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