Test Bank - Introductory Maternity and Pediatric
Nursing, 5th Edition by Hatfield, Chapter 1-42 | All
Chapters Graded A+
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
1. The opening up of hospital visiting policies for children and families likely resultedfrom
the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse accurately
states that which is the major reason for the high maternal mortality rate?
https://www.stuvia.com/user/asolution
,A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
Answer: D
Rationale:12Research12shows12that12maternal12mortality12rate12is12directly12related12to12lack12of12
prenatal12care12secondary12to12lack12of12access12to12services12or12insurance.12Income12as12well12
as12educational12level12may12play12a12role12in12the12availability12of12health12care,12but12they12ar
e12not12directly12responsible.12Being12unmarried12has12no12bearing12on12infant12mortality.
Question12format:12Multiple12Choice
Chapter121:12The12Nurse's12Role12in12a12Changing12Maternal-
Child12Health12Care12Environment12Cognitive12Level:12Understand
Client12Needs:12Health12Promotion12and12Maintenance12Integrated12Process:12Nursing12Process12
Reference:12p.129
3. Which12statement12correctly12defines12the12term12"infant12death12rate"?
A. number12of12deaths12in12utero12of12fetuses1250012g12or12more12per121,00012live12births
B. number12of12deaths12occurring12in12the12first122812days12of12life12per121,00012live12births
C. number12of12deaths12occurring12at12birth12or12in12the12first121212months12of12life12per121,0
0012live12births
D. death12of12a12live-born12child12before12his12or12her12first12birthday.
Answer:12D
Rationale:12The12term12infant12death12refers12to12the12death12of12a12live-
born12child12before12he12or12she12reaches12age12112year.12It12also12includes12neonatal12mortality1
2rate.12Neonatal12mortality12rate12is12the12number12of1 2 infant12deaths12during12the12first122812da
ys12of12life12for12every121,00012live12births.12Infant12mortality12rate12is12the12number12of12deaths1
2during12the12first121212months12of12life12per121,00012live12births.12Question12format:12Multiple12
Choice
https://www.stuvia.com/user/asolution
,Chapter121:12The12Nurse's12Role12in12a12Changing12Maternal-
Child12Health12Care12Environment12Cognitive12Level:12Remember
Client11Needs:11Health11Promotion11and11Maintenance11Integrated11Process:11Nursing11Process11
Reference:11p.119
4. The11nursing11instructor11is11preparing11to11teach11a11group11of11students11about11the11hi
story11of11maternity11care.11What11major11development11will11the11instructor11emphasize11as11gr
eatly11influencing11the11practice11of11maternity11care11in11the11United11States11over11the11past11c
entury?
A. technologic11advances11and11the11use11of11forceps11by11primary11care11providers
B. development11of11anesthesia11and11acceptance11of11the11germ11theory
C. advent11of11birthing11centers11and11the11development11of11family-centered11care
D. development11of11pediatric11specialty11and11replacement11of11midwives11as11pri
mary11birth11attendants11Answer:11B
Rationale:11The11emphasis11should11be11placed11on11anesthesia11and11the11germ11theory.11The11
development11of11anesthesia11allowed11women11a11choice11for11pain11management11in11birth;11t
he11germ11theory11advanced11the11progress11of11general11health11care11and11decreased11infectio
ns11in11laboring11women.11Pediatrics11as11a11specialty11is11an11important11step11forward11but11is1
1not11the11greatest11development,11and11midwives11are11still11in11practice.11Maternity11care11con
tinues11to11evolve,11and11birthing11centers11are11still11under11development.11Forceps11are11not11
considered11an11advance11in11maternity11care.
Question11format:11Multiple11Choice
Chapter111:11The11Nurse's11Role11in11a11Changing11Maternal-
Child11Health11Care11Environment11Cognitive11Level:11Analyze
Client11Needs:11Health11Promotion11and11Maintenance11Int
egrated11Process:11Teaching/Learning11Reference:11p.113
5. When11preparing11a11client11for11surgery,11the11nurse11explains11that11the11use11of11an11a
ntiseptic1 1 during11the11surgery11has11greatly11improved11client11survival11rates11and11was11starte
d11by11which11physician?
https://www.stuvia.com/user/asolution
, A. Louis11Pasteur
B. Ignaz11Philip11Semmelweis
https://www.stuvia.com/user/asolution
Nursing, 5th Edition by Hatfield, Chapter 1-42 | All
Chapters Graded A+
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
1. The opening up of hospital visiting policies for children and families likely resultedfrom
the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse accurately
states that which is the major reason for the high maternal mortality rate?
https://www.stuvia.com/user/asolution
,A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
Answer: D
Rationale:12Research12shows12that12maternal12mortality12rate12is12directly12related12to12lack12of12
prenatal12care12secondary12to12lack12of12access12to12services12or12insurance.12Income12as12well12
as12educational12level12may12play12a12role12in12the12availability12of12health12care,12but12they12ar
e12not12directly12responsible.12Being12unmarried12has12no12bearing12on12infant12mortality.
Question12format:12Multiple12Choice
Chapter121:12The12Nurse's12Role12in12a12Changing12Maternal-
Child12Health12Care12Environment12Cognitive12Level:12Understand
Client12Needs:12Health12Promotion12and12Maintenance12Integrated12Process:12Nursing12Process12
Reference:12p.129
3. Which12statement12correctly12defines12the12term12"infant12death12rate"?
A. number12of12deaths12in12utero12of12fetuses1250012g12or12more12per121,00012live12births
B. number12of12deaths12occurring12in12the12first122812days12of12life12per121,00012live12births
C. number12of12deaths12occurring12at12birth12or12in12the12first121212months12of12life12per121,0
0012live12births
D. death12of12a12live-born12child12before12his12or12her12first12birthday.
Answer:12D
Rationale:12The12term12infant12death12refers12to12the12death12of12a12live-
born12child12before12he12or12she12reaches12age12112year.12It12also12includes12neonatal12mortality1
2rate.12Neonatal12mortality12rate12is12the12number12of1 2 infant12deaths12during12the12first122812da
ys12of12life12for12every121,00012live12births.12Infant12mortality12rate12is12the12number12of12deaths1
2during12the12first121212months12of12life12per121,00012live12births.12Question12format:12Multiple12
Choice
https://www.stuvia.com/user/asolution
,Chapter121:12The12Nurse's12Role12in12a12Changing12Maternal-
Child12Health12Care12Environment12Cognitive12Level:12Remember
Client11Needs:11Health11Promotion11and11Maintenance11Integrated11Process:11Nursing11Process11
Reference:11p.119
4. The11nursing11instructor11is11preparing11to11teach11a11group11of11students11about11the11hi
story11of11maternity11care.11What11major11development11will11the11instructor11emphasize11as11gr
eatly11influencing11the11practice11of11maternity11care11in11the11United11States11over11the11past11c
entury?
A. technologic11advances11and11the11use11of11forceps11by11primary11care11providers
B. development11of11anesthesia11and11acceptance11of11the11germ11theory
C. advent11of11birthing11centers11and11the11development11of11family-centered11care
D. development11of11pediatric11specialty11and11replacement11of11midwives11as11pri
mary11birth11attendants11Answer:11B
Rationale:11The11emphasis11should11be11placed11on11anesthesia11and11the11germ11theory.11The11
development11of11anesthesia11allowed11women11a11choice11for11pain11management11in11birth;11t
he11germ11theory11advanced11the11progress11of11general11health11care11and11decreased11infectio
ns11in11laboring11women.11Pediatrics11as11a11specialty11is11an11important11step11forward11but11is1
1not11the11greatest11development,11and11midwives11are11still11in11practice.11Maternity11care11con
tinues11to11evolve,11and11birthing11centers11are11still11under11development.11Forceps11are11not11
considered11an11advance11in11maternity11care.
Question11format:11Multiple11Choice
Chapter111:11The11Nurse's11Role11in11a11Changing11Maternal-
Child11Health11Care11Environment11Cognitive11Level:11Analyze
Client11Needs:11Health11Promotion11and11Maintenance11Int
egrated11Process:11Teaching/Learning11Reference:11p.113
5. When11preparing11a11client11for11surgery,11the11nurse11explains11that11the11use11of11an11a
ntiseptic1 1 during11the11surgery11has11greatly11improved11client11survival11rates11and11was11starte
d11by11which11physician?
https://www.stuvia.com/user/asolution
, A. Louis11Pasteur
B. Ignaz11Philip11Semmelweis
https://www.stuvia.com/user/asolution
