Complete Test Bank for Introductory Maternity &
Pediatric Nursing 5th Edition by Nancy Hatfield, ALL
Chapters Covered
1. The |opening |up |of |hospital |visiting |policies |for |children |and |families
|likely |resultedfrom |the |work |of |which |individual?
A. Joseph | Brennaman
B. John |Bowlby
C. Marshal | Klaus
D. John |Kennell
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
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: |Nursing |Process
Reference: | p. | 9
3. Which | statement | correctly | defines | the | term | "infant | death |rate"?
A. number | of |deaths | in | utero | of | fetuses |500 | g |or | more | per | 1,000 | live |births
B. number | of | deaths | occurring | in | the | first | 28 | days | of | life | per | 1,000 | live |births
C. number | of | deaths | occurring | at | birth | or | in |the | first | 12 | months | of | life | per|1,000 | live | births
D. death | of |a | live-born | child | before | his | or | her | first |birthday.
Answer: | D
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
|number | of | infant | deaths | during | the | first | 28 | days | of | life | for | every | 1,000 | live | births. | Infant
|mortality | rate |is |the |number | of |deaths |during | the | first |12 |months |of |life |per |1,000 |live |births.
|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
Reference: | p. | 9
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 |of
|maternity | care |in |the | United | States | over | the | past | century?
A. technologic | advances | and | the | use | of | forceps | by | primary | care |providers
B. development | of |anesthesia | and | acceptance | of | the | germ |theory
C. advent | of | birthing | centers | and | the | development | of | family-centered |care
D. development | of |pediatric |specialty |and | replacement |of |midwives |as |primary |birth | attendants
| Answer: |B
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
|the | progress | of | general | health | care | and | decreased | infections | in | laboring | women. | Pediatrics | as
| a |specialty | is | an | important | step | forward | but | is | not | the | greatest | development, | and | midwives
| are |still | in | practice. | Maternity | care | continues | to | evolve, | and | birthing | centers | are |still | under
|development. | Forceps | are | not | considered | an | advance | in | maternity | care.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Analyze
Client | Needs: | Health | Promotion | and | Maintenance
,Integrated |Process: |Teaching/Learning
|Reference: |p. |3
5. When |preparing |a |client |for |surgery, |the |nurse |explains |that |the |use |of |an |antiseptic
|during |the |surgery |has |greatly |improved |client |survival |rates |and |was |started |by |which
|physician?
A. Louis |Pasteur
B. Ignaz | Philip | Semmelweis
C. Joseph | Lister
D. Alexander |Gordon
Answer: |C
|
Rationale: | Joseph | Lister | was | a | British | surgeon | who | embraced | Louis | Pasteur's | theory | of
|microorganisms | as | the | cause | of | infection. | Lister | used | carbolic | acid | as | an | antiseptic
| during |surgery |and | improved | the | survival | rates | of | his | patients. | Alexander | Gordon | proposed
|the |theory |of |infection. |Oliver |Wendell |Holmes |and |Ignaz |Philip |Semmelweis |confirmed |his
|theory.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client |Needs: |Safe, |Effective |Care |Environment: |Safety |and |Infection |Control |Integrated
|Process: |Nursing |Process
Reference: | p. | 4
6. A |young |couple |are |very |excited | to | learn | they |are | expecting |their | first | child |and
| question |the |nurse |about | which | test |they |need |to |discover | its |gender. |Which | procedure |will | best
| provide |this |information |to |the |couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic | villus | sampling
D. HGP
Answer: |A
Rationale: | Ultrasound |is |a | visual | method |for |assessing |the | fetus |in |the |uterus |and | will | provide
|information |about |the |gender. | Amniocentesis |and |chorionic |villus |sampling |provide | the |entire
| genetic | code | of | the | fetus. | HGP | refers | to | the | Human | Genome | Project, | which | can | provide
|information | regarding | gene | mutations |and | variations.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role |in | a |Changing |Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client |Needs: |Health |Promotion |and |Maintenance
|Integrated |Process: |Caring
Reference: | p. | 6
, 7. A |family |is |seeking | sources |for |payment |of |health | care |costs. |When |talking | with |the | family, |the
|nurse |determines |that |the |family |makes |too |much |money |toqualify |for |the |federal |program. |Which
| source | would |the | nurse |likely |recommend?
A. Medicaid
B. Special | Supplemental | Nutrition | Program | for | Women, | Infants, | and | Children |(WIC)
C. Centers | for | Disease | Control
D. State |Child |Health | Insurance | Program
Answer: |D
|
Rationale: | The | State | Child | Health | Insurance | Program, | first | known | by | its | acronym | "SCHIP"
| now |referred | to | as | "CHIP," | was | enacted | in | 1997. | CHIP | provides | health | insurance | to
| newborns | and |children | in | low-income | families | who | do | not | otherwise | qualify | for | Medicaid
| and | are | uninsured. |Based | on | the | information | given, | the | family | does | not | qualify | for | Medicaid,
| a | federal | program | that |supplies | grants | to | states | to | provide | health | care | for | individuals | who
| have | low | incomes | and | meet |other | eligibility | criteria. | The | Special | Supplemental | Nutrition
| Program | for | Women, | Infants, | and |Children |(WIC) |provides |nutritional |servides |to |low-income,
|nutritionally |at-risk |pregnant, |breast- |feeding, | and | postpartum | women | and | their | children | (as | old
| as | 5 | years). | The | Centers | for | Disease |Control | does | not | provide | funding | for | health | care
| services.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client | Needs: | Safe, | Effective |Care | Environment: |Management | of
|Care |Integrated |Process: |Caring
Reference: | p. | 8
8. After | discussing | the | various | options | with | a | pregnant | client | and | partner, | they | have
|chosen | to | stay | with | their | newborn | and | receive | care | from | one | nurse | at | the | time | of | birth.
| This |is |referred |to |as |which |type |of |care?
A. Regionalized | care
B. Maternal-child | care
C. Centralized | care
D. Couplet |care
Answer: |D
|
Rationale: |Couplet | care |is |care |in |which |the | mother |and |child |remain |in |the | same |room |after |labor/delivery
| through | the | postpartum | period. | This | has | become | the | standard | of | care.
Regionalized | or | centralized | care | places | the | treatment | centers | in | centralized | locations | and
|transfers |the |patient |to |the |facility. | Maternal | child | care |allows |the |mother |to |be |the |primary |provider
|of |care.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client | Needs: | Safe, | Effective |Care |Environment: |Management | of |Care
|Integrated |Process: |Caring
Pediatric Nursing 5th Edition by Nancy Hatfield, ALL
Chapters Covered
1. The |opening |up |of |hospital |visiting |policies |for |children |and |families
|likely |resultedfrom |the |work |of |which |individual?
A. Joseph | Brennaman
B. John |Bowlby
C. Marshal | Klaus
D. John |Kennell
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
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: |Nursing |Process
Reference: | p. | 9
3. Which | statement | correctly | defines | the | term | "infant | death |rate"?
A. number | of |deaths | in | utero | of | fetuses |500 | g |or | more | per | 1,000 | live |births
B. number | of | deaths | occurring | in | the | first | 28 | days | of | life | per | 1,000 | live |births
C. number | of | deaths | occurring | at | birth | or | in |the | first | 12 | months | of | life | per|1,000 | live | births
D. death | of |a | live-born | child | before | his | or | her | first |birthday.
Answer: | D
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
|number | of | infant | deaths | during | the | first | 28 | days | of | life | for | every | 1,000 | live | births. | Infant
|mortality | rate |is |the |number | of |deaths |during | the | first |12 |months |of |life |per |1,000 |live |births.
|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
Reference: | p. | 9
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 |of
|maternity | care |in |the | United | States | over | the | past | century?
A. technologic | advances | and | the | use | of | forceps | by | primary | care |providers
B. development | of |anesthesia | and | acceptance | of | the | germ |theory
C. advent | of | birthing | centers | and | the | development | of | family-centered |care
D. development | of |pediatric |specialty |and | replacement |of |midwives |as |primary |birth | attendants
| Answer: |B
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
|the | progress | of | general | health | care | and | decreased | infections | in | laboring | women. | Pediatrics | as
| a |specialty | is | an | important | step | forward | but | is | not | the | greatest | development, | and | midwives
| are |still | in | practice. | Maternity | care | continues | to | evolve, | and | birthing | centers | are |still | under
|development. | Forceps | are | not | considered | an | advance | in | maternity | care.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Analyze
Client | Needs: | Health | Promotion | and | Maintenance
,Integrated |Process: |Teaching/Learning
|Reference: |p. |3
5. When |preparing |a |client |for |surgery, |the |nurse |explains |that |the |use |of |an |antiseptic
|during |the |surgery |has |greatly |improved |client |survival |rates |and |was |started |by |which
|physician?
A. Louis |Pasteur
B. Ignaz | Philip | Semmelweis
C. Joseph | Lister
D. Alexander |Gordon
Answer: |C
|
Rationale: | Joseph | Lister | was | a | British | surgeon | who | embraced | Louis | Pasteur's | theory | of
|microorganisms | as | the | cause | of | infection. | Lister | used | carbolic | acid | as | an | antiseptic
| during |surgery |and | improved | the | survival | rates | of | his | patients. | Alexander | Gordon | proposed
|the |theory |of |infection. |Oliver |Wendell |Holmes |and |Ignaz |Philip |Semmelweis |confirmed |his
|theory.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client |Needs: |Safe, |Effective |Care |Environment: |Safety |and |Infection |Control |Integrated
|Process: |Nursing |Process
Reference: | p. | 4
6. A |young |couple |are |very |excited | to | learn | they |are | expecting |their | first | child |and
| question |the |nurse |about | which | test |they |need |to |discover | its |gender. |Which | procedure |will | best
| provide |this |information |to |the |couple?
A. Ultrasound
B. Amniocentesis
C. Chorionic | villus | sampling
D. HGP
Answer: |A
Rationale: | Ultrasound |is |a | visual | method |for |assessing |the | fetus |in |the |uterus |and | will | provide
|information |about |the |gender. | Amniocentesis |and |chorionic |villus |sampling |provide | the |entire
| genetic | code | of | the | fetus. | HGP | refers | to | the | Human | Genome | Project, | which | can | provide
|information | regarding | gene | mutations |and | variations.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role |in | a |Changing |Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client |Needs: |Health |Promotion |and |Maintenance
|Integrated |Process: |Caring
Reference: | p. | 6
, 7. A |family |is |seeking | sources |for |payment |of |health | care |costs. |When |talking | with |the | family, |the
|nurse |determines |that |the |family |makes |too |much |money |toqualify |for |the |federal |program. |Which
| source | would |the | nurse |likely |recommend?
A. Medicaid
B. Special | Supplemental | Nutrition | Program | for | Women, | Infants, | and | Children |(WIC)
C. Centers | for | Disease | Control
D. State |Child |Health | Insurance | Program
Answer: |D
|
Rationale: | The | State | Child | Health | Insurance | Program, | first | known | by | its | acronym | "SCHIP"
| now |referred | to | as | "CHIP," | was | enacted | in | 1997. | CHIP | provides | health | insurance | to
| newborns | and |children | in | low-income | families | who | do | not | otherwise | qualify | for | Medicaid
| and | are | uninsured. |Based | on | the | information | given, | the | family | does | not | qualify | for | Medicaid,
| a | federal | program | that |supplies | grants | to | states | to | provide | health | care | for | individuals | who
| have | low | incomes | and | meet |other | eligibility | criteria. | The | Special | Supplemental | Nutrition
| Program | for | Women, | Infants, | and |Children |(WIC) |provides |nutritional |servides |to |low-income,
|nutritionally |at-risk |pregnant, |breast- |feeding, | and | postpartum | women | and | their | children | (as | old
| as | 5 | years). | The | Centers | for | Disease |Control | does | not | provide | funding | for | health | care
| services.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client | Needs: | Safe, | Effective |Care | Environment: |Management | of
|Care |Integrated |Process: |Caring
Reference: | p. | 8
8. After | discussing | the | various | options | with | a | pregnant | client | and | partner, | they | have
|chosen | to | stay | with | their | newborn | and | receive | care | from | one | nurse | at | the | time | of | birth.
| This |is |referred |to |as |which |type |of |care?
A. Regionalized | care
B. Maternal-child | care
C. Centralized | care
D. Couplet |care
Answer: |D
|
Rationale: |Couplet | care |is |care |in |which |the | mother |and |child |remain |in |the | same |room |after |labor/delivery
| through | the | postpartum | period. | This | has | become | the | standard | of | care.
Regionalized | or | centralized | care | places | the | treatment | centers | in | centralized | locations | and
|transfers |the |patient |to |the |facility. | Maternal | child | care |allows |the |mother |to |be |the |primary |provider
|of |care.
Question | format: | Multiple | Choice
Chapter |1: |The |Nurse's |Role | in | a |Changing | Maternal-Child | Health | Care |Environment | Cognitive
|Level: |Apply
Client | Needs: | Safe, | Effective |Care |Environment: |Management | of |Care
|Integrated |Process: |Caring
