CHILD
Il`
,NURSING,5TH Il̀
EDITION TEST
Il` Il`
BANK BY
Il` Il`
MCKINNEY
Il`
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
Il` Il` Il` Il` Il` Il` Il` Il`
MULTIPLE CHOICE Il`
1. Which factor significantly contributed to the shift from home births to hospital births in the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
early 20th century?
Il` Il` Il`
a. Puerperal sepsis was identified as a risk factor in labor and delivery. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. Forceps were developed to facilitate difficult births. Il` Il` Il` Il` Il` Il`
c. The importance of early parental-infant contact was identified.
Il` Il` Il` Il` Il` Il` Il`
d. Technologic developments became available to physicians. Il` Il` Il` Il` Il`
ANS: I l ` D
Technologic developments were available to physicians, not lay midwives. So in-hospital Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
known problem for generations. In the late 19th century, Semmelweis discovered how it could be
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
prevented with improved hygienic practices. The development of forceps is an example of a
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
technology advance made in the early 20th century but is not the only reason birthplaces
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
moved. Unlike home births, early hospital births hindered bonding between parents and their
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
infants.
Il`
PTS: 1 IDIF: CognitiveLevel:Knowledge/Remembering
l ` Il̀ Il̀
REF:
Il` p. 1 OBJ: Integrated Process: Teaching-Learning
I l ` Il` I l ` Il` Il`
MSC: Client Needs: Safe and Effective Care Environment
Il` I l ` Il` Il` Il` Il` Il` Il`
2. Family-centered maternity care developed in response to Il` Il` Il` Il` Il` Il`
a. demands by physicians for family involvement in childbirth. Il` Il` Il` Il` Il` Il` Il`
b. the Sheppard-Towner Act of 1921. Il` Il` Il` Il`
c. parental requests that infants be allowed to remain with them rather than in a Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
nursery.
d. changes in pharmacologic management of labor. Il` Il` Il` Il` Il`
ANS: I l ` C
As research began to identify the benefits of early extended parent-infant contact, parents
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
began to insist that the infant remain with them. This gradually developed into the practice of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
rooming-in and finally to family-centered maternity care. Family-centered care was a request
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
state-managed programs for mothers and children. The changes in pharmacologic Il` Il` Il` Il` Il` Il` Il` Il` Il`
management of labor were not a factor in family-centered maternity care.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
PTS: 1 IDIF: CognitiveLevel:Knowledge/Remembering
l ` Il̀ Il̀
REF:
Il` p. 2 OBJ: Integrated Process: Teaching-Learning
I l ` Il` I l ` Il` Il`
MSC: Client Needs: Psychosocial Integrity
Il` I l ` Il` Il` Il`
3. Which setting for childbirth allows the least amount of parent-infant contact?
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
a. Labor/delivery/recovery/postpartum room Il`
b. Birth center Il`
c. Traditional hospital birth Il` Il`
d. Home birth Il`
TestBankWorld.org
, ANS: I l ` C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
parent-infant contact. Home births allow an increase in parent-infant contact.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
PTS: 1 DIF: CognitiveLevel:Knowledge/Remembering
I l ` Il̀ Il̀
REF:
Il` p. 2 OBJ: Nursing Process: Planning I l ` Il` I l ` Il` Il`
MSC: Client Needs: Health Promotion and Maintenance I l ` Il` Il` Il` Il` Il`
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
setting is
Il` Il`
a. increased hospitalization of children. Il` Il` Il`
b. decreased number of children living in poverty. Il` Il` Il` Il` Il` Il`
c. an increase in ambulatory care. Il` Il` Il` Il`
d. decreased use of managed care. Il` Il` Il` Il`
ANS: I l ` C
One effect of managed care has been that pediatric health care delivery has shifted
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
dramatically from the acute care setting to the ambulatory setting in order to provide more
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
cost-efficient care. The number of hospital beds being used has decreased as more care is
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
given in outpatient settings and in the home. The number of children living in poverty has
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
increased over the past decade. One of the biggest changes in health care has been the growth of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
managed care.
Il` Il`
PTS: 1 DIF: CognitiveLevel:Knowledge/Remembering
I l ` Il̀ Il̀
REF:
Il` p. 5 OBJ: Nursing Process: Planning I l ` Il` I l ` Il` Il`
MSC: Client Needs: Safe and Effective Care Environment I l ` Il` Il` Il` Il` Il` Il`
5. The Women, Infants, and Children (WIC) program provides
Il` Il` Il` Il` Il` Il` Il`
a. well-child examinations for infants and children living at the poverty level. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
b. immunizations for high-risk infants and children. Il` Il` Il` Il` Il`
c. screening for infants with developmental disorders. Il` Il` Il` Il` Il`
d. supplemental food supplies to low-income pregnant or breastfeeding women. Il` Il` Il` Il` Il` Il` Il` Il`
ANS: I l ` D
WIC is a federal program that provides supplemental food supplies to low-income women who
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Periodic Screening, Diagnosis, and Treatment Program provides for well-child examinations
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
and for treatment of any medical problems diagnosed during such checkups. Children in the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
WIC program are often referred for immunizations, but that is not the primary focus of the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
program. Public Law 99-457 is part of the Individuals with Disabilities Education Act that
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
provides financial incentives to states to establish comprehensive early intervention services
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
for infants and toddlers with, or at risk for, developmental disabilities.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
PTS: 1 DIF: Cognitive Level: Comprehension
I l ` Il` Il` REF:
I p. 8 OBJ:
l ` Integrated Process: Teaching-Learning
Il` Il` I l ` Il` Il`
MSC: Client Needs: Health Promotion and Maintenance I l ` Il` Il` Il` Il` Il`
6. In most states, adolescents who are not emancipated minors must have the permission of their
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`
Il` parents before Il`
TestBankWorld.org
