Maternal_Child_Nursing_5th_Edition_by_McKinney.
MATERNAL CHILD NURSING 5th
edition TEST-BANK 2021-2022
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health
Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th
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 difficult 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 but 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
,Maternal_Child_Nursing_5th_Edition_by_McKinney.
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
,Maternal_Child_Nursing_5th_Edition_by_McKinney.
3. Which setting for childbirth allows the least amount of
parent-infant contact? a.
Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
.
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 up 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 result 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 used has decreased as more care is
given in outpatient settings and in the home. The number 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
, Maternal_Child_Nursing_5th_Edition_by_McKinney.
WIC is a federal program that provides supplemental food supplies to
low-income women who are pregnant or breastfeeding and to their
children until 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, but that is not the primary focus of the program. Public
Law
MATERNAL CHILD NURSING 5th
edition TEST-BANK 2021-2022
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health
Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th
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 difficult 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 but 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
,Maternal_Child_Nursing_5th_Edition_by_McKinney.
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
,Maternal_Child_Nursing_5th_Edition_by_McKinney.
3. Which setting for childbirth allows the least amount of
parent-infant contact? a.
Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
.
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 up 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 result 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 used has decreased as more care is
given in outpatient settings and in the home. The number 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
, Maternal_Child_Nursing_5th_Edition_by_McKinney.
WIC is a federal program that provides supplemental food supplies to
low-income women who are pregnant or breastfeeding and to their
children until 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, but that is not the primary focus of the program. Public
Law
