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
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likely resultedfrom the work of which individual?
T T T T T T
A. Joseph Brennaman T
B. John Bowlby T
C. Marshal Klaus T
D. John Kennell T T
Answer: B T
Rationale: In 1951, John Bowlby received worldwide attention with his
T T T T T T T T T
study that revealed the negative results of the separation of child and mother because of
T T T T T T T T T T T T T T T
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
T T T T T T T T T T T T T
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
T T T T T T T T T T T T T
high infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus
T T T T T T T T T T T T T T T
and John Kennell carried out importantstudies on the effect of the separation of newborns
T T T T T T T T T T T T T T
and parents. They established that early separation may have long-term effects on family
T T T T T T T T T T T T T
relationships and that offering the new family an opportunity to be together at birth and
T T T T T T T T T T T T T T T
for a significant period after birth may provide benefitsthat last well into early childhood.
T T T T T T T T T T T T T
Question format: Multiple Choice T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Remember T
Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Nursing Process T T T
Reference: p. 4 T T
2. An expectant mother states that she read that more black mothers die in childbirth than do
T T T T T T T T T T T T T T T T
white mothers. When responding to her questions about the reasons for this, the nurse
T T T T T T T T T T T T T T
accurately states that which is the major reason for the high maternal mortality rate?
T T T T T T T T T T T T T
A. Having formal education. T T
B. Being unmarried. T
C. Income.
D. Lack of prenatal care. T T T
Answer: D T
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
T T T T T T T T T T T T T T T
secondary to lack of access to services or insurance. Income as well as educational level
T T T T T T T T T T T T T T T
may play a role in the availability of health care, but they are not directly responsible.
T T T T T T T T T T T T T T T T
Being unmarried has no bearing on infant mortality.
T T T T T T T
Question format: Multiple Choice T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Understand T
,Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Nursing Process
T T T
Reference: p. 9 T T
3. Which statement correctly defines the term "infant death rate"?
T T T T T T T T
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
T T T T T T T T T T T T T T
B. number of deaths occurring in the first 28 days of life per 1,000 live births
T T T T T T T T T T T T T T
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
T T T T T T T T T T T T T T T T T
D. death of a live-born child before his or her first birthday.
T T T T T T T T T T
Answer: D T
Rationale: The term infant death refers to the death of a live-born child before he or she
T T T T T T T T T T T T T T T T T
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
T T T T T T T T T T T T T T T
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
T T T T T T T T T T T T T T T T T
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
T T T T T T T T T T T T T T T T T T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Remember
T
Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Nursing Process
T T T
Reference: p. 9 T T
4. The nursing instructor is preparing to teach a group of students about the history of maternity
T T T T T T T T T T T T T T T T
care. What major development will the instructor emphasize as greatly influencing the
T T T T T T T T T T T T
practice of maternity care in the United States over the past century?
T T T T T T T T T T T
A. technologic advances and the use of forceps by primary care providers
T T T T T T T T T T
B. development of anesthesia and acceptance of the germ theory T T T T T T T T
C. advent of birthing centers and the development of family-centered care
T T T T T T T T T
D. development of pediatric specialty and replacement of midwives as primary birth attendants
T T T T T T T T T T T T
Answer: B T
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
T T T T T T T T T T T T T
development of anesthesia allowed women a choice for pain management in birth; the germ
T T T T T T T T T T T T T T
theory advanced the progress of general health care and decreased infections in laboring
T T T T T T T T T T T T T
women. Pediatrics as a specialty is an important step forward but is not the greatest
T T T T T T T T T T T T T T T
development, and midwives are still in practice. Maternity care continues to evolve, and
T T T T T T T T T T T T T
birthing centers are still under development. Forceps are not considered an advance in
T T T T T T T T T T T T T
maternity care. T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Analyze
T
Client Needs: Health Promotion and Maintenance
T T T T T
, Integrated Process: Teaching/Learning
T T T
Reference: p. 3 T T
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
T T T T T T T T T T T T T T T
during the surgery has greatly improved client survival rates and was started by which
T T T T T T T T T T T T T T
physician?
A. Louis Pasteur T
B. Ignaz Philip Semmelweis T T
C. Joseph Lister T
D. Alexander Gordon T T
Answer: C T
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
T T T T T T T T T T T T T
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic
T T T T T T T T T T T T T
during surgery and improved the survival rates of his patients. Alexander Gordon proposed
T T T T T T T T T T T T T
the theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
T T T T T T T T T T T T
his theory.
T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Apply
T
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
T T T T T T T T T T T
Process: Nursing Process
T T
Reference: p. 4 T T
6. A young couple are very excited to learn they are expecting their first child and
T T T T T T T T T T T T T T T
question the nurse about which test they need to discover its gender. Which procedure will best
T T T T T T T T T T T T T T T T
provide this information to the couple?
T T T T T
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling T T
D. HGP
Answer: A T
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
T T T T T T T T T T T T T T T T
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
T T T T T T T T T T T T
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
T T T T T T T T T T T T T T T
information regarding gene mutations and variations.
T T T T T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Apply
T
Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Caring T T
Reference: p. 6 T T
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
T T T T T T T T T T T
likely resultedfrom the work of which individual?
T T T T T T
A. Joseph Brennaman T
B. John Bowlby T
C. Marshal Klaus T
D. John Kennell T T
Answer: B T
Rationale: In 1951, John Bowlby received worldwide attention with his
T T T T T T T T T
study that revealed the negative results of the separation of child and mother because of
T T T T T T T T T T T T T T T
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
T T T T T T T T T T T T T
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
T T T T T T T T T T T T T
high infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus
T T T T T T T T T T T T T T T
and John Kennell carried out importantstudies on the effect of the separation of newborns
T T T T T T T T T T T T T T
and parents. They established that early separation may have long-term effects on family
T T T T T T T T T T T T T
relationships and that offering the new family an opportunity to be together at birth and
T T T T T T T T T T T T T T T
for a significant period after birth may provide benefitsthat last well into early childhood.
T T T T T T T T T T T T T
Question format: Multiple Choice T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Remember T
Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Nursing Process T T T
Reference: p. 4 T T
2. An expectant mother states that she read that more black mothers die in childbirth than do
T T T T T T T T T T T T T T T T
white mothers. When responding to her questions about the reasons for this, the nurse
T T T T T T T T T T T T T T
accurately states that which is the major reason for the high maternal mortality rate?
T T T T T T T T T T T T T
A. Having formal education. T T
B. Being unmarried. T
C. Income.
D. Lack of prenatal care. T T T
Answer: D T
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
T T T T T T T T T T T T T T T
secondary to lack of access to services or insurance. Income as well as educational level
T T T T T T T T T T T T T T T
may play a role in the availability of health care, but they are not directly responsible.
T T T T T T T T T T T T T T T T
Being unmarried has no bearing on infant mortality.
T T T T T T T
Question format: Multiple Choice T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Understand T
,Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Nursing Process
T T T
Reference: p. 9 T T
3. Which statement correctly defines the term "infant death rate"?
T T T T T T T T
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
T T T T T T T T T T T T T T
B. number of deaths occurring in the first 28 days of life per 1,000 live births
T T T T T T T T T T T T T T
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
T T T T T T T T T T T T T T T T T
D. death of a live-born child before his or her first birthday.
T T T T T T T T T T
Answer: D T
Rationale: The term infant death refers to the death of a live-born child before he or she
T T T T T T T T T T T T T T T T T
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
T T T T T T T T T T T T T T T
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
T T T T T T T T T T T T T T T T T
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
T T T T T T T T T T T T T T T T T T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Remember
T
Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Nursing Process
T T T
Reference: p. 9 T T
4. The nursing instructor is preparing to teach a group of students about the history of maternity
T T T T T T T T T T T T T T T T
care. What major development will the instructor emphasize as greatly influencing the
T T T T T T T T T T T T
practice of maternity care in the United States over the past century?
T T T T T T T T T T T
A. technologic advances and the use of forceps by primary care providers
T T T T T T T T T T
B. development of anesthesia and acceptance of the germ theory T T T T T T T T
C. advent of birthing centers and the development of family-centered care
T T T T T T T T T
D. development of pediatric specialty and replacement of midwives as primary birth attendants
T T T T T T T T T T T T
Answer: B T
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
T T T T T T T T T T T T T
development of anesthesia allowed women a choice for pain management in birth; the germ
T T T T T T T T T T T T T T
theory advanced the progress of general health care and decreased infections in laboring
T T T T T T T T T T T T T
women. Pediatrics as a specialty is an important step forward but is not the greatest
T T T T T T T T T T T T T T T
development, and midwives are still in practice. Maternity care continues to evolve, and
T T T T T T T T T T T T T
birthing centers are still under development. Forceps are not considered an advance in
T T T T T T T T T T T T T
maternity care. T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Analyze
T
Client Needs: Health Promotion and Maintenance
T T T T T
, Integrated Process: Teaching/Learning
T T T
Reference: p. 3 T T
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
T T T T T T T T T T T T T T T
during the surgery has greatly improved client survival rates and was started by which
T T T T T T T T T T T T T T
physician?
A. Louis Pasteur T
B. Ignaz Philip Semmelweis T T
C. Joseph Lister T
D. Alexander Gordon T T
Answer: C T
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
T T T T T T T T T T T T T
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic
T T T T T T T T T T T T T
during surgery and improved the survival rates of his patients. Alexander Gordon proposed
T T T T T T T T T T T T T
the theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
T T T T T T T T T T T T
his theory.
T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Apply
T
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
T T T T T T T T T T T
Process: Nursing Process
T T
Reference: p. 4 T T
6. A young couple are very excited to learn they are expecting their first child and
T T T T T T T T T T T T T T T
question the nurse about which test they need to discover its gender. Which procedure will best
T T T T T T T T T T T T T T T T
provide this information to the couple?
T T T T T
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling T T
D. HGP
Answer: A T
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
T T T T T T T T T T T T T T T T
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
T T T T T T T T T T T T
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
T T T T T T T T T T T T T T T
information regarding gene mutations and variations.
T T T T T
Question format: Multiple Choice
T T T
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
T T T T T T T T T T T T T
Level: Apply
T
Client Needs: Health Promotion and Maintenance
T T T T T T
Integrated Process: Caring T T
Reference: p. 6 T T
