,Chapter01: Foundations of Maternity,Women’s Health, and Child Health Nursing
s ss ss s s ss ss ss ss ss
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. Which factor significantly contributed to the shift from home births to hospital births in
ss ss ss ss ss ss ss ss ss ss ss ss ss
the early 20th century?
ss ss ss ss
a. Puerperal sepsis was identified as a risk factor in labor and delivery. ss ss ss ss ss ss ss ss ss ss ss
b. Forceps were developed to facilitate difficult births. ss ss ss ss ss ss
c. The importance of early parental-infant contact was identified.
ss ss ss ss ss ss ss
d. Technologic developments became available to physicians. ss ss s s ss
ANS: D ss
Technologic developments were available to physicians, not lay midwives. So in-hospital
ss ss ss ss ss ss ss ss ss ss
births increased in order to take advantage of these advancements. Puerperal sepsis has been
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a known problem for generations. In the late 19th century, Semmelweis discovered how it
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
could be prevented with improved hygienic practices. The development of forceps is an
ss ss ss ss ss ss ss ss ss ss ss ss ss
example of a technology advance made in the early 20th century but is not the only reason
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
birthplaces moved. Unlike home births, early hospital births hindered bonding between
ss ss ss ss ss ss ss ss ss ss ss
parents and their infants.
ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 1
ss OBJ: Integrated Process: Teaching-Learning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment
ss s s ss ss ss ss ss ss
2. Family-centered maternity care developed in response to ss ss ss ss ss ss
a. demands by physicians for family involvement in childbirth. ss ss ss ss ss ss ss
b. theSheppard-TownerAct of 1921.
s s ss ss
c. parental requests that infants be allowed to remain with them rather than in a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss nursery.
d. changes in pharmacologic management of labor. ss ss ss ss ss
ANS: C ss
As research began to identify the benefits of early extended parent-infant contact, parents
ss ss ss ss ss ss ss ss ss ss ss ss
began to insist that the infant remain with them. This gradually developed into the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
practice of rooming-in and finally to family-centered maternity care. Family-centered
ss ss ss ss ss ss ss ss ss ss
care was a request by parents, not physicians. The Sheppard-Towner Act of 1921
s s ss ss ss ss ss ss ss ss ss ss ss ss
provided funds for state-managed programs for mothers and children. The changes in
ss ss ss ss ss ss ss ss ss ss ss ss
pharmacologic management of labor were not a factor in family-centered maternity care.
ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 2
ss OBJ: Integrated Process: Teaching-Learning ss ss ss
MSC: Client Needs: Psychosocial Integrity
ss s s ss ss ss
3. Which setting for childbirth allows the least amount of parent-infant contact?
ss ss ss ss ss ss ss ss ss ss
a. Labor/delivery/recovery/postpartum room
b. Birth center ss
c. Traditional hospital birth ss ss
d. Home birth ss
.
, ANS: C ss
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
ss ss ss ss ss ss ss ss ss ss ss ss
room setting allows increased parent-infant contact. Birth centers are set up to allow an
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
increase in parent-infant contact. Home births allow an increase in parent-infant contact.
ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 2
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Health Promotion and Maintenance ss ss ss ss ss
4. As a result of changes in health care delivery and funding, a current trend seen in the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
pediatric setting is
ss ss ss
a. increased hospitalization of children. ss ss ss
b. decreased number of children living in poverty. ss ss ss ss ss ss
c. an increase in ambulatory care. ss ss ss ss
d. decreased use of managed care. ss ss ss ss
ANS: C ss
One effect of managed care has been that pediatric health care delivery has shifted
ss ss ss ss ss ss ss ss ss ss ss ss ss
dramatically from the acute care setting to the ambulatory setting in order to provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
more cost-efficient care. The number of hospital beds being used has decreased as
ss ss ss ss ss ss ss ss ss ss ss ss ss
more care is given in outpatient settings and in the home. The number of children
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
living in poverty has increased over the past decade. One of the biggest changes in
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
health care has been the growth of managed care.
ss ss s s ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 5
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment ss ss ss ss ss ss
5. TheWomen, Infants, and Children (WIC) program provides
s ss ss ss ss ss ss
a. well-child examinations for infants and children living at the poverty level. ss ss ss ss ss ss ss ss ss ss
b. immunizations for high-risk infants and children. ss ss ss ss ss
c. screening for infants with developmental disorders. ss ss ss ss ss
d. supplemental food supplies to low-income pregnant or breastfeeding women. ss ss ss ss ss ss ss ss
ANS: D ss
WIC is a federal program that provides supplemental food supplies to low-income women
ss ss ss ss ss ss ss ss ss ss ss ss
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
ss ss ss ss ss ss ss ss ss ss ss
examinations and for treatment of any medical problems diagnosed during such checkups.
ss ss ss ss ss ss ss ss ss ss ss ss
Children in the WIC program are often referred for immunizations, but that is not the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
primary focus of the program. Public Law 99-457 is part of the Individuals with
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Disabilities Education Act that provides financial incentives to states to establish
s s ss ss ss ss ss ss ss ss ss ss
comprehensive early intervention services for infants and toddlers with, or at risk for,
ss ss ss ss ss ss ss ss ss ss ss ss ss
developmental disabilities.
ss ss
PTS: 1 DIF: CognitiveLevel:Comprehension s s REF: p. 8 ss
OBJ: Integrated Process: Teaching-Learning
ss ss ss
MSC: Client Needs: Health Promotion and Maintenance
ss ss ss ss ss ss
6. In most states, adolescents who are not emancipated minors must have the permission of
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss their parents before ss ss
.
, a. treatment for drug abuse. ss ss ss
b. treatment for sexually transmitted diseases (STDs). ss ss ss ss ss
c. accessing birth control. ss ss
d. surgery.
ANS: D ss
Minors are not considered capable of giving informed consent, so a surgical procedure
ss ss ss ss ss ss ss ss ss ss ss ss
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
drug abuse or STDs or for getting birth control in most states.
ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 17
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment ss ss ss ss ss ss
7. The maternity nurse should have a clear understanding of the correct use of a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss clinical pathway. One characteristic of clinical pathways is that they
ss ss ss ss ss ss ss ss ss
a. are developed and implemented by nurses.
ss ss ss ss ss
b. are used primarily in the pediatric setting.
ss ss ss ss ss ss
c. set specific time lines for sequencing interventions.
ss ss ss ss ss ss
d. are part of the nursing process.
ss ss ss ss ss
ANS: C ss
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
ss ss ss ss ss ss ss ss ss ss ss
a particular health problem. They are used to identify patient outcomes, specify time lines
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
to achieve those outcomes, direct appropriate interventions and sequencing of
ss ss ss ss ss ss ss ss ss ss
interventions, include interventions from a variety of disciplines, promote collaboration,
s s ss ss ss ss ss ss ss ss ss
and involve a comprehensive approach to care. They are developed by multiple
ss ss ss ss ss ss ss s s ss ss ss ss
health care professionals and reflect interdisciplinary care. They can be used in multiple
ss ss ss ss ss ss ss ss ss ss ss ss ss
settings and for patients throughout the life span. They are not part of the nursing process
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
but can be used in conjunction with the nursing process to provide care to patients.
ss ss s s ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 7
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment ss ss ss ss ss ss
8. The fastest growing group of homeless people is
ss ss ss ss ss ss ss
a. men and women preparing for retirement. ss ss ss ss ss
b. migrant workers. ss
c. single women and their children. ss ss ss ss
d. intravenous (IV) substance abusers. ss ss ss
ANS: C ss
Pregnancy and birth, especially for a teenager, are important contributing factors for
ss ss ss ss ss ss ss ss ss ss ss
becoming homeless. People preparing for retirement, migrant workers, and IV substance
s s ss ss ss ss ss ss ss ss ss ss
abusers are not among the fastest growing groups of homeless people.
ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 14
ss OBJ: Nursing Process: Assessment ss ss ss
MSC: Client Needs: Physiologic Integrity ss ss ss
.
s ss ss s s ss ss ss ss ss
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
ss ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. Which factor significantly contributed to the shift from home births to hospital births in
ss ss ss ss ss ss ss ss ss ss ss ss ss
the early 20th century?
ss ss ss ss
a. Puerperal sepsis was identified as a risk factor in labor and delivery. ss ss ss ss ss ss ss ss ss ss ss
b. Forceps were developed to facilitate difficult births. ss ss ss ss ss ss
c. The importance of early parental-infant contact was identified.
ss ss ss ss ss ss ss
d. Technologic developments became available to physicians. ss ss s s ss
ANS: D ss
Technologic developments were available to physicians, not lay midwives. So in-hospital
ss ss ss ss ss ss ss ss ss ss
births increased in order to take advantage of these advancements. Puerperal sepsis has been
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
a known problem for generations. In the late 19th century, Semmelweis discovered how it
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
could be prevented with improved hygienic practices. The development of forceps is an
ss ss ss ss ss ss ss ss ss ss ss ss ss
example of a technology advance made in the early 20th century but is not the only reason
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
birthplaces moved. Unlike home births, early hospital births hindered bonding between
ss ss ss ss ss ss ss ss ss ss ss
parents and their infants.
ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 1
ss OBJ: Integrated Process: Teaching-Learning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment
ss s s ss ss ss ss ss ss
2. Family-centered maternity care developed in response to ss ss ss ss ss ss
a. demands by physicians for family involvement in childbirth. ss ss ss ss ss ss ss
b. theSheppard-TownerAct of 1921.
s s ss ss
c. parental requests that infants be allowed to remain with them rather than in a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss nursery.
d. changes in pharmacologic management of labor. ss ss ss ss ss
ANS: C ss
As research began to identify the benefits of early extended parent-infant contact, parents
ss ss ss ss ss ss ss ss ss ss ss ss
began to insist that the infant remain with them. This gradually developed into the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
practice of rooming-in and finally to family-centered maternity care. Family-centered
ss ss ss ss ss ss ss ss ss ss
care was a request by parents, not physicians. The Sheppard-Towner Act of 1921
s s ss ss ss ss ss ss ss ss ss ss ss ss
provided funds for state-managed programs for mothers and children. The changes in
ss ss ss ss ss ss ss ss ss ss ss ss
pharmacologic management of labor were not a factor in family-centered maternity care.
ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 2
ss OBJ: Integrated Process: Teaching-Learning ss ss ss
MSC: Client Needs: Psychosocial Integrity
ss s s ss ss ss
3. Which setting for childbirth allows the least amount of parent-infant contact?
ss ss ss ss ss ss ss ss ss ss
a. Labor/delivery/recovery/postpartum room
b. Birth center ss
c. Traditional hospital birth ss ss
d. Home birth ss
.
, ANS: C ss
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
ss ss ss ss ss ss ss ss ss ss ss ss
room setting allows increased parent-infant contact. Birth centers are set up to allow an
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
increase in parent-infant contact. Home births allow an increase in parent-infant contact.
ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 2
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Health Promotion and Maintenance ss ss ss ss ss
4. As a result of changes in health care delivery and funding, a current trend seen in the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
pediatric setting is
ss ss ss
a. increased hospitalization of children. ss ss ss
b. decreased number of children living in poverty. ss ss ss ss ss ss
c. an increase in ambulatory care. ss ss ss ss
d. decreased use of managed care. ss ss ss ss
ANS: C ss
One effect of managed care has been that pediatric health care delivery has shifted
ss ss ss ss ss ss ss ss ss ss ss ss ss
dramatically from the acute care setting to the ambulatory setting in order to provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
more cost-efficient care. The number of hospital beds being used has decreased as
ss ss ss ss ss ss ss ss ss ss ss ss ss
more care is given in outpatient settings and in the home. The number of children
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
living in poverty has increased over the past decade. One of the biggest changes in
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
health care has been the growth of managed care.
ss ss s s ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 5
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment ss ss ss ss ss ss
5. TheWomen, Infants, and Children (WIC) program provides
s ss ss ss ss ss ss
a. well-child examinations for infants and children living at the poverty level. ss ss ss ss ss ss ss ss ss ss
b. immunizations for high-risk infants and children. ss ss ss ss ss
c. screening for infants with developmental disorders. ss ss ss ss ss
d. supplemental food supplies to low-income pregnant or breastfeeding women. ss ss ss ss ss ss ss ss
ANS: D ss
WIC is a federal program that provides supplemental food supplies to low-income women
ss ss ss ss ss ss ss ss ss ss ss ss
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
ss ss ss ss ss ss ss ss ss ss ss
examinations and for treatment of any medical problems diagnosed during such checkups.
ss ss ss ss ss ss ss ss ss ss ss ss
Children in the WIC program are often referred for immunizations, but that is not the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
primary focus of the program. Public Law 99-457 is part of the Individuals with
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Disabilities Education Act that provides financial incentives to states to establish
s s ss ss ss ss ss ss ss ss ss ss
comprehensive early intervention services for infants and toddlers with, or at risk for,
ss ss ss ss ss ss ss ss ss ss ss ss ss
developmental disabilities.
ss ss
PTS: 1 DIF: CognitiveLevel:Comprehension s s REF: p. 8 ss
OBJ: Integrated Process: Teaching-Learning
ss ss ss
MSC: Client Needs: Health Promotion and Maintenance
ss ss ss ss ss ss
6. In most states, adolescents who are not emancipated minors must have the permission of
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss their parents before ss ss
.
, a. treatment for drug abuse. ss ss ss
b. treatment for sexually transmitted diseases (STDs). ss ss ss ss ss
c. accessing birth control. ss ss
d. surgery.
ANS: D ss
Minors are not considered capable of giving informed consent, so a surgical procedure
ss ss ss ss ss ss ss ss ss ss ss ss
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
drug abuse or STDs or for getting birth control in most states.
ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 17
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment ss ss ss ss ss ss
7. The maternity nurse should have a clear understanding of the correct use of a
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss clinical pathway. One characteristic of clinical pathways is that they
ss ss ss ss ss ss ss ss ss
a. are developed and implemented by nurses.
ss ss ss ss ss
b. are used primarily in the pediatric setting.
ss ss ss ss ss ss
c. set specific time lines for sequencing interventions.
ss ss ss ss ss ss
d. are part of the nursing process.
ss ss ss ss ss
ANS: C ss
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
ss ss ss ss ss ss ss ss ss ss ss
a particular health problem. They are used to identify patient outcomes, specify time lines
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
to achieve those outcomes, direct appropriate interventions and sequencing of
ss ss ss ss ss ss ss ss ss ss
interventions, include interventions from a variety of disciplines, promote collaboration,
s s ss ss ss ss ss ss ss ss ss
and involve a comprehensive approach to care. They are developed by multiple
ss ss ss ss ss ss ss s s ss ss ss ss
health care professionals and reflect interdisciplinary care. They can be used in multiple
ss ss ss ss ss ss ss ss ss ss ss ss ss
settings and for patients throughout the life span. They are not part of the nursing process
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
but can be used in conjunction with the nursing process to provide care to patients.
ss ss s s ss ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 7
ss OBJ: Nursing Process: Planning ss ss ss
MSC: Client Needs: Safe and Effective Care Environment ss ss ss ss ss ss
8. The fastest growing group of homeless people is
ss ss ss ss ss ss ss
a. men and women preparing for retirement. ss ss ss ss ss
b. migrant workers. ss
c. single women and their children. ss ss ss ss
d. intravenous (IV) substance abusers. ss ss ss
ANS: C ss
Pregnancy and birth, especially for a teenager, are important contributing factors for
ss ss ss ss ss ss ss ss ss ss ss
becoming homeless. People preparing for retirement, migrant workers, and IV substance
s s ss ss ss ss ss ss ss ss ss ss
abusers are not among the fastest growing groups of homeless people.
ss ss ss ss ss ss ss ss ss ss ss
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering ss ss
REF: p. 14
ss OBJ: Nursing Process: Assessment ss ss ss
MSC: Client Needs: Physiologic Integrity ss ss ss
.
