FULL TEST BANK FOR INTRODUCTORY MATERNITY AND PEDIATRIC NURSING 4TH EDITION HATFIELD CHAPTER 1-42| COMPLETE GUIDE A+|VERIFIED

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TestBank-IntroductoryMaternityandPediatric
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Chapter1:TheNurse'sRoleinaChangingMaternal–ChildHealthCareEnvironment
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1. Theopeningupofhospitalvisitingpoliciesforchildrenandfamilieslikely resultedfromthe V V V V V V n




V workofwhichindividual?
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A. JosephBrennaman V




B. JohnBowlby V




C. MarshalKlaus V




D. JohnKennellAnswer:B V V V




Rationale:In1951,JohnBowlbyreceivedworldwideattentionwithhis
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studythatrevealedthenegativeresultsoftheseparationofchildandmotherbecauseof
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V hospitalization.Hisworkledtoare-evaluationandliberalizationofhospitalvisitingpoliciesfor V V V V V V V V




V children.JosephBrennamansuggestedthatalackofstimulationforinfantscontributedtohigh
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V infantmortalityratesatthetime.Inthe1970sand1980s,physiciansMarshallKlausandJohn
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V Kennell carriedoutimportantstudiesontheeffect oftheseparationofnewborns andparents.
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They established that early separation may have long-term effects on family relationships andthat
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V offering the new family an opportunity to be together at birth and for a significant periodafter
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V birthmayprovidebenefitsthat lastwellintoearlychildhood. V V V V




Questionformat:MultipleChoice V V




Chapter1:TheNurse'sRoleinaChangingMaternal-ChildHealthCareEnvironmentCognitive Level:
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Remember
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Client Needs:HealthPromotionandMaintenanceIntegratedProcess:NursingProcess Reference:
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p.4
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2. An expectant mother states that she read that more black mothers diein childbirth than do white
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mothers. When responding to her questionsabout the reasons for this, the nurse accurately states that
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which isthemajor reason forthehigh maternal mortalityrate?
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A. Havingformaleducation. V




B. Beingunmarried.
C. Income.
D. Lackofprenatal care. V




Answer:D V




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Rationale: Research showsthat maternalmortalityrate is directlyrelated tolack ofprenatal care
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V secondarytolackofaccesstoservicesorinsurance.Incomeaswellaseducationallevelmayplaya roleinthe
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availabilityofhealthcare,buttheyarenotdirectlyresponsible.Beingunmarriedhasno bearingoninfant
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mortality.
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Questionformat:MultipleChoice V V




Chapter1:TheNurse'sRoleinaChangingMaternal-ChildHealthCareEnvironmentCognitive
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V Level:Understand V




Client Needs:HealthPromotionandMaintenanceIntegratedProcess:NursingProcess Reference:
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p.9
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3. Whichstatementcorrectlydefines theterm"infantdeathrate"? V V




A. numberofdeathsinuterooffetuses500g ormoreper1,000livebirths V V V V V V n V V V




B. numberofdeathsoccurringinthefirst28daysoflifeper1,000livebirths V V V V V V V V




C. numberofdeathsoccurringatbirthorinthefirst12monthsoflifeper1,000livebirths
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D. death ofalive-bornchild beforehis orher first birthday.
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Answer:D V




Rationale:Theterminfantdeathreferstothedeathofalive-bornchildbeforeheorshereachesage1 year.It
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alsoincludesneonatalmortalityrate.Neonatalmortalityrateisthenumberofinfantdeaths during thefirst
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28daysoflifeforevery1,000livebirths.Infantmortalityrateisthenumberofdeaths duringthefirst12
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monthsoflifeper1,000livebirths.Questionformat:MultipleChoice
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Chapter1:TheNurse'sRoleinaChangingMaternal-ChildHealthCareEnvironmentCognitive
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V Level:Remember V




Client Needs:HealthPromotionandMaintenanceIntegratedProcess:NursingProcess Reference:
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p.9
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4. Thenursinginstructorispreparingtoteachagroupofstudentsaboutthehistoryofmaternity care.
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What majordevelopment willtheinstructoremphasizeas greatlyinfluencingthepracticeof
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V maternitycareintheUnitedStatesoverthepastcentury? V V V V




A. technologicadvancesandtheuseofforcepsbyprimarycareproviders V V V V V




B. developmentofanesthesiaandacceptanceofthegermtheory V V V V V V




C. adventofbirthingcentersandthedevelopmentoffamily-centeredcare V V V V V V




D. developmentofpediatricspecialtyandreplacementofmidwivesasprimarybirth V V V V V




V attendantsAnswer:B V V




Rationale:Theemphasisshouldbeplacedonanesthesiaandthegermtheory.Thedevelopmentof
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V anesthesiaallowedwomenachoiceforpainmanagementinbirth;thegermtheoryadvanced the
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V progressofgeneralhealthcareanddecreasedinfectionsinlaboringwomen.Pediatricsasaspecialty is
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animportantstepforwardbutisnotthegreatestdevelopment,andmidwives are stillinpractice.
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Maternitycarecontinuestoevolve,andbirthingcentersarestillunderdevelopment.Forcepsarenot
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V consideredanadvanceinmaternitycare. V V V




Questionformat:MultipleChoice V V




Chapter1:TheNurse'sRoleinaChangingMaternal-ChildHealthCareEnvironmentCognitive
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V Level:Analyze V




Client Needs: Health Promotion and Maintenance Integrated
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Process:Teaching/Learning Reference:p.3
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5. Whenpreparingaclientforsurgery,thenurseexplainsthattheuseofanantisepticduringthe
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V surgeryhas greatlyimproved client survivalrates and wasstartedbywhichphysician?
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A. LouisPasteur V




B. IgnazPhilipSemmelweis V V




C. JosephLister V




D. AlexanderGordonAnswer:C V V V




Rationale:JosephListerwas aBritishsurgeonwhoembraced LouisPasteur'stheoryof microorganisms
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asthecauseofinfection.Listerusedcarbolicacidasanantisepticduring
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