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Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition


MULTIPLE CHOICE

 Which factor significantly contributed to the shift from home births to hospital births in the
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early 20th century?
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a. Puerperal sepsis was identified as a risk factor in labor and delivery. J J J J J J J J J J J




b. Forceps were developed to facilitate difficult births. J J J J J J




c. The importance ofearly parental-infant contact was identified.
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d. Technologic developments became available to physicians. J J J J J




ANS: D J




Technologic developments were available to physicians, not lay midwives. So in-hospital births
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increased in order to take advantage of these advancements. Puerperal sepsis has been aknown
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problem for generations. In the late 19th century, Semmelweis discovered how it couldbe
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prevented with improved hygienic practices. The development of forceps is an example of a
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technology advance made in the early 20th century but is not the only reason birthplaces moved.
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Unlike home births, early hospital births hindered bonding between parents and their infants.
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PTS: 1
JJJ DIF: Cognitive Level: Knowledge/Remembering J J J




REF: p. 1
JJJ OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Safe and Effective Care Environment
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 A woman who delivered her baby 6 hours ago complains of headache and dizziness. The nurse
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administers an analgesic but does not perform any assessments. The woman then has atonic-
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clonic seizure, falls out of bed, and fractures her femur. How would the actions of the nurse be
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interpreted in relation to standards of care? J J J J J J




a. Negligent: the nurse failed to assess the woman for possible complications J J J J J J J J J J




b. Negligent: because the nurse medicated the woman J J J J J J




c. Not negligent: the woman had signed a waiver concerning the use of side rails
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d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
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they occurred J




ANS: A J




TestBankWorld.org

, There are four elements to malpractice, which is negligence in the performance of professional
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duties: duty, breach of duty, damage, and proximate cause. The nurse was negligent because she
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or he did not perform any assessments, which is the first step of the nursing process and is a
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standard of care. By not assessing the patient, the nurse did not meetestablished standards of care,
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and thus is guilty of professional negligence, or malpractice.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 16 OBJ: Nursing Process: Evaluation
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MSC: Client Needs: Safe and Effective Care Environment
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 Which patient situation fails to meet the first requirement of informed consent?
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a. The patient does not understand the physician’s explanations.
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b. The physician gives the patient only a partial list of possible side effects and
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complications.
c. The patient is confused and disoriented. J J J J J




d. The patient signs a consent form because her husband tells her to.
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ANS: C J




The first requirement of informed consent is that the patient must be competent to make decisions
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about health care. Full disclosure of information is an important element of the consent, but first
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the patient has to be competent to sign. Understanding is an important element of the consent, but
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first the patient has to be competent to sign. Voluntary consent isan important element of the
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consent, but first the patient has to be competent to sign. J J J J J J J J J J




PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
JJJ J J J




REF: p. 17 OBJ: Nursing Process: Assessment
JJJ J J J J




MSC: Client Needs: Safe and Effective Care Environment
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 Which situation reflects a potential ethical dilemma for the nurse?
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a. A nurse administers analgesics to a patient with cancer as often as the provider’s
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order allows. J




b. A neonatal nurse provides nourishment and care to a newborn who has a defect
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that is incompatible with life. J J J J




c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
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abortion.
d. A postpartum nurse provides information about adoption to a new mother who
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feels she cannot adequately care for her infant. J J J J J J J




ANS: C J




A dilemma exists in this situation because the nurse is being asked to assist with a procedurethat
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she or he believes is morally wrong. The other situations do not contain elements of conflict for
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the nurse.
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PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
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REF: p. 11 OBJ: Nursing Process: Assessment
JJJ J J J J




MSC: Client Needs: Safe and Effective Care Environment
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 When planning a parenting class, the nurse should explain that the leading cause of death in
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children 1 to 4 years of age in the United States is J J J J J J J J J J J




a. premature birth. J




b. congenital anomalies. J




TestBankWorld.org
c. accidental death. J




d. respiratory tract illness. J J




ANS: C J

,TES BANK EXAM Foundations of Maternity, Women’s
J




Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
Although the rates have dropped, unintentional injury (accidents) are still the leading cause ofdeath
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for children aged 1 to 19. The other options contribute to morbidity and mortality in children but are
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not the leading cause.
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PTS: 1 JJJDIF: Cognitive Level: Knowledge/Remembering J J




REF: p. 10 | Table 1.3
JJJ J OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Safe and Effective Care Environment
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 Family-centered maternity care developed in response to J J J J J J




a. demands by physicians for family involvement in childbirth. J J J J J J J




b. the Sheppard-Towner Act of 1921.J J J J




c. parental requests that infants be allowed to remain with them rather than in a
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nursery.
d. changes in pharmacologic management of labor. J J J J J




ANS: C J




As research began to identify the benefits of early extended parent-infant contact, parents began
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to insist that the infant remain with them. This gradually developed into the practice ofrooming-in
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and finally to family-centered maternity care. Family-centered care was a requestby parents, not
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physicians. The Sheppard-Towner Act of 1921 provided funds for J J J J J J J J




state-managed programs for mothers and children. The changes in pharmacologic J J J J J J J J J J




management of labor were not a factor in family-centered maternity care. J J J J J J J J J J




PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
JJJ J J J




REF: p. 2 OBJ: Integrated Process: Teaching-Learning
JJJ J J J J J




MSC: Client Needs: Psychosocial Integrity
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 Which setting for childbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartum room J




b. Birth center J




c. Traditional hospital birth J J




d. Home birth J




TestBankWorld.org




TES BANK EXAM Foundations of Maternity, Women’s
J




Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition

, TES BANK EXAM Foundations of Maternity, Women’s
J




Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
ANS: C J




In the traditional hospital setting, the mother may see the infant for only short feeding periods,and
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the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum roomsetting
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allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant
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contact. Home births allow an increase in parent-infant contact.J J J J J J J J




PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
JJJ J J J




REF: p. 2 OBJ: Nursing Process: Planning
JJJ J J J J




MSC: Client Needs: Health Promotion and Maintenance
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 As a result of changes in health care delivery and funding, a current trend seen in the pediatric
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setting is J




a. increased hospitalization of children. J J J




b. decreased number of children living in poverty. J J J J J J




c. an increase in ambulatory care. J J J J




d. decreased use of managed care. J J J J




ANS: C J




One effect of managed care has been that pediatric health care delivery has shifted dramatically
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from the acute care setting to the ambulatory setting in order to provide more cost-efficient care.
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The number of hospital beds being used has decreased as more care is given in outpatient settings
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and in the home. The number of children living in poverty has increased over the past decade. One
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of the biggest changes in health care has been the growthof managed care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
JJJ J J J




REF: p. 5 OBJ: Nursing Process: Planning
JJJ J J J J




MSC: Client Needs: Safe and Effective Care Environment
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 The Women, Infants, and Children (WIC) programprovides
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a. well-child examinations for infants and children living at the poverty level. J J J J J J J J J J




b. immunizations for high-risk infants and children. J J J J J




c. screening for infants with developmental disorders. J J J J J




d. supplemental food supplies to low-income pregnant or breastfeeding women. J J J J J J J J




ANS: D J




WIC is a federal program that provides supplemental food supplies to low-income women who are
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pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and Periodic
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Screening, Diagnosis, and Treatment Program provides for well-child examinations and for J J J J J J J J J J J




treatment of any medical problems diagnosed during such checkups. Children in the WIC program
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are often referred for immunizations, but that is not the primaryfocus of the program. Public Law
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99-457 is part of the Individuals with Disabilities EducationAct that provides financial incentives
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to states to establish comprehensive early intervention services for infants and toddlers with, or at
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TES BANK EXAM Foundations of Maternity, Women’s
J




Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition