TEST BANK
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
1. The opening up of hospital visiting policies for children and families
likely resultedfrom the work of which individual?
A. Joseph Brennaman
INTRODUCTORY MATERNITY & PEDIATRIC NURSING B. John Bowlby
C. Marshal Klaus
NANCY HATFIELD & CYNTHIA KINCHELOE D. John Kennell
5th Edition Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
TEST BANK
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse
accurately states that which is the major reason for the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
secondary to lack of access to services or insurance. Income as well as educational level may
play a role in the availability of health care, but they are not directly responsible. Being
unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
,Client Needs: Health Promotion and Maintenance Integrated Process: Teaching/Learning
Integrated Process: Nursing Process Reference: p. 3
Reference: p. 9
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
3. Which statement correctly defines the term "infant death rate"? during the surgery has greatly improved client survival rates and was started by which
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births physician?
B. number of deaths occurring in the first 28 days of life per 1,000 live births A. Louis Pasteur
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births B. Ignaz Philip Semmelweis
D. death of a live-born child before his or her first birthday. C. Joseph Lister
D. Alexander Gordon
Answer: D
Answer: C
Rationale: The term infant death refers to the death of a live-born child before he or she
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births. surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory
Question format: Multiple Choice of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Question format: Multiple Choice
Level: Remember Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Client Needs: Health Promotion and Maintenance Level: Apply
Integrated Process: Nursing Process Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
Reference: p. 9 Process: Nursing Process
Reference: p. 4
4. The nursing instructor is preparing to teach a group of students about the history of maternity
care. What major development will the instructor emphasize as greatly influencing the practice 6. A young couple are very excited to learn they are expecting their first child and question
of maternity care in the United States over the past century? the nurse about which test they need to discover its gender. Which procedure will best provide
A. technologic advances and the use of forceps by primary care providers this information to the couple?
B. development of anesthesia and acceptance of the germ theory A. Ultrasound
C. advent of birthing centers and the development of family-centered care B. Amniocentesis
D. development of pediatric specialty and replacement of midwives as primary birth attendants C. Chorionic villus sampling
D. HGP
Answer: B
Answer: A
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
the progress of general health care and decreased infections in laboring women. Pediatrics as a information about the gender. Amniocentesis and chorionic villus sampling provide the entire
specialty is an important step forward but is not the greatest development, and midwives are genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
still in practice. Maternity care continues to evolve, and birthing centers are still under information regarding gene mutations and variations.
development. Forceps are not considered an advance in maternity care. Question format: Multiple Choice
Question format: Multiple Choice Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive Level: Apply
Level: Analyze Client Needs: Health Promotion and Maintenance
Client Needs: Health Promotion and Maintenance Integrated Process: Caring
Reference: p. 6
,7. A sfamily sis sseeking ssources sfor spayment sof shealth scare scosts. sWhen stalking swith sthe Reference: sp. s5
sfamily, sthe snurse sdetermines sthat sthe sfamily smakes stoo smuch smoney stoqualify sfor sthe
sfederal sprogram. sWhich ssource swould sthe snurse slikely srecommend? 9. A sgroup sof snursing sstudents sare sexamining sthe sdata sof sthe slocal shospitals sto
A. Medicaid sdetermine sthe spotential smaternal sneeds sof sthe scommunity. sWhich sfactor swill sbe sthe sbest
B. Special s Supplemental s Nutrition s Program s for s Women, s Infants, s and s Children s(WIC) sstatistical sindicator sof sthe sadequacy sof sprenatal scare?
C. Centers s for s Disease s Control A. Number sof sprenatal svisits
D. State sChild sHealth sInsurance B. Maternal s mortality s rate
C. Infant s mortality s rate
sProgram sAnswer: sD D. Infant smeasurements sat
Rationale: sThe sState sChild sHealth sInsurance sProgram, sfirst sknown sby sits sacronym s"SCHIP" sbirth sAnswer: sB
snow sreferred sto sas s"CHIP," swas senacted sin s1997. sCHIP sprovides shealth sinsurance sto
snewborns sand schildren sin slow-income sfamilies swho sdo snot sotherwise squalify sfor sMedicaid Rationale: sMaternal smortality srate sis sthe sbest sindicator sof sa scountry's slevel sof sprenatal
sand sare suninsured. sBased son sthe sinformation sgiven, sthe sfamily sdoes snot squalify sfor scare. sIncreases sin sprenatal scare sresult sin sa sdecrease sin smaternal smortality. sInfant smortality
sMedicaid, sa sfederal sprogram sthat ssupplies sgrants sto sstates sto sprovide shealth scare sfor sis sa sreflection sof spostnatal scare. sInfant smortality sincludes sall sinfant sdeaths sfrom sbirth sto
sindividuals swho shave slow sincomes sand smeet sother seligibility scriteria. sThe sSpecial s12 smonths sand scan sbe sthe sresult sof scongenital sanomalies, sgenetic sanomalies, sor sother
sSupplemental sNutrition sProgram sfor sWomen, sInfants, sand sChildren s(WIC) sprovides sproblems. sThe snumber sof sprenatal svisits sand smeasurements sof sthe sinfant sat sbirth sare snot
snutritional sservides sto slow-income, snutritionally sat-risk spregnant, sbreast- sfeeding, sand sthe sbest sindicators sas sthey sdo snot saccurately sreflect sthe shealth sof sthe smother.
spostpartum swomen sand stheir schildren s(as sold sas s5 syears). sThe sCenters sfor sDisease sControl Question sformat: sMultiple sChoice
sdoes snot sprovide sfunding sfor shealth scare sservices. Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment
Question sformat: sMultiple sChoice sCognitive sLevel: sApply
Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment Client sNeeds: sHealth sPromotion sand sMaintenance
sCognitive sLevel: sApply sIntegrated sProcess: sNursing sProcess
Client sNeeds: sSafe, sEffective sCare sEnvironment: sManagement sof Reference: sp. s9
sCare sIntegrated sProcess: sCaring
Reference: sp. s8 10. The snurse sis steaching sa sclient sabout slifestyle schanges sthat scould shelp sthe sclient
sreach sa shigher slevel sof swellness. sThe snurse sis sengaged sin swhich saspect sof scare?
8. After sdiscussing sthe svarious soptions swith sa spregnant sclient sand spartner, s they shave A. Infection s prevention
schosen sto sstay swith stheir snewborn sand sreceive scare sfrom sone snurse sat sthe stime sof B. Cost scontainment
sbirth. sThis sis sreferred sto sas swhich stype sof scare? C. Health s promotion
A. Regionalized s care D. Illness
B. Maternal-child s care
C. Centralized s care streatment sAnswer:
D. Couplet
sC
scare sAnswer:
Rationale: sBy sencouraging shealthy slifestyle schanges, sthe snurse sis sengaging sin shealth
sD spromotion sactivities. sHealth spromotion sinvolves shelping speople smake slifestyle schanges sto
smove sthem sto shigher slevels sof swellness. sHealth spromotion sincludes sall saspects sof shealth:
Rationale: sCouplet scare sis scare sin swhich sthe smother sand schild sremain sin sthe ssame sroom sphysical, smental, semotional, ssocial, sand sspiritual. sAlthough shealth spromotion scan shelp sto
safter slabor/delivery sthrough sthe spostpartum speriod. sThis shas sbecome sthe sstandard sof scare. scontain scosts sover sa slonger sspan, sthis sis snot swhat sthe snurseis sdoing. sHealthy slifestyle
Regionalized sor scentralized scare splaces sthe streatment scenters sin scentralized slocations sand schanges sare snot spart sof sinfection sprevention sor sillness streatment.
stransfers sthe spatient sto sthe sfacility. sMaternal schild scare sallows sthe smother sto sbe sthe Question sformat: sMultiple sChoice
sprimary sprovider sof scare. Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment
Question sformat: sMultiple sChoice sCognitive sLevel: sApply
Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment Client sNeeds: sHealth sPromotion sand sMaintenance
sCognitive sLevel: sApply sIntegrated sProcess: sTeaching/Learning sReference: sp. s7
Client sNeeds: sSafe, sEffective sCare sEnvironment: sManagement sof
sCare sIntegrated sProcess: sCaring
, treatment swas smost sinfluential sin smoving sbirth sfrom sthe shome sinto sthe shospital ssetting?
A. Infection scontrol sand sgerm stheory
11. A syoung sfemale sclient sis spregnant sfor sthe sfirst stime sand sis suncertain swho sto sseek B. Planned s cesarean s birth
sprenatal scare sfrom. sThe snurse sshould spoint sout swhich shealth scare sprovider sas sthe
C. Instruments sto sassist sin sbirth sof sinfants
slikely schoice?
D. Anesthesia sand sanalgesic
A. Perinatologist
B. Neonatologist stherapy sAnswer: sD
C. Family s practitioner
D. Obstetrician Rationale: sMovement sfrom sthe shome sto sthe shospital sfor sthe sbirth sof sinfants sbegan swith sthe
suse sof smedications sto scontrol spain sduring slabor. sThis strend sstarted swith sthe swealthy sand
sAnswer: sD
sfollowed sto sinclude smore sof ssociety. sCesarean sbirths sare sa smore srecent sdevelopment sthan
sthe sadvent sof sanesthesia. sInfection scontrol scould sbe smaintained sat shome, sso sit swas snot sa
Rationale: sThe sobstetrician sis sthe scommon schoice sfor sprenatal scare sthrough slabor sand sdriving sforce. sThe suse sof sinstruments sdeveloped salong swith scesarean stechnology.
sdelivery. sPerinatologists smay scare sfor swomen swho shave sa shigh-risk spregnancy, sand
Question sformat: sMultiple sChoice
sneonatologists sprovide scare sto sinfants. sFamily spractitioner sphysicians smay sprovide scare
Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment
sbut sare sless slikely sto sattend sin slabor sand sdelivery.
sCognitive sLevel: sApply
Question sformat: sMultiple sChoice Client sNeeds: sPhysiological sIntegrity: sBasic sCare sand sComfort
Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment sIntegrated sProcess: sTeaching/Learning
sCognitive sLevel: sUnderstand
Reference: sp. s3
Client sNeeds: sHealth sPromotion sand sMaintenance
sIntegrated sProcess: sCaring
14. The snursing sinstructor sis steaching sa sgroup sof sstudents sabout sthe shistory sof
Reference: sp. s3 smaternity sand sfamily scare. sThe sinstructor sdetermines sthe ssession sis ssuccessful swhen
sthe sstudents scorrectly schoose swhich smajor schange sresulting sfrom sresearch sby sKlaus
12. While spreparing sto steach sa sgroup sof snursing sstudents sthe shistory sof smaternity scare, sand sKennell?
swhich sfactor swill sthe sinstructor sinclude sto sexplain sas sthe setiology sof smost sinfections sin
A. Limited sfamily svisits sfor schildren sin sthe shospital
sfemales safter sbirthing sin sthe s1700s?
B. Family-centered scare sof stoday
A. Reproductive s tract s infection C. Rooming-in s for s maternity s patients
B. Breast s infection D. Isolation sof schildren swith
C. Kidney s infection
D. Urinary stract sinfections sAnswer: sB
sinfection sAnswer: sA
Rationale: sKlaus sand sKennell sconducted sstudies sand sdetermined sthe soptimal soutcomes sfor
schildren soccurred swhen sparents shad smore scontact sand sinteraction swith sthe schild sin sthe
Rationale: sPrior sto sthe sgerm stheory, swomen smost soften sdied sof spuerperal sfever, san sillness shospital. sLimiting svisits shas sdetrimental seffects son sinfant sdevelopment. sRooming-in swas
smarked sby shigh sfever scaused sby sinfection sof sthe sreproductive stract safter sdelivering
snot sas swell sreceived, sas spatients swere snot scomfortable swith sthe sloss sof sprivacy. sIsolation
sinfants. sWomen swho sdelivered sin shospitals swere smore slikely sto sdevelop sthis sinfection
sof schildren swith sinfections sis sstill sa sproper sprecaution.
sthan swomen swho sdelivered sat shome. sBreast sinfections soccurred sduring sbreast sfeeding sbut
Question sformat: sMultiple sChoice
swere snot susually sfatal. sThere swas sno sgreater sincidence sof skidney sor surinary stract
Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment
sinfections.
sCognitive sLevel: sApply
Question sformat: sMultiple sChoice Client sNeeds: sHealth sPromotion sand sMaintenance
Chapter s1: sThe sNurse's sRole sin sa sChanging sMaternal-Child sHealth sCare sEnvironment sIntegrated sProcess: sTeaching/Learning sReference: sp. s4
sCognitive sLevel: sApply
Client sNeeds: sSafe, sEffective sCare sEnvironment: sSafety sand sInfection sControl sIntegrated 15. A sclient swith sa shistory sof stype s1 sdiabetes smellitus sis sconfirmed sto sbe spregnant. sThe
sProcess: sTeaching/Learning
snurse sdetermines sthis sclient swill sbe sbest scared sfor sunder swhich spractice smodel?
Reference: sp. s3-4
13. A sgroup sof snursing sstudents sare scomparing sthe svarious schanges sin smaternity scare
sover sthe scourse sof shistory sand sdiscover sthat sthe sdevelopment sof swhat smedical