TESTBANK i
INTRODUCTORY iMATERNITY i& iPEDIATRIC iNURSING
NANCY iHATFIELD i& iCYNTHIA iKINCHELOE
5th Edition
i
TEST BANK i
,Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal–Child iHealth iCare iEnvironment
iHatfield: iIntroductory iMaternity iand iPediatric iNursing, i5th iEdition
1. The iopening iup iof ihospital ivisiting ipolicies ifor ichildren iand ifamilies
ilikely iresultedfrom i the i work i of i which i individual?
A. Joseph i Brennaman
B. John iBowlby
C. Marshal iKlaus
D. John iKennell
i Answer: iB
Rationale: i In i 1951, i John i Bowlby i received i worldwide i attention i with i his
study ithat irevealed ithe inegative iresults iof ithe iseparation iof ichild iand i mother ibecause iof
ihospitalization. iHis iwork iled itoa ire-evaluation iand iliberalization iof ihospital i visiting ipolicies ifor
ichildren. iJoseph iBrennaman i suggested ithat ia ilack i of istimulation ifor i infants i contributed i to
ihigh i infant i mortality irates i at i the i time. i In i the i1970s iand i 1980s, i physicians i Marshall i Klaus
iand iJohn i Kennell i carried i out i importantstudies i on ithe i effect i of i the i separation i of i newborns
iand i parents.
They iestablished ithat iearly iseparation imay ihave ilong-term ieffects ion ifamily irelationships
iand i that i offering ithe inew i family ian iopportunity ito ibe itogether i at i birth iand i for ia isignificant
iperiod i after i birth i may i provide i benefitsthat i last i well i into i early i childhood.
Question i format: i Multiple i Choice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Remember
Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Nursing i Process
Reference: ip. i4
2. An iexpectant imother istates ithat ishe iread ithat imore iblack imothers idie iin ichildbirth ithan
ido i white i mothers. i When iresponding i to i her i questions iabout i the ireasons i for i this, i the i nurse
iaccurately istates i that i which i is i the i major i reason i for ithe i high i maternal i mortality irate?
A. Having iformal ieducation.
B. Being i unmarried.
C. Income.
D. Lack iof iprenatal icare.
Answer: i D
Rationale: iResearch ishows ithat imaternal imortality irate iis idirectly irelated ito ilack iof iprenatal
icare isecondary i to i lack i of i access ito iservices i or i insurance. i Income i as i well i as i educational
ilevel i may i play i a i role iin ithe iavailability i of i health i care, i but i they i are i not i directly iresponsible.
i Being i unmarried i has i no i bearing i on i infant i mortality.
Question iformat: iMultiple iChoice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Understand
,Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Nursing i Process
Reference: ip. i9
3. Which istatement icorrectly idefines ithe iterm i"infant ideath irate"?
A. number iof ideaths iin iutero iof ifetuses i500 i g ior i more iper i1,000 ilive ibirths
B. number iof ideaths ioccurring iin ithe ifirst i28 idays iof ilife iper i1,000 ilive ibirths
C. number iof ideaths ioccurring iat ibirth ior iin ithe ifirst i12 imonths iof ilife iperi1,000 ilive ibirths
D. death iof ia ilive-born ichild ibefore ihis ior iher ifirst ibirthday.
Answer: i D
Rationale: iThe iterm iinfant ideath irefers ito ithe ideath iof ia ilive-born ichild ibefore ihe ior ishe
ireaches iage i 1 i year. i It i also i includes i neonatal i mortality i rate. i Neonatal i mortality i rate i is ithe
inumber i of iinfant i deaths i during ithe i first i 28 i days i of i life i for i every i 1,000 i live i births. iInfant
i mortality irate iis ithe inumber iof ideaths iduring ithe i first i12 imonths iof ilife iper i1,000 ilive ibirths.
iQuestion iformat: i Multiple i Choice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Remember
Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Nursing i Process
Reference: ip. i9
4. The inursing iinstructor iis ipreparing ito iteach ia igroup iof istudents iabout ithe ihistory iof
imaternity i care. i What i major i development i will i the iinstructor iemphasize i as igreatly iinfluencing
ithe ipractice i of i maternity i care i in i the i United i States i over i the i past i century?
A. technologic iadvances iand ithe iuse iof iforceps iby iprimary icare iproviders
B. development iof ianesthesia iand iacceptance iof ithe igerm itheory
C. advent iof ibirthing icenters iand ithe idevelopment iof ifamily-centered icare
D. development iof ipediatric ispecialty iand ireplacement iof imidwives ias iprimary ibirth iattendants
i Answer: iB
Rationale: iThe iemphasis ishould ibe iplaced ion ianesthesia iand ithe igerm itheory. iThe idevelopment
iof ianesthesia iallowed iwomen ia i choice ifor ipain imanagement iin ibirth; ithe igerm itheory
iadvanced i the i progress i of igeneral i health i care iand i decreased i infections iin i laboring i women.
iPediatrics ias ia i specialty i is ian iimportant i step i forward i but iis i not i the i greatest i development,
iand i midwives i are istill i in i practice. i Maternity i care i continues i to i evolve, i and i birthing i centers
iare i still i under i development. i Forceps i are i not i considered i an i advance i in i maternity i care.
Question i format: i Multiple i Choice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Analyze
Client iNeeds: iHealth iPromotion iand iMaintenance
, Integrated iProcess: iTeaching/Learning
iReference: i p. i 3
5. When ipreparing ia iclient ifor isurgery, ithe inurse iexplains ithat ithe iuse iof ian
iantiseptic i during ithe isurgery ihas igreatly iimproved i client isurvival irates iand i was
istarted iby iwhich iphysician?
A. Louis i Pasteur
B. Ignaz iPhilip iSemmelweis
C. Joseph i Lister
D. Alexander iGordon
i Answer: iC
Rationale: iJoseph iLister iwas ia iBritish isurgeon iwho iembraced iLouis iPasteur's itheory iof
i microorganisms ias ithe i cause i of i infection. i Lister i used i carbolic i acid i as ian i antiseptic i during
isurgery iand iimproved ithe isurvival irates iof ihis ipatients. iAlexander i Gordon iproposed ithe
itheory i of i infection. i Oliver i Wendell i Holmes i and i Ignaz i Philip i Semmelweis i confirmed i his
itheory.
Question iformat: iMultiple iChoice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Apply
Client iNeeds: iSafe, iEffective iCare iEnvironment: iSafety iand iInfection iControl iIntegrated
iProcess: i Nursing i Process
Reference: ip. i4
6. A iyoung icouple iare ivery iexcited ito ilearn ithey iare iexpecting itheir ifirst ichild iand
iquestion ithe inurse iabout iwhich itest ithey ineed ito idiscover iits igender. iWhich iprocedure iwill
ibest iprovide i this i information i to i the i couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic ivillus isampling
D. HGP
Answer: i A
Rationale: iUltrasound iis ia ivisual imethod ifor iassessing ithe ifetus iin ithe iuterus iand iwill iprovide
iinformation iabout ithe igender. iAmniocentesis iand ichorionic ivillus isampling iprovide i the ientire
igenetic i code i of i the ifetus. i HGP irefers i to i the i Human i Genome i Project, i which i can i provide
iinformation iregarding i gene i mutations i and i variations.
Question iformat: iMultiple iChoice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Apply
Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Caring
Reference: ip. i6
INTRODUCTORY iMATERNITY i& iPEDIATRIC iNURSING
NANCY iHATFIELD i& iCYNTHIA iKINCHELOE
5th Edition
i
TEST BANK i
,Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal–Child iHealth iCare iEnvironment
iHatfield: iIntroductory iMaternity iand iPediatric iNursing, i5th iEdition
1. The iopening iup iof ihospital ivisiting ipolicies ifor ichildren iand ifamilies
ilikely iresultedfrom i the i work i of i which i individual?
A. Joseph i Brennaman
B. John iBowlby
C. Marshal iKlaus
D. John iKennell
i Answer: iB
Rationale: i In i 1951, i John i Bowlby i received i worldwide i attention i with i his
study ithat irevealed ithe inegative iresults iof ithe iseparation iof ichild iand i mother ibecause iof
ihospitalization. iHis iwork iled itoa ire-evaluation iand iliberalization iof ihospital i visiting ipolicies ifor
ichildren. iJoseph iBrennaman i suggested ithat ia ilack i of istimulation ifor i infants i contributed i to
ihigh i infant i mortality irates i at i the i time. i In i the i1970s iand i 1980s, i physicians i Marshall i Klaus
iand iJohn i Kennell i carried i out i importantstudies i on ithe i effect i of i the i separation i of i newborns
iand i parents.
They iestablished ithat iearly iseparation imay ihave ilong-term ieffects ion ifamily irelationships
iand i that i offering ithe inew i family ian iopportunity ito ibe itogether i at i birth iand i for ia isignificant
iperiod i after i birth i may i provide i benefitsthat i last i well i into i early i childhood.
Question i format: i Multiple i Choice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Remember
Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Nursing i Process
Reference: ip. i4
2. An iexpectant imother istates ithat ishe iread ithat imore iblack imothers idie iin ichildbirth ithan
ido i white i mothers. i When iresponding i to i her i questions iabout i the ireasons i for i this, i the i nurse
iaccurately istates i that i which i is i the i major i reason i for ithe i high i maternal i mortality irate?
A. Having iformal ieducation.
B. Being i unmarried.
C. Income.
D. Lack iof iprenatal icare.
Answer: i D
Rationale: iResearch ishows ithat imaternal imortality irate iis idirectly irelated ito ilack iof iprenatal
icare isecondary i to i lack i of i access ito iservices i or i insurance. i Income i as i well i as i educational
ilevel i may i play i a i role iin ithe iavailability i of i health i care, i but i they i are i not i directly iresponsible.
i Being i unmarried i has i no i bearing i on i infant i mortality.
Question iformat: iMultiple iChoice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Understand
,Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Nursing i Process
Reference: ip. i9
3. Which istatement icorrectly idefines ithe iterm i"infant ideath irate"?
A. number iof ideaths iin iutero iof ifetuses i500 i g ior i more iper i1,000 ilive ibirths
B. number iof ideaths ioccurring iin ithe ifirst i28 idays iof ilife iper i1,000 ilive ibirths
C. number iof ideaths ioccurring iat ibirth ior iin ithe ifirst i12 imonths iof ilife iperi1,000 ilive ibirths
D. death iof ia ilive-born ichild ibefore ihis ior iher ifirst ibirthday.
Answer: i D
Rationale: iThe iterm iinfant ideath irefers ito ithe ideath iof ia ilive-born ichild ibefore ihe ior ishe
ireaches iage i 1 i year. i It i also i includes i neonatal i mortality i rate. i Neonatal i mortality i rate i is ithe
inumber i of iinfant i deaths i during ithe i first i 28 i days i of i life i for i every i 1,000 i live i births. iInfant
i mortality irate iis ithe inumber iof ideaths iduring ithe i first i12 imonths iof ilife iper i1,000 ilive ibirths.
iQuestion iformat: i Multiple i Choice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Remember
Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Nursing i Process
Reference: ip. i9
4. The inursing iinstructor iis ipreparing ito iteach ia igroup iof istudents iabout ithe ihistory iof
imaternity i care. i What i major i development i will i the iinstructor iemphasize i as igreatly iinfluencing
ithe ipractice i of i maternity i care i in i the i United i States i over i the i past i century?
A. technologic iadvances iand ithe iuse iof iforceps iby iprimary icare iproviders
B. development iof ianesthesia iand iacceptance iof ithe igerm itheory
C. advent iof ibirthing icenters iand ithe idevelopment iof ifamily-centered icare
D. development iof ipediatric ispecialty iand ireplacement iof imidwives ias iprimary ibirth iattendants
i Answer: iB
Rationale: iThe iemphasis ishould ibe iplaced ion ianesthesia iand ithe igerm itheory. iThe idevelopment
iof ianesthesia iallowed iwomen ia i choice ifor ipain imanagement iin ibirth; ithe igerm itheory
iadvanced i the i progress i of igeneral i health i care iand i decreased i infections iin i laboring i women.
iPediatrics ias ia i specialty i is ian iimportant i step i forward i but iis i not i the i greatest i development,
iand i midwives i are istill i in i practice. i Maternity i care i continues i to i evolve, i and i birthing i centers
iare i still i under i development. i Forceps i are i not i considered i an i advance i in i maternity i care.
Question i format: i Multiple i Choice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Analyze
Client iNeeds: iHealth iPromotion iand iMaintenance
, Integrated iProcess: iTeaching/Learning
iReference: i p. i 3
5. When ipreparing ia iclient ifor isurgery, ithe inurse iexplains ithat ithe iuse iof ian
iantiseptic i during ithe isurgery ihas igreatly iimproved i client isurvival irates iand i was
istarted iby iwhich iphysician?
A. Louis i Pasteur
B. Ignaz iPhilip iSemmelweis
C. Joseph i Lister
D. Alexander iGordon
i Answer: iC
Rationale: iJoseph iLister iwas ia iBritish isurgeon iwho iembraced iLouis iPasteur's itheory iof
i microorganisms ias ithe i cause i of i infection. i Lister i used i carbolic i acid i as ian i antiseptic i during
isurgery iand iimproved ithe isurvival irates iof ihis ipatients. iAlexander i Gordon iproposed ithe
itheory i of i infection. i Oliver i Wendell i Holmes i and i Ignaz i Philip i Semmelweis i confirmed i his
itheory.
Question iformat: iMultiple iChoice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Apply
Client iNeeds: iSafe, iEffective iCare iEnvironment: iSafety iand iInfection iControl iIntegrated
iProcess: i Nursing i Process
Reference: ip. i4
6. A iyoung icouple iare ivery iexcited ito ilearn ithey iare iexpecting itheir ifirst ichild iand
iquestion ithe inurse iabout iwhich itest ithey ineed ito idiscover iits igender. iWhich iprocedure iwill
ibest iprovide i this i information i to i the i couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic ivillus isampling
D. HGP
Answer: i A
Rationale: iUltrasound iis ia ivisual imethod ifor iassessing ithe ifetus iin ithe iuterus iand iwill iprovide
iinformation iabout ithe igender. iAmniocentesis iand ichorionic ivillus isampling iprovide i the ientire
igenetic i code i of i the ifetus. i HGP irefers i to i the i Human i Genome i Project, i which i can i provide
iinformation iregarding i gene i mutations i and i variations.
Question iformat: iMultiple iChoice
Chapter i1: iThe iNurse's iRole iin ia iChanging iMaternal-Child iHealth iCare iEnvironment iCognitive
i Level: i Apply
Client iNeeds: iHealth iPromotion iand iMaintenance
iIntegrated i Process: i Caring
Reference: ip. i6
