,Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
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Test Bank
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MULTIPLE CHOICE WQ
1. Which factor significantly contributed to the shift from home births to hospital births in the
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
early 20th century?
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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.
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d. Technologic developments became available to physicians. WQ WQ WQ WQ WQ
ANS: D W Q
Feedback
A Puerperal sepsis has been a known problem for generations. In the late 19th
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
century, Semmelweis discovered how it could be prevented with improved hygie
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nic practices. WQ
B The development of forceps to help physicians facilitate difficult births was a str
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ong factor in the decrease of home births and increase of hospital births. Other
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important discoveries included chloroform, drugs to initiate labor, and the advance
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ment of operative procedures such a cesarean birth.
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C Unlike home-births, early hospital births hindered bonding between parents and
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their infants. WQ
D Technological developments were available to physicians, not lay midwives.
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PTS: W Q 1
DIF: Cognitive Level: Knowledge WQ WQ
REF: p. 2 OBJ: Nursing Process: Assessment WQ WQ WQ WQ WQ WQ
MSC: Client Needs: Safe and Effective Care Environment
W Q WQ WQ WQ WQ WQ WQ
2. Family-centered maternity care developed in response to: WQ WQ WQ WQ WQ WQ
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 than in a
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nursery
d. Changes in pharmacologic management of labor WQ WQ WQ WQ WQ
ANS: C WQ
Feedback
A Family-centered care was a request by parents, not physicians. WQ WQ WQ WQ WQ WQ WQ WQ
B The Sheppard-Towner Act provided funds for state-managed programs for
WQ WQ WQ WQ WQ WQ WQ WQ
mothers and children. WQ WQ
C As research began to identify the benefits of early extended parent-
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infant contact, parents began to insist that the infant remain with them. This grad
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ually developed into the practice of rooming-in and finally to family-centered
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
maternity care. WQ
D The changes in pharmacologic management of labor were not a factor in family-
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, centered maternity care. WQ WQ
PTS: W Q W Q 1 DIF: Cognitive Level: Knowledge REF: p. 3 WQ WQ W Q WQ
OBJ: W Q Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
WQ WQ W Q WQ WQ WQ
3. Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartumroom
b. Birth center WQ
c. Traditional hospital birth WQ WQ
d. Home birth WQ
ANS: C WQ
Feedback
A The labor/delivery/recovery/postpartum room setting allows increased parent-
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infant contact. WQ
B Birth centers are set up to allow an increase in parent-infant contact.
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C In the traditional hospital setting, the mother may see the infant for only short
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feeding periods, and the infant is cared for in a separate nursery.
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D Home births allow an increase in parent-infant contact.
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PTS: W Q W Q 1 DIF: Cognitive Level: Knowledge REF: p. 3 WQ WQ W Q WQ
OBJ: W Q Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
WQ WQ W Q WQ WQ WQ WQ WQ
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
setting is: WQ
a. Increased hospitalization of children WQ WQ WQ
b. Decreased number of children living in poverty WQ WQ WQ WQ WQ WQ
c. An increase in ambulatory care
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d. Decreased use of managed care WQ WQ WQ WQ
ANS: C WQ
Feedback
A Hospitalization for children has decreased. WQ WQ WQ WQ
B Health care delivery has not altered the number of children living in poverty.
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C One effect of managed care has been that pediatric health care delivery has shif
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ted dramatically from the acute care setting to the ambulatory setting. One of the
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biggest changes in health care has been the growth of managed care. The numb
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er of hospital beds being used has decreased as more care is given in outpatient
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settings and in the home. The number of children living in poverty has increased
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over the last decade. WQ WQ WQ
D Managed care has increased in order to control cost. WQ WQ WQ WQ WQ WQ WQ WQ
PTS: W Q 1
DIF: Cognitive Level: Knowledge WQ WQ
REF: p. 6 OBJ: Nursing Process: Planning WQ WQ WQ WQ WQ WQ
MSC: Client Needs: Safe and Effective Care Environment
W Q WQ WQ WQ WQ WQ WQ
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
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b. Immunizations for high-risk infants and children WQ WQ WQ WQ WQ
c. Screening for infants with developmental disorders WQ WQ WQ WQ WQ
d. Supplemental food supplies to low- WQ WQ WQ WQ
income women who are pregnant or breastfeeding
WQ WQ WQ WQ WQ WQ
ANS: D WQ
Feedback
A Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program pro
WQ WQ WQ WQ WQ WQ WQ WQ WQ
vides for well-child examinations and for treatment of any medical problems
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diagnosed during such checkups. WQ WQ WQ
B Children in the WIC program are often linked with immunizations, but that is
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not the primary focus of the program.
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C Public Law 99-457 provides financial incentives to states to establish
WQ WQ WQ WQ WQ WQ WQ WQ WQ
comprehensive early intervention services for infants and toddlers with, or at risk fo WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
r, developmental disabilities.
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D WIC is a federal program that provides supplemental food supplies to low-
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income women who are pregnant or breastfeeding and to their children until age
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5 years. WQ
PTS: 1 W QDIF: Cognitive Level: Comprehension REF: p. 2 | Tables 1-1, 1- WQ WQ WQ WQ WQ WQ WQ WQ
9 OBJ: Nursing Process: Assessment
WQ W Q MSC: Client Needs: Physiologic Integrity WQ WQ W Q WQ WQ WQ
6. In most states, adolescents who are not emancipated minors must have the permission of their
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
parents before: WQ
a. Treatment for drug abuse WQ WQ WQ
b. Treatment for sexually transmitted diseases (STDs) WQ WQ WQ WQ WQ
c. Accessing birth control WQ WQ
d. Surgery
ANS: D WQ
Feedback
A Most states allow minors to obtain treatment for drug or alcohol abuse without
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parental consent. WQ
B Most states allow minors to obtain treatment for STDs without parental consent.
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C In most states, minors are allowed access to birth control without parental
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consent.
D If a minor receives surgery without proper informed consent, assault and battery ch
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
arges against the care provider can result. This does not apply to an emancipated
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minor (a minor child who has the legal competency of an adult because of circu
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mstances involving marriage, divorce, parenting of a child,
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living independently without parents, or enlistment in the armed services).
WQ WQ WQ WQ WQ WQ WQ WQ WQ
PTS: W Q 1
DIF: Cognitive Level: Application WQ WQ
REF: p. 19 OBJ: Nursing Process: Planning WQ WQ WQ WQ WQ WQ
MSC: Client Needs: Safe and Effective Care Environment
W Q WQ WQ WQ WQ WQ WQ
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
Test Bank
WQ
MULTIPLE CHOICE WQ
1. Which factor significantly contributed to the shift from home births to hospital births in the
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
early 20th century?
WQ WQ
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. Forceps were developed to facilitate difficult births.
WQ WQ WQ WQ WQ WQ
c. The importance of early parental-infant contact was identified.
WQ WQ WQ WQ WQ WQ WQ
d. Technologic developments became available to physicians. WQ WQ WQ WQ WQ
ANS: D W Q
Feedback
A Puerperal sepsis has been a known problem for generations. In the late 19th
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
century, Semmelweis discovered how it could be prevented with improved hygie
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nic practices. WQ
B The development of forceps to help physicians facilitate difficult births was a str
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ong factor in the decrease of home births and increase of hospital births. Other
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
important discoveries included chloroform, drugs to initiate labor, and the advance
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ment of operative procedures such a cesarean birth.
WQ WQ WQ WQ WQ WQ WQ
C Unlike home-births, early hospital births hindered bonding between parents and
WQ WQ WQ WQ WQ WQ WQ WQ WQ
their infants. WQ
D Technological developments were available to physicians, not lay midwives.
WQ WQ WQ WQ WQ WQ WQ WQ
PTS: W Q 1
DIF: Cognitive Level: Knowledge WQ WQ
REF: p. 2 OBJ: Nursing Process: Assessment WQ WQ WQ WQ WQ WQ
MSC: Client Needs: Safe and Effective Care Environment
W Q WQ WQ WQ WQ WQ WQ
2. Family-centered maternity care developed in response to: WQ WQ WQ WQ WQ WQ
a. Demands by physicians for family involvement in childbirth
WQ WQ WQ WQ WQ WQ WQ
b. The Sheppard-Towner Act of 1921
WQ WQ WQ WQ
c. Parental requests that infants be allowed to remain with them rather than in a
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nursery
d. Changes in pharmacologic management of labor WQ WQ WQ WQ WQ
ANS: C WQ
Feedback
A Family-centered care was a request by parents, not physicians. WQ WQ WQ WQ WQ WQ WQ WQ
B The Sheppard-Towner Act provided funds for state-managed programs for
WQ WQ WQ WQ WQ WQ WQ WQ
mothers and children. WQ WQ
C As research began to identify the benefits of early extended parent-
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
infant contact, parents began to insist that the infant remain with them. This grad
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ually developed into the practice of rooming-in and finally to family-centered
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
maternity care. WQ
D The changes in pharmacologic management of labor were not a factor in family-
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
, centered maternity care. WQ WQ
PTS: W Q W Q 1 DIF: Cognitive Level: Knowledge REF: p. 3 WQ WQ W Q WQ
OBJ: W Q Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
WQ WQ W Q WQ WQ WQ
3. Which setting for childbirth allows the least amount of parent-infant contact?
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Labor/delivery/recovery/postpartumroom
b. Birth center WQ
c. Traditional hospital birth WQ WQ
d. Home birth WQ
ANS: C WQ
Feedback
A The labor/delivery/recovery/postpartum room setting allows increased parent-
WQ WQ WQ WQ WQ WQ
infant contact. WQ
B Birth centers are set up to allow an increase in parent-infant contact.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
C In the traditional hospital setting, the mother may see the infant for only short
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
feeding periods, and the infant is cared for in a separate nursery.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
D Home births allow an increase in parent-infant contact.
WQ WQ WQ WQ WQ WQ WQ
PTS: W Q W Q 1 DIF: Cognitive Level: Knowledge REF: p. 3 WQ WQ W Q WQ
OBJ: W Q Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
WQ WQ W Q WQ WQ WQ WQ WQ
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
setting is: WQ
a. Increased hospitalization of children WQ WQ WQ
b. Decreased number of children living in poverty WQ WQ WQ WQ WQ WQ
c. An increase in ambulatory care
WQ WQ WQ WQ
d. Decreased use of managed care WQ WQ WQ WQ
ANS: C WQ
Feedback
A Hospitalization for children has decreased. WQ WQ WQ WQ
B Health care delivery has not altered the number of children living in poverty.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
C One effect of managed care has been that pediatric health care delivery has shif
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ted dramatically from the acute care setting to the ambulatory setting. One of the
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
biggest changes in health care has been the growth of managed care. The numb
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
er of hospital beds being used has decreased as more care is given in outpatient
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
settings and in the home. The number of children living in poverty has increased
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
over the last decade. WQ WQ WQ
D Managed care has increased in order to control cost. WQ WQ WQ WQ WQ WQ WQ WQ
PTS: W Q 1
DIF: Cognitive Level: Knowledge WQ WQ
REF: p. 6 OBJ: Nursing Process: Planning WQ WQ WQ WQ WQ WQ
MSC: Client Needs: Safe and Effective Care Environment
W Q WQ WQ WQ WQ WQ WQ
5. The Women, Infants, and Children (WIC) program provides:
WQ WQ WQ WQ WQ WQ WQ
, a. Well-child examinations for infants and children living at the poverty level
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. Immunizations for high-risk infants and children WQ WQ WQ WQ WQ
c. Screening for infants with developmental disorders WQ WQ WQ WQ WQ
d. Supplemental food supplies to low- WQ WQ WQ WQ
income women who are pregnant or breastfeeding
WQ WQ WQ WQ WQ WQ
ANS: D WQ
Feedback
A Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program pro
WQ WQ WQ WQ WQ WQ WQ WQ WQ
vides for well-child examinations and for treatment of any medical problems
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
diagnosed during such checkups. WQ WQ WQ
B Children in the WIC program are often linked with immunizations, but that is
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
not the primary focus of the program.
WQ WQ WQ WQ WQ WQ
C Public Law 99-457 provides financial incentives to states to establish
WQ WQ WQ WQ WQ WQ WQ WQ WQ
comprehensive early intervention services for infants and toddlers with, or at risk fo WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
r, developmental disabilities.
WQ WQ
D WIC is a federal program that provides supplemental food supplies to low-
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
income women who are pregnant or breastfeeding and to their children until age
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
5 years. WQ
PTS: 1 W QDIF: Cognitive Level: Comprehension REF: p. 2 | Tables 1-1, 1- WQ WQ WQ WQ WQ WQ WQ WQ
9 OBJ: Nursing Process: Assessment
WQ W Q MSC: Client Needs: Physiologic Integrity WQ WQ W Q WQ WQ WQ
6. In most states, adolescents who are not emancipated minors must have the permission of their
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
parents before: WQ
a. Treatment for drug abuse WQ WQ WQ
b. Treatment for sexually transmitted diseases (STDs) WQ WQ WQ WQ WQ
c. Accessing birth control WQ WQ
d. Surgery
ANS: D WQ
Feedback
A Most states allow minors to obtain treatment for drug or alcohol abuse without
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
parental consent. WQ
B Most states allow minors to obtain treatment for STDs without parental consent.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
C In most states, minors are allowed access to birth control without parental
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
consent.
D If a minor receives surgery without proper informed consent, assault and battery ch
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
arges against the care provider can result. This does not apply to an emancipated
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
minor (a minor child who has the legal competency of an adult because of circu
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
mstances involving marriage, divorce, parenting of a child,
WQ WQ WQ WQ WQ WQ WQ
living independently without parents, or enlistment in the armed services).
WQ WQ WQ WQ WQ WQ WQ WQ WQ
PTS: W Q 1
DIF: Cognitive Level: Application WQ WQ
REF: p. 19 OBJ: Nursing Process: Planning WQ WQ WQ WQ WQ WQ
MSC: Client Needs: Safe and Effective Care Environment
W Q WQ WQ WQ WQ WQ WQ
