TEST BANK =
INTRODUCTORY=MATERNITY=&=PEDIATRIC=NURSING
NANCY=HATFIELD=&=CYNTHIA=KINCHELOE
5th Edition
=
TESTBANK =
,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= resultedfrom =the = work= of= which=individual?
A. Joseph= Brennaman
B. John=Bowlby
C. Marshal=Klaus
D. John=Kennell
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=hospita
lization.=His=work=led=toa=re-
evaluation=and=liberalization=of=hospital=visiting=policies=for=children.=Joseph=Brennaman=sugges
ted=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=importantstudies=
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=toge
ther=at=birth=and=for=a=significant=period=after=birth=may=provide=benefitsthat=last=well=into=earl
y=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=Integrat
ed=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=accur
ately=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=pl
ay=a=role=in=the=availability=of=health=care,=but=they=are=not=directly=responsible.=Being=unmarrie
d=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=Integrat
ed=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.=Neonat
al=mortality=rate=is=the=number=of=infant=deaths=during=the=first=28=days=of=life=for=every=1,000=l
ive=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=Integrat
ed=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=t
he=progress=of=general=health=care=and=decreased=infections=in=laboring=women.=Pediatrics=as=a=s
pecialty=is=an=important=step=forward=but=is=not=the=greatest=development,=and=midwives=are=still
=in= practice. = Maternity = care =continues =to= evolve, = and= birthing = centers=are= still= under= developmen
t.=Forceps=are=not=considered=an=advance=in=maternity=care.
Question= format:= Multiple= Choice
Chapter=1:=The=Nurse's=Role=in=a=Changing=Maternal-
Child=Health=Care=Environment=Cognitive=Level:=Analyze
Client=Needs:=Health=Promotion=and=Maintenance
, Integrated=Process:=Teaching/Learning=
Reference:=p.=3
5. When=preparing=a=client=for=surgery,=the=nurse=explains=that=the=use=of=an=antiseptic=
during=the=surgery=has=greatly=improved=client=survival=rates=and=was=started=by=which=
physician?
A. Louis= Pasteur
B. Ignaz=Philip=Semmelweis
C. Joseph= Lister
D. Alexander=Gordon
= Answer:=C
Rationale:=Joseph=Lister=was=a=British=surgeon=who=embraced=Louis=Pasteur's=theory=of=micro
organisms=as=the=cause=of=infection.=Lister=used=carbolic=acid=as=an=antiseptic=during=surgery=a
nd=improved=the=survival=rates=of=his=patients.=Alexander=Gordon=proposed=the=theory=of=infecti
on.=Oliver=Wendell=Holmes=and=Ignaz=Philip=Semmelweis=confirmed=his=theory.
Question=format:=Multiple=Choice
Chapter=1:=The=Nurse's=Role=in=a=Changing=Maternal-
Child=Health=Care=Environment=Cognitive=Level:=Apply
Client=Needs:=Safe,=Effective=Care=Environment:=Safety=and=Infection=Control=Integrated=Proces
s:=Nursing=Process
Reference:=p.=4
6. A=young=couple=are=very=excited=to=learn=they=are=expecting=their=first=child=and=question=th
e=nurse=about=which=test=they=need=to=discover=its=gender.=Which=procedure=will=best=provide=th
is=information=to=the=couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic=villus=sampling
D. HGP
Answer:= A
Rationale:=Ultrasound=is=a=visual=method=for=assessing=the=fetus=in=the=uterus=and=will=provide=in
formation=about=the=gender.=Amniocentesis=and=chorionic=villus=sampling=provide=the=entire=gen
etic=code=of=the=fetus.=HGP=refers=to=the=Human=Genome=Project,=which=can=provide=informatio
n=regarding=gene=mutations=and=variations.
Question=format:=Multiple=Choice
Chapter=1:=The=Nurse's=Role=in=a=Changing=Maternal-
Child=Health=Care=Environment=Cognitive=Level:=Apply
Client=Needs:=Health=Promotion=and=Maintenance=Integrat
ed=Process:=Caring
Reference:=p.=6
INTRODUCTORY=MATERNITY=&=PEDIATRIC=NURSING
NANCY=HATFIELD=&=CYNTHIA=KINCHELOE
5th Edition
=
TESTBANK =
,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= resultedfrom =the = work= of= which=individual?
A. Joseph= Brennaman
B. John=Bowlby
C. Marshal=Klaus
D. John=Kennell
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=hospita
lization.=His=work=led=toa=re-
evaluation=and=liberalization=of=hospital=visiting=policies=for=children.=Joseph=Brennaman=sugges
ted=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=importantstudies=
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=toge
ther=at=birth=and=for=a=significant=period=after=birth=may=provide=benefitsthat=last=well=into=earl
y=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=Integrat
ed=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=accur
ately=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=pl
ay=a=role=in=the=availability=of=health=care,=but=they=are=not=directly=responsible.=Being=unmarrie
d=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=Integrat
ed=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.=Neonat
al=mortality=rate=is=the=number=of=infant=deaths=during=the=first=28=days=of=life=for=every=1,000=l
ive=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=Integrat
ed=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=t
he=progress=of=general=health=care=and=decreased=infections=in=laboring=women.=Pediatrics=as=a=s
pecialty=is=an=important=step=forward=but=is=not=the=greatest=development,=and=midwives=are=still
=in= practice. = Maternity = care =continues =to= evolve, = and= birthing = centers=are= still= under= developmen
t.=Forceps=are=not=considered=an=advance=in=maternity=care.
Question= format:= Multiple= Choice
Chapter=1:=The=Nurse's=Role=in=a=Changing=Maternal-
Child=Health=Care=Environment=Cognitive=Level:=Analyze
Client=Needs:=Health=Promotion=and=Maintenance
, Integrated=Process:=Teaching/Learning=
Reference:=p.=3
5. When=preparing=a=client=for=surgery,=the=nurse=explains=that=the=use=of=an=antiseptic=
during=the=surgery=has=greatly=improved=client=survival=rates=and=was=started=by=which=
physician?
A. Louis= Pasteur
B. Ignaz=Philip=Semmelweis
C. Joseph= Lister
D. Alexander=Gordon
= Answer:=C
Rationale:=Joseph=Lister=was=a=British=surgeon=who=embraced=Louis=Pasteur's=theory=of=micro
organisms=as=the=cause=of=infection.=Lister=used=carbolic=acid=as=an=antiseptic=during=surgery=a
nd=improved=the=survival=rates=of=his=patients.=Alexander=Gordon=proposed=the=theory=of=infecti
on.=Oliver=Wendell=Holmes=and=Ignaz=Philip=Semmelweis=confirmed=his=theory.
Question=format:=Multiple=Choice
Chapter=1:=The=Nurse's=Role=in=a=Changing=Maternal-
Child=Health=Care=Environment=Cognitive=Level:=Apply
Client=Needs:=Safe,=Effective=Care=Environment:=Safety=and=Infection=Control=Integrated=Proces
s:=Nursing=Process
Reference:=p.=4
6. A=young=couple=are=very=excited=to=learn=they=are=expecting=their=first=child=and=question=th
e=nurse=about=which=test=they=need=to=discover=its=gender.=Which=procedure=will=best=provide=th
is=information=to=the=couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic=villus=sampling
D. HGP
Answer:= A
Rationale:=Ultrasound=is=a=visual=method=for=assessing=the=fetus=in=the=uterus=and=will=provide=in
formation=about=the=gender.=Amniocentesis=and=chorionic=villus=sampling=provide=the=entire=gen
etic=code=of=the=fetus.=HGP=refers=to=the=Human=Genome=Project,=which=can=provide=informatio
n=regarding=gene=mutations=and=variations.
Question=format:=Multiple=Choice
Chapter=1:=The=Nurse's=Role=in=a=Changing=Maternal-
Child=Health=Care=Environment=Cognitive=Level:=Apply
Client=Needs:=Health=Promotion=and=Maintenance=Integrat
ed=Process:=Caring
Reference:=p.=6
