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