,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
vv vv vv vv vv vv vv vv vv vv
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. Which factor significantly contributed to the shift from home births to hospital births
vv vv vv vv vv vv vv vv vv vv vv vv
vv in the early 20th century?
vv vv vv vv
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
vv vv vv vv vv vv vv vv vv vv vv
b. Forceps were developed to facilitate difficult births.vv vv vv vv vv vv
c. The importance of early parental-infant contact was identified.
vv vv vv vv vv vv vv
d. Technologic developments became available to physicians. vv vv vv vv vv
ANS: D vv
Technologic developments were available to physicians, not lay midwives. So in-hospital
vv vv vv vv vv vv vv vv vv vv
births increased in order to take advantage of these advancements. Puerperal sepsis has been
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a known problem for generations. In the late 19th century, Semmelweis discovered how it
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
could be prevented with improved hygienic practices. The development of forceps is an
vv vv vv vv vv vv vv vv vv vv vv vv vv
example of a technology advance made in the early 20th century but is not the only reason
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
birthplaces moved. Unlike home births, early hospital births hindered bonding between
vv vv vv vv vv vv vv vv vv vv vv
parents and their infants.
vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 1
vv OBJ: Integrated Process: Teaching-Learning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
vv vv vv vv vv vv vv vv
2. Family-centered maternity care developed in response to vv vv vv vv vv vv
a. demands by physicians for family involvement in childbirth. vv vv vv vv vv vv vv
b. the Sheppard-Towner Act of 1921.
vv vv vv vv
c. parental requests that infants be allowed to remain with them rather than
vv vv vv vv vv vv vv vv vv vv vv
vv in a nursery.
vv vv
d. changes in pharmacologic management of labor. vv vv vv vv vv
ANS: C vv
As research began to identify the benefits of early extended parent-infant contact,
vv vv vv vv vv vv vv vv vv vv vv
parents began to insist that the infant remain with them. This gradually developed into
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the practice of rooming-in and finally to family-centered maternity care. Family-
vv vv vv vv vv vv vv vv vv vv vv
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
vv vv vv vv vv vv vv vv vv vv vv vv
1921 provided funds for state-managed programs for mothers and children. The
vv vv vv vv vv vv vv vv vv vv vv
changes in pharmacologic management of labor were not a factor in family-centered
vv vv vv vv vv vv vv vv vv vv vv vv
maternity care.
vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 2
vv OBJ: Integrated Process: Teaching-Learning
v v vv v v vv vv
MSC: Client Needs: Psychosocial Integrity
vv vv vv vv vv
3. Which setting for childbirth allows the least amount of parent-infant contact?
vv vv vv vv vv vv vv vv vv vv
a. Labor/delivery/recovery/postpartum room vv
b. Birth center vv
c. Traditional hospital birth vv vv
d. Home birth vv
.
, ANS: C vv
In the traditional hospital setting, the mother may see the infant for only short feeding
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
periods, and the infant is cared for in a separate nursery. The
vv vv vv vv vv vv vv vv vv vv vv vv
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
vv vv vv vv vv vv vv
Birth centers are set up to allow an increase in parent-infant contact. Home births allow an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
increase in parent-infant contact.
vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 2
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Health Promotion and Maintenance
v v vv vv vv vv vv
4. As a result of changes in health care delivery and funding, a current trend seen in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the pediatric setting is
vv vv vv vv
a. increased hospitalization of children. vv vv vv
b. decreased number of children living in poverty. vv vv vv vv vv vv
c. an increase in ambulatory care.
vv vv vv vv
d. decreased use of managed care. vv vv vv vv
ANS: C vv
One effect of managed care has been that pediatric health care delivery has shifted
vv vv vv vv vv vv vv vv vv vv vv vv vv
dramatically from the acute care setting to the ambulatory setting in order to provide
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
more cost-efficient care. The number of hospital beds being used has decreased as
vv vv vv vv vv vv vv vv vv vv vv vv vv
more care is given in outpatient settings and in the home. The number of children
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
living in poverty has increased over the past decade. One of the biggest changes in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
health care has been the growth of managed care.
vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 5
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
v v vv vv vv vv vv vv
5. The Women, Infants, and Children (WIC) program provides
vv vv vv vv vv vv vv
a. well-child examinations for infants and children living at the poverty level.
vv vv vv vv vv vv vv vv vv vv
b. immunizations for high-risk infants and children. vv vv vv vv vv
c. screening for infants with developmental disorders. vv vv vv vv vv
d. supplemental food supplies to low-income pregnant or breastfeeding women. vv vv vv vv vv vv vv vv
ANS: D vv
WIC is a federal program that provides supplemental food supplies to low-income women
vv vv vv vv vv vv vv vv vv vv vv vv
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
vv vv vv vv vv vv vv vv vv vv
examinations and for treatment of any medical problems diagnosed during such checkups.
vv vv vv vv vv vv vv vv vv vv vv vv
Children in the WIC program are often referred for immunizations, but that is not the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
primary focus of the program. Public Law 99-457 is part of the Individuals with
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Disabilities Education Act that provides financial incentives to states to establish
vv vv vv vv vv vv vv vv vv vv vv
comprehensive early intervention services for infants and toddlers with, or at risk for,
vv vv vv vv vv vv vv vv vv vv vv vv vv
developmental disabilities.
vv vv
PTS: 1 DIF: Cognitive Level: Comprehension
v v vv vv REF: v v p. 8 vv
OBJ: Integrated Process: Teaching-Learning
vv v v vv vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
6. In most states, adolescents who are not emancipated minors must have the permission
vv vv vv vv vv vv vv vv vv vv vv vv
of their parents before
vv vv vv vv
.
, a. treatment for drug abuse. vv vv vv
b. treatment for sexually transmitted diseases (STDs). vv vv vv vv vv
c. accessing birth control. vv vv
d. surgery.
ANS: D vv
Minors are not considered capable of giving informed consent, so a surgical procedure
vv vv vv vv vv vv vv vv vv vv vv vv
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
vv vv vv vv vv vv vv vv vv vv vv vv vv
for drug abuse or STDs or for getting birth control in most states.
vv vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 17
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
v v vv vv vv vv vv vv
7. The maternity nurse should have a clear understanding of the correct use of
vv vv vv vv vv vv vv vv vv vv vv vv
vv a clinical pathway. One characteristic of clinical pathways is that they
vv vv vv vv vv vv vv vv vv vv
a. are developed and implemented by nurses.
vv vv vv vv vv
b. are used primarily in the pediatric setting.
vv vv vv vv vv vv
c. set specific time lines for sequencing interventions.
vv vv vv vv vv vv
d. are part of the nursing process.
vv vv vv vv vv
ANS: C vv
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
vv vv vv vv vv vv vv vv vv vv
with a particular health problem. They are used to identify patient outcomes, specify time
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
lines to achieve those outcomes, direct appropriate interventions and sequencing of
vv vv vv vv vv vv vv vv vv vv vv
interventions, include interventions from a variety of disciplines, promote collaboration,
vv vv vv vv vv vv vv vv vv vv
and involve a comprehensive approach to care. They are developed by multiple health
vv vv vv vv vv vv vv vv vv vv vv vv vv
care professionals and reflect interdisciplinary care. They can be used in multiple settings
vv vv vv vv vv vv vv vv vv vv vv vv vv
and for patients throughout the life span. They are not part of the nursing process but can
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
be used in conjunction with the nursing process to provide care to patients.
vv vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 7
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
v v vv vv vv vv vv vv
8. The fastest growing group of homeless people is
vv vv vv vv vv vv vv
a. men and women preparing for retirement. vv vv vv vv vv
b. migrant workers. vv
c. single women and their children. vv vv vv vv
d. intravenous (IV) substance abusers. vv vv vv
ANS: C vv
Pregnancy and birth, especially for a teenager, are important contributing factors for
vv vv vv vv vv vv vv vv vv vv v v
becoming homeless. People preparing for retirement, migrant workers, and IV substance
vv vv vv vv vv vv vv vv vv vv vv
abusers are not among the fastest growing groups of homeless people.
vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 14
vv OBJ: Nursing Process: Assessment
v v vv v v vv vv
MSC: Client Needs: Physiologic Integrity
v v vv vv vv
.
vv vv vv vv vv vv vv vv vv vv
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
vv vv vv vv vv vv vv vv
MULTIPLE CHOICE vv
1. Which factor significantly contributed to the shift from home births to hospital births
vv vv vv vv vv vv vv vv vv vv vv vv
vv in the early 20th century?
vv vv vv vv
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
vv vv vv vv vv vv vv vv vv vv vv
b. Forceps were developed to facilitate difficult births.vv vv vv vv vv vv
c. The importance of early parental-infant contact was identified.
vv vv vv vv vv vv vv
d. Technologic developments became available to physicians. vv vv vv vv vv
ANS: D vv
Technologic developments were available to physicians, not lay midwives. So in-hospital
vv vv vv vv vv vv vv vv vv vv
births increased in order to take advantage of these advancements. Puerperal sepsis has been
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
a known problem for generations. In the late 19th century, Semmelweis discovered how it
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
could be prevented with improved hygienic practices. The development of forceps is an
vv vv vv vv vv vv vv vv vv vv vv vv vv
example of a technology advance made in the early 20th century but is not the only reason
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
birthplaces moved. Unlike home births, early hospital births hindered bonding between
vv vv vv vv vv vv vv vv vv vv vv
parents and their infants.
vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 1
vv OBJ: Integrated Process: Teaching-Learning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
vv vv vv vv vv vv vv vv
2. Family-centered maternity care developed in response to vv vv vv vv vv vv
a. demands by physicians for family involvement in childbirth. vv vv vv vv vv vv vv
b. the Sheppard-Towner Act of 1921.
vv vv vv vv
c. parental requests that infants be allowed to remain with them rather than
vv vv vv vv vv vv vv vv vv vv vv
vv in a nursery.
vv vv
d. changes in pharmacologic management of labor. vv vv vv vv vv
ANS: C vv
As research began to identify the benefits of early extended parent-infant contact,
vv vv vv vv vv vv vv vv vv vv vv
parents began to insist that the infant remain with them. This gradually developed into
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the practice of rooming-in and finally to family-centered maternity care. Family-
vv vv vv vv vv vv vv vv vv vv vv
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
vv vv vv vv vv vv vv vv vv vv vv vv
1921 provided funds for state-managed programs for mothers and children. The
vv vv vv vv vv vv vv vv vv vv vv
changes in pharmacologic management of labor were not a factor in family-centered
vv vv vv vv vv vv vv vv vv vv vv vv
maternity care.
vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 2
vv OBJ: Integrated Process: Teaching-Learning
v v vv v v vv vv
MSC: Client Needs: Psychosocial Integrity
vv vv vv vv vv
3. Which setting for childbirth allows the least amount of parent-infant contact?
vv vv vv vv vv vv vv vv vv vv
a. Labor/delivery/recovery/postpartum room vv
b. Birth center vv
c. Traditional hospital birth vv vv
d. Home birth vv
.
, ANS: C vv
In the traditional hospital setting, the mother may see the infant for only short feeding
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
periods, and the infant is cared for in a separate nursery. The
vv vv vv vv vv vv vv vv vv vv vv vv
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
vv vv vv vv vv vv vv
Birth centers are set up to allow an increase in parent-infant contact. Home births allow an
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
increase in parent-infant contact.
vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 2
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Health Promotion and Maintenance
v v vv vv vv vv vv
4. As a result of changes in health care delivery and funding, a current trend seen in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
the pediatric setting is
vv vv vv vv
a. increased hospitalization of children. vv vv vv
b. decreased number of children living in poverty. vv vv vv vv vv vv
c. an increase in ambulatory care.
vv vv vv vv
d. decreased use of managed care. vv vv vv vv
ANS: C vv
One effect of managed care has been that pediatric health care delivery has shifted
vv vv vv vv vv vv vv vv vv vv vv vv vv
dramatically from the acute care setting to the ambulatory setting in order to provide
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
more cost-efficient care. The number of hospital beds being used has decreased as
vv vv vv vv vv vv vv vv vv vv vv vv vv
more care is given in outpatient settings and in the home. The number of children
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
living in poverty has increased over the past decade. One of the biggest changes in
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
health care has been the growth of managed care.
vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 5
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
v v vv vv vv vv vv vv
5. The Women, Infants, and Children (WIC) program provides
vv vv vv vv vv vv vv
a. well-child examinations for infants and children living at the poverty level.
vv vv vv vv vv vv vv vv vv vv
b. immunizations for high-risk infants and children. vv vv vv vv vv
c. screening for infants with developmental disorders. vv vv vv vv vv
d. supplemental food supplies to low-income pregnant or breastfeeding women. vv vv vv vv vv vv vv vv
ANS: D vv
WIC is a federal program that provides supplemental food supplies to low-income women
vv vv vv vv vv vv vv vv vv vv vv vv
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
vv vv vv vv vv vv vv vv vv vv
examinations and for treatment of any medical problems diagnosed during such checkups.
vv vv vv vv vv vv vv vv vv vv vv vv
Children in the WIC program are often referred for immunizations, but that is not the
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
primary focus of the program. Public Law 99-457 is part of the Individuals with
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
Disabilities Education Act that provides financial incentives to states to establish
vv vv vv vv vv vv vv vv vv vv vv
comprehensive early intervention services for infants and toddlers with, or at risk for,
vv vv vv vv vv vv vv vv vv vv vv vv vv
developmental disabilities.
vv vv
PTS: 1 DIF: Cognitive Level: Comprehension
v v vv vv REF: v v p. 8 vv
OBJ: Integrated Process: Teaching-Learning
vv v v vv vv
MSC: Client Needs: Health Promotion and Maintenance
vv vv vv vv vv vv
6. In most states, adolescents who are not emancipated minors must have the permission
vv vv vv vv vv vv vv vv vv vv vv vv
of their parents before
vv vv vv vv
.
, a. treatment for drug abuse. vv vv vv
b. treatment for sexually transmitted diseases (STDs). vv vv vv vv vv
c. accessing birth control. vv vv
d. surgery.
ANS: D vv
Minors are not considered capable of giving informed consent, so a surgical procedure
vv vv vv vv vv vv vv vv vv vv vv vv
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
vv vv vv vv vv vv vv vv vv vv vv vv vv
for drug abuse or STDs or for getting birth control in most states.
vv vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 17
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
v v vv vv vv vv vv vv
7. The maternity nurse should have a clear understanding of the correct use of
vv vv vv vv vv vv vv vv vv vv vv vv
vv a clinical pathway. One characteristic of clinical pathways is that they
vv vv vv vv vv vv vv vv vv vv
a. are developed and implemented by nurses.
vv vv vv vv vv
b. are used primarily in the pediatric setting.
vv vv vv vv vv vv
c. set specific time lines for sequencing interventions.
vv vv vv vv vv vv
d. are part of the nursing process.
vv vv vv vv vv
ANS: C vv
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
vv vv vv vv vv vv vv vv vv vv
with a particular health problem. They are used to identify patient outcomes, specify time
vv vv vv vv vv vv vv vv vv vv vv vv vv vv
lines to achieve those outcomes, direct appropriate interventions and sequencing of
vv vv vv vv vv vv vv vv vv vv vv
interventions, include interventions from a variety of disciplines, promote collaboration,
vv vv vv vv vv vv vv vv vv vv
and involve a comprehensive approach to care. They are developed by multiple health
vv vv vv vv vv vv vv vv vv vv vv vv vv
care professionals and reflect interdisciplinary care. They can be used in multiple settings
vv vv vv vv vv vv vv vv vv vv vv vv vv
and for patients throughout the life span. They are not part of the nursing process but can
vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv vv
be used in conjunction with the nursing process to provide care to patients.
vv vv vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 7
vv OBJ: Nursing Process: Planning
v v vv v v vv vv
MSC: Client Needs: Safe and Effective Care Environment
v v vv vv vv vv vv vv
8. The fastest growing group of homeless people is
vv vv vv vv vv vv vv
a. men and women preparing for retirement. vv vv vv vv vv
b. migrant workers. vv
c. single women and their children. vv vv vv vv
d. intravenous (IV) substance abusers. vv vv vv
ANS: C vv
Pregnancy and birth, especially for a teenager, are important contributing factors for
vv vv vv vv vv vv vv vv vv vv v v
becoming homeless. People preparing for retirement, migrant workers, and IV substance
vv vv vv vv vv vv vv vv vv vv vv
abusers are not among the fastest growing groups of homeless people.
vv vv vv vv vv vv vv vv vv vv vv
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
v v vv vv
REF: p. 14
vv OBJ: Nursing Process: Assessment
v v vv v v vv vv
MSC: Client Needs: Physiologic Integrity
v v vv vv vv
.
