Test bank for introductory maternity pediatric nursing 5th edition all chapters covered graded A+ |latest update| |2025-26|

TESTBANK j




INTRODUCTORYMATERNITY & PEDIATRIC NURSING
j j j j




NANCYHATFIELD& CYNTHIAKINCHELOE
j j j j




5th Edition
j




TESTBANK j

,Chapter 1: TheNurse's Rolein aChanging Maternal–ChildHealthCareEnvironment
j j j j j j j j j j j




Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
j j j j j j j j




1. The openingupofhospital visiting policiesfor childrenand families
j j j j j j j j j j




likely resultedfrom the work of which individual?
j j j j j j j




A. Joseph Brennaman j




B. John Bowlby j




C. MarshalKlaus j




D. JohnKennell j




Answer: B
j j




Rationale: In 1951, John Bowlby received worldwide attention with his j j j j j j j j j




study that revealed the negative results of the separation of child and mother because of
j j j j j j j j j j j j j j




hospitalization.His work ledtoare-evaluationandliberalization ofhospital visiting policiesfor
j j j j j j j j j j j j j




children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high infant
j j j j j j j j j j j j j j j




mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell
j j j j j j j j j j j j j j j j




carried out importantstudies on the effect of the separation of newborns and parents.
j j j j j j j j j j j j j




They established that early separation may have long-term effects on family relationships and that
j j j j j j j j j j j j j




offering the new family an opportunity to be together at birth and for a significant period after birth
j j j j j j j j j j j j j j j j j j




may provide benefitsthat last well into early childhood.
j j j j j j j j




Question format: Multiple Choice j j j




Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j




Remember
j




ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j




Process: Nursing Process
j j j




Reference:p.4 j j




2. An expectant mother statesthat shereadthat more black mothers die in childbirththan do white
j j j j j j j j j j j j j j j j




mothers. When responding to her questions about the reasons for this, the nurse accurately states
j j j j j j j j j j j j j j j




that which is the major reason forthe high maternal mortality rate?
j j j j j j j j j j j j




A. Havingformaleducation. j j




B. Being unmarried. j




C. Income.
D. Lack ofprenatalcare. j j j




Answer: D j




Rationale: Research showsthat maternal mortalityrateisdirectlyrelatedtolack ofprenatal care
j j j j j j j j j j j j j j




secondary to lack of access to services or insurance. Income as well as educational level may play a
j j j j j j j j j j j j j j j j j j




role in the availability of health care, but they are not directly responsible. Being unmarried has no
j j j j j j j j j j j j j j j j j




bearing on infant mortality.
j j j j




Questionformat:MultipleChoice j j j




Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j




Understand
j

,ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j




Process: Nursing Process
j j j




Reference:p.9 j j




3. Whichstatementcorrectlydefinestheterm"infant deathrate"? j j j j j j j j




A. number ofdeaths in utero offetuses500 gor more per1,000 livebirths j j j j j j j j j j j j j j




B. number ofdeaths occurringin the first28 days of life per 1,000 livebirths j j j j j j j j j j j j j j




C. number of deaths occurring at birth orinthe first 12 months of life per1,000 live births
j j j j j j j j j j j j j j j j j




D. deathofalive-born child beforehis or her firstbirthday.
j j j j j j j j j j




Answer: D j




Rationale: The term infant death refers to the death of a live-born child before he or she reaches age 1
j j j j j j j j j j j j j j j j j j j




year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of infant deaths
j j j j j j j j j j j j j j j j




during the first 28 days of life for every 1,000 live births. Infant mortality rate isthe number of deaths
j j j j j j j j j j j j j j j j j j j j




during the first 12 months oflife per 1,000 live births. Question format: Multiple Choice
j j j j j j j j j j j j j j j




Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j




Remember
j




ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j




Process: Nursing Process
j j j




Reference:p.9 j j




4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
j j j j j j j j j j j j j j j j




What major development will the instructor emphasize as greatly influencing the practice of
j j j j j j j j j j j j j




maternity care in the United States over the past century?
j j j j j j j j j j




A. technologicadvancesand the use offorceps by primary careproviders j j j j j j j j j j




B. development ofanesthesia andacceptance ofthe germtheory j j j j j j j j




C. adventofbirthingcentersandthedevelopment of family-centeredcare
j j j j j j j j j




D. development of pediatric specialty and replacement of midwives as primary birth attendants j j j j j j j j j j j




j Answer: B j




Rationale:Theemphasis should beplaced onanesthesia and the germtheory.Thedevelopment of
j j j j j j j j j j j j j j




anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
j j j j j j j j j j j j j j j




progress of general health care and decreased infections in laboring women. Pediatricsasa specialty
j j j j j j j j j j j j j j j




is an important step forward but is not the greatest development, and midwives are still in practice.
j j j j j j j j j j j j j j j j j




Maternity care continues to evolve, and birthing centers are still under development. Forceps are not
j j j j j j j j j j j j j j j




considered an advance in maternity care.
j j j j j j




Question format: Multiple Choice j j j




Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j




Analyze
j




Client Needs:Health Promotionand Maintenance
j j j j j

, Integrated Process: Teaching/Learning j j




Reference: p. 3
j j j




5. When preparing a client for surgery, the nurse explains that the use of anantiseptic during
j j j j j j j j j j j j j j j




the surgery hasgreatly improved client survivalratesand wasstarted by which physician?
j j j j j j j j j j j j j j




A. Louis Pasteur j




B. Ignaz PhilipSemmelweis j j




C. Joseph Lister j




D. Alexander Gordon j




j Answer: C j




Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
j j j j j j j j j j j j




microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery
j j j j j j j j j j j j j j j




and improved the survival ratesof hispatients. Alexander Gordon proposedthetheory of infection.
j j j j j j j j j j j j j j j




Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
j j j j j j j j j j




Questionformat:MultipleChoice j j j




Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j




Apply
j




Client Needs: Safe, EffectiveCareEnvironment: Safetyand Infection ControlIntegrated Process:
j j j j j j j j j j j




Nursing Process
j j




Reference:p.4 j j




6. A young couple are very excited to learn they are expecting their first childand question the nurse
j j j j j j j j j j j j j j j j j




about which test they need to discover its gender.Which procedure will best provide this information
j j j j j j j j j j j j j j j j




to the couple?
j j j




A. Ultrasound
B. Amniocentesis
C. Chorionicvillussampling j j




D. HGP

Answer: A j




Rationale: Ultrasoundis a visual method for assessing the fetusintheuterus and will provide
j j j j j j j j j j j j j j j




information aboutthe gender. Amniocentesisand chorionic villussampling provide theentire genetic
j j j j j j j j j j j j j




code of the fetus. HGP refers to the Human Genome Project, which can provide information
j j j j j j j j j j j j j j j




regarding gene mutations and variations.
j j j j j




Questionformat:MultipleChoice j j j




Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j




Apply
j




ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j




Process: Caring
j j




Reference:p.6 j j