Test Bank for Maternal Child Nursing 5th Edition by McKinney

,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health
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NursingMcKinney: Evolve Resources for Maternal- X X X X




Child Nursing, 5th Edition
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MULTIPLE CHOICE X




1. Which factor significantly contributed to the shift from home births to hospital
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births inthe early 20th century?
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a. Puerperal sepsis was identified as a risk factor in labor and delivery.
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b. Forceps were developed to facilitate difficult births.
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c. The importance of early parental-infant contact was identified.
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d. Technologic developments became available to physicians.
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ANS: D X




Technologic developments were available to physicians, not lay midwives. So in-
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hospital births increased in order to take advantage of these advancements.
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Puerperal sepsis has been aknown problem for generations. In the late 19th century,
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Semmelweis discovered how it couldbe prevented with improved hygienic practices.
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The development of forceps is an example of a technology advance made in the early
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20th century but is not the only reason birthplaces moved. Unlike home births, early
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hospital births hindered bonding between parents and their infants.
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PTS: 1 X




DIF: Cognitive Level: Knowledge/Re
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memberingREF: p. 1 X X




OBJ: Integrated Process: Teaching-
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Learning MSC: Client Needs: Safe and
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, Effective Care Environment
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2. Family-centered maternity care developed in response to X X X X X X




a. demands by physicians for family involvement in childbirth.
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b. the Sheppard-Towner Act of 1921.
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c. parental requests that infants be allowed to remain with them
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rather than ina nursery.
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d. changes in pharmacologic management of labor.
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ANS: C X




As research began to identify the benefits of early extended parent-
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infant contact, parents began to insist that the infant remain with them. This grad
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ually developed into the practiceof rooming-in and finally to family-
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centered maternity care.X X




Family-centered care was a request by parents, not physicians. The Sheppard-
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Towner Act of 1921 provided funds for state-
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managed programs for mothers and children. The changes in pharmacologic man
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agement of labor were not a factor in family-centered maternity care.
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PTS: 1 X




DIF: Cognitive Level: Knowledge/Re
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memberingREF: p. 2 X X




OBJ: Integrated Process: Teaching-
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Learning MSC: Client Needs: X X X




Psychosocial Integrity X




3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room X




b. Birth center X




c. Traditional hospital birth X X




d. Home birth X

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