Test Bank for Introductory Maternity and Pediatric Nursing 5th Edition by Nancy T. Hatfield, Cynthia Kincheloe [All answers are well explained]

TESTBANK n




INTRODUCTORY MATERNITY & PEDIATRIC NURSING
n n n n




NANCY HATFIELD & CYNTHIA KINCHELOE
n n n n




5th Edition
n




TESTBANK n

,Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
n n n n n n n n n n n


Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
n n n n n n n n




1. The opening up of hospital visiting policies for children and families
n n n n n n n n n n


likely resultedfrom the work of which individual?
n n n n n n n


A. Joseph Brennaman n


B. John Bowlby n


C. Marshal Klaus n


D. John Kennell n




Answer: B
n n




Rationale: In 1951, John Bowlby received worldwide attention with his
n n n n n n n n n


study that revealed the negative results of the separation of child and mother because of
n n n n n n n n n n n n n n


hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
n n n n n n n n n n n n n


children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
n n n n n n n n n n n n n


nhigh infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus
n n n n n n n n n n n n n n


nand John Kennell carried out importantstudies on the effect of the separation of
n n n n n n n n n n n n


nnewborns and parents. They established that early separation may have long-term effects
n n n n n n n n n n n


non family relationships and that offering the new family an opportunity to be together at
n n n n n n n n n n n n n n


nbirth and for a significant period after birth may provide benefitsthat last well into early
n n n n n n n n n n n n n n


nchildhood.
Question format: Multiple Choice n n n


Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n


Level: Remember
n n


Client Needs: Health Promotion and Maintenance
n n n n n


Integrated Process: Nursing Process
n n n n


Reference: p. 4 n n




2. An expectant mother states that she read that more black mothers die in childbirth than do
n n n n n n n n n n n n n n n


white mothers. When responding to her questions about the reasons for this, the
n n n n n n n n n n n n n


nnurse accurately states that which is the major reason for the high maternal mortality
n n n n n n n n n n n n n


nrate?
A. Having formal education. n n


B. Being unmarried. n


C. Income.
D. Lack of prenatal care. n n n




Answer: D n




Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
n n n n n n n n n n n n n n


secondary to lack of access to services or insurance. Income as well as educational level
n n n n n n n n n n n n n n n


may play a role in the availability of health care, but they are not directly responsible.
n n n n n n n n n n n n n n n n


Being unmarried has no bearing on infant mortality.
n n n n n n n n


Question format: Multiple Choice n n n


Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n


Level: Understand
n n

,Client Needs: Health Promotion and Maintenance
n n n n n


Integrated Process: Nursing Process
n n n n


Reference: p. 9 n n




3. Which statement correctly defines the term "infant death rate"?
n n n n n n n n


A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
n n n n n n n n n n n n n n


B. number of deaths occurring in the first 28 days of life per 1,000 live births
n n n n n n n n n n n n n n


C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
n n n n n n n n n n n n n n n n n


D. death of a live-born child before his or her first birthday.
n n n n n n n n n n




Answer: D n




Rationale: The term infant death refers to the death of a live-born child before he or she
n n n n n n n n n n n n n n n n


reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is
n n n n n n n n n n n n n n


the number of infant deaths during the first 28 days of life for every 1,000 live births.
n n n n n n n n n n n n n n n n n


Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 live
n n n n n n n n n n n n n n n n n n


births. Question format: Multiple Choice
n n n n n


Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n


Level: Remember
n n


Client Needs: Health Promotion and Maintenance
n n n n n


Integrated Process: Nursing Process
n n n n


Reference: p. 9 n n




4. The nursing instructor is preparing to teach a group of students about the history of maternity
n n n n n n n n n n n n n n n


care. What major development will the instructor emphasize as greatly influencing the
n n n n n n n n n n n n


npractice of maternity care in the United States over the past century?
n n n n n n n n n n n


A. technologic advances and the use of forceps by primary care providers
n n n n n n n n n n


B. development of anesthesia and acceptance of the germ theory n n n n n n n n


C. advent of birthing centers and the development of family-centered care
n n n n n n n n n


D. development of pediatric specialty and replacement of midwives as primary birth
n n n n n n n n n n




attendants Answer: B
n n n




Rationale: The emphasis should be placed on anesthesia and the germ theory. The
n n n n n n n n n n n n


development of anesthesia allowed women a choice for pain management in birth; the germ
n n n n n n n n n n n n n n


theory advanced the progress of general health care and decreased infections in laboring
n n n n n n n n n n n n n


women. Pediatrics as a specialty is an important step forward but is not the greatest
n n n n n n n n n n n n n n n


ndevelopment, and midwives are still in practice. Maternity care continues to evolve, and
n n n n n n n n n n n n


nbirthing centers are still under development. Forceps are not considered an advance in
n n n n n n n n n n n n


nmaternity care. n


Question format: Multiple Choice
n n n


Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n


Level: Analyze
n n


Client Needs: Health Promotion and Maintenance
n n n n n

, Integrated Process: Teaching/Learning n n


nReference: p. 3 n n




5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
n n n n n n n n n n n n n n


during the surgery has greatly improved client survival rates and was started by which
n n n n n n n n n n n n n n


physician?
n


A. Louis Pasteur n


B. Ignaz Philip Semmelweis n n


C. Joseph Lister n


D. Alexander Gordon n




Answer: C
n n




Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory
n n n n n n n n n n n


nof microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic
n n n n n n n n n n n n n


nduring surgery and improved the survival rates of his patients. Alexander Gordon proposed
n n n n n n n n n n n n


the theory of infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed
n n n n n n n n n n n n


nhis theory.n


Question format: Multiple Choice n n n


Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
n n n n n n n n n n n n


Level: Apply
n n


Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated
n n n n n n n n n n


Process: Nursing Process
n n n


Reference: p. 4 n n




6. A young couple are very excited to learn they are expecting their first child and
n n n n n n n n n n n n n n


question the nurse about which test they need to discover its gender. Which procedure will
n n n n n n n n n n n n n n n


best provide this information to the couple?
n n n n n n n


A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling n n


D. HGP

Answer: A n




Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
n n n n n n n n n n n n n n n


information about the gender. Amniocentesis and chorionic villus sampling provide the entire
n n n n n n n n n n n n


genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
n n n n n n n n n n n n n n n


information regarding gene mutations and variations.
n n n n n n


Question format: Multiple Choice n n n


Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
n n n n n n n n n n n


nCognitive Level: Apply n n


Client Needs: Health Promotion and Maintenance
n n n n n


Integrated Process: Caring
n n n


Reference: p. 6 n n