CHILDQNURSINGQ5THQEDITIONQBYQMCKINNEY
TEST BANK FOR MATERNAL-
Q Q Q
CHILD NURSING 5TH EDITION BY MCK
Q Q Q Q Q
INNEY
ChapterQ01:QFoundationsQofQMaternity,QWomen’sQHealth,QandQChildQHealthQNursi
ngQMULTIPLEQCHOICE
1. WhichQfactorQsignificantlyQcontributedQtoQtheQshiftQfromQhomeQbirthsQtoQhospitalQbirthsQinQ
theQearlyQ20thQcentury?
a. PuerperalQsepsisQwasQidentifiedQasQaQriskQfactorQinQlaborQandQdelivery.
b. ForcepsQwereQdevelopedQtoQfacilitateQdifficultQbirths.
c. TheQimportanceQofQearlyQparental-infantQcontactQwasQidentified.
d. TechnologicQdevelopmentsQbecameQavailableQtoQphysician
s.QANS:QD
TechnologicQdevelopmentsQwereQavailableQtoQphysicians,QnotQlayQmidwives.QSoQin-
hospitalQbirthsQincreasedQinQorderQtoQtakeQadvantageQofQtheseQadvancements.QPuerperalQsepsisQhasQbeen
QaQknownQproblemQforQgenerations.QInQtheQlateQ19thQcentury,QSemmelweisQdiscoveredQhowQitQcouldQbeQ
preventedQwithQimprovedQhygienicQpractices.QTheQdevelopmentQofQforcepsQisQanQexampleQofQaQtechnolo
gyQadvanceQmadeQinQtheQearlyQ20thQcenturyQbutQisQnotQtheQonlyQreasonQbirthplacesQmoved.QUnlikeQhome
Qbirths,QearlyQhospitalQbirthsQhinderedQbondingQbetweenQparentsQandQtheirQinfants.
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q1
OBJ:QIntegratedQProcess:QTeaching-
LearningQMSC:QClientQNeeds:QSafeQandQEffectiveQCareQEnvironment
2. Family-centeredQmaternityQcareQdevelopedQinQresponseQto
a. demandsQbyQphysiciansQforQfamilyQinvolvementQinQchildbirth.
b. theQSheppard-TownerQActQofQ1921.
c. parentalQrequestsQthatQinfantsQbeQallowedQtoQremainQwithQthemQratherQthanQinQaQnursery.
d. changesQinQpharmacologicQmanagementQofQlabo
r.QANS:QC
AsQresearchQbeganQtoQidentifyQtheQbenefitsQofQearlyQextendedQparent-
infantQcontact,QparentsQbeganQtoQinsistQthatQtheQinfantQremainQwithQthem.QThisQgraduallyQdevelopedQint
oQtheQpracticeQofQrooming-inQandQfinallyQtoQfamily-centeredQmaternityQcare.QFamily-
centeredQcareQwasQaQrequestQbyQparents,QnotQphysicians.QTheQSheppard-
TownerQActQofQ1921QprovidedQfundsQforQstate-
managedQprogramsQforQmothersQandQchildren.QTheQchangesQinQpharmacologicQmanagementQofQlaborQwe
reQnotQaQfactorQinQfamily-centeredQmaternityQcare.
,TESTQBANKQFORQMATERNAL-
CHILDQNURSINGQ5THQEDITIONQBYQMCKINNEY
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q2
OBJ:QIntegratedQProcess:QTeaching-
LearningQMSC:QClientQNeeds:QPsychosocialQIntegrity
3. WhichQsettingQforQchildbirthQallowsQtheQleastQamountQofQparent-infantQcontact?
a. Labor/delivery/recovery/postpartumQroom
b. BirthQcenter
c. TraditionalQhospitalQbirth
d. HomeQbirth
.
ANS:QC
InQtheQtraditionalQhospitalQsetting,QtheQmotherQmayQseeQtheQinfantQforQonlyQshortQfeedingQperiods,QandQ
theQinfantQisQcaredQforQinQaQseparateQnursery.QTheQlabor/delivery/recovery/postpartumQroomQsettingQall
owsQincreasedQparent-infantQcontact.QBirthQcentersQareQsetQupQtoQallowQanQincreaseQinQparent-
infantQcontact.QHomeQbirthsQallowQanQincreaseQinQparent-infantQcontact.
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q2
OBJ:QNursingQProcess:QPlanningQMSC:QClientQNeeds:QHealthQPromotionQandQMaintenanc
e
4. AsQaQresultQofQchangesQinQhealthQcareQdeliveryQandQfunding,QaQcurrentQtrendQseenQinQtheQpedia
tricQsettingQis
a. increasedQhospitalizationQofQchildren.
b. decreasedQnumberQofQchildrenQlivingQinQpoverty.
c. anQincreaseQinQambulatoryQcare.
d. decreasedQuseQofQmanagedQcar
e.QANS:QC
OneQeffectQofQmanagedQcareQhasQbeenQthatQpediatricQhealthQcareQdeliveryQhasQshiftedQdramaticallyQfr
omQtheQacuteQcareQsettingQtoQtheQambulatoryQsettingQinQorderQtoQprovideQmoreQcost-
efficientQcare.QTheQnumberQofQhospitalQbedsQbeingQusedQhasQdecreasedQasQmoreQcareQisQgivenQinQoutp
atientQsettingsQandQinQtheQhome.QTheQnumberQofQchildrenQlivingQinQpovertyQhasQincreasedQoverQtheQp
astQdecade.QOneQofQtheQbiggestQchangesQinQhealthQcareQhasQbeenQtheQgrowthQofQmanagedQcare.
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q5
OBJ:QNursingQProcess:QPlanningQMSC:QClientQNeeds:QSafeQandQEffectiveQCareQEnvironme
nt
5. TheQWomen,QInfants,QandQChildrenQ(WIC)QprogramQprovides
,TESTQBANKQFORQMATERNAL-
CHILDQNURSINGQ5THQEDITIONQBYQMCKINNEY
a. well-childQexaminationsQforQinfantsQandQchildrenQlivingQatQtheQpovertyQlevel.
b. immunizationsQforQhigh-riskQinfantsQandQchildren.
c. screeningQforQinfantsQwithQdevelopmentalQdisorders.
d. supplementalQfoodQsuppliesQtoQlow-
incomeQpregnantQorQbreastfeedingQwomen.QANS:QD
WICQisQaQfederalQprogramQthatQprovidesQsupplementalQfoodQsuppliesQtoQlow-
incomeQwomenQwhoQareQpregnantQorQbreastfeedingQandQtoQtheirQchildrenQuntilQageQ5Qyears.QMedicaid’
sQEarlyQandQPeriodicQScreening,QDiagnosis,QandQTreatmentQProgramQprovidesQforQwell-
childQexaminationsQandQforQtreatmentQofQanyQmedicalQproblemsQdiagnosedQduringQsuchQcheckups.QChild
renQinQtheQWICQprogramQareQoftenQreferredQforQimmunizations,QbutQthatQisQnotQtheQprimaryQfocusQofQth
eQprogram.QPublicQLawQ99-
457QisQpartQofQtheQIndividualsQwithQDisabilitiesQEducationQActQthatQprovidesQfinancialQincentivesQtoQstate
sQtoQestablishQcomprehensiveQearlyQinterventionQservicesQforQinfantsQandQtoddlersQwith,QorQatQriskQfor,Q
developmentalQdisabilities.
PTS:Q1QQQ DIF: CognitiveQLevel:QComprehensionQOBJ:QIntegratedQProcess:QTeaching-
LearningQMSC:QClientQNeeds:QHealthQPromotionQandQMaintenance
REF:Qp.Q8
6. InQmostQstates,QadolescentsQwhoQareQnotQemancipatedQminorsQmustQhaveQtheQpermissionQofQt
heirQparentsQbefore
.
a. treatmentQforQdrugQabuse.
b. treatmentQforQsexuallyQtransmittedQdiseasesQ(STDs).
c. accessingQbirthQcontrol.
d. surgery.
ANS:QD
Q
MinorsQareQnotQconsideredQcapableQofQgivingQinformedQconsent,QsoQaQsurgicalQprocedureQwouldQrequireQ
consentQofQtheQparentQorQguardian.QExceptionsQexistQforQobtainingQtreatmentQforQdrugQabuseQorQSTDsQor
QforQgettingQbirthQcontrolQinQmostQstates.
, TESTQBANKQFORQMATERNAL-
CHILDQNURSINGQ5THQEDITIONQBYQMCKINNEY
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q17
OBJ:QNursingQProcess:QPlanningQMSC:QClientQNeeds:QSafeQandQEffectiveQCareQEnvironme
nt
7. TheQmaternityQnurseQshouldQhaveQaQclearQunderstandingQofQtheQcorrectQuseQofQaQclinicalQpathway.
OneQcharacteristicQofQclinicalQpathwaysQisQthatQthey
a. areQdevelopedQandQimplementedQbyQnurses.
b. areQusedQprimarilyQinQtheQpediatricQsetting.
c. setQspecificQtimeQlinesQforQsequencingQinterventions.
d. areQpartQofQtheQnursingQproces
s.QANS:QC
ClinicalQpathwaysQareQstandardized,QinterdisciplinaryQplansQofQcareQdevisedQforQpatientsQwithQaQparticul
arQhealthQproblem.QTheyQareQusedQtoQidentifyQpatientQoutcomes,QspecifyQtimeQlinesQtoQachieveQthoseQo
utcomes,QdirectQappropriateQinterventionsQandQsequencingQofQinterventions,QincludeQinterventionsQfro
mQaQvarietyQofQdisciplines,QpromoteQcollaboration,QandQinvolveQaQcomprehensiveQapproachQtoQcare.QThe
yQareQdevelopedQbyQmultipleQhealthQcareQprofessionalsQandQreflectQinterdisciplinaryQcare.QTheyQcanQbeQu
sedQinQmultipleQsettingsQandQforQpatientsQthroughoutQtheQlifeQspan.QTheyQareQnotQpartQofQtheQnursingQpr
ocessQbutQcanQbeQusedQinQconjunctionQwithQtheQnursingQprocessQtoQprovideQcareQtoQpatients.
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q7
OBJ:QNursingQProcess:QPlanningQMSC:QClientQNeeds:QSafeQandQEffectiveQCareQEnvironme
nt
8. TheQfastestQgrowingQgroupQofQhomelessQpeopleQis
a. menQandQwomenQpreparingQforQretirement.
b. migrantQworkers.
c. singleQwomenQandQtheirQchildren.
d. intravenousQ(IV)QsubstanceQabusers
.QANS:QC
PregnancyQandQbirth,QespeciallyQforQaQteenager,QareQimportantQcontributingQfactorsQforQbecomingQho
meless.QPeopleQpreparingQforQretirement,QmigrantQworkers,QandQIVQsubstanceQabusersQareQnotQamongQ
theQfastestQgrowingQgroupsQofQhomelessQpeople.
PTS:Q 1Q DIF: CognitiveQLevel:QKnowledge/RememberingQREF:Qp.Q14
OBJ:QNursingQProcess:QAssessment
MSC:QClientQNeeds:QPhysiologicQIntegrity