Test Bank - Introductory Maternity and Pediatric Nursing, 5th Edition by Hatfield, Chapter 1-42 | All Chapters Graded A+

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ion

Test Bank - Introductory Maternity and Pediatric
Nursing, 5th Edition by Hatfield, Chapter 1-42 | All
Chapters Graded A+

Chapter441:44The44Nurse's44Role44in44a44Changing44Maternal–
Child44Health44Care44Environment
1. The44opening44up44of44hospital44visiting44policies44for44children44and44families44likely44r
esultedfrom44the44work44of44which44individual?
A. Joseph44Brennaman
B. John44Bowlby
C. Marshal44Klaus
D. John44Kennell44Answer:44B
Rationale:44In441951,44John44Bowlby44received44worldwide44attention44with44his
study44that44revealed44the44negative44results44of44the44separation44of44child44and44mother44becau
se44of44hospitalization.44His44work44led44toa44re-
evaluation44and44liberalization44of44hospital44visiting44policies44for44children.44Joseph44Brennam
an44suggested44that44a44lack44of44stimulation44for44infants44contributed44to44high44infant44mortal
ity44rates44at44the44time.44In44the441970s44and441980s,44physicians44Marshall44Klaus44and44John4
4Kennell44carried44out44importantstudies44on44the44effect44of44the44separation44of44newborns44an

d44parents.
They44established44that44early44separation44may44have44long-
term44effects44on44family44relationships44and44that44offering44the44new44family44an44opportun
ity44to44be44together44at44birth44and44for44a44significant44period44after44birth44may44provide44b
enefitsthat44last44well44into44early44childhood.
Question44format:44Multiple44Choice
Chapter441:44The44Nurse's44Role44in44a44Changing44Maternal-
Child44Health44Care44Environment44Cognitive44Level:44Remember
Client44Needs:44Health44Promotion44and44Maintenance44Integrated44Process:44Nursing44Process44
Reference:44p.444


2. An44expectant44mother44states44that44she44read44that44more44black44mothers44die44in44child
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birth44than44do44white44mothers.44When44responding44to44her44questions44about44the44reasons44fo
r44this,44the44nurse44accurately44states44that44which44is44the44major44reason44for44the44high44mater
nal44mortality44rate?




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ion
A. Having44formal44education.
B. Being44unmarried.
C. Income.
D. Lack44of44prenatal44care.


Answer:44D


Rationale:44Research44shows44that44maternal44mortality44rate44is44directly44related44to44lack44of44
prenatal44care44secondary44to44lack44of44access44to44services44or44insurance.44Income44as44well44
as44educational44level44may44play44a44role44in44the44availability44of44health44care,44but44they44ar
e44not44directly44responsible.44Being44unmarried44has44no44bearing44on44infant44mortality.
Question44format:44Multiple44Choice
Chapter441:44The44Nurse's44Role44in44a44Changing44Maternal-
Child44Health44Care44Environment44Cognitive44Level:44Understand


Client44Needs:44Health44Promotion44and44Maintenance44Integrated44Process:44Nursing44Process44
Reference:44p.449


3. Which44statement44correctly44defines44the44term44"infant44death44rate"?
A. number44of44deaths44in44utero44of44fetuses4450044g44or44more44per441,00044live44births
B. number44of44deaths44occurring44in44the44first442844days44of44life44per441,00044live44births
C. number44of44deaths44occurring44at44birth44or44in44the44first441244months44of44life44per441,0
0044live44births
D. death44of44a44live-born44child44before44his44or44her44first44birthday.


Answer:44D


Rationale:44The44term44infant44death44refers44to44the44death44of44a44live-
born44child44before44he44or44she44reaches44age44144year.44It44also44includes44neonatal44mortality4
4rate.44Neonatal44mortality44rate44is44the44number44of4 4 infant44deaths44during44the44first442844da

ys44of44life44for44every441,00044live44births.44Infant44mortality44rate44is44the44number44of44deaths4
4during44the44first441244months44of44life44per441,00044live44births.44Question44format:44Multiple44

Choice
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ion
Chapter441:44The44Nurse's44Role44in44a44Changing44Maternal-
Child44Health44Care44Environment44Cognitive44Level:44Remember
Client44Needs:44Health44Promotion44and44Maintenance44Integrated44Process:44Nursing44Process44
Reference:44p.449


4. The44nursing44instructor44is44preparing44to44teach44a44group44of44students44about44the44hi
story44of44maternity44care.44What44major44development44will44the44instructor44emphasize44as44gr
eatly44influencing44the44practice44of44maternity44care44in44the44United44States44over44the44past44c
entury?


A. technologic44advances44and44the44use44of44forceps44by44primary44care44providers
B. development44of44anesthesia44and44acceptance44of44the44germ44theory
C. advent44of44birthing44centers44and44the44development44of44family-centered44care
D. development44of44pediatric44specialty44and44replacement44of44midwives44as44pri
mary44birth44attendants44Answer:44B
Rationale:44The44emphasis44should44be44placed44on44anesthesia44and44the44germ44theory.44The44
development44of44anesthesia44allowed44women44a44choice44for44pain44management44in44birth;44t
he44germ44theory44advanced44the44progress44of44general44health44care44and44decreased44infectio
ns44in44laboring44women.44Pediatrics44as44a44specialty44is44an44important44step44forward44but44is4
4not44the44greatest44development,44and44midwives44are44still44in44practice.44Maternity44care44con

tinues44to44evolve,44and44birthing44centers44are44still44under44development.44Forceps44are44not44
considered44an44advance44in44maternity44care.
Question44format:44Multiple44Choice
Chapter441:44The44Nurse's44Role44in44a44Changing44Maternal-
Child44Health44Care44Environment44Cognitive44Level:44Analyze
Client44Needs:44Health44Promotion44and44Maintenance44Int


egrated44Process:44Teaching/Learning44Reference:44p.443


5. When44preparing44a44client44for44surgery,44the44nurse44explains44that44the44use44of44an44a
ntiseptic4 4 during44the44surgery44has44greatly44improved44client44survival44rates44and44was44starte
d44by44which44physician?

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