TESTBANK j
INTRODUCTORYMATERNITY & PEDIATRIC NURSING
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NANCYHATFIELD& CYNTHIAKINCHELOE
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5th Edition
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TESTBANK j
,Chapter 1: TheNurse's Rolein aChanging Maternal–ChildHealthCareEnvironment
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Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
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1. The openingupofhospital visiting policiesfor childrenand families
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likely resultedfrom the work of which individual?
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A. Joseph Brennaman j
B. John Bowlby j
C. MarshalKlaus j
D. JohnKennell j
Answer: B
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Rationale: In 1951, John Bowlby received worldwide attention with his j j j j j j j j j
study that revealed the negative results of the separation of child and mother because of
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hospitalization.His work ledtoare-evaluationandliberalization ofhospital visiting policiesfor
j j j j j j j j j j j j j
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high infant
j j j j j j j j j j j j j j j
mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell
j j j j j j j j j j j j j j j j
carried out importantstudies on the effect of the separation of newborns and parents.
j j j j j j j j j j j j j
They established that early separation may have long-term effects on family relationships and that
j j j j j j j j j j j j j
offering the new family an opportunity to be together at birth and for a significant period after birth
j j j j j j j j j j j j j j j j j j
may provide benefitsthat last well into early childhood.
j j j j j j j j
Question format: Multiple Choice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Remember
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ClientNeeds:HealthPromotionand Maintenance Integrated
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Process: Nursing Process
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Reference:p.4 j j
2. An expectant mother statesthat shereadthat more black mothers die in childbirththan do white
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mothers. When responding to her questions about the reasons for this, the nurse accurately states
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that which is the major reason forthe high maternal mortality rate?
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A. Havingformaleducation. j j
B. Being unmarried. j
C. Income.
D. Lack ofprenatalcare. j j j
Answer: D j
Rationale: Research showsthat maternal mortalityrateisdirectlyrelatedtolack ofprenatal care
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secondary to lack of access to services or insurance. Income as well as educational level may play a
j j j j j j j j j j j j j j j j j j
role in the availability of health care, but they are not directly responsible. Being unmarried has no
j j j j j j j j j j j j j j j j j
bearing on infant mortality.
j j j j
Questionformat:MultipleChoice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Understand
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,ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Nursing Process
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Reference:p.9 j j
3. Whichstatementcorrectlydefinestheterm"infant deathrate"? j j j j j j j j
A. number ofdeaths in utero offetuses500 gor more per1,000 livebirths j j j j j j j j j j j j j j
B. number ofdeaths occurringin the first28 days of life per 1,000 livebirths j j j j j j j j j j j j j j
C. number of deaths occurring at birth orinthe first 12 months of life per1,000 live births
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D. deathofalive-born child beforehis or her firstbirthday.
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Answer: D j
Rationale: The term infant death refers to the death of a live-born child before he or she reaches age 1
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year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of infant deaths
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during the first 28 days of life for every 1,000 live births. Infant mortality rate isthe number of deaths
j j j j j j j j j j j j j j j j j j j j
during the first 12 months oflife per 1,000 live births. Question format: Multiple Choice
j j j j j j j j j j j j j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Remember
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ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Nursing Process
j j j
Reference:p.9 j j
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
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What major development will the instructor emphasize as greatly influencing the practice of
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maternity care in the United States over the past century?
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A. technologicadvancesand the use offorceps by primary careproviders j j j j j j j j j j
B. development ofanesthesia andacceptance ofthe germtheory j j j j j j j j
C. adventofbirthingcentersandthedevelopment of family-centeredcare
j j j j j j j j j
D. development of pediatric specialty and replacement of midwives as primary birth attendants j j j j j j j j j j j
j Answer: B j
Rationale:Theemphasis should beplaced onanesthesia and the germtheory.Thedevelopment of
j j j j j j j j j j j j j j
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
j j j j j j j j j j j j j j j
progress of general health care and decreased infections in laboring women. Pediatricsasa specialty
j j j j j j j j j j j j j j j
is an important step forward but is not the greatest development, and midwives are still in practice.
j j j j j j j j j j j j j j j j j
Maternity care continues to evolve, and birthing centers are still under development. Forceps are not
j j j j j j j j j j j j j j j
considered an advance in maternity care.
j j j j j j
Question format: Multiple Choice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Analyze
j
Client Needs:Health Promotionand Maintenance
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, Integrated Process: Teaching/Learning j j
Reference: p. 3
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5. When preparing a client for surgery, the nurse explains that the use of anantiseptic during
j j j j j j j j j j j j j j j
the surgery hasgreatly improved client survivalratesand wasstarted by which physician?
j j j j j j j j j j j j j j
A. Louis Pasteur j
B. Ignaz PhilipSemmelweis j j
C. Joseph Lister j
D. Alexander Gordon j
j Answer: C j
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
j j j j j j j j j j j j
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery
j j j j j j j j j j j j j j j
and improved the survival ratesof hispatients. Alexander Gordon proposedthetheory of infection.
j j j j j j j j j j j j j j j
Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
j j j j j j j j j j
Questionformat:MultipleChoice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Apply
j
Client Needs: Safe, EffectiveCareEnvironment: Safetyand Infection ControlIntegrated Process:
j j j j j j j j j j j
Nursing Process
j j
Reference:p.4 j j
6. A young couple are very excited to learn they are expecting their first childand question the nurse
j j j j j j j j j j j j j j j j j
about which test they need to discover its gender.Which procedure will best provide this information
j j j j j j j j j j j j j j j j
to the couple?
j j j
A. Ultrasound
B. Amniocentesis
C. Chorionicvillussampling j j
D. HGP
Answer: A j
Rationale: Ultrasoundis a visual method for assessing the fetusintheuterus and will provide
j j j j j j j j j j j j j j j
information aboutthe gender. Amniocentesisand chorionic villussampling provide theentire genetic
j j j j j j j j j j j j j
code of the fetus. HGP refers to the Human Genome Project, which can provide information
j j j j j j j j j j j j j j j
regarding gene mutations and variations.
j j j j j
Questionformat:MultipleChoice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Apply
j
ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Caring
j j
Reference:p.6 j j
INTRODUCTORYMATERNITY & PEDIATRIC NURSING
j j j j
NANCYHATFIELD& CYNTHIAKINCHELOE
j j j j
5th Edition
j
TESTBANK j
,Chapter 1: TheNurse's Rolein aChanging Maternal–ChildHealthCareEnvironment
j j j j j j j j j j j
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
j j j j j j j j
1. The openingupofhospital visiting policiesfor childrenand families
j j j j j j j j j j
likely resultedfrom the work of which individual?
j j j j j j j
A. Joseph Brennaman j
B. John Bowlby j
C. MarshalKlaus j
D. JohnKennell j
Answer: B
j j
Rationale: In 1951, John Bowlby received worldwide attention with his j j j j j j j j j
study that revealed the negative results of the separation of child and mother because of
j j j j j j j j j j j j j j
hospitalization.His work ledtoare-evaluationandliberalization ofhospital visiting policiesfor
j j j j j j j j j j j j j
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high infant
j j j j j j j j j j j j j j j
mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John Kennell
j j j j j j j j j j j j j j j j
carried out importantstudies on the effect of the separation of newborns and parents.
j j j j j j j j j j j j j
They established that early separation may have long-term effects on family relationships and that
j j j j j j j j j j j j j
offering the new family an opportunity to be together at birth and for a significant period after birth
j j j j j j j j j j j j j j j j j j
may provide benefitsthat last well into early childhood.
j j j j j j j j
Question format: Multiple Choice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Remember
j
ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Nursing Process
j j j
Reference:p.4 j j
2. An expectant mother statesthat shereadthat more black mothers die in childbirththan do white
j j j j j j j j j j j j j j j j
mothers. When responding to her questions about the reasons for this, the nurse accurately states
j j j j j j j j j j j j j j j
that which is the major reason forthe high maternal mortality rate?
j j j j j j j j j j j j
A. Havingformaleducation. j j
B. Being unmarried. j
C. Income.
D. Lack ofprenatalcare. j j j
Answer: D j
Rationale: Research showsthat maternal mortalityrateisdirectlyrelatedtolack ofprenatal care
j j j j j j j j j j j j j j
secondary to lack of access to services or insurance. Income as well as educational level may play a
j j j j j j j j j j j j j j j j j j
role in the availability of health care, but they are not directly responsible. Being unmarried has no
j j j j j j j j j j j j j j j j j
bearing on infant mortality.
j j j j
Questionformat:MultipleChoice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Understand
j
,ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Nursing Process
j j j
Reference:p.9 j j
3. Whichstatementcorrectlydefinestheterm"infant deathrate"? j j j j j j j j
A. number ofdeaths in utero offetuses500 gor more per1,000 livebirths j j j j j j j j j j j j j j
B. number ofdeaths occurringin the first28 days of life per 1,000 livebirths j j j j j j j j j j j j j j
C. number of deaths occurring at birth orinthe first 12 months of life per1,000 live births
j j j j j j j j j j j j j j j j j
D. deathofalive-born child beforehis or her firstbirthday.
j j j j j j j j j j
Answer: D j
Rationale: The term infant death refers to the death of a live-born child before he or she reaches age 1
j j j j j j j j j j j j j j j j j j j
year. It also includes neonatal mortality rate. Neonatal mortality rate is the number of infant deaths
j j j j j j j j j j j j j j j j
during the first 28 days of life for every 1,000 live births. Infant mortality rate isthe number of deaths
j j j j j j j j j j j j j j j j j j j j
during the first 12 months oflife per 1,000 live births. Question format: Multiple Choice
j j j j j j j j j j j j j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Remember
j
ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Nursing Process
j j j
Reference:p.9 j j
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
j j j j j j j j j j j j j j j j
What major development will the instructor emphasize as greatly influencing the practice of
j j j j j j j j j j j j j
maternity care in the United States over the past century?
j j j j j j j j j j
A. technologicadvancesand the use offorceps by primary careproviders j j j j j j j j j j
B. development ofanesthesia andacceptance ofthe germtheory j j j j j j j j
C. adventofbirthingcentersandthedevelopment of family-centeredcare
j j j j j j j j j
D. development of pediatric specialty and replacement of midwives as primary birth attendants j j j j j j j j j j j
j Answer: B j
Rationale:Theemphasis should beplaced onanesthesia and the germtheory.Thedevelopment of
j j j j j j j j j j j j j j
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
j j j j j j j j j j j j j j j
progress of general health care and decreased infections in laboring women. Pediatricsasa specialty
j j j j j j j j j j j j j j j
is an important step forward but is not the greatest development, and midwives are still in practice.
j j j j j j j j j j j j j j j j j
Maternity care continues to evolve, and birthing centers are still under development. Forceps are not
j j j j j j j j j j j j j j j
considered an advance in maternity care.
j j j j j j
Question format: Multiple Choice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Analyze
j
Client Needs:Health Promotionand Maintenance
j j j j j
, Integrated Process: Teaching/Learning j j
Reference: p. 3
j j j
5. When preparing a client for surgery, the nurse explains that the use of anantiseptic during
j j j j j j j j j j j j j j j
the surgery hasgreatly improved client survivalratesand wasstarted by which physician?
j j j j j j j j j j j j j j
A. Louis Pasteur j
B. Ignaz PhilipSemmelweis j j
C. Joseph Lister j
D. Alexander Gordon j
j Answer: C j
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
j j j j j j j j j j j j
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during surgery
j j j j j j j j j j j j j j j
and improved the survival ratesof hispatients. Alexander Gordon proposedthetheory of infection.
j j j j j j j j j j j j j j j
Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
j j j j j j j j j j
Questionformat:MultipleChoice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Apply
j
Client Needs: Safe, EffectiveCareEnvironment: Safetyand Infection ControlIntegrated Process:
j j j j j j j j j j j
Nursing Process
j j
Reference:p.4 j j
6. A young couple are very excited to learn they are expecting their first childand question the nurse
j j j j j j j j j j j j j j j j j
about which test they need to discover its gender.Which procedure will best provide this information
j j j j j j j j j j j j j j j j
to the couple?
j j j
A. Ultrasound
B. Amniocentesis
C. Chorionicvillussampling j j
D. HGP
Answer: A j
Rationale: Ultrasoundis a visual method for assessing the fetusintheuterus and will provide
j j j j j j j j j j j j j j j
information aboutthe gender. Amniocentesisand chorionic villussampling provide theentire genetic
j j j j j j j j j j j j j
code of the fetus. HGP refers to the Human Genome Project, which can provide information
j j j j j j j j j j j j j j j
regarding gene mutations and variations.
j j j j j
Questionformat:MultipleChoice j j j
Chapter 1:TheNurse'sRole in a Changing Maternal-Child Health CareEnvironment Cognitive Level:
j j j j j j j j j j j j j
Apply
j
ClientNeeds:HealthPromotionand Maintenance Integrated
j j j j j j
Process: Caring
j j
Reference:p.6 j j
