,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
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McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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MULTIPLE CHOICE T
1. Which factor significantly contributed to the shift from home births to hospital births in
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the early 20th century?
T T T T
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
T T T T T T T T T T T
b. Forceps were developed to facilitate difficult births.
T T T T T T
c. The importance of early parental-infant contact was identified.
T T T T T T T
d. Technologic developments became available to physicians. T T T T T
ANS: D T
Technologic developments were available to physicians, not lay midwives. So in-hospital
T T T T T T T T T T
births increased in order to take advantage of these advancements. Puerperal sepsis has been
T T T T T T T T T T T T T T
a known problem for generations. In the late 19th century, Semmelweis discovered how it
T T T T T T T T T T T T T T
could be prevented with improved hygienic practices. The development of forceps is an
T T T T T T T T T T T T T
example of a technology advance made in the early 20th century but is not the only reason
T T T T T T T T T T T T T T T T T
birthplaces moved. Unlike home births, early hospital births hindered bonding between
T T T T T T T T T T T
parents and their infants.
T T T T
PTS: 1 T DIF: Cognitive Level: Knowledge/Remembering T T
REF: p. 1
T OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T T
2. Family-centered maternity care developed in response to T T T T T T
a. demands by physicians for family involvement in childbirth.
T T T T T T T
b. the Sheppard-Towner Act of 1921.
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c. parental requests that infants be allowed to remain with them rather than in a
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nursery. T
d. changes in pharmacologic management of labor.T T T T T
ANS: C T
As research began to identify the benefits of early extended parent-infant contact, parents
T T T T T T T T T T T T
Tbegan to insist that the infant remain with them. This gradually developed into the practice
T T T T T T T T T T T T T T
Tof rooming-in and finally to family-centered maternity care. Family-centered care was a
T T T T T T T T T T T
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
T T T T T T T T T T T T T
state-managed programs for mothers and children. The changes in pharmacologic
T T T T T T T T T
Tmanagement of labor were not a factor in family-centered maternity care.
T T T T T T T T T T
PTS: 1 T DIF: Cognitive Level: Knowledge/Remembering T T
REF: p. 2
T OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Psychosocial Integrity
T T T T T
3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room T
b. Birth center T
c. Traditional hospital birth T T
d. Home birth T
TestBankWorld.org
, ANS: C T
In the traditional hospital setting, the mother may see the infant for only short feeding
T T T T T T T T T T T T T T
Tperiods, and the infant is cared for in a separate nursery. The
T T T T T T T T T T T
Tlabor/delivery/recovery/postpartum room setting allows increased parent-infant contact. T T T T T T
TBirth centers are set up to allow an increase in parent-infant contact. Home births allow an
T T T T T T T T T T T T T T T
Tincrease in parent-infant contact. T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 2
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
4. As a result of changes in health care delivery and funding, a current trend seen in the
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T pediatric setting is T T
a. increased hospitalization of children. T T T
b. decreased number of children living in poverty. T T T T T T
c. an increase in ambulatory care.
T T T T
d. decreased use of managed care. T T T T
ANS: C T
One effect of managed care has been that pediatric health care delivery has shifted
T T T T T T T T T T T T T
dramatically from the acute care setting to the ambulatory setting in order to provide more
T T T T T T T T T T T T T T T
cost-efficient care. The number of hospital beds being used has decreased as more care is
T T T T T T T T T T T T T T T
given in outpatient settings and in the home. The number of children living in poverty has
T T T T T T T T T T T T T T T T
increased over the past decade. One of the biggest changes in health care has been the
T T T T T T T T T T T T T T T T
growth of managed care.
T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 5
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
5. The Women, Infants, and Children (WIC) program provides
T T T T T T T
a. well-child examinations for infants and children living at the poverty level.
T T T T T T T T T T
b. immunizations for high-risk infants and children. T T T T T
c. screening for infants with developmental disorders. T T T T T
d. supplemental food supplies to low-income pregnant or breastfeeding women. T T T T T T T T
ANS: D T
WIC is a federal program that provides supplemental food supplies to low-income women
T T T T T T T T T T T T
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
T T T T T T T T T T T T T T T
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
T T T T T T T T T T
examinations and for treatment of any medical problems diagnosed during such checkups.
T T T T T T T T T T T T
Children in the WIC program are often referred for immunizations, but that is not the
T T T T T T T T T T T T T T T
primary focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
T T T T T T T T T T T T T T T
Education Act that provides financial incentives to states to establish comprehensive early
T T T T T T T T T T T T
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
T T T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Comprehension
T T T REF: p. 8 T T
OBJ: Integrated Process: Teaching-Learning
T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
6. In most states, adolescents who are not emancipated minors must have the permission of
T T T T T T T T T T T T T
Ttheir parents beforeT T
TestBankWorld.org
, a. treatment for drug abuse. T T T
b. treatment for sexually transmitted diseases (STDs). T T T T T
c. accessing birth control. T T
d. surgery.
ANS: D T
Minors are not considered capable of giving informed consent, so a surgical procedure would
T T T T T T T T T T T T T
require consent of the parent or guardian. Exceptions exist for obtaining treatment for drug
T T T T T T T T T T T T T T
abuse or STDs or for getting birth control in most states.
T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 17
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
7. The maternity nurse should have a clear understanding of the correct use of a
T T T T T T T T T T T T T
Tclinical pathway. One characteristic of clinical pathways is that they
T T T T T T T T T
a. are developed and implemented by nurses.
T T T T T
b. are used primarily in the pediatric setting.
T T T T T T
c. set specific time lines for sequencing interventions.
T T T T T T
d. are part of the nursing process.
T T T T T
ANS: C T
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
T T T T T T T T T T T
a particular health problem. They are used to identify patient outcomes, specify time lines
T T T T T T T T T T T T T T
to achieve those outcomes, direct appropriate interventions and sequencing of
T T T T T T T T T T
interventions, include interventions from a variety of disciplines, promote collaboration,
T T T T T T T T T T
and involve a comprehensive approach to care. They are developed by multiple health care
T T T T T T T T T T T T T T
professionals and reflect interdisciplinary care. They can be used in multiple settings and
T T T T T T T T T T T T T
for patients throughout the life span. They are not part of the nursing process but can be
T T T T T T T T T T T T T T T T T
used in conjunction with the nursing process to provide care to patients.
T T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 7
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
8. The fastest growing group of homeless people is
T T T T T T T
a. men and women preparing for retirement.
T T T T T
b. migrant workers. T
c. single women and their children. T T T T
d. intravenous (IV) substance abusers. T T T
ANS: C T
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
T T T T T T T T T T T T
homeless. People preparing for retirement, migrant workers, and IV substance abusers are
T T T T T T T T T T T T
not among the fastest growing groups of homeless people.
T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 14
T OBJ: Nursing Process: Assessment
T T T T T
MSC: Client Needs: Physiologic Integrity
T T T T
TestBankWorld.org
T T T T T T T T T T
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
T T T T T T T T
MULTIPLE CHOICE T
1. Which factor significantly contributed to the shift from home births to hospital births in
T T T T T T T T T T T T T
the early 20th century?
T T T T
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
T T T T T T T T T T T
b. Forceps were developed to facilitate difficult births.
T T T T T T
c. The importance of early parental-infant contact was identified.
T T T T T T T
d. Technologic developments became available to physicians. T T T T T
ANS: D T
Technologic developments were available to physicians, not lay midwives. So in-hospital
T T T T T T T T T T
births increased in order to take advantage of these advancements. Puerperal sepsis has been
T T T T T T T T T T T T T T
a known problem for generations. In the late 19th century, Semmelweis discovered how it
T T T T T T T T T T T T T T
could be prevented with improved hygienic practices. The development of forceps is an
T T T T T T T T T T T T T
example of a technology advance made in the early 20th century but is not the only reason
T T T T T T T T T T T T T T T T T
birthplaces moved. Unlike home births, early hospital births hindered bonding between
T T T T T T T T T T T
parents and their infants.
T T T T
PTS: 1 T DIF: Cognitive Level: Knowledge/Remembering T T
REF: p. 1
T OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T T
2. Family-centered maternity care developed in response to T T T T T T
a. demands by physicians for family involvement in childbirth.
T T T T T T T
b. the Sheppard-Towner Act of 1921.
T T T T
c. parental requests that infants be allowed to remain with them rather than in a
T T T T T T T T T T T T T
nursery. T
d. changes in pharmacologic management of labor.T T T T T
ANS: C T
As research began to identify the benefits of early extended parent-infant contact, parents
T T T T T T T T T T T T
Tbegan to insist that the infant remain with them. This gradually developed into the practice
T T T T T T T T T T T T T T
Tof rooming-in and finally to family-centered maternity care. Family-centered care was a
T T T T T T T T T T T
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
T T T T T T T T T T T T T
state-managed programs for mothers and children. The changes in pharmacologic
T T T T T T T T T
Tmanagement of labor were not a factor in family-centered maternity care.
T T T T T T T T T T
PTS: 1 T DIF: Cognitive Level: Knowledge/Remembering T T
REF: p. 2
T OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Psychosocial Integrity
T T T T T
3. Which setting for childbirth allows the least amount of parent-infant contact?
T T T T T T T T T T
a. Labor/delivery/recovery/postpartum room T
b. Birth center T
c. Traditional hospital birth T T
d. Home birth T
TestBankWorld.org
, ANS: C T
In the traditional hospital setting, the mother may see the infant for only short feeding
T T T T T T T T T T T T T T
Tperiods, and the infant is cared for in a separate nursery. The
T T T T T T T T T T T
Tlabor/delivery/recovery/postpartum room setting allows increased parent-infant contact. T T T T T T
TBirth centers are set up to allow an increase in parent-infant contact. Home births allow an
T T T T T T T T T T T T T T T
Tincrease in parent-infant contact. T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 2
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
4. As a result of changes in health care delivery and funding, a current trend seen in the
T T T T T T T T T T T T T T T T
T pediatric setting is T T
a. increased hospitalization of children. T T T
b. decreased number of children living in poverty. T T T T T T
c. an increase in ambulatory care.
T T T T
d. decreased use of managed care. T T T T
ANS: C T
One effect of managed care has been that pediatric health care delivery has shifted
T T T T T T T T T T T T T
dramatically from the acute care setting to the ambulatory setting in order to provide more
T T T T T T T T T T T T T T T
cost-efficient care. The number of hospital beds being used has decreased as more care is
T T T T T T T T T T T T T T T
given in outpatient settings and in the home. The number of children living in poverty has
T T T T T T T T T T T T T T T T
increased over the past decade. One of the biggest changes in health care has been the
T T T T T T T T T T T T T T T T
growth of managed care.
T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 5
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
5. The Women, Infants, and Children (WIC) program provides
T T T T T T T
a. well-child examinations for infants and children living at the poverty level.
T T T T T T T T T T
b. immunizations for high-risk infants and children. T T T T T
c. screening for infants with developmental disorders. T T T T T
d. supplemental food supplies to low-income pregnant or breastfeeding women. T T T T T T T T
ANS: D T
WIC is a federal program that provides supplemental food supplies to low-income women
T T T T T T T T T T T T
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
T T T T T T T T T T T T T T T
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
T T T T T T T T T T
examinations and for treatment of any medical problems diagnosed during such checkups.
T T T T T T T T T T T T
Children in the WIC program are often referred for immunizations, but that is not the
T T T T T T T T T T T T T T T
primary focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
T T T T T T T T T T T T T T T
Education Act that provides financial incentives to states to establish comprehensive early
T T T T T T T T T T T T
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
T T T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Comprehension
T T T REF: p. 8 T T
OBJ: Integrated Process: Teaching-Learning
T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
6. In most states, adolescents who are not emancipated minors must have the permission of
T T T T T T T T T T T T T
Ttheir parents beforeT T
TestBankWorld.org
, a. treatment for drug abuse. T T T
b. treatment for sexually transmitted diseases (STDs). T T T T T
c. accessing birth control. T T
d. surgery.
ANS: D T
Minors are not considered capable of giving informed consent, so a surgical procedure would
T T T T T T T T T T T T T
require consent of the parent or guardian. Exceptions exist for obtaining treatment for drug
T T T T T T T T T T T T T T
abuse or STDs or for getting birth control in most states.
T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 17
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
7. The maternity nurse should have a clear understanding of the correct use of a
T T T T T T T T T T T T T
Tclinical pathway. One characteristic of clinical pathways is that they
T T T T T T T T T
a. are developed and implemented by nurses.
T T T T T
b. are used primarily in the pediatric setting.
T T T T T T
c. set specific time lines for sequencing interventions.
T T T T T T
d. are part of the nursing process.
T T T T T
ANS: C T
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
T T T T T T T T T T T
a particular health problem. They are used to identify patient outcomes, specify time lines
T T T T T T T T T T T T T T
to achieve those outcomes, direct appropriate interventions and sequencing of
T T T T T T T T T T
interventions, include interventions from a variety of disciplines, promote collaboration,
T T T T T T T T T T
and involve a comprehensive approach to care. They are developed by multiple health care
T T T T T T T T T T T T T T
professionals and reflect interdisciplinary care. They can be used in multiple settings and
T T T T T T T T T T T T T
for patients throughout the life span. They are not part of the nursing process but can be
T T T T T T T T T T T T T T T T T
used in conjunction with the nursing process to provide care to patients.
T T T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 7
T OBJ: Nursing Process: Planning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
8. The fastest growing group of homeless people is
T T T T T T T
a. men and women preparing for retirement.
T T T T T
b. migrant workers. T
c. single women and their children. T T T T
d. intravenous (IV) substance abusers. T T T
ANS: C T
Pregnancy and birth, especially for a teenager, are important contributing factors for becoming
T T T T T T T T T T T T
homeless. People preparing for retirement, migrant workers, and IV substance abusers are
T T T T T T T T T T T T
not among the fastest growing groups of homeless people.
T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T T T
REF: p. 14
T OBJ: Nursing Process: Assessment
T T T T T
MSC: Client Needs: Physiologic Integrity
T T T T
TestBankWorld.org
