|||||||Test bank for maternal child nursing 5th edition by mckinney.
| | | | | | | | |
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,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|be
en|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|te
chnology|advance|made|in|the|early|20th|century|but|is|not|the|only|reason|birthplaces|moved.|Un
like|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|n
ursery.
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|develop
ed|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
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|pedi
atric|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|dramaticall
y|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|o
utpatient|settings|and|in|the|home.|The|number|of|children|living|in|poverty|has|increased|ove
r|the|past|decade.|One|of|the|biggest|changes|in|health|care|has|been|the|growth|of|managed|ca
re.
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|until|age|5|years.|Medicai
d’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|focu
s|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|ri
sk|for,|developmental|disabilities.
PTS:| 1 DIF: REF:| p.|8
Cognitive|Level:|Comprehension|OBJ:| I
ntegrated|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|thei
r|parents|before
.
, a. treatment|for|drug|abuse.
b. treatment|for|sexually|transmitted|diseases|(STDs).
c. accessing|birth|control.
d. surgery.
ANS:|D
Minors|are|not|considered|capable|of|giving|informed|consent,|so|a|surgical|procedure|would|re
quire|consent|of|the|parent|or|guardian.|Exceptions|exist|for|obtaining|treatment|for|drug|abuse|o
r|STDs|or|for|getting|birth|control|in|most|states.
PTS:| 1 DIF:
Cognitive|Level:|Knowledge/Remembering|REF:| p
.|17 OBJ:| Nursing|Process:|Planning
MSC:| Client|Needs:|Safe|and|Effective|Care|Environment
7. The|maternity|nurse|should|have|a|clear|understanding|of|the|correct|use|of|a|clin
ical|pathway.|One|characteristic|of|clinical|pathways|is|that|they
a. are|developed|and|implemented|by|nurses.
b. are|used|primarily|in|the|pediatric|setting.
c. set|specific|time|lines|for|sequencing|interventions.
d. are|part|of|the|nursing|process.
ANS:|C
Clinical|pathways|are|standardized,|interdisciplinary|plans|of|care|devised|for|patients|with|a|p
articular|health|problem.|They|are|used|to|identify|patient|outcomes,|specify|time|lines|to|achiev
e|those|outcomes,|direct|appropriate|interventions|and|sequencing|of|interventions,|include|int
erventions|from|a|variety|of|disciplines,|promote|collaboration,|and|involve|a|comprehensive|a
pproach|to|care.|They|are|developed|by|multiple|health|care|professionals|and|reflect|interdisci
plinary|care.|They|can|be|used|in|multiple|settings|and|for|patients|throughout|the|life|span.|The
y|are|not|part|of|the|nursing|process|but|can|be|used|in|conjunction|with|the|nursing|process|to|pr
ovide|care|to|patients.
PTS:| 1 DIF:
Cognitive|Level:|Knowledge/Remembering|REF:| p
.|7 OBJ:| Nursing|Process:|Planning
MSC:| Client|Needs:|Safe|and|Effective|Care|Environment
8. The|fastest|growing|group|of|homeless|people|is
a. men|and|women|preparing|for|retirement.
b. migrant|workers.
c. single|women|and|their|children.
d. intravenous|(IV)|substance|abusers.
ANS:|C
Pregnancy|and|birth,|especially|for|a|teenager,|are|important|contributing|factors| for|becoming|ho
meless.|People|preparing|for|retirement,|migrant|workers,|and|IV|substance|abusers|are|not|amon
g|the|fastest|growing|groups|of|homeless|people.
PTS:| 1 DIF:
Cognitive|Level:|Knowledge/Remembering|REF:| p
.|14 OBJ:| Nursing|Process:|Assessment
MSC:| Client|Needs:|Physiologic|Integrity
.
| | | | | | | | |
||||
,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|be
en|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|te
chnology|advance|made|in|the|early|20th|century|but|is|not|the|only|reason|birthplaces|moved.|Un
like|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|n
ursery.
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|develop
ed|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
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|pedi
atric|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|dramaticall
y|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|o
utpatient|settings|and|in|the|home.|The|number|of|children|living|in|poverty|has|increased|ove
r|the|past|decade.|One|of|the|biggest|changes|in|health|care|has|been|the|growth|of|managed|ca
re.
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|until|age|5|years.|Medicai
d’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|focu
s|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|ri
sk|for,|developmental|disabilities.
PTS:| 1 DIF: REF:| p.|8
Cognitive|Level:|Comprehension|OBJ:| I
ntegrated|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|thei
r|parents|before
.
, a. treatment|for|drug|abuse.
b. treatment|for|sexually|transmitted|diseases|(STDs).
c. accessing|birth|control.
d. surgery.
ANS:|D
Minors|are|not|considered|capable|of|giving|informed|consent,|so|a|surgical|procedure|would|re
quire|consent|of|the|parent|or|guardian.|Exceptions|exist|for|obtaining|treatment|for|drug|abuse|o
r|STDs|or|for|getting|birth|control|in|most|states.
PTS:| 1 DIF:
Cognitive|Level:|Knowledge/Remembering|REF:| p
.|17 OBJ:| Nursing|Process:|Planning
MSC:| Client|Needs:|Safe|and|Effective|Care|Environment
7. The|maternity|nurse|should|have|a|clear|understanding|of|the|correct|use|of|a|clin
ical|pathway.|One|characteristic|of|clinical|pathways|is|that|they
a. are|developed|and|implemented|by|nurses.
b. are|used|primarily|in|the|pediatric|setting.
c. set|specific|time|lines|for|sequencing|interventions.
d. are|part|of|the|nursing|process.
ANS:|C
Clinical|pathways|are|standardized,|interdisciplinary|plans|of|care|devised|for|patients|with|a|p
articular|health|problem.|They|are|used|to|identify|patient|outcomes,|specify|time|lines|to|achiev
e|those|outcomes,|direct|appropriate|interventions|and|sequencing|of|interventions,|include|int
erventions|from|a|variety|of|disciplines,|promote|collaboration,|and|involve|a|comprehensive|a
pproach|to|care.|They|are|developed|by|multiple|health|care|professionals|and|reflect|interdisci
plinary|care.|They|can|be|used|in|multiple|settings|and|for|patients|throughout|the|life|span.|The
y|are|not|part|of|the|nursing|process|but|can|be|used|in|conjunction|with|the|nursing|process|to|pr
ovide|care|to|patients.
PTS:| 1 DIF:
Cognitive|Level:|Knowledge/Remembering|REF:| p
.|7 OBJ:| Nursing|Process:|Planning
MSC:| Client|Needs:|Safe|and|Effective|Care|Environment
8. The|fastest|growing|group|of|homeless|people|is
a. men|and|women|preparing|for|retirement.
b. migrant|workers.
c. single|women|and|their|children.
d. intravenous|(IV)|substance|abusers.
ANS:|C
Pregnancy|and|birth,|especially|for|a|teenager,|are|important|contributing|factors| for|becoming|ho
meless.|People|preparing|for|retirement,|migrant|workers,|and|IV|substance|abusers|are|not|amon
g|the|fastest|growing|groups|of|homeless|people.
PTS:| 1 DIF:
Cognitive|Level:|Knowledge/Remembering|REF:| p
.|14 OBJ:| Nursing|Process:|Assessment
MSC:| Client|Needs:|Physiologic|Integrity
.
