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

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INTRODUCTORY MATERNITY & PEDIATRIC NURSING
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NANCYHATFIELD & CYNTHIA KINCHELOE
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5th Edition
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TESTBANK v

,Chapter 1: The Nurse's Role in aChanging Maternal–Child Health Care Environment
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Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
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1. The opening up of hospital visiting policies for children and families
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likely resultedfrom the work of which individual?
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A. Joseph Brennaman v




B. John Bowlby v




C. Marshal Klaus v




D. John Kennell v




Answer: B
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Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother because of
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hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
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children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
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infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
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Kennell carried out importantstudies on the effect of the separation of newborns and parents.
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They established that early separation may have long-term effects on family relationships and that
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offering the new family an opportunity to be together at birth and for a significant period after
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birth may provide benefitsthat last well into early childhood.
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Question format: Multiple Choice v v v




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated
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Process: Nursing Process
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Reference: p. 4 v v




2. An expectant mother states that she read that more black mothers die in childbirth than do white
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mothers. When responding to her questions about the reasons for this, the nurse accurately states
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that which is the major reason for the high maternal mortality rate?
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A. Having formal education. v v




B. Being unmarried. v




C. Income.
D. Lack of prenatal care. v v v




Answer: D v




Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
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secondary to lack of access to services or insurance. Income as well as educational level may play a
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role in the availability of health care, but they are not directly responsible. Being unmarried has no
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bearing on infant mortality.
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Question format: Multiple Choice v v v




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Understand
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,Client Needs: Health Promotion and Maintenance Integrated
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Process: Nursing Process
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Reference: p. 9 v v




3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 livebirths
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B. number of deaths occurring in the first 28 days of life per 1,000 livebirths
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C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D v




Rationale: The term infant death refers to the death of a live-born child before he or she reaches
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age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of infant
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deaths during the first 28 days of life for every 1,000 live births. Infant mortality rate is the number
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of deaths during the first 12 months of life per 1,000 live births. Question format: Multiple Choice
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Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated
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Process: Nursing Process
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Reference: p. 9 v v




4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
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What major development will the instructor emphasize as greatly influencing the practice of
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maternity care in the United States over the past century?
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A. technologic advances and the use of forceps by primary care providers v v v v v v v v v v




B. development of anesthesia and acceptance of the germ theory v v v v v v v v




C. advent of birthing centers and the development of family-centered care
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D. development of pediatric specialty and replacement of midwives as primary birth attendants v v v v v v v v v v v




v Answer: B v




Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
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anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
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progress of general health care and decreased infections in laboring women. Pediatrics as a
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specialty is an important step forward but is not the greatest development, and midwives are still in
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practice. Maternity care continues to evolve, and birthing centers are still under development.
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Forceps are not considered an advance in maternity care.
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Question format: Multiple Choice v v v




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Analyze
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Client Needs: Health Promotion and Maintenance
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, Integrated Process: Teaching/Learning v v




Reference: p. 3
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5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
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during the surgery has greatly improved client survival rates and was started by which
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physician?
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A. Louis Pasteur v




B. Ignaz Philip Semmelweis v v




C. Joseph Lister v




D. Alexander Gordon v




v Answer: C v




Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
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microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery
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and improved the survival rates of his patients. Alexander Gordon proposed the theory of infection.
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Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
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Question format: Multiple Choice v v v




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Apply
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Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
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Nursing Process
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Reference: p. 4 v v




6. A young couple are very excited to learn they are expecting their first child and question the
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nurse about which test they need to discover its gender. Which procedure will best provide this
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information to the couple?
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A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling v v




D. HGP

Answer: A v




Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
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information about the gender. Amniocentesis and chorionic villus sampling provide the entire
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genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
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information regarding gene mutations and variations.
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Question format: Multiple Choice v v v




Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
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Level: Apply
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Client Needs: Health Promotion and Maintenance Integrated
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Process: Caring
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Reference: p. 6 v v