,
,Chapter 1: The Nurse's Role in a Changing Maternal–
y# y# y# y# y# y# y# y#
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursin
y# y# y# y# y# y# y# y# y#
g, 5th Edition
y# y#
1. The opening up of hospital visiting policies for children and families
y# y# y# y# y# y# y# y# y# y#
likely resultedfrom the work of which individual?
y# y # y# y # y # y# y #
A. Joseph Brennaman y#
B. John Bowlby y#
C. Marshal Klaus y#
D. John Kennell y#
y# Answer: B y#
Rationale: In 1951, John Bowlby received worldwide attention with his
y# y# y# y# y# y# y# y# y#
study that revealed the negative results of the separation of child and mother because
y # y # y # y # y # y # y# y # y # y # y # y # y # y
#of hospitalization. His work led toa re-
y# y# y# y # y# y#
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman sugg
y# y# y# y# y # y# y# y# y# y# y #
ested that a lack of stimulation for infants contributed to high infant mortality rates at th
y # y# y# y# y# y# y# y# y # y # y# y# y# y# y#
e time. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried ou
y# y# y# y # y# y # y# y # y# y # y# y# y # y #
t importantstudies on the effect of the separation of newborns and parents. They establ
y # y # y # y # y # y # y # y # y # y # y # y# y #
ished that early separation may have long-
y # y # y # y # y # y#
term effects on family relationships and that offering the new family an opportunity to
y # y # y # y # y # y# y # y# y# y # y # y # y# y
#be together at birth and for a significant period after birth may provide benefitsthat la
y# y# y # y# y # y# y # y # y# y # y # y # y # y #
st well into early childhood.
y # y # y # y #
Question format: Multiple Choice y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y#
Child Health Care Environment Cognitive Level: Remember
y# y# y# y # y# y#
Client Needs: Health Promotion and Maintenance Integra
y# y# y# y# y# y#
ted Process: Nursing Process
y# y# y#
Reference: p. 4 y# y#
2. An expectant mother states that she read that more black mothers die in childbirth than
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
do white mothers. When responding to her questions about the reasons for this, th
y# y# y # y # y # y # y # y # y # y # y # y # y # y #
e nurse accurately states that which is the major reason for the high maternal mort
y # y# y # y # y # y # y # y # y # y # y# y # y # y #
ality rate? y #
A. Having formal education. y# y#
B. Being unmarried. y#
C. Income.
D. Lack of prenatal care. y# y# y#
Answer: D y#
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal c
y# y# y# y # y# y# y# y# y# y# y# y# y# y#
are secondary to lack of access to services or insurance. Income as well as educational
y# y # y # y # y # y # y # y # y# y # y # y # y # y #
level may play a role in the availability of health care, but they are not directly resp
y # y # y# y # y # y# y# y# y# y # y # y# y# y # y # y# y #
onsible. Being unmarried has no bearing on infant mortality.
y # y# y# y# y# y# y# y#
Question format: Multiple Choice y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y #
Child Health Care Environment Cognitive Level: Understand
y# y# y# y # y# y#
, Client Needs: Health Promotion and Maintenance Integra
y# y# y# y# y# y#
ted Process: Nursing Process
y# y# y#
Reference: p. 9 y# y#
3. Which statement correctly defines the term "infant death rate"?
y# y# y# y# y# y# y# y#
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
B. number of deaths occurring in the first 28 days of life per 1,000 live births
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
D. death of a live-born child before his or her first birthday.
y# y# y# y# y# y# y# y# y# y#
Answer: D y#
Rationale: The term infant death refers to the death of a live-
y # y# y# y# y # y # y # y # y# y # y#
born child before he or she reaches age 1 year. It also includes neonatal mortality rate
y # y # y # y# y# y# y # y # y # y # y # y # y # y # y #
. Neonatal mortality rate is the number of infant deaths during the first 28 days of life
y # y # y # y # y # y# y # y# y# y # y # y # y # y # y# y#
y#for every 1,000 live births. Infant mortality rate is the number of deaths during the first 1
y # y# y # y # y# y# y# y# y# y# y# y# y# y# y# y#
2 months of life per 1,000 live births. Question format: Multiple Choice
y# y# y# y# y# y# y# y # y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y#
Child Health Care Environment Cognitive Level: Remember
y# y# y# y # y# y#
Client Needs: Health Promotion and Maintenance Integra
y# y# y# y# y# y#
ted Process: Nursing Process
y# y# y#
Reference: p. 9 y# y#
4. The nursing instructor is preparing to teach a group of students about the history of maternity
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
care. What major development will the instructor emphasize as greatly influencing the
y# y # y # y # y # y# y # y # y # y# y# y # y #
practice of maternity care in the United States over the past century?
y# y # y # y # y # y # y # y # y # y # y #
A. technologic advances and the use of forceps by primary care providers
y# y# y# y# y# y# y# y# y# y#
B. development of anesthesia and acceptance of the germ theory y# y# y# y# y# y# y# y#
C. advent of birthing centers and the development of family-centered care
y# y# y# y# y# y# y# y# y#
D. development of pediatric specialty and replacement of midwives as primary birth attend
y# y# y# y# y# y# y # y# y# y# y#
ants Answer: B y# y#
Rationale: The emphasis should be placed on anesthesia and the germ theory. The develop
y# y# y# y# y# y# y# y# y# y# y# y# y#
ment of anesthesia allowed women a choice for pain management in birth; the germ theory
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
advanced the progress of general health care and decreased infections in laboring women.
y# y# y# y# y# y# y# y# y# y# y# y# y
#Pediatrics as a specialty is an important step forward but is not the greatest developme
y# y# y# y # y # y # y # y # y # y # y # y # y # y #
nt, and midwives are still in practice. Maternity care continues to evolve, and birthing
y # y # y # y# y # y # y # y # y # y # y # y # y # y
#centers are still under development. Forceps are not considered an advance in maternit
y # y# y # y# y # y # y # y # y # y # y # y #
y care.
y #
Question format: Multiple Choice y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y#
Child Health Care Environment Cognitive Level: Analyze
y# y# y# y # y# y#
Client Needs: Health Promotion and Maintenance
y# y# y# y# y#
,Chapter 1: The Nurse's Role in a Changing Maternal–
y# y# y# y# y# y# y# y#
Child Health Care Environment Hatfield: Introductory Maternity and Pediatric Nursin
y# y# y# y# y# y# y# y# y#
g, 5th Edition
y# y#
1. The opening up of hospital visiting policies for children and families
y# y# y# y# y# y# y# y# y# y#
likely resultedfrom the work of which individual?
y# y # y# y # y # y# y #
A. Joseph Brennaman y#
B. John Bowlby y#
C. Marshal Klaus y#
D. John Kennell y#
y# Answer: B y#
Rationale: In 1951, John Bowlby received worldwide attention with his
y# y# y# y# y# y# y# y# y#
study that revealed the negative results of the separation of child and mother because
y # y # y # y # y # y # y# y # y # y # y # y # y # y
#of hospitalization. His work led toa re-
y# y# y# y # y# y#
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman sugg
y# y# y# y# y # y# y# y# y# y# y #
ested that a lack of stimulation for infants contributed to high infant mortality rates at th
y # y# y# y# y# y# y# y# y # y # y# y# y# y# y#
e time. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried ou
y# y# y# y # y# y # y# y # y# y # y# y# y # y #
t importantstudies on the effect of the separation of newborns and parents. They establ
y # y # y # y # y # y # y # y # y # y # y # y# y #
ished that early separation may have long-
y # y # y # y # y # y#
term effects on family relationships and that offering the new family an opportunity to
y # y # y # y # y # y# y # y# y# y # y # y # y# y
#be together at birth and for a significant period after birth may provide benefitsthat la
y# y# y # y# y # y# y # y # y# y # y # y # y # y #
st well into early childhood.
y # y # y # y #
Question format: Multiple Choice y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y#
Child Health Care Environment Cognitive Level: Remember
y# y# y# y # y# y#
Client Needs: Health Promotion and Maintenance Integra
y# y# y# y# y# y#
ted Process: Nursing Process
y# y# y#
Reference: p. 4 y# y#
2. An expectant mother states that she read that more black mothers die in childbirth than
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
do white mothers. When responding to her questions about the reasons for this, th
y# y# y # y # y # y # y # y # y # y # y # y # y # y #
e nurse accurately states that which is the major reason for the high maternal mort
y # y# y # y # y # y # y # y # y # y # y# y # y # y #
ality rate? y #
A. Having formal education. y# y#
B. Being unmarried. y#
C. Income.
D. Lack of prenatal care. y# y# y#
Answer: D y#
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal c
y# y# y# y # y# y# y# y# y# y# y# y# y# y#
are secondary to lack of access to services or insurance. Income as well as educational
y# y # y # y # y # y # y # y # y# y # y # y # y # y #
level may play a role in the availability of health care, but they are not directly resp
y # y # y# y # y # y# y# y# y# y # y # y# y# y # y # y# y #
onsible. Being unmarried has no bearing on infant mortality.
y # y# y# y# y# y# y# y#
Question format: Multiple Choice y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y #
Child Health Care Environment Cognitive Level: Understand
y# y# y# y # y# y#
, Client Needs: Health Promotion and Maintenance Integra
y# y# y# y# y# y#
ted Process: Nursing Process
y# y# y#
Reference: p. 9 y# y#
3. Which statement correctly defines the term "infant death rate"?
y# y# y# y# y# y# y# y#
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
B. number of deaths occurring in the first 28 days of life per 1,000 live births
y# y# y# y# y# y# y# y# y# y# y# y# y# y#
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
D. death of a live-born child before his or her first birthday.
y# y# y# y# y# y# y# y# y# y#
Answer: D y#
Rationale: The term infant death refers to the death of a live-
y # y# y# y# y # y # y # y # y# y # y#
born child before he or she reaches age 1 year. It also includes neonatal mortality rate
y # y # y # y# y# y# y # y # y # y # y # y # y # y # y #
. Neonatal mortality rate is the number of infant deaths during the first 28 days of life
y # y # y # y # y # y# y # y# y# y # y # y # y # y # y# y#
y#for every 1,000 live births. Infant mortality rate is the number of deaths during the first 1
y # y# y # y # y# y# y# y# y# y# y# y# y# y# y# y#
2 months of life per 1,000 live births. Question format: Multiple Choice
y# y# y# y# y# y# y# y # y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y#
Child Health Care Environment Cognitive Level: Remember
y# y# y# y # y# y#
Client Needs: Health Promotion and Maintenance Integra
y# y# y# y# y# y#
ted Process: Nursing Process
y# y# y#
Reference: p. 9 y# y#
4. The nursing instructor is preparing to teach a group of students about the history of maternity
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
care. What major development will the instructor emphasize as greatly influencing the
y# y # y # y # y # y# y # y # y # y# y# y # y #
practice of maternity care in the United States over the past century?
y# y # y # y # y # y # y # y # y # y # y #
A. technologic advances and the use of forceps by primary care providers
y# y# y# y# y# y# y# y# y# y#
B. development of anesthesia and acceptance of the germ theory y# y# y# y# y# y# y# y#
C. advent of birthing centers and the development of family-centered care
y# y# y# y# y# y# y# y# y#
D. development of pediatric specialty and replacement of midwives as primary birth attend
y# y# y# y# y# y# y # y# y# y# y#
ants Answer: B y# y#
Rationale: The emphasis should be placed on anesthesia and the germ theory. The develop
y# y# y# y# y# y# y# y# y# y# y# y# y#
ment of anesthesia allowed women a choice for pain management in birth; the germ theory
y# y# y# y# y# y# y# y# y# y# y# y# y# y# y#
advanced the progress of general health care and decreased infections in laboring women.
y# y# y# y# y# y# y# y# y# y# y# y# y
#Pediatrics as a specialty is an important step forward but is not the greatest developme
y# y# y# y # y # y # y # y # y # y # y # y # y # y #
nt, and midwives are still in practice. Maternity care continues to evolve, and birthing
y # y # y # y# y # y # y # y # y # y # y # y # y # y
#centers are still under development. Forceps are not considered an advance in maternit
y # y# y # y# y # y # y # y # y # y # y # y #
y care.
y #
Question format: Multiple Choice y# y# y#
Chapter 1: The Nurse's Role in a Changing Maternal-
y# y# y# y# y# y# y# y#
Child Health Care Environment Cognitive Level: Analyze
y# y# y# y # y# y#
Client Needs: Health Promotion and Maintenance
y# y# y# y# y#
