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