, MATERNAL-CHILD NURSING, 6TH EDITION TEST BANK By
x x x x x x x
Emily Slone McKinney & Susan R. James & Sharon Smith Murray &
x x x x x x x x x x x x
Kristine Nelson & Jean Ashwill ISBN- 978-0323697880
x x x x x x x
x
x
Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
x x x x x x x x x x x
Test Bank
x x . x
x
MULTIPLExCHOICEx
x
1.xWhichxfactorxsignificantlyxcontributedxtoxthexshiftxfromxhomexbirthsxtoxhospitalxbirthsxinxthexearl
yx20thxcentury?x
a. Puerperalxsepsisxwasxidentifiedxasxaxriskxfactorxinxlaborxandxdelivery.x
b. Forcepsxwerexdevelopedxtoxfacilitatexdifficultxbirths.x
c. Theximportancexofxearlyxparental-infantxcontactxwasxidentified.x
d. Technologicxdevelopmentsxbecamexavailablextoxphysicians.x
ANS:xDx
x
x
x
Feedbackx
A Puerperalxsepsisxhasxbeenxaxknownxproblemxforxgenerations.xInxthexlatex19thxcentury,xS
x
emmelweisxdiscoveredxhowxitxcouldxbexpreventedxwithximprovedxhygienicxpractices.x
B Thexdevelopmentxofxforcepsxtoxhelpxphysiciansxfacilitatexdifficultxbirthsxwasxaxstrongxfactorxi
x
nxthexdecreasexofxhomexbirthsxandxincreasexofxhospitalxbirths.xOtherximportantxdiscoveriesxin
cludedxchloroform,xdrugsxtoxinitiatexlabor,xandxthexadvancementxofxoperativexproceduresxsuc
hxaxcesareanxbirth.x
C Unlikexhome-
x
births,xearlyxhospitalxbirthsxhinderedxbondingxbetweenxparentsxandxtheirxinfants.x
D Technologicalxdevelopmentsxwerexavailablextoxphysicians,xnotxlayxmidwives.x
x
x
PTS:x1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x2x
OBJ:xNursingxProcess:xAssessmentx
MSC:xClientxNeeds:xSafexandxEffectivexCarexEnvironmentx
x
2. Family-centeredxmaternityxcarexdevelopedxinxresponsexto:x
a. Demandsxbyxphysiciansxforxfamilyxinvolvementxinxchildbirthx
b. ThexSheppard-TownerxActxofx1921x
c. Parentalxrequestsxthatxinfantsxbexallowedxtoxremainxwithxthemxratherxthanxinxax
nurseryx
d. Changesxinxpharmacologicxmanagementxofxlaborx
ANS:xCx
x
x
x
Feedbackx
A Family-centeredxcarexwasxaxrequestxbyxparents,xnotxphysicians.x
x
B ThexSheppard-TownerxActxprovidedxfundsxforxstate-
x
managedxprogramsxforxmothersxandxchildren.x
C Asxresearchxbeganxtoxidentifyxthexbenefitsxofxearlyxextendedxparent-
x
infantxcontact,xparentsxbeganxtoxinsistxthatxthexinfantxremainxwithxthem.xThisxgraduallyxde
velopedxintoxthexpracticexofxrooming-inxandxfinallyxtoxfamily-centeredxmaternityxcare.x
, D Thexchangesxinxpharmacologicxmanagementxofxlaborxwerexnotxaxfactorxinxfamily-x
x
x
centeredxmaternityxcare.x
x
PTS:xx1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x3x
OBJ:xxNursingxProcess:xAssessmentx MSC:xClientxNeeds:xPsychosocialxIntegrityx
x
3. Whichxsettingxforxchildbirthxallowsxthexleastxamountxofxparent-infantxcontact?x
a. Labor/delivery/recovery/postpartumxroomx
b. Birthxcenterx
c. Traditionalxhospitalxbirthx
d. Homexbirthx
ANS:xCx
x
x
x
Feedbackx
A Thexlabor/delivery/recovery/postpartumxroomxsettingxallowsxincreasedxparent-
x
xinfantxcontact.x
B Birthxcentersxarexsetxupxtoxallowxanxincreasexinxparent-infantxcontact.x
x
C Inxthextraditionalxhospitalxsetting,xthexmotherxmayxseexthexinfantxforxonlyxshortxfeedingxper
x
iods,xandxthexinfantxisxcaredxforxinxaxseparatexnursery.x
D Homexbirthsxallowxanxincreasexinxparent-infantxcontact.x
x
x
PTS:xx1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x3x
OBJ:xxNursingxProcess:xPlanningx MSC:xClientxNeeds:xHealthxPromotionxandxMaintenancex
x
4. Asxaxresultxofxchangesxinxhealthxcarexdeliveryxandxfunding,xaxcurrentxtrendxseenxinxthexpediatric
xsettingxis:x
a. Increasedxhospitalizationxofxchildrenx
b. Decreasedxnumberxofxchildrenxlivingxinxpovertyx
c. Anxincreasexinxambulatoryxcarex
d. Decreasedxusexofxmanagedxcarex
ANS:xCx
x
x
x
Feedbackx
A Hospitalizationxforxchildrenxhasxdecreased.x
x
B Healthxcarexdeliveryxhasxnotxalteredxthexnumberxofxchildrenxlivingxinxpoverty.x
x
C Onexeffectxofxmanagedxcarexhasxbeenxthatxpediatricxhealthxcarexdeliveryxhasxshiftedxdramatic
x
allyxfromxthexacutexcarexsettingxtoxthexambulatoryxsetting.xOnexofxthexbiggestxchangesxinxhealt
hxcarexhasxbeenxthexgrowthxofxmanagedxcare.xThexnumberxofxhospitalxbedsxbeingxusedxhasxde
creasedxasxmorexcarexisxgivenxinxoutpatientxsettingsxandxinxthexhome.xThexnumberxofxchildrenx
livingxinxpovertyxhasxincreasedxoverxthexlastxdecade.x
D Managedxcarexhasxincreasedxinxorderxtoxcontrolxcost.x
x
x
PTS:x1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x6x
OBJ:xNursingxProcess:xPlanningx
MSC:xClientxNeeds:xSafexandxEffectivexCarexEnvironmentx
x
5. ThexWomen,xInfants,xandxChildrenx(WIC)xprogramxprovides:x
a. Well-childxexaminationsxforxinfantsxandxchildrenxlivingxatxthexpovertyxlevelx
b. Immunizationsxforxhigh-riskxinfantsxandxchildrenx
c. Screeningxforxinfantsxwithxdevelopmentalxdisordersx
d. Supplementalxfoodxsuppliesxtoxlow-incomexwomenxwhoxarexpregnantxorxbreastfeedingx
ANS:xDx
x
x
x
Feedbackx
, A Medicaid‘sxEarlyxandxPeriodicxScreening,xDiagnosis,xandxTreatmentxProgramxprovidesxfo
x
rxwell-
childxexaminationsxandxforxtreatmentxofxanyxmedicalxproblemsxdiagnosedxduringxsuchxche
ckups.x
B ChildrenxinxthexWICxprogramxarexoftenxlinkedxwithximmunizations,xbutxthatxisxnotxthexprima
x
ryxfocusxofxthexprogram.x
C PublicxLawx99-457xprovidesxfinancialxincentivesxtoxstatesxtoxestablishx
x
comprehensivexearlyxinterventionxservicesxforxinfantsxandxtoddlersxwith,xorxatxriskxfor,xdevel
opmentalxdisabilities.x
D WICxisxaxfederalxprogramxthatxprovidesxsupplementalxfoodxsuppliesxtoxlow-
x
xincomexwomenxwhoxarexpregnantxorxbreastfeeding xandxtoxtheirxchildrenxuntilxagex5xyears.x
x
PTS:x1x DIF:x CognitivexLevel:xComprehensionx REF:xp.x2x|xTablesx1-1,x1-
9xOBJ:xNursingxProcess:xAssessmentx MSC:xClientxNeeds:xPhysiologicxIntegrityx
x
6. Inxmostxstates,xadolescentsxwhoxarexnotxemancipatedxminorsxmustxhavexthexpermissionxofxtheir
xparentsxbefore:x
a. Treatmentxforxdrugxabusex
b. Treatmentxforxsexuallyxtransmittedxdiseasesx(STDs)x
c. Accessingxbirthxcontrolx
d. Surgeryx
ANS:xDx
x
x
x
Feedbackx
A Mostxstatesxallowxminorsxtoxobtainxtreatmentxforxdrugxorxalcoholxabusexwithoutxparentalxco
x
nsent.x
B MostxstatesxallowxminorsxtoxobtainxtreatmentxforxSTDsxwithoutxparentalxconsent.x
x
C Inxmostxstates,xminorsxarexallowedxaccessxtoxbirthxcontrolxwithoutxparentalxconsent.x
x
D Ifxaxminorxreceivesxsurgeryxwithoutxproperxinformedxconsent,xassaultxandxbatteryxchargesxa
x
gainstxthexcarexproviderxcanxresult.xThisxdoesxnotxapplyxtoxanxemancipatedxminorx(axminorx
childxwhoxhasxthexlegalxcompetencyxofxanxadultxbecausexofxcircumstancesxinvolvingxmarria
ge,xdivorce,xparentingxofxaxchild,xlivingxindependentlyxwithoutxparents,xorxenlistmentxinxthe
xarmedxservices).x
x
PTS:x1x DIF:x CognitivexLevel:xApplicationx REF:xp.x19x
OBJ:xNursingxProcess:xPlanningx
MSC:xClientxNeeds:xSafexandxEffectivexCarexEnvironmentx
7. Thexmaternityxnursexshouldxhavexaxclearxunderstandingxofxthexcorrectxusexofxaxclinicalxpathwa
y.xOnexcharacteristicxofxclinicalxpathwaysxisxthatxthey:xa.xArexdevelopedxandximplementedxbyx
nursesx
b. Arexusedxprimarilyxinxthexpediatricxsettingx
c. Setxspecificxtimexlinesxforxsequencingxinterventionsx
d. Arexpartxofxthexnursingxprocessx
ANS:xCx
x
x
x
Feedbackx
A Clinicalxpathwaysxarexdevelopedxbyxmultiplexhealthxcarexprofessionalsxandxreflectxinterdisci
x
plinaryxinterventions.x
B Theyxarexusedxinxmultiplexsettingsxandxforxpatientsxthroughoutxthexlifexspan.x
x
C Clinicalxpathwaysxmeasurexoutcomesxofxpatientxcare.xEachxpathwayxoutlinesxspecificxtimexli
x
nesxforxsequencingxinterventions.x
D Thexstepsxofxthexnursingxprocessxarexassessment,xdiagnosis,xplanning,xintervention,xandxeval
x
uation.x
x
x x x x x x x
Emily Slone McKinney & Susan R. James & Sharon Smith Murray &
x x x x x x x x x x x x
Kristine Nelson & Jean Ashwill ISBN- 978-0323697880
x x x x x x x
x
x
Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
x x x x x x x x x x x
Test Bank
x x . x
x
MULTIPLExCHOICEx
x
1.xWhichxfactorxsignificantlyxcontributedxtoxthexshiftxfromxhomexbirthsxtoxhospitalxbirthsxinxthexearl
yx20thxcentury?x
a. Puerperalxsepsisxwasxidentifiedxasxaxriskxfactorxinxlaborxandxdelivery.x
b. Forcepsxwerexdevelopedxtoxfacilitatexdifficultxbirths.x
c. Theximportancexofxearlyxparental-infantxcontactxwasxidentified.x
d. Technologicxdevelopmentsxbecamexavailablextoxphysicians.x
ANS:xDx
x
x
x
Feedbackx
A Puerperalxsepsisxhasxbeenxaxknownxproblemxforxgenerations.xInxthexlatex19thxcentury,xS
x
emmelweisxdiscoveredxhowxitxcouldxbexpreventedxwithximprovedxhygienicxpractices.x
B Thexdevelopmentxofxforcepsxtoxhelpxphysiciansxfacilitatexdifficultxbirthsxwasxaxstrongxfactorxi
x
nxthexdecreasexofxhomexbirthsxandxincreasexofxhospitalxbirths.xOtherximportantxdiscoveriesxin
cludedxchloroform,xdrugsxtoxinitiatexlabor,xandxthexadvancementxofxoperativexproceduresxsuc
hxaxcesareanxbirth.x
C Unlikexhome-
x
births,xearlyxhospitalxbirthsxhinderedxbondingxbetweenxparentsxandxtheirxinfants.x
D Technologicalxdevelopmentsxwerexavailablextoxphysicians,xnotxlayxmidwives.x
x
x
PTS:x1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x2x
OBJ:xNursingxProcess:xAssessmentx
MSC:xClientxNeeds:xSafexandxEffectivexCarexEnvironmentx
x
2. Family-centeredxmaternityxcarexdevelopedxinxresponsexto:x
a. Demandsxbyxphysiciansxforxfamilyxinvolvementxinxchildbirthx
b. ThexSheppard-TownerxActxofx1921x
c. Parentalxrequestsxthatxinfantsxbexallowedxtoxremainxwithxthemxratherxthanxinxax
nurseryx
d. Changesxinxpharmacologicxmanagementxofxlaborx
ANS:xCx
x
x
x
Feedbackx
A Family-centeredxcarexwasxaxrequestxbyxparents,xnotxphysicians.x
x
B ThexSheppard-TownerxActxprovidedxfundsxforxstate-
x
managedxprogramsxforxmothersxandxchildren.x
C Asxresearchxbeganxtoxidentifyxthexbenefitsxofxearlyxextendedxparent-
x
infantxcontact,xparentsxbeganxtoxinsistxthatxthexinfantxremainxwithxthem.xThisxgraduallyxde
velopedxintoxthexpracticexofxrooming-inxandxfinallyxtoxfamily-centeredxmaternityxcare.x
, D Thexchangesxinxpharmacologicxmanagementxofxlaborxwerexnotxaxfactorxinxfamily-x
x
x
centeredxmaternityxcare.x
x
PTS:xx1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x3x
OBJ:xxNursingxProcess:xAssessmentx MSC:xClientxNeeds:xPsychosocialxIntegrityx
x
3. Whichxsettingxforxchildbirthxallowsxthexleastxamountxofxparent-infantxcontact?x
a. Labor/delivery/recovery/postpartumxroomx
b. Birthxcenterx
c. Traditionalxhospitalxbirthx
d. Homexbirthx
ANS:xCx
x
x
x
Feedbackx
A Thexlabor/delivery/recovery/postpartumxroomxsettingxallowsxincreasedxparent-
x
xinfantxcontact.x
B Birthxcentersxarexsetxupxtoxallowxanxincreasexinxparent-infantxcontact.x
x
C Inxthextraditionalxhospitalxsetting,xthexmotherxmayxseexthexinfantxforxonlyxshortxfeedingxper
x
iods,xandxthexinfantxisxcaredxforxinxaxseparatexnursery.x
D Homexbirthsxallowxanxincreasexinxparent-infantxcontact.x
x
x
PTS:xx1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x3x
OBJ:xxNursingxProcess:xPlanningx MSC:xClientxNeeds:xHealthxPromotionxandxMaintenancex
x
4. Asxaxresultxofxchangesxinxhealthxcarexdeliveryxandxfunding,xaxcurrentxtrendxseenxinxthexpediatric
xsettingxis:x
a. Increasedxhospitalizationxofxchildrenx
b. Decreasedxnumberxofxchildrenxlivingxinxpovertyx
c. Anxincreasexinxambulatoryxcarex
d. Decreasedxusexofxmanagedxcarex
ANS:xCx
x
x
x
Feedbackx
A Hospitalizationxforxchildrenxhasxdecreased.x
x
B Healthxcarexdeliveryxhasxnotxalteredxthexnumberxofxchildrenxlivingxinxpoverty.x
x
C Onexeffectxofxmanagedxcarexhasxbeenxthatxpediatricxhealthxcarexdeliveryxhasxshiftedxdramatic
x
allyxfromxthexacutexcarexsettingxtoxthexambulatoryxsetting.xOnexofxthexbiggestxchangesxinxhealt
hxcarexhasxbeenxthexgrowthxofxmanagedxcare.xThexnumberxofxhospitalxbedsxbeingxusedxhasxde
creasedxasxmorexcarexisxgivenxinxoutpatientxsettingsxandxinxthexhome.xThexnumberxofxchildrenx
livingxinxpovertyxhasxincreasedxoverxthexlastxdecade.x
D Managedxcarexhasxincreasedxinxorderxtoxcontrolxcost.x
x
x
PTS:x1x DIF:x CognitivexLevel:xKnowledgex REF:xp.x6x
OBJ:xNursingxProcess:xPlanningx
MSC:xClientxNeeds:xSafexandxEffectivexCarexEnvironmentx
x
5. ThexWomen,xInfants,xandxChildrenx(WIC)xprogramxprovides:x
a. Well-childxexaminationsxforxinfantsxandxchildrenxlivingxatxthexpovertyxlevelx
b. Immunizationsxforxhigh-riskxinfantsxandxchildrenx
c. Screeningxforxinfantsxwithxdevelopmentalxdisordersx
d. Supplementalxfoodxsuppliesxtoxlow-incomexwomenxwhoxarexpregnantxorxbreastfeedingx
ANS:xDx
x
x
x
Feedbackx
, A Medicaid‘sxEarlyxandxPeriodicxScreening,xDiagnosis,xandxTreatmentxProgramxprovidesxfo
x
rxwell-
childxexaminationsxandxforxtreatmentxofxanyxmedicalxproblemsxdiagnosedxduringxsuchxche
ckups.x
B ChildrenxinxthexWICxprogramxarexoftenxlinkedxwithximmunizations,xbutxthatxisxnotxthexprima
x
ryxfocusxofxthexprogram.x
C PublicxLawx99-457xprovidesxfinancialxincentivesxtoxstatesxtoxestablishx
x
comprehensivexearlyxinterventionxservicesxforxinfantsxandxtoddlersxwith,xorxatxriskxfor,xdevel
opmentalxdisabilities.x
D WICxisxaxfederalxprogramxthatxprovidesxsupplementalxfoodxsuppliesxtoxlow-
x
xincomexwomenxwhoxarexpregnantxorxbreastfeeding xandxtoxtheirxchildrenxuntilxagex5xyears.x
x
PTS:x1x DIF:x CognitivexLevel:xComprehensionx REF:xp.x2x|xTablesx1-1,x1-
9xOBJ:xNursingxProcess:xAssessmentx MSC:xClientxNeeds:xPhysiologicxIntegrityx
x
6. Inxmostxstates,xadolescentsxwhoxarexnotxemancipatedxminorsxmustxhavexthexpermissionxofxtheir
xparentsxbefore:x
a. Treatmentxforxdrugxabusex
b. Treatmentxforxsexuallyxtransmittedxdiseasesx(STDs)x
c. Accessingxbirthxcontrolx
d. Surgeryx
ANS:xDx
x
x
x
Feedbackx
A Mostxstatesxallowxminorsxtoxobtainxtreatmentxforxdrugxorxalcoholxabusexwithoutxparentalxco
x
nsent.x
B MostxstatesxallowxminorsxtoxobtainxtreatmentxforxSTDsxwithoutxparentalxconsent.x
x
C Inxmostxstates,xminorsxarexallowedxaccessxtoxbirthxcontrolxwithoutxparentalxconsent.x
x
D Ifxaxminorxreceivesxsurgeryxwithoutxproperxinformedxconsent,xassaultxandxbatteryxchargesxa
x
gainstxthexcarexproviderxcanxresult.xThisxdoesxnotxapplyxtoxanxemancipatedxminorx(axminorx
childxwhoxhasxthexlegalxcompetencyxofxanxadultxbecausexofxcircumstancesxinvolvingxmarria
ge,xdivorce,xparentingxofxaxchild,xlivingxindependentlyxwithoutxparents,xorxenlistmentxinxthe
xarmedxservices).x
x
PTS:x1x DIF:x CognitivexLevel:xApplicationx REF:xp.x19x
OBJ:xNursingxProcess:xPlanningx
MSC:xClientxNeeds:xSafexandxEffectivexCarexEnvironmentx
7. Thexmaternityxnursexshouldxhavexaxclearxunderstandingxofxthexcorrectxusexofxaxclinicalxpathwa
y.xOnexcharacteristicxofxclinicalxpathwaysxisxthatxthey:xa.xArexdevelopedxandximplementedxbyx
nursesx
b. Arexusedxprimarilyxinxthexpediatricxsettingx
c. Setxspecificxtimexlinesxforxsequencingxinterventionsx
d. Arexpartxofxthexnursingxprocessx
ANS:xCx
x
x
x
Feedbackx
A Clinicalxpathwaysxarexdevelopedxbyxmultiplexhealthxcarexprofessionalsxandxreflectxinterdisci
x
plinaryxinterventions.x
B Theyxarexusedxinxmultiplexsettingsxandxforxpatientsxthroughoutxthexlifexspan.x
x
C Clinicalxpathwaysxmeasurexoutcomesxofxpatientxcare.xEachxpathwayxoutlinesxspecificxtimexli
x
nesxforxsequencingxinterventions.x
D Thexstepsxofxthexnursingxprocessxarexassessment,xdiagnosis,xplanning,xintervention,xandxeval
x
uation.x
x
