TEST BANK
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
NANCY HATFIELD & CYNTHIA KINCHELOE
5th Edition
TEST BANK
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
1. The opening up of hospital visiting policies for children and
families likely resulted from the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. JohnKennel
l Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother
because of hospitalization. His work led to a re-evaluation and liberalization of
hospital visiting policies for children. Joseph Brennaman suggested that a lack of
stimulation for infants contributed to high infant mortality rates at the time. In the
1970s and 1980s, physicians Marshall Klaus and John Kennell carried out important
studies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family
relationships and that offering the new family an opportunity to be together at
birth and for a significant period after birth may provide benefits that last well
into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in
childbirth than do white mothers. When responding to her questions about the
reasons for this, the nurse accurately states that which is the major reason for
the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
,Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of
prenatal care secondary to lack of access to services or insurance. Income as well
as educational level may play a role in the availability of health care, but they are
not directly responsible. Being unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Understand
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he
or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal
mortality rate is the number of infant deaths during the first 28 days of life for
every 1,000 live births. Infant mortality rate is the number of deaths during the
first 12 months of life per 1,000 live births. Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the
history of maternity care. What major development will the instructor emphasize as
greatly influencing the practice of maternity care in the United States over the past
century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary
birth attendants Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
development of anesthesia allowed women a choice for pain management in birth;
the germ theory advanced the progress of general health care and decreased
infections in laboring women. Pediatrics as a specialty is an important step forward
but is not the greatest development, and midwives are still in practice. Maternity
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
NANCY HATFIELD & CYNTHIA KINCHELOE
5th Edition
TEST BANK
,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
1. The opening up of hospital visiting policies for children and
families likely resulted from the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. JohnKennel
l Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother
because of hospitalization. His work led to a re-evaluation and liberalization of
hospital visiting policies for children. Joseph Brennaman suggested that a lack of
stimulation for infants contributed to high infant mortality rates at the time. In the
1970s and 1980s, physicians Marshall Klaus and John Kennell carried out important
studies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family
relationships and that offering the new family an opportunity to be together at
birth and for a significant period after birth may provide benefits that last well
into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in
childbirth than do white mothers. When responding to her questions about the
reasons for this, the nurse accurately states that which is the major reason for
the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
,Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of
prenatal care secondary to lack of access to services or insurance. Income as well
as educational level may play a role in the availability of health care, but they are
not directly responsible. Being unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Understand
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he
or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal
mortality rate is the number of infant deaths during the first 28 days of life for
every 1,000 live births. Infant mortality rate is the number of deaths during the
first 12 months of life per 1,000 live births. Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the
history of maternity care. What major development will the instructor emphasize as
greatly influencing the practice of maternity care in the United States over the past
century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary
birth attendants Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
development of anesthesia allowed women a choice for pain management in birth;
the germ theory advanced the progress of general health care and decreased
infections in laboring women. Pediatrics as a specialty is an important step forward
but is not the greatest development, and midwives are still in practice. Maternity
