,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
m m m m m m m m m m
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
m m m m m m m m
MULTIPLE CHOICE m
1. Which factor significantly contributed to the shift from home births to hospital births
m m m m m m m m m m m m
m in the early 20th century?
m m m m
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
m m m m m m m m m m m
b. Forceps were developed to facilitate difficult births.
m m m m m m
c. The importance of early parental-infant contact was identified.
m m m m m m m
d. Technologic developments became available to physicians. m m m m m
ANS: D m
Technologic developments were available to physicians, not lay midwives. So in-hospital
m m m m m m m m m m
births increased in order to take advantage of these advancements. Puerperal sepsis has
m m m m m m m m m m m m m
been a known problem for generations. In the late 19th century, Semmelweis discovered
m m m m m m m m m m m m m
how it could be prevented with improved hygienic practices. The development of forceps
m m m m m m m m m m m m m
is an example of a technology advance made in the early 20th century but is not the only
m m m m m m m m m m m m m m m m m m
reason birthplaces moved. Unlike home births, early hospital births hindered bonding
m m m m m m m m m m m
between parents and their infants.
m m m m m
PTS: 1 m DIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 1
m OBJ: Integrated Process: Teaching-Learning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m m
2. Family-centered maternity care developed in response to m m m m m m
a. demands by physicians for family involvement in childbirth.
m m m m m m m
b. the Sheppard-Towner Act of 1921.
m m m m
c. parental requests that infants be allowed to remain with them rather than
m m m m m m m m m m m
in a nursery.
m m m
d. changes in pharmacologic management of labor.
m m m m m
ANS: C m
As research began to identify the benefits of early extended parent-infant contact,
m m m m m m m m m m m
mparents began to insist that the infant remain with them. This gradually developed into
m m m m m m m m m m m m m
mthe practice of rooming-in and finally to family-centered maternity care. Family-
m m m m m m m m m m
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
m m m m m m m m m m m m
m1921 provided funds for state-managed programs for mothers and children. The
m m m m m m m m m m
mchanges in pharmacologic management of labor were not a factor in family-centered
m m m m m m m m m m m
mmaternity care. m
PTS: 1 m DIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 2
m OBJ: Integrated Process: Teaching-Learning
m m m m m
MSC: Client Needs: Psychosocial Integrity
m m m m m
3. Which setting for childbirth allows the least amount of parent-infant contact?
m m m m m m m m m m
a. Labor/delivery/recovery/postpartum room m
b. Birth center m
c. Traditional hospital birth m m
d. Home birth m
.
, ANS: C m
In the traditional hospital setting, the mother may see the infant for only short feeding
m m m m m m m m m m m m m m
mperiods, and the infant is cared for in a separate nursery. The
m m m m m m m m m m m
mlabor/delivery/recovery/postpartum room setting allows increased parent-infant contact. m m m m m m
mBirth centers are set up to allow an increase in parent-infant contact. Home births allow
m m m m m m m m m m m m m m
man increase in parent-infant contact.
m m m m
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
m m m
REF: p. 2
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
4. As a result of changes in health care delivery and funding, a current trend seen in
m m m m m m m m m m m m m m m
mthe pediatric setting is
m m m
a. increased hospitalization of children. m m m
b. decreased number of children living in poverty. m m m m m m
c. an increase in ambulatory care.
m m m m
d. decreased use of managed care. m m m m
ANS: C m
One effect of managed care has been that pediatric health care delivery has shifted
m m m m m m m m m m m m m
dramatically from the acute care setting to the ambulatory setting in order to provide
m m m m m m m m m m m m m m
more cost-efficient care. The number of hospital beds being used has decreased as
m m m m m m m m m m m m m
more care is given in outpatient settings and in the home. The number of children
m m m m m m m m m m m m m m m
living in poverty has increased over the past decade. One of the biggest changes in
m m m m m m m m m m m m m m m
health care has been the growth of managed care.
m m m m m m m m m
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
m m m
REF: p. 5
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m
5. The Women, Infants, and Children (WIC) program provides
m m m m m m m
a. well-child examinations for infants and children living at the poverty level.
m m m m m m m m m m
b. immunizations for high-risk infants and children. m m m m m
c. screening for infants with developmental disorders.
m m m m m
d. supplemental food supplies to low-income pregnant or breastfeeding women.
m m m m m m m m
ANS: D m
WIC is a federal program that provides supplemental food supplies to low-income women
m m m m m m m m m m m m
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s
m m m m m m m m m m m m m m
Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
m m m m m m m m m m m
examinations and for treatment of any medical problems diagnosed during such
m m m m m m m m m m m
checkups. Children in the WIC program are often referred for immunizations, but that is
m m m m m m m m m m m m m m
not the primary focus of the program. Public Law 99-457 is part of the Individuals with
m m m m m m m m m m m m m m m m
Disabilities Education Act that provides financial incentives to states to establish
m m m m m m m m m m m
comprehensive early intervention services for infants and toddlers with, or at risk for,
m m m m m m m m m m m m m
developmental disabilities.
m m
PTS: 1 DIF: Cognitive Level:
m m REF: p. 8 m m
Comprehension OBJ: Integrated Process: Teaching-Learning
m m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
6. In most states, adolescents who are not emancipated minors must have the permission
m m m m m m m m m m m m
mof their parents before
m m m
.
, a. treatment for drug abuse. m m m
b. treatment for sexually transmitted diseases (STDs).
m m m m m
c. accessing birth control. m m
d. surgery.
ANS: D m
Minors are not considered capable of giving informed consent, so a surgical procedure
m m m m m m m m m m m m
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
m m m m m m m m m m m m m
for drug abuse or STDs or for getting birth control in most states.
m m m m m m m m m m m m m
PTS: 1 mDIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 17
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m
7. The maternity nurse should have a clear understanding of the correct use
m m m m m m m m m m m
mof a clinical pathway. One characteristic of clinical pathways is that they
m m m m m m m m m m m
a. are developed and implemented by nurses.
m m m m m
b. are used primarily in the pediatric setting.
m m m m m m
c. set specific time lines for sequencing interventions.
m m m m m m
d. are part of the nursing process.
m m m m m
ANS: C m
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
m m m m m m m m m m
with a particular health problem. They are used to identify patient outcomes, specify time
m m m m m m m m m m m m m m
lines to achieve those outcomes, direct appropriate interventions and sequencing of
m m m m m m m m m m m
interventions, include interventions from a variety of disciplines, promote collaboration,
m m m m m m m m m m
and involve a comprehensive approach to care. They are developed by multiple health
m m m m m m m m m m m m m
care professionals and reflect interdisciplinary care. They can be used in multiple
m m m m m m m m m m m m
settings and for patients throughout the life span. They are not part of the nursing
m m m m m m m m m m m m m m m
process but can be used in conjunction with the nursing process to provide care to
m m m m m m m m m m m m m m m
patients.
m
PTS: 1 mDIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 7
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m
8. The fastest growing group of homeless people is
m m m m m m m
a. men and women preparing for retirement.
m m m m m
b. migrant workers. m
c. single women and their children. m m m m
d. intravenous (IV) substance abusers. m m m
ANS: C m
Pregnancy and birth, especially for a teenager, are important contributing factors for
m m m m m m m m m m m
becoming homeless. People preparing for retirement, migrant workers, and IV substance
m m m m m m m m m m m
abusers are not among the fastest growing groups of homeless people.
m m m m m m m m m m m
PTS: 1 m DIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 14
m OBJ: Nursing Process: Assessment
m m m m m
MSC: Client Needs: Physiologic Integrity
m m m m
.
m m m m m m m m m m
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
m m m m m m m m
MULTIPLE CHOICE m
1. Which factor significantly contributed to the shift from home births to hospital births
m m m m m m m m m m m m
m in the early 20th century?
m m m m
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
m m m m m m m m m m m
b. Forceps were developed to facilitate difficult births.
m m m m m m
c. The importance of early parental-infant contact was identified.
m m m m m m m
d. Technologic developments became available to physicians. m m m m m
ANS: D m
Technologic developments were available to physicians, not lay midwives. So in-hospital
m m m m m m m m m m
births increased in order to take advantage of these advancements. Puerperal sepsis has
m m m m m m m m m m m m m
been a known problem for generations. In the late 19th century, Semmelweis discovered
m m m m m m m m m m m m m
how it could be prevented with improved hygienic practices. The development of forceps
m m m m m m m m m m m m m
is an example of a technology advance made in the early 20th century but is not the only
m m m m m m m m m m m m m m m m m m
reason birthplaces moved. Unlike home births, early hospital births hindered bonding
m m m m m m m m m m m
between parents and their infants.
m m m m m
PTS: 1 m DIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 1
m OBJ: Integrated Process: Teaching-Learning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m m
2. Family-centered maternity care developed in response to m m m m m m
a. demands by physicians for family involvement in childbirth.
m m m m m m m
b. the Sheppard-Towner Act of 1921.
m m m m
c. parental requests that infants be allowed to remain with them rather than
m m m m m m m m m m m
in a nursery.
m m m
d. changes in pharmacologic management of labor.
m m m m m
ANS: C m
As research began to identify the benefits of early extended parent-infant contact,
m m m m m m m m m m m
mparents began to insist that the infant remain with them. This gradually developed into
m m m m m m m m m m m m m
mthe practice of rooming-in and finally to family-centered maternity care. Family-
m m m m m m m m m m
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
m m m m m m m m m m m m
m1921 provided funds for state-managed programs for mothers and children. The
m m m m m m m m m m
mchanges in pharmacologic management of labor were not a factor in family-centered
m m m m m m m m m m m
mmaternity care. m
PTS: 1 m DIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 2
m OBJ: Integrated Process: Teaching-Learning
m m m m m
MSC: Client Needs: Psychosocial Integrity
m m m m m
3. Which setting for childbirth allows the least amount of parent-infant contact?
m m m m m m m m m m
a. Labor/delivery/recovery/postpartum room m
b. Birth center m
c. Traditional hospital birth m m
d. Home birth m
.
, ANS: C m
In the traditional hospital setting, the mother may see the infant for only short feeding
m m m m m m m m m m m m m m
mperiods, and the infant is cared for in a separate nursery. The
m m m m m m m m m m m
mlabor/delivery/recovery/postpartum room setting allows increased parent-infant contact. m m m m m m
mBirth centers are set up to allow an increase in parent-infant contact. Home births allow
m m m m m m m m m m m m m m
man increase in parent-infant contact.
m m m m
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
m m m
REF: p. 2
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
4. As a result of changes in health care delivery and funding, a current trend seen in
m m m m m m m m m m m m m m m
mthe pediatric setting is
m m m
a. increased hospitalization of children. m m m
b. decreased number of children living in poverty. m m m m m m
c. an increase in ambulatory care.
m m m m
d. decreased use of managed care. m m m m
ANS: C m
One effect of managed care has been that pediatric health care delivery has shifted
m m m m m m m m m m m m m
dramatically from the acute care setting to the ambulatory setting in order to provide
m m m m m m m m m m m m m m
more cost-efficient care. The number of hospital beds being used has decreased as
m m m m m m m m m m m m m
more care is given in outpatient settings and in the home. The number of children
m m m m m m m m m m m m m m m
living in poverty has increased over the past decade. One of the biggest changes in
m m m m m m m m m m m m m m m
health care has been the growth of managed care.
m m m m m m m m m
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
m m m
REF: p. 5
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m
5. The Women, Infants, and Children (WIC) program provides
m m m m m m m
a. well-child examinations for infants and children living at the poverty level.
m m m m m m m m m m
b. immunizations for high-risk infants and children. m m m m m
c. screening for infants with developmental disorders.
m m m m m
d. supplemental food supplies to low-income pregnant or breastfeeding women.
m m m m m m m m
ANS: D m
WIC is a federal program that provides supplemental food supplies to low-income women
m m m m m m m m m m m m
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s
m m m m m m m m m m m m m m
Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
m m m m m m m m m m m
examinations and for treatment of any medical problems diagnosed during such
m m m m m m m m m m m
checkups. Children in the WIC program are often referred for immunizations, but that is
m m m m m m m m m m m m m m
not the primary focus of the program. Public Law 99-457 is part of the Individuals with
m m m m m m m m m m m m m m m m
Disabilities Education Act that provides financial incentives to states to establish
m m m m m m m m m m m
comprehensive early intervention services for infants and toddlers with, or at risk for,
m m m m m m m m m m m m m
developmental disabilities.
m m
PTS: 1 DIF: Cognitive Level:
m m REF: p. 8 m m
Comprehension OBJ: Integrated Process: Teaching-Learning
m m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
6. In most states, adolescents who are not emancipated minors must have the permission
m m m m m m m m m m m m
mof their parents before
m m m
.
, a. treatment for drug abuse. m m m
b. treatment for sexually transmitted diseases (STDs).
m m m m m
c. accessing birth control. m m
d. surgery.
ANS: D m
Minors are not considered capable of giving informed consent, so a surgical procedure
m m m m m m m m m m m m
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
m m m m m m m m m m m m m
for drug abuse or STDs or for getting birth control in most states.
m m m m m m m m m m m m m
PTS: 1 mDIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 17
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m
7. The maternity nurse should have a clear understanding of the correct use
m m m m m m m m m m m
mof a clinical pathway. One characteristic of clinical pathways is that they
m m m m m m m m m m m
a. are developed and implemented by nurses.
m m m m m
b. are used primarily in the pediatric setting.
m m m m m m
c. set specific time lines for sequencing interventions.
m m m m m m
d. are part of the nursing process.
m m m m m
ANS: C m
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
m m m m m m m m m m
with a particular health problem. They are used to identify patient outcomes, specify time
m m m m m m m m m m m m m m
lines to achieve those outcomes, direct appropriate interventions and sequencing of
m m m m m m m m m m m
interventions, include interventions from a variety of disciplines, promote collaboration,
m m m m m m m m m m
and involve a comprehensive approach to care. They are developed by multiple health
m m m m m m m m m m m m m
care professionals and reflect interdisciplinary care. They can be used in multiple
m m m m m m m m m m m m
settings and for patients throughout the life span. They are not part of the nursing
m m m m m m m m m m m m m m m
process but can be used in conjunction with the nursing process to provide care to
m m m m m m m m m m m m m m m
patients.
m
PTS: 1 mDIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 7
m OBJ: Nursing Process: Planning
m m m m m
MSC: Client Needs: Safe and Effective Care Environment
m m m m m m m
8. The fastest growing group of homeless people is
m m m m m m m
a. men and women preparing for retirement.
m m m m m
b. migrant workers. m
c. single women and their children. m m m m
d. intravenous (IV) substance abusers. m m m
ANS: C m
Pregnancy and birth, especially for a teenager, are important contributing factors for
m m m m m m m m m m m
becoming homeless. People preparing for retirement, migrant workers, and IV substance
m m m m m m m m m m m
abusers are not among the fastest growing groups of homeless people.
m m m m m m m m m m m
PTS: 1 m DIF: Cognitive Level: Knowledge/Remembering m m
REF: p. 14
m OBJ: Nursing Process: Assessment
m m m m m
MSC: Client Needs: Physiologic Integrity
m m m m
.
