TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
,TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
Chapter 01: Foundations
̦̣ of Maternity, Women’s Health, and Child Health Nursing
̦̣
McKinney: Evolve Resources
̦̣ for Maternal-Child Nursing,
̦̣ 6th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed
̦̣ to the shift from home births to hospital births in the
early 20th century?
̦̣
a. Puerperal
̦̣ sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficulț̣ births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal
̦̣ sepsis has been a
known problem for generations. In the late 19th century,̦̣ Semmelweis discovered how it could
̦̣
be prevented with improved hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century ̦̣ buț̣ is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests
̦̣ that infants be allowed to remain with them rather than in a
nursery.
̦̣
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually
̦̣ developed into the practice of
rooming-in and finally to family-centered maternity care. Family-centered care was a request ̦̣
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds ̦̣ for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount
̦̣ of parent-infant contact?
a. Labor/delivery/recovery/postpartum ̦̣ room
b. Birth center
,TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery.
̦̣ The labor/delivery/recovery/postpartum ̦̣ room
setting allows increased parent-infant contact. Birth centers are set up̦̣ to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing
̦̣ Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a resulț̣ of changes in health care delivery and funding,
̦̣ a current
̦̣ trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number
̦̣ of children living in poverty.
c. an increase in ambulatory
̦̣ care.
d. decreased use
̦̣ of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute ̦̣ care setting to the ambulatory
̦̣ setting in order to provide more
cost-efficient care. The number
̦̣ of hospital beds being u sed
̦̣ has decreased as more care is
given in outpatient
̦̣ settings and in the home. The number̦̣ of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing
̦̣ Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations
̦̣ for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental
̦̣ food supplies
̦̣ to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental
̦̣ food supplies
̦̣ to low-income women
who are pregnant or breastfeeding and to their children until̦̣ age 5 years. Medicaid’s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during ̦̣ such
̦̣ checkups.̦̣
Children in the WIC program are often referred for immunizations,
̦̣ bu t
̦̣ that is not the primary
focuș̣ of the program. Public
̦̣ Law 99-457 is part of the Individuals ̦̣ with Disabilities Education ̦̣
Act that provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must
̦̣ have the permission of their
parents before
̦̣ 6th Edition 2027
,TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
Chapter 01: Foundations
̦̣ of Maternity, Women’s Health, and Child Health Nursing
̦̣
McKinney: Evolve Resources
̦̣ for Maternal-Child Nursing,
̦̣ 6th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed
̦̣ to the shift from home births to hospital births in the
early 20th century?
̦̣
a. Puerperal
̦̣ sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficulț̣ births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal
̦̣ sepsis has been a
known problem for generations. In the late 19th century,̦̣ Semmelweis discovered how it could
̦̣
be prevented with improved hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century ̦̣ buț̣ is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests
̦̣ that infants be allowed to remain with them rather than in a
nursery.
̦̣
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually
̦̣ developed into the practice of
rooming-in and finally to family-centered maternity care. Family-centered care was a request ̦̣
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds ̦̣ for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount
̦̣ of parent-infant contact?
a. Labor/delivery/recovery/postpartum ̦̣ room
b. Birth center
,TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, TESTBANK FOR Maternal-Child Nursing,
̦̣ 6th Edition 2027
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery.
̦̣ The labor/delivery/recovery/postpartum ̦̣ room
setting allows increased parent-infant contact. Birth centers are set up̦̣ to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing
̦̣ Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a resulț̣ of changes in health care delivery and funding,
̦̣ a current
̦̣ trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number
̦̣ of children living in poverty.
c. an increase in ambulatory
̦̣ care.
d. decreased use
̦̣ of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute ̦̣ care setting to the ambulatory
̦̣ setting in order to provide more
cost-efficient care. The number
̦̣ of hospital beds being u sed
̦̣ has decreased as more care is
given in outpatient
̦̣ settings and in the home. The number̦̣ of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing
̦̣ Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations
̦̣ for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental
̦̣ food supplies
̦̣ to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental
̦̣ food supplies
̦̣ to low-income women
who are pregnant or breastfeeding and to their children until̦̣ age 5 years. Medicaid’s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during ̦̣ such
̦̣ checkups.̦̣
Children in the WIC program are often referred for immunizations,
̦̣ bu t
̦̣ that is not the primary
focuș̣ of the program. Public
̦̣ Law 99-457 is part of the Individuals ̦̣ with Disabilities Education ̦̣
Act that provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must
̦̣ have the permission of their
parents before
