TESTBANK N
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
N N N N
NANCY HATFIELD & CYNTHIA KINCHELOE
N N N N
5th Edition
N
TESTBANK N
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
N N N N N N N N N N N
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
N N N N N N N N
1. The opening up of hospital visiting policies for children and families
N N N N N N N N N N
likely resultedfrom the work of which individual?
N N N N N N N
A. Joseph Brennaman N
B. John Bowlby N
C. Marshal Klaus N
D. John Kennell N
Answer: B
N N
Rationale: In 1951, John Bowlby received worldwide attention with his
N N N N N N N N N
study that revealed the negative results of the separation of child and mother because of
N N N N N N N N N N N N N N
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
N N N N N N N N N N N N N
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
N N N N N N N N N N N N N N
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
N N N N N N N N N N N N N N N N
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
N N N N N N N N N N N N N N
They established that early separation may have long-term effects on family relationships and
N N N N N N N N N N N N
that offering the new family an opportunity to be together at birth and for a significant period
N N N N N N N N N N N N N N N N N
after birth may provide benefitsthat last well into early childhood.
N N N N N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Remember
N N
Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Nursing Process
N N N N
Reference: p. 4 N N
2. An expectant mother states that she read that more black mothers die in childbirth than do
N N N N N N N N N N N N N N N
white mothers. When responding to her questions about the reasons for this, the nurse
N N N N N N N N N N N N N N
accurately states that which is the major reason for the high maternal mortality rate?
N N N N N N N N N N N N N N
A. Having formal education. N N
B. Being unmarried. N
C. Income.
D. Lack of prenatal care. N N N
Answer: D N
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
N N N N N N N N N N N N N N
secondary to lack of access to services or insurance. Income as well as educational level may play
N N N N N N N N N N N N N N N N N
a role in the availability of health care, but they are not directly responsible. Being unmarried has
N N N N N N N N N N N N N N N N N
no bearing on infant mortality.
N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Understand
N N
,Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Nursing Process
N N N N
Reference: p. 9 N N
3. Which statement correctly defines the term "infant death rate"?
N N N N N N N N
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
N N N N N N N N N N N N N N
B. number of deaths occurring in the first 28 days of life per 1,000 live births
N N N N N N N N N N N N N N
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
N N N N N N N N N N N N N N N N N
D. death of a live-born child before his or her first birthday.
N N N N N N N N N N
Answer: D N
Rationale: The term infant death refers to the death of a live-born child before he or she reaches
N N N N N N N N N N N N N N N N N
age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of
N N N N N N N N N N N N N N N N
infant deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the
N N N N N N N N N N N N N N N N N N N
number of deaths during the first 12 months of life per 1,000 live births. Question format:
N N N N N N N N N N N N N N N N
Multiple Choice
N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Remember
N N
Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Nursing Process
N N N N
Reference: p. 9 N N
4. The nursing instructor is preparing to teach a group of students about the history of maternity
N N N N N N N N N N N N N N N
care. What major development will the instructor emphasize as greatly influencing the practice of
N N N N N N N N N N N N N N
maternity care in the United States over the past century?
N N N N N N N N N N
A. technologic advances and the use of forceps by primary care providers N N N N N N N N N N
B. development of anesthesia and acceptance of the germ theory N N N N N N N N
C. advent of birthing centers and the development of family-centered care
N N N N N N N N N
D. development of pediatric specialty and replacement of midwives as primary birth attendants N N N N N N N N N N N
N Answer: B N
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
N N N N N N N N N N N N N N
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
N N N N N N N N N N N N N N N
progress of general health care and decreased infections in laboring women. Pediatrics as a
N N N N N N N N N N N N N N
specialty is an important step forward but is not the greatest development, and midwives are still
N N N N N N N N N N N N N N N N
in practice. Maternity care continues to evolve, and birthing centers are still under development.
N N N N N N N N N N N N N N
Forceps are not considered an advance in maternity care.
N N N N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Analyze
N N
Client Needs: Health Promotion and Maintenance
N N N N N
, Integrated Process: Teaching/Learning N N
Reference: p. 3
N N N
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
N N N N N N N N N N N N N N
during the surgery has greatly improved client survival rates and was started by which
N N N N N N N N N N N N N N
physician?
N
A. Louis Pasteur N
B. Ignaz Philip Semmelweis N N
C. Joseph Lister N
D. Alexander Gordon N
N Answer: C N
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
N N N N N N N N N N N N
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
N N N N N N N N N N N N N N
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
N N N N N N N N N N N N N N N
infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
N N N N N N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Apply
N N
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
N N N N N N N N N N N
Nursing Process
N N
Reference: p. 4 N N
6. A young couple are very excited to learn they are expecting their first child and question the
N N N N N N N N N N N N N N N N
nurse about which test they need to discover its gender. Which procedure will best provide this
N N N N N N N N N N N N N N N N
information to the couple?
N N N N
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling N N
D. HGP
Answer: A N
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
N N N N N N N N N N N N N N N
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
N N N N N N N N N N N N
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
N N N N N N N N N N N N N N N
information regarding gene mutations and variations.
N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Apply
N N
Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Caring
N N N
Reference: p. 6 N N
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
N N N N
NANCY HATFIELD & CYNTHIA KINCHELOE
N N N N
5th Edition
N
TESTBANK N
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
N N N N N N N N N N N
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
N N N N N N N N
1. The opening up of hospital visiting policies for children and families
N N N N N N N N N N
likely resultedfrom the work of which individual?
N N N N N N N
A. Joseph Brennaman N
B. John Bowlby N
C. Marshal Klaus N
D. John Kennell N
Answer: B
N N
Rationale: In 1951, John Bowlby received worldwide attention with his
N N N N N N N N N
study that revealed the negative results of the separation of child and mother because of
N N N N N N N N N N N N N N
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
N N N N N N N N N N N N N
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
N N N N N N N N N N N N N N
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
N N N N N N N N N N N N N N N N
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
N N N N N N N N N N N N N N
They established that early separation may have long-term effects on family relationships and
N N N N N N N N N N N N
that offering the new family an opportunity to be together at birth and for a significant period
N N N N N N N N N N N N N N N N N
after birth may provide benefitsthat last well into early childhood.
N N N N N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Remember
N N
Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Nursing Process
N N N N
Reference: p. 4 N N
2. An expectant mother states that she read that more black mothers die in childbirth than do
N N N N N N N N N N N N N N N
white mothers. When responding to her questions about the reasons for this, the nurse
N N N N N N N N N N N N N N
accurately states that which is the major reason for the high maternal mortality rate?
N N N N N N N N N N N N N N
A. Having formal education. N N
B. Being unmarried. N
C. Income.
D. Lack of prenatal care. N N N
Answer: D N
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
N N N N N N N N N N N N N N
secondary to lack of access to services or insurance. Income as well as educational level may play
N N N N N N N N N N N N N N N N N
a role in the availability of health care, but they are not directly responsible. Being unmarried has
N N N N N N N N N N N N N N N N N
no bearing on infant mortality.
N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Understand
N N
,Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Nursing Process
N N N N
Reference: p. 9 N N
3. Which statement correctly defines the term "infant death rate"?
N N N N N N N N
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
N N N N N N N N N N N N N N
B. number of deaths occurring in the first 28 days of life per 1,000 live births
N N N N N N N N N N N N N N
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
N N N N N N N N N N N N N N N N N
D. death of a live-born child before his or her first birthday.
N N N N N N N N N N
Answer: D N
Rationale: The term infant death refers to the death of a live-born child before he or she reaches
N N N N N N N N N N N N N N N N N
age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of
N N N N N N N N N N N N N N N N
infant deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the
N N N N N N N N N N N N N N N N N N N
number of deaths during the first 12 months of life per 1,000 live births. Question format:
N N N N N N N N N N N N N N N N
Multiple Choice
N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Remember
N N
Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Nursing Process
N N N N
Reference: p. 9 N N
4. The nursing instructor is preparing to teach a group of students about the history of maternity
N N N N N N N N N N N N N N N
care. What major development will the instructor emphasize as greatly influencing the practice of
N N N N N N N N N N N N N N
maternity care in the United States over the past century?
N N N N N N N N N N
A. technologic advances and the use of forceps by primary care providers N N N N N N N N N N
B. development of anesthesia and acceptance of the germ theory N N N N N N N N
C. advent of birthing centers and the development of family-centered care
N N N N N N N N N
D. development of pediatric specialty and replacement of midwives as primary birth attendants N N N N N N N N N N N
N Answer: B N
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
N N N N N N N N N N N N N N
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
N N N N N N N N N N N N N N N
progress of general health care and decreased infections in laboring women. Pediatrics as a
N N N N N N N N N N N N N N
specialty is an important step forward but is not the greatest development, and midwives are still
N N N N N N N N N N N N N N N N
in practice. Maternity care continues to evolve, and birthing centers are still under development.
N N N N N N N N N N N N N N
Forceps are not considered an advance in maternity care.
N N N N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Analyze
N N
Client Needs: Health Promotion and Maintenance
N N N N N
, Integrated Process: Teaching/Learning N N
Reference: p. 3
N N N
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
N N N N N N N N N N N N N N
during the surgery has greatly improved client survival rates and was started by which
N N N N N N N N N N N N N N
physician?
N
A. Louis Pasteur N
B. Ignaz Philip Semmelweis N N
C. Joseph Lister N
D. Alexander Gordon N
N Answer: C N
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
N N N N N N N N N N N N
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
N N N N N N N N N N N N N N
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
N N N N N N N N N N N N N N N
infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
N N N N N N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Apply
N N
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
N N N N N N N N N N N
Nursing Process
N N
Reference: p. 4 N N
6. A young couple are very excited to learn they are expecting their first child and question the
N N N N N N N N N N N N N N N N
nurse about which test they need to discover its gender. Which procedure will best provide this
N N N N N N N N N N N N N N N N
information to the couple?
N N N N
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling N N
D. HGP
Answer: A N
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
N N N N N N N N N N N N N N N
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
N N N N N N N N N N N N
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
N N N N N N N N N N N N N N N
information regarding gene mutations and variations.
N N N N N N
Question format: Multiple Choice N N N
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
N N N N N N N N N N N N
Level: Apply
N N
Client Needs: Health Promotion and Maintenance
N N N N N
Integrated Process: Caring
N N N
Reference: p. 6 N N
