,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 nk
1. Which factor significantly contributed to the shift from home births to hospital
nk nk nk nk nk nk nk nk nk nk nk
nk births in the early 20th century?
nk nk nk nk nk
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
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b. Forceps were developed to facilitate difficult births.
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c. The importance of early parental-infant contact was identified.
nk nk nk nk nk nk nk
d. Technologic developments became available to physicians. nk nk nk nk nk
ANS: D nk
Technologic developments were available to physicians, not lay midwives. So in-hospital
nk nk nk nk nk nk nk nk nk nk
births increased in order to take advantage of these advancements. Puerperal sepsis has
nk nk nk nk nk nk nk nk nk nk nk nk nk
been a known problem for generations. In the late 19th century, Semmelweis discovered
nk nk nk nk nk nk nk nk nk nk nk nk nk
how it could be prevented with improved hygienic practices. The development of
nk nk nk nk nk nk nk nk nk nk nk nk
forceps is an example of a technology advance made in the early 20th century but is
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
not the only reason birthplaces moved. Unlike home births, early hospital births
nk nk nk nk nk nk nk nk nk nk nk nk
hindered bonding between parents and their infants.
nk nk nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 1 OBJ: Integrated Process: nk n k nk n k nk
Teaching-Learning MSC: Client Needs: Safe and Effective Care
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Environment
nk
2. Family-centered maternity care developed in response to nk nk nk nk nk nk
a. demands by physicians for family involvement in childbirth.
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b. the Sheppard-Towner Act of 1921.
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c. parental requests that infants be allowed to remain with them rather
nk nk nk nk nk nk nk nk nk nk
than in a nursery.
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d. changes in pharmacologic management of labor. nk nk nk nk nk
ANS: C nk
As research began to identify the benefits of early extended parent-infant contact,
nk nk nk nk nk nk nk nk nk nk nk
parents began to insist that the infant remain with them. This gradually developed
nk nk nk nk nk nk nk nk nk nk nk nk nk
into the practice of rooming-in and finally to family-centered maternity care. Family-
nk nk nk nk nk nk nk nk nk nk nk nk
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
nk nk nk nk nk nk nk nk nk nk nk nk
1921 provided funds for state-managed programs for mothers and children. The
nk nk nk nk nk nk nk nk nk nk nk
changes in pharmacologic management of labor were not a factor in family-centered
nk nk nk nk nk nk nk nk nk nk nk nk
maternity care.
nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 2 OBJ: Integrated Process: nk n k nk n k nk
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
nk nk nk nk nk nk
3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room nk
b. Birth center nk
c. Traditional hospital birth nk nk
d. Home birth nk
.
, ANS: C nk
In the traditional hospital setting, the mother may see the infant for only short feeding
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
periods, and the infant is cared for in a separate nursery. The
nk nk nk nk nk nk nk nk nk nk nk nk
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
nk nk nk nk nk nk nk
Birth centers are set up to allow an increase in parent-infant contact. Home births allow
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
an increase in parent-infant contact.
nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 2 OBJ: Nursing Process: nk n k nk n k nk
Planning
nk
MSC: Client Needs: Health Promotion and Maintenance
n k nk nk nk nk nk
4. As a result of changes in health care delivery and funding, a current trend seen
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
in the pediatric setting is
nk nk nk nk nk
a. increased hospitalization of children. nk nk nk
b. decreased number of children living in poverty. nk nk nk nk nk nk
c. an increase in ambulatory care.
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d. decreased use of managed care. nk nk nk nk
ANS: C nk
One effect of managed care has been that pediatric health care delivery has shifted
nk nk nk nk nk nk nk nk nk nk nk nk nk
dramatically from the acute care setting to the ambulatory setting in order to provide
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
more cost-efficient care. The number of hospital beds being used has decreased as
nk nk nk nk nk nk nk nk nk nk nk nk nk
more care is given in outpatient settings and in the home. The number of children
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
living in poverty has increased over the past decade. One of the biggest changes in
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
health care has been the growth of managed care.
nk nk nk nk nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 5 OBJ: Nursing Process: nk n k nk n k nk
Planning
nk
MSC: Client Needs: Safe and Effective Care Environment
n k nk nk nk nk nk nk
5. The Women, Infants, and Children (WIC) program provides
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a. well-child examinations for infants and children living at the poverty level.
nk nk nk nk nk nk nk nk nk nk
b. immunizations for high-risk infants and children. nk nk nk nk nk
c. screening for infants with developmental disorders. nk nk nk nk nk
d. supplemental food supplies to low-income pregnant or breastfeeding women. nk nk nk nk nk nk nk nk
ANS: D nk
WIC is a federal program that provides supplemental food supplies to low-income
nk nk nk nk nk nk nk nk nk nk nk
women who are pregnant or breastfeeding and to their children until age 5 years.
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
Medicaid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides
nk nk nk nk nk nk nk nk nk nk
for well-child examinations and for treatment of any medical problems diagnosed
nk nk nk nk nk nk nk nk nk nk nk
during such checkups. Children in the WIC program are often referred for
nk nk nk nk nk nk nk nk nk nk nk nk
immunizations, but that is not the primary focus of the program. Public Law 99-457 is
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
part of the Individuals with Disabilities Education Act that provides financial incentives
nk nk nk nk nk nk nk nk nk nk nk nk
to states to establish comprehensive early intervention services for infants and toddlers
nk nk nk nk nk nk nk nk nk nk nk nk
with, or at risk for, developmental disabilities.
nk nk nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk REF: n k p. 8 nk
Comprehension OBJ: Integrated Process: Teaching-
nk nk n k nk nk
Learning
MSC: Client Needs: Health Promotion and Maintenance
nk nk nk nk nk nk
6. In most states, adolescents who are not emancipated minors must have the
nk nk nk nk nk nk nk nk nk nk nk
nk permission of their parents before nk nk nk nk
, .
nk nk nk nk nk nk nk nk nk nk
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
nk nk nk nk nk nk nk nk
MULTIPLE CHOICE nk
1. Which factor significantly contributed to the shift from home births to hospital
nk nk nk nk nk nk nk nk nk nk nk
nk births in the early 20th century?
nk nk nk nk nk
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
nk nk nk nk nk nk nk nk nk nk nk
b. Forceps were developed to facilitate difficult births.
nk nk nk nk nk nk
c. The importance of early parental-infant contact was identified.
nk nk nk nk nk nk nk
d. Technologic developments became available to physicians. nk nk nk nk nk
ANS: D nk
Technologic developments were available to physicians, not lay midwives. So in-hospital
nk nk nk nk nk nk nk nk nk nk
births increased in order to take advantage of these advancements. Puerperal sepsis has
nk nk nk nk nk nk nk nk nk nk nk nk nk
been a known problem for generations. In the late 19th century, Semmelweis discovered
nk nk nk nk nk nk nk nk nk nk nk nk nk
how it could be prevented with improved hygienic practices. The development of
nk nk nk nk nk nk nk nk nk nk nk nk
forceps is an example of a technology advance made in the early 20th century but is
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
not the only reason birthplaces moved. Unlike home births, early hospital births
nk nk nk nk nk nk nk nk nk nk nk nk
hindered bonding between parents and their infants.
nk nk nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 1 OBJ: Integrated Process: nk n k nk n k nk
Teaching-Learning MSC: Client Needs: Safe and Effective Care
nk nk nk nk nk nk nk nk
Environment
nk
2. Family-centered maternity care developed in response to nk nk nk nk nk nk
a. demands by physicians for family involvement in childbirth.
nk nk nk nk nk nk nk
b. the Sheppard-Towner Act of 1921.
nk nk nk nk
c. parental requests that infants be allowed to remain with them rather
nk nk nk nk nk nk nk nk nk nk
than in a nursery.
nk nk nk nk
d. changes in pharmacologic management of labor. nk nk nk nk nk
ANS: C nk
As research began to identify the benefits of early extended parent-infant contact,
nk nk nk nk nk nk nk nk nk nk nk
parents began to insist that the infant remain with them. This gradually developed
nk nk nk nk nk nk nk nk nk nk nk nk nk
into the practice of rooming-in and finally to family-centered maternity care. Family-
nk nk nk nk nk nk nk nk nk nk nk nk
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
nk nk nk nk nk nk nk nk nk nk nk nk
1921 provided funds for state-managed programs for mothers and children. The
nk nk nk nk nk nk nk nk nk nk nk
changes in pharmacologic management of labor were not a factor in family-centered
nk nk nk nk nk nk nk nk nk nk nk nk
maternity care.
nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 2 OBJ: Integrated Process: nk n k nk n k nk
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
nk nk nk nk nk nk
3. Which setting for childbirth allows the least amount of parent-infant contact?
nk nk nk nk nk nk nk nk nk nk
a. Labor/delivery/recovery/postpartum room nk
b. Birth center nk
c. Traditional hospital birth nk nk
d. Home birth nk
.
, ANS: C nk
In the traditional hospital setting, the mother may see the infant for only short feeding
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
periods, and the infant is cared for in a separate nursery. The
nk nk nk nk nk nk nk nk nk nk nk nk
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
nk nk nk nk nk nk nk
Birth centers are set up to allow an increase in parent-infant contact. Home births allow
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
an increase in parent-infant contact.
nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 2 OBJ: Nursing Process: nk n k nk n k nk
Planning
nk
MSC: Client Needs: Health Promotion and Maintenance
n k nk nk nk nk nk
4. As a result of changes in health care delivery and funding, a current trend seen
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
in the pediatric setting is
nk nk nk nk nk
a. increased hospitalization of children. nk nk nk
b. decreased number of children living in poverty. nk nk nk nk nk nk
c. an increase in ambulatory care.
nk nk nk nk
d. decreased use of managed care. nk nk nk nk
ANS: C nk
One effect of managed care has been that pediatric health care delivery has shifted
nk nk nk nk nk nk nk nk nk nk nk nk nk
dramatically from the acute care setting to the ambulatory setting in order to provide
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
more cost-efficient care. The number of hospital beds being used has decreased as
nk nk nk nk nk nk nk nk nk nk nk nk nk
more care is given in outpatient settings and in the home. The number of children
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
living in poverty has increased over the past decade. One of the biggest changes in
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
health care has been the growth of managed care.
nk nk nk nk nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk
Knowledge/Remembering REF:
nk p. 5 OBJ: Nursing Process: nk n k nk n k nk
Planning
nk
MSC: Client Needs: Safe and Effective Care Environment
n k nk nk nk nk nk nk
5. The Women, Infants, and Children (WIC) program provides
nk nk nk nk nk nk nk
a. well-child examinations for infants and children living at the poverty level.
nk nk nk nk nk nk nk nk nk nk
b. immunizations for high-risk infants and children. nk nk nk nk nk
c. screening for infants with developmental disorders. nk nk nk nk nk
d. supplemental food supplies to low-income pregnant or breastfeeding women. nk nk nk nk nk nk nk nk
ANS: D nk
WIC is a federal program that provides supplemental food supplies to low-income
nk nk nk nk nk nk nk nk nk nk nk
women who are pregnant or breastfeeding and to their children until age 5 years.
nk nk nk nk nk nk nk nk nk nk nk nk nk nk
Medicaid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides
nk nk nk nk nk nk nk nk nk nk
for well-child examinations and for treatment of any medical problems diagnosed
nk nk nk nk nk nk nk nk nk nk nk
during such checkups. Children in the WIC program are often referred for
nk nk nk nk nk nk nk nk nk nk nk nk
immunizations, but that is not the primary focus of the program. Public Law 99-457 is
nk nk nk nk nk nk nk nk nk nk nk nk nk nk nk
part of the Individuals with Disabilities Education Act that provides financial incentives
nk nk nk nk nk nk nk nk nk nk nk nk
to states to establish comprehensive early intervention services for infants and toddlers
nk nk nk nk nk nk nk nk nk nk nk nk
with, or at risk for, developmental disabilities.
nk nk nk nk nk nk nk
PTS: 1 DIF: Cognitive Level:
n k nk REF: n k p. 8 nk
Comprehension OBJ: Integrated Process: Teaching-
nk nk n k nk nk
Learning
MSC: Client Needs: Health Promotion and Maintenance
nk nk nk nk nk nk
6. In most states, adolescents who are not emancipated minors must have the
nk nk nk nk nk nk nk nk nk nk nk
nk permission of their parents before nk nk nk nk
, .
