TESTBANK c
c
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
c c c
NANCY HATFIELD & CYNTHIA KINCHELOE
c c c c
5th Edition
c
TESTBANK c
,Chapter 1: The Nurse's Role in a Changing Maternal– c c c c c c c c
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5
c c c c c c c c c c
th Edition
c
1.The opening up of hospital visiting policies for children and families likel
c c c c c c c c c c c
y resultedfrom the work of which individual?
c c c c c c
A.Joseph Brennaman c
B.John Bowlby c
C.Marshal Klaus c
D.John Kennell c c
Answer: B c
Rationale: In 1951, John Bowlby received worldwide attention with his l
c c c c c c c c c
study that lrevealed lthe negative results lof the separation lof child land lmother because of hospitaliz
c c c c c c c c c c c c c c c
lation. His work led toa re- c c c c c
evaluation and liberalization of hospital lvisiting policies for children. Joseph Brennaman suggested t
c c c c c c c c c c c c
lhat a lack of stimulation for infants contributed to high infant mortality rates at the time. In the l197
c c c c c c c c c c c c c c c c c c
l0s and 1980s, physicians Marshall Klaus land John Kennell lcarried lout limportantstudies lon lthe
c c c c c c c c c c c c c c
leff lect lof lthe lseparation lof lnewborns land lparents. They lestablished that learly lseparation lmay
c c c c c c c c c c c c c c
lhave lo lng- c
term leffects lon lfamily lrelationships land that offering the new family an opportunity to be together
c c c c c c c c c c c c c c c
l at lbirth and for a significant lperiod after lbirth lmay lprovide lbenefitsthat llast lwell linto learly
c c c c c c c c c c c c c c c c c
lchild lhood. l
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Remember
c c c c c c
lClient Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Nursing Process l
c c c
Reference: p. 4 l c c
2.An expectant mother states that she read that more black mothers die in childbirth than do whit le
c c c c c c c c c c c c c c c c c
lmothers. lWhen lresponding to lher questions labout the reasons lfor this, the lnurse accurately lst
c c c c c c c c c c c c c c
lates that lwhich is the lmajor lreason lfor the lhigh lmaternal lmortality rate? l
c c c c c c c c c c c c
A.Having formal education. l c c
B.Being unmarried. l c
C.Income. l
D.Lack of prenatal care. l c c c
Answer: D l c
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care seco
c c c c c c c c c c c c c c c
lndary to lack of access to services or insurance. Income as well as educational llevel may play la r
c c c c c c c c c c c c c c c c c c
lole in the availability of health care, but they lare not directly responsible. Being unmarried has no
c c c c c c c c c c c c c c c c c
lbearing on infant mortality. l c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Understand l
c c c c c c
,Client Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Nursing Process l
c c c
Reference: p. 9 l c c
3.Which statement correctly defines the term "infant death rate"? l
c c c c c c c c
A.number of deaths in utero of fetuses 500 g or more per 1,000 live births l
c c c c c c c c c c c c c c
B.number of deaths occurring in the first 28 days of life per 1,000 live births l
c c c c c c c c c c c c c c
C.number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
c c c c c c c c c c c c c c c c c
lD.death of a live-born child before his or her first birthday. l
c c c c c c c c c c
Answer: D l c
Rationale: lThe term infant death refers to the death of a live-
c c c c c c c c c c c
born child before he or she reaches age 1 lyear. It lalso includes neonatal lmortality rate. Neonatal
c c c c c c c c c c c c c c c c c
lmortality lrate is the number of infant deaths during the first 28 days of life for every 1,000 live bir
c c c c c c c c c c c c c c c c c c c
lths. Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
c c c c c c c c c c c c c c c c c c c
c lQuestion format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Remember
c c c c c c
lClient Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Nursing Process l
c c c
Reference: p. 9 l c c
4.The nursing instructor is preparing to teach a group of students about the history of maternity care.
c c c c c c c c c c c c c c c c c
lWhat major development will the instructor emphasize las greatly influencing the practice of lmate
c c c c c c c c c c c c c
lrnity lcare in lthe lUnited lStates lover lthe lpast lcentury? l
c c c c c c c c c
A.technologic advances and the use of forceps by primary care providers l c c c c c c c c c c
B.development of anesthesia and acceptance of the germ theory l c c c c c c c c
C.advent of birthing centers and the development of family-centered care l
c c c c c c c c c
D.development of pediatric specialty and replacement of midwives as primary birth attendants An
c c c c c c c c c c c c
swer: B l c
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of a
c c c c c c c c c c c c c c c
lnesthesia allowed women a choice for pain management in birth; the germ theory advanced the progr
c c c c c c c c c c c c c c c
less of general health care and decreased infections in laboring women. Pediatrics as a specialty lis a
c c c c c c c c c c c c c c c c
ln important lstep lforward lbut lis not lthe greatest development, and lmidwives lare still in practice.
c c c c c c c c c c c c c c c c
lMaternity care lcontinues to levolve, land lbirthing lcenters lare still under development. lForceps
c c c c c c c c c c c c c
lare lnot lconsidered lan ladvance lin lmaternity lcare. l
c c c c c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Analyze
c c c c c c
lClient Needs: Health Promotion and Maintenance l
c c c c c
, Integrated Process: Teaching/Learning c c
c l
Reference: p. 3 l c c
5.When preparing a client for surgery, the nurse explains that the use of an antiseptic during
c c c c c c c c c c c c c c c
l the surgery has greatly improved client survival rates and was started by which physician? l
c c c c c c c c c c c c c c
A.Louis Pasteur l c
B.Ignaz Philip Semmelweis l c c
C.Joseph Lister l c
D.Alexander Gordon c c
Answer: C l c
Rationale: lJoseph lLister lwas la lBritish lsurgeon lwho lembraced lLouis lPasteur's ltheory
c c c c c c c c c c c c
lof microo c lrganisms las the lcause lof infection. lLister used lcarbolic lacid las lan c c c c c c c c c c c c
lantiseptic during surgery and c c c c
limproved the survival rates of his patients. Alexander Gordon proposed the theory of linfection. lO
c c c c c c c c c c c c c c
lliver lWendell lHolmes land lIgnaz lPhilip lSemmelweis lconfirmed lhis ltheory. l
c c c c c c c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Apply l
c c c c c c
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
c c c c c c c c c c c c
lNursing Process l c
Reference: p. 4 l c c
6.A young couple are very lexcited to learn they lare expecting their first child and question the
c c c c c c c c c c c c c c c c c
lnurse about which test they need to discover its gender. Which procedure will best provide this infor
c c c c c c c c c c c c c c c c
lmation to the couple? l c c c
A.Ultrasound l
B.Amniocentesis l
C.Chorionic villus sampling l c c
D.HGP l
Answer: A l c
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide inform
c c c c c c c c c c c c c c c c
lation about the gender. Amniocentesis and chorionic villus sampling provide
c c lthe entire genetic code
c c c c c c c c c c c c
lof the fetus. lHGP refers to the Human lGenome Project, which lcan provide information lregarding
c c c c c c c c c c c c c c c
lgene lmutations land lvariations. l
c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Apply
c c c c c c
lClient Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Caring l
c c
Reference: p. 6 l c c
c
INTRODUCTORY MATERNITY & PEDIATRIC NURSING
c c c
NANCY HATFIELD & CYNTHIA KINCHELOE
c c c c
5th Edition
c
TESTBANK c
,Chapter 1: The Nurse's Role in a Changing Maternal– c c c c c c c c
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursing, 5
c c c c c c c c c c
th Edition
c
1.The opening up of hospital visiting policies for children and families likel
c c c c c c c c c c c
y resultedfrom the work of which individual?
c c c c c c
A.Joseph Brennaman c
B.John Bowlby c
C.Marshal Klaus c
D.John Kennell c c
Answer: B c
Rationale: In 1951, John Bowlby received worldwide attention with his l
c c c c c c c c c
study that lrevealed lthe negative results lof the separation lof child land lmother because of hospitaliz
c c c c c c c c c c c c c c c
lation. His work led toa re- c c c c c
evaluation and liberalization of hospital lvisiting policies for children. Joseph Brennaman suggested t
c c c c c c c c c c c c
lhat a lack of stimulation for infants contributed to high infant mortality rates at the time. In the l197
c c c c c c c c c c c c c c c c c c
l0s and 1980s, physicians Marshall Klaus land John Kennell lcarried lout limportantstudies lon lthe
c c c c c c c c c c c c c c
leff lect lof lthe lseparation lof lnewborns land lparents. They lestablished that learly lseparation lmay
c c c c c c c c c c c c c c
lhave lo lng- c
term leffects lon lfamily lrelationships land that offering the new family an opportunity to be together
c c c c c c c c c c c c c c c
l at lbirth and for a significant lperiod after lbirth lmay lprovide lbenefitsthat llast lwell linto learly
c c c c c c c c c c c c c c c c c
lchild lhood. l
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Remember
c c c c c c
lClient Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Nursing Process l
c c c
Reference: p. 4 l c c
2.An expectant mother states that she read that more black mothers die in childbirth than do whit le
c c c c c c c c c c c c c c c c c
lmothers. lWhen lresponding to lher questions labout the reasons lfor this, the lnurse accurately lst
c c c c c c c c c c c c c c
lates that lwhich is the lmajor lreason lfor the lhigh lmaternal lmortality rate? l
c c c c c c c c c c c c
A.Having formal education. l c c
B.Being unmarried. l c
C.Income. l
D.Lack of prenatal care. l c c c
Answer: D l c
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care seco
c c c c c c c c c c c c c c c
lndary to lack of access to services or insurance. Income as well as educational llevel may play la r
c c c c c c c c c c c c c c c c c c
lole in the availability of health care, but they lare not directly responsible. Being unmarried has no
c c c c c c c c c c c c c c c c c
lbearing on infant mortality. l c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Understand l
c c c c c c
,Client Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Nursing Process l
c c c
Reference: p. 9 l c c
3.Which statement correctly defines the term "infant death rate"? l
c c c c c c c c
A.number of deaths in utero of fetuses 500 g or more per 1,000 live births l
c c c c c c c c c c c c c c
B.number of deaths occurring in the first 28 days of life per 1,000 live births l
c c c c c c c c c c c c c c
C.number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
c c c c c c c c c c c c c c c c c
lD.death of a live-born child before his or her first birthday. l
c c c c c c c c c c
Answer: D l c
Rationale: lThe term infant death refers to the death of a live-
c c c c c c c c c c c
born child before he or she reaches age 1 lyear. It lalso includes neonatal lmortality rate. Neonatal
c c c c c c c c c c c c c c c c c
lmortality lrate is the number of infant deaths during the first 28 days of life for every 1,000 live bir
c c c c c c c c c c c c c c c c c c c
lths. Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
c c c c c c c c c c c c c c c c c c c
c lQuestion format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Remember
c c c c c c
lClient Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Nursing Process l
c c c
Reference: p. 9 l c c
4.The nursing instructor is preparing to teach a group of students about the history of maternity care.
c c c c c c c c c c c c c c c c c
lWhat major development will the instructor emphasize las greatly influencing the practice of lmate
c c c c c c c c c c c c c
lrnity lcare in lthe lUnited lStates lover lthe lpast lcentury? l
c c c c c c c c c
A.technologic advances and the use of forceps by primary care providers l c c c c c c c c c c
B.development of anesthesia and acceptance of the germ theory l c c c c c c c c
C.advent of birthing centers and the development of family-centered care l
c c c c c c c c c
D.development of pediatric specialty and replacement of midwives as primary birth attendants An
c c c c c c c c c c c c
swer: B l c
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of a
c c c c c c c c c c c c c c c
lnesthesia allowed women a choice for pain management in birth; the germ theory advanced the progr
c c c c c c c c c c c c c c c
less of general health care and decreased infections in laboring women. Pediatrics as a specialty lis a
c c c c c c c c c c c c c c c c
ln important lstep lforward lbut lis not lthe greatest development, and lmidwives lare still in practice.
c c c c c c c c c c c c c c c c
lMaternity care lcontinues to levolve, land lbirthing lcenters lare still under development. lForceps
c c c c c c c c c c c c c
lare lnot lconsidered lan ladvance lin lmaternity lcare. l
c c c c c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Analyze
c c c c c c
lClient Needs: Health Promotion and Maintenance l
c c c c c
, Integrated Process: Teaching/Learning c c
c l
Reference: p. 3 l c c
5.When preparing a client for surgery, the nurse explains that the use of an antiseptic during
c c c c c c c c c c c c c c c
l the surgery has greatly improved client survival rates and was started by which physician? l
c c c c c c c c c c c c c c
A.Louis Pasteur l c
B.Ignaz Philip Semmelweis l c c
C.Joseph Lister l c
D.Alexander Gordon c c
Answer: C l c
Rationale: lJoseph lLister lwas la lBritish lsurgeon lwho lembraced lLouis lPasteur's ltheory
c c c c c c c c c c c c
lof microo c lrganisms las the lcause lof infection. lLister used lcarbolic lacid las lan c c c c c c c c c c c c
lantiseptic during surgery and c c c c
limproved the survival rates of his patients. Alexander Gordon proposed the theory of linfection. lO
c c c c c c c c c c c c c c
lliver lWendell lHolmes land lIgnaz lPhilip lSemmelweis lconfirmed lhis ltheory. l
c c c c c c c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Apply l
c c c c c c
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
c c c c c c c c c c c c
lNursing Process l c
Reference: p. 4 l c c
6.A young couple are very lexcited to learn they lare expecting their first child and question the
c c c c c c c c c c c c c c c c c
lnurse about which test they need to discover its gender. Which procedure will best provide this infor
c c c c c c c c c c c c c c c c
lmation to the couple? l c c c
A.Ultrasound l
B.Amniocentesis l
C.Chorionic villus sampling l c c
D.HGP l
Answer: A l c
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide inform
c c c c c c c c c c c c c c c c
lation about the gender. Amniocentesis and chorionic villus sampling provide
c c lthe entire genetic code
c c c c c c c c c c c c
lof the fetus. lHGP refers to the Human lGenome Project, which lcan provide information lregarding
c c c c c c c c c c c c c c c
lgene lmutations land lvariations. l
c c c
Question format: Multiple Choice l c c c
Chapter 1: The Nurse's Role in a Changing Maternal-
c c c c c c c c
Child Health Care Environment Cognitive Level: Apply
c c c c c c
lClient Needs: Health Promotion and Maintenance Integrate
c c c c c c
ld Process: Caring l
c c
Reference: p. 6 l c c
