TESTBANK F
D
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
FD FD FD FD
NANCY HATFIELD & CYNTHIA KINCHELOE
FD FD FD FD
5th Edition
FD
TESTBANK F
D
,Chapter 1: The Nurse's Role in a Changing Maternal– FD FD FD FD FD FD FD FD
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing,
FD FD FD FD FD FD FD FD FD FD
5th Edition FD
1. The opening up of hospital visiting policies for children and families li
FD FD FD FD FD FD FD FD FD FD FD
kely resultedfrom the work of which individual?
F D FD F D F D FD F D
A. Joseph Brennaman F D
B. John Bowlby FD
C. Marshal Klaus F D
D. John Kennell FD FD
Answer: B FD
Rationale: In 1951, John Bowlby received worldwide attention with his F D F D F D F D FD F D F D F D F D
study that revealed the negative results of the separation of child and mother because of h
F D F D F D F D F D F D F D F D F D F D F D F D F D F D FD
ospitalization. His work led toa re- FD F D F D FD FD
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggeste
FD FD F D FD F D FD FD FD FD FD F D
d that a lack of stimulation for infants contributed to high infant mortality rates at the time.
F D FD F D F D F D F D F D F D F D F D FD F D F D F D F D F D F D
In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out importants
F D F D F D F D F D F D F D F D F D FD F D F D F D
tudies on the effect of the separation of newborns and parents. They established that early
F D F D F D F D F D F D F D F D F D F D FD F D F D F D
F separation may have long-
D F D F D FD
term effects on family relationships and that offering the new family an opportunity to be t
F D F D F D F D F D FD F D F D F D F D F D F D F D F D FD
ogether at birth and for a significant period after birth may provide benefitsthat last well i
F D F D F D F D F D F D F D FD F D F D F D F D F D F D F D
nto early childhood.
F D F D
Question format: Multiple Choice F D F D FD
Chapter 1: The Nurse's Role in a Changing Maternal- FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Remember
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Nursing Process
FD FD FD
Reference: p. 4 F D FD
2. An expectant mother states that she read that more black mothers die in childbirth than do
FD F D F D FD F D FD FD F D FD F D FD F D FD FD FD FD
white mothers. When responding to her questions about the reasons for this, the nurse
F D F D F D F D F D F D F D F D F D F D F D F D F D FD
accurately states that which is the major reason for the high maternal mortality rate?
F D F D F D F D F D F D F D F D F D F D F D F D F D
A. Having formal education. FD FD
B. Being unmarried. FD
C. Income.
D. Lack of prenatal care. F D FD FD
Answer: D F D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
F D F D FD F D F D FD FD FD FD FD FD FD FD F D FD
secondary to lack of access to services or insurance. Income as well as educational level
F D F D F D F D F D F D F D F D F D F D F D F D F D F D F D
may play a role in the availability of health care, but they are not directly responsible. Bei
FD F D F D F D F D F D F D F D F D F D F D F D F D F D F D F D
ng unmarried has no bearing on infant mortality.
FD FD FD FD FD FD FD
Question format: Multiple Choice F D F D F D
Chapter 1: The Nurse's Role in a Changing Maternal- FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Understand
F D F D FD F D FD FD
,Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Nursing Process
FD FD FD
Reference: p. 9 F D FD
3. Which statement correctly defines the term "infant death rate"?
FD F D F D FD FD FD F D FD
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
FD FD FD FD FD FD FD F D FD F D FD FD FD FD
B. number of deaths occurring in the first 28 days of life per 1,000 live births
FD FD FD FD FD F D FD F D FD FD FD FD FD FD
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.
FD FD FD FD F D FD F D FD FD FD
Answer: D F D
Rationale: The term infant death refers to the death of a live-
F D F D F D F D F D F D F D F D F D F D F D
born child before he or she reaches age 1 year. It also includes neonatal mortality rate. Ne
F D F D F D F D F D FD F D F D F D F D F D F D F D F D F D F D
onatal mortality rate is the number of infant deaths during the first 28 days of life for ever
F D F D F D F D FD F D FD F D F D F D F D F D F D F D F D F D F D
y 1,000 live births. Infant mortality rate is the number of deaths during the first 12 months of life
F D F D F D F D FD FD FD FD FD F D FD FD FD F D FD FD FD FD F
per 1,000 live births. Question format: Multiple Choice
D FD FD FD F D FD FD FD
Chapter 1: The Nurse's Role in a Changing Maternal-FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Remember
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Nursing Process
FD FD FD
Reference: p. 9 F D FD
4. The nursing instructor is preparing to teach a group of students about the history of maternity care
FD FD FD FD FD FD FD FD FD FD FD FD FD FD FD FD
. What major development will the instructor emphasize as greatly influencing the practice
F D F D F D F D F D F D F D F D F D F D F D F D FD
of maternity care in the United States over the past century?
F D F D F D F D F D F D F D F D F D F D
A. technologic advances and the use of forceps by primary care providers FD FD F D FD FD FD F D FD F D FD
B. development of anesthesia and acceptance of the germ theory F D FD F D F D F D FD F D FD
C. advent of birthing centers and the development of family-centered care
FD FD F D F D FD F D F D F D FD
D. development of pediatric specialty and replacement of midwives as primary birth attendant FD FD F D FD F D F D F D F D F D F D FD
s Answer: B
FD FD
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
F D F D F D F D FD F D F D F D F D F D F D FD F D
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
FD FD FD F D F D F D FD F D FD F D FD F D FD FD F D FD
the progress of general health care and decreased infections in laboring women. Pediatrics as
F D F D F D F D F D F D F D F D F D F D F D F D F D F
a specialty is an important step forward but is not the greatest development, and midwive
D FD F D F D F D F D F D F D F D F D F D F D F D F D F D
s are still in practice. Maternity care continues to evolve, and birthing centers are still und
F D FD F D F D F D F D F D F D F D F D F D F D F D FD F D
er development. Forceps are not considered an advance in maternity care.
FD F D F D F D F D F D F D F D F D F D
Question format: Multiple Choice F D F D F D
Chapter 1: The Nurse's Role in a Changing Maternal-FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Analyze
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance
F D F D F D FD F D
, Integrated Process: Teaching/Learning FD FD FD
Reference: p. 3 FD FD
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic duri
FD FD FD FD FD FD FD FD FD FD FD FD FD FD FD
ng the surgery has greatly improved client survival rates and was started by which physicia
FD FD FD FD FD FD FD FD FD FD FD FD FD FD
n?
A. Louis Pasteur FD
B. Ignaz Philip Semmelweis FD FD
C. Joseph Lister F D
D. Alexander Gordon FD FD
Answer: C FD
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
F D F D F D F D F D F D F D F D F D F D F D F D FD
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic duri F D FD F D F D F D F D F D F D F D F D F D F D F D
ng surgery and improved the survival rates of his patients. Alexander Gordon proposed the th
FD FD F D F D F D F D FD F D FD F D F D F D FD FD
eory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his t
FD F D F D F D F D F D F D F D F D F D F D F D
heory.
Question format: Multiple Choice FD F D F D
Chapter 1: The Nurse's Role in a Changing Maternal-
FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Apply
F D F D FD F D FD FD
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Proces
F D F D FD FD FD FD FD FD FD FD FD
s: Nursing Process
FD FD
Reference: p. 4 F D FD
6. A young couple are very excited to learn they are expecting their first child and ques
F D F D F D F D F D F D F D F D F D F D F D F D F D F D F D
tion the nurse about which test they need to discover its gender. Which procedure will best provi
FD FD FD F D FD FD FD FD FD FD FD FD F D F D F D F D
de this information to the couple?
FD FD FD FD FD
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling FD F D
D. HGP
Answer: A F D
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide in
F D FD FD F D F D F D FD F D F D FD FD FD FD F D F D FD
formation about the gender. Amniocentesis and chorionic villus sampling provide the entire genet
FD FD FD F D FD F D FD FD F D F D FD FD
ic code of the fetus. HGP refers to the Human Genome Project, which can provide inform
F D F D F D F D F D F D F D F D F D F D F D F D F D F D FD
ation regarding gene mutations and variations.
F D F D F D F D F D
Question format: Multiple Choice F D F D F D
Chapter 1: The Nurse's Role in a Changing Maternal-
F D FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Apply
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Caring
FD FD
Reference: p. 6 F D FD
D
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
FD FD FD FD
NANCY HATFIELD & CYNTHIA KINCHELOE
FD FD FD FD
5th Edition
FD
TESTBANK F
D
,Chapter 1: The Nurse's Role in a Changing Maternal– FD FD FD FD FD FD FD FD
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing,
FD FD FD FD FD FD FD FD FD FD
5th Edition FD
1. The opening up of hospital visiting policies for children and families li
FD FD FD FD FD FD FD FD FD FD FD
kely resultedfrom the work of which individual?
F D FD F D F D FD F D
A. Joseph Brennaman F D
B. John Bowlby FD
C. Marshal Klaus F D
D. John Kennell FD FD
Answer: B FD
Rationale: In 1951, John Bowlby received worldwide attention with his F D F D F D F D FD F D F D F D F D
study that revealed the negative results of the separation of child and mother because of h
F D F D F D F D F D F D F D F D F D F D F D F D F D F D FD
ospitalization. His work led toa re- FD F D F D FD FD
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggeste
FD FD F D FD F D FD FD FD FD FD F D
d that a lack of stimulation for infants contributed to high infant mortality rates at the time.
F D FD F D F D F D F D F D F D F D F D FD F D F D F D F D F D F D
In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out importants
F D F D F D F D F D F D F D F D F D FD F D F D F D
tudies on the effect of the separation of newborns and parents. They established that early
F D F D F D F D F D F D F D F D F D F D FD F D F D F D
F separation may have long-
D F D F D FD
term effects on family relationships and that offering the new family an opportunity to be t
F D F D F D F D F D FD F D F D F D F D F D F D F D F D FD
ogether at birth and for a significant period after birth may provide benefitsthat last well i
F D F D F D F D F D F D F D FD F D F D F D F D F D F D F D
nto early childhood.
F D F D
Question format: Multiple Choice F D F D FD
Chapter 1: The Nurse's Role in a Changing Maternal- FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Remember
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Nursing Process
FD FD FD
Reference: p. 4 F D FD
2. An expectant mother states that she read that more black mothers die in childbirth than do
FD F D F D FD F D FD FD F D FD F D FD F D FD FD FD FD
white mothers. When responding to her questions about the reasons for this, the nurse
F D F D F D F D F D F D F D F D F D F D F D F D F D FD
accurately states that which is the major reason for the high maternal mortality rate?
F D F D F D F D F D F D F D F D F D F D F D F D F D
A. Having formal education. FD FD
B. Being unmarried. FD
C. Income.
D. Lack of prenatal care. F D FD FD
Answer: D F D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
F D F D FD F D F D FD FD FD FD FD FD FD FD F D FD
secondary to lack of access to services or insurance. Income as well as educational level
F D F D F D F D F D F D F D F D F D F D F D F D F D F D F D
may play a role in the availability of health care, but they are not directly responsible. Bei
FD F D F D F D F D F D F D F D F D F D F D F D F D F D F D F D
ng unmarried has no bearing on infant mortality.
FD FD FD FD FD FD FD
Question format: Multiple Choice F D F D F D
Chapter 1: The Nurse's Role in a Changing Maternal- FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Understand
F D F D FD F D FD FD
,Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Nursing Process
FD FD FD
Reference: p. 9 F D FD
3. Which statement correctly defines the term "infant death rate"?
FD F D F D FD FD FD F D FD
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
FD FD FD FD FD FD FD F D FD F D FD FD FD FD
B. number of deaths occurring in the first 28 days of life per 1,000 live births
FD FD FD FD FD F D FD F D FD FD FD FD FD FD
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
F D FD FD FD FD FD FD FD FD FD F D FD FD FD FD FD FD
D. death of a live-born child before his or her first birthday.
FD FD FD FD F D FD F D FD FD FD
Answer: D F D
Rationale: The term infant death refers to the death of a live-
F D F D F D F D F D F D F D F D F D F D F D
born child before he or she reaches age 1 year. It also includes neonatal mortality rate. Ne
F D F D F D F D F D FD F D F D F D F D F D F D F D F D F D F D
onatal mortality rate is the number of infant deaths during the first 28 days of life for ever
F D F D F D F D FD F D FD F D F D F D F D F D F D F D F D F D F D
y 1,000 live births. Infant mortality rate is the number of deaths during the first 12 months of life
F D F D F D F D FD FD FD FD FD F D FD FD FD F D FD FD FD FD F
per 1,000 live births. Question format: Multiple Choice
D FD FD FD F D FD FD FD
Chapter 1: The Nurse's Role in a Changing Maternal-FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Remember
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Nursing Process
FD FD FD
Reference: p. 9 F D FD
4. The nursing instructor is preparing to teach a group of students about the history of maternity care
FD FD FD FD FD FD FD FD FD FD FD FD FD FD FD FD
. What major development will the instructor emphasize as greatly influencing the practice
F D F D F D F D F D F D F D F D F D F D F D F D FD
of maternity care in the United States over the past century?
F D F D F D F D F D F D F D F D F D F D
A. technologic advances and the use of forceps by primary care providers FD FD F D FD FD FD F D FD F D FD
B. development of anesthesia and acceptance of the germ theory F D FD F D F D F D FD F D FD
C. advent of birthing centers and the development of family-centered care
FD FD F D F D FD F D F D F D FD
D. development of pediatric specialty and replacement of midwives as primary birth attendant FD FD F D FD F D F D F D F D F D F D FD
s Answer: B
FD FD
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
F D F D F D F D FD F D F D F D F D F D F D FD F D
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
FD FD FD F D F D F D FD F D FD F D FD F D FD FD F D FD
the progress of general health care and decreased infections in laboring women. Pediatrics as
F D F D F D F D F D F D F D F D F D F D F D F D F D F
a specialty is an important step forward but is not the greatest development, and midwive
D FD F D F D F D F D F D F D F D F D F D F D F D F D F D
s are still in practice. Maternity care continues to evolve, and birthing centers are still und
F D FD F D F D F D F D F D F D F D F D F D F D F D FD F D
er development. Forceps are not considered an advance in maternity care.
FD F D F D F D F D F D F D F D F D F D
Question format: Multiple Choice F D F D F D
Chapter 1: The Nurse's Role in a Changing Maternal-FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Analyze
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance
F D F D F D FD F D
, Integrated Process: Teaching/Learning FD FD FD
Reference: p. 3 FD FD
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic duri
FD FD FD FD FD FD FD FD FD FD FD FD FD FD FD
ng the surgery has greatly improved client survival rates and was started by which physicia
FD FD FD FD FD FD FD FD FD FD FD FD FD FD
n?
A. Louis Pasteur FD
B. Ignaz Philip Semmelweis FD FD
C. Joseph Lister F D
D. Alexander Gordon FD FD
Answer: C FD
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
F D F D F D F D F D F D F D F D F D F D F D F D FD
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic duri F D FD F D F D F D F D F D F D F D F D F D F D F D
ng surgery and improved the survival rates of his patients. Alexander Gordon proposed the th
FD FD F D F D F D F D FD F D FD F D F D F D FD FD
eory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his t
FD F D F D F D F D F D F D F D F D F D F D F D
heory.
Question format: Multiple Choice FD F D F D
Chapter 1: The Nurse's Role in a Changing Maternal-
FD FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Apply
F D F D FD F D FD FD
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Proces
F D F D FD FD FD FD FD FD FD FD FD
s: Nursing Process
FD FD
Reference: p. 4 F D FD
6. A young couple are very excited to learn they are expecting their first child and ques
F D F D F D F D F D F D F D F D F D F D F D F D F D F D F D
tion the nurse about which test they need to discover its gender. Which procedure will best provi
FD FD FD F D FD FD FD FD FD FD FD FD F D F D F D F D
de this information to the couple?
FD FD FD FD FD
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling FD F D
D. HGP
Answer: A F D
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide in
F D FD FD F D F D F D FD F D F D FD FD FD FD F D F D FD
formation about the gender. Amniocentesis and chorionic villus sampling provide the entire genet
FD FD FD F D FD F D FD FD F D F D FD FD
ic code of the fetus. HGP refers to the Human Genome Project, which can provide inform
F D F D F D F D F D F D F D F D F D F D F D F D F D F D FD
ation regarding gene mutations and variations.
F D F D F D F D F D
Question format: Multiple Choice F D F D F D
Chapter 1: The Nurse's Role in a Changing Maternal-
F D FD FD FD FD F D FD F D
Child Health Care Environment Cognitive Level: Apply
F D F D FD F D FD FD
Client Needs: Health Promotion and Maintenance Integrate
FD FD FD FD FD FD
d Process: Caring
FD FD
Reference: p. 6 F D FD
