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Health Nursing | Complete T
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est Bank
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LATEST 2022
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,Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing Test
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Bank
MULTIPLEgCHOICE
1. Whichgfactorgsignificantlygcontributedgtogthegshiftgfromghomegbirthsgtoghospitalgbirthsgingthege
arlyg20thgcentury?
a. Puerperalgsepsisgwasgidentifiedgasgagriskgfactorginglaborgandgdelivery.
b. Forcepsgweregdevelopedgtogfacilitategdifficultgbirths.
c. Thegimportancegofgearlygparental-infantgcontactgwasgidentified.
d. Technologicgdevelopmentsgbecamegavailablegtogphysicians.
ANS:g D
Feedback
A Puerperalgsepsisghasgbeengagknowngproblemgforggenerations.gIngtheglateg19th
century,gSemmelweisgdiscoveredghowgitgcouldgbegpreventedgwithgimprovedghygie
nicgpractices.
B Thegdevelopmentgofgforcepsgtoghelpgphysiciansgfacilitategdifficultgbirthsgwasgagstron
ggfactorgingthegdecreasegofghomegbirthsgandgincreasegofghospitalgbirths.gOther
importantgdiscoveriesgincludedgchloroform,gdrugsgtoginitiateglabor,gandgthegadvance
mentgofgoperativegproceduresgsuchgagcesareangbirth.
C Unlikeghome-births,gearlyghospitalgbirthsghinderedgbondinggbetweengparentsgand
theirginfants.
D Technologicalgdevelopmentsgweregavailablegtogphysicians,gnotglaygmidwives.
PTS:g 1 DIF: CognitivegLevel:gKnowledge
REF:gp.g2gOBJ:gNursinggProcess:gAssessment
MSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironment
2. Family-centeredgmaternitygcaregdevelopedgingresponsegto:
a. Demandsgbygphysiciansgforgfamilyginvolvementgingchildbirth
b. ThegSheppard-TownergActgofg1921
c. Parentalgrequestsgthatginfantsgbegallowedgtogremaingwithgthemgrathergthangingagn
ursery
d. Changesgingpharmacologicgmanagementgofglabor
ANS:g C
Feedback
A Family-centeredgcaregwasgagrequestgbygparents,gnotgphysicians.
B ThegSheppard-TownergActgprovidedgfundsgforgstate-managedgprogramsgfor
mothersgandgchildren.
C Asgresearchgbegangtogidentifygthegbenefitsgofgearlygextendedgparent-
infantgcontact,gparentsgbegangtoginsistgthatgtheginfantgremaingwithgthem.gThisggradu
allygdevelopedgintogthegpracticegofgrooming-ingandgfinallygtogfamily-centered
maternitygcare.
D Thegchangesgingpharmacologicgmanagementgofglaborgweregnotgagfactorgingfamily-
, centeredgmaternitygcare.
PTS:g g 1 DIF: CognitivegLevel:gKnowledge REF:g p.g3
OBJ:g NursinggProcess:gAssessment MSC:g ClientgNeeds:gPsychosocialgIntegrity
3. Whichgsettinggforgchildbirthgallowsgthegleastgamountgofgparent-infantgcontact?
a. Labor/delivery/recovery/postpartumroom
b. Birthgcenter
c. Traditionalghospitalgbirth
d. Homegbirth
ANS:g C
Feedback
A Theglabor/delivery/recovery/postpartumg roomgsettinggallowsgincreasedgparent-
infantgcontact.
B Birthgcentersgaregsetgupgtogallowgangincreasegingparent-infantgcontact.
C Ingthegtraditionalghospitalgsetting,gthegmothergmaygseegtheginfantgforgonlygshort
feedinggperiods,gandgtheginfantgisgcaredgforgingagseparategnursery.
D Homegbirthsgallowgangincreasegingparent-infantgcontact.
PTS:g g 1 DIF: CognitivegLevel:gKnowledge REF:g p.g3
OBJ:g NursinggProcess:gPlanning MSC:g ClientgNeeds:gHealthgPromotiongandgMaintenance
4. Asgagresultgofgchangesginghealthgcaregdeliverygandgfunding,gagcurrentgtrendgseengingthegpediatricgs
ettinggis:
a. Increasedghospitalizationgofgchildren
b. Decreasedgnumbergofgchildrenglivinggingpoverty
c. Angincreasegingambulatorygcare
d. Decreasedgusegofgmanagedgcare
ANS:g C
Feedback
A Hospitalizationgforgchildrenghasgdecreased.
B Healthgcaregdeliveryghasgnotgalteredgthegnumbergofgchildrenglivinggingpoverty.
C Onegeffectgofgmanagedgcareghasgbeengthatgpediatricghealthgcaregdeliveryghasgshifte
dgdramaticallygfromgthegacutegcaregsettinggtogthegambulatorygsetting.gOnegofgthegbig
gestgchangesginghealthgcareghasgbeengtheggrowthgofgmanagedgcare.gThegnumbergofg
hospitalgbedsgbeinggusedghasgdecreasedgasgmoregcaregisggivengingoutpatientgsetting
sgandgingtheghome.gThegnumbergofgchildrenglivinggingpovertyghasgincreasedgovergtheg
lastgdecade.
D Managedgcareghasgincreasedgingordergtogcontrolgcost.
PTS:g 1 DIF: CognitivegLevel:gKnowledge
REF:gp.g6gOBJ:gNursinggProcess:gPlanning
MSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironment
5. ThegWomen,gInfants,gandgChildreng(WIC)gprogramgprovides:
, a. Well-childgexaminationsgforginfantsgandgchildrenglivinggatgthegpovertyglevel
b. Immunizationsgforghigh-riskginfantsgandgchildren
c. Screeninggforginfantsgwithgdevelopmentalgdisorders
d. Supplementalgfoodgsuppliesgtoglow-
incomegwomengwhogaregpregnantgorgbreastfeeding
ANS:g D
Feedback
A Medicaid’sgEarlygandgPeriodicgScreening,gDiagnosis,gandgTreatmentgProgramgprov
idesgforgwell-childgexaminationsgandgforgtreatmentgofganygmedicalgproblems
diagnosedgduringgsuchgcheckups.
B ChildrengingthegWICgprogramgaregoftenglinkedgwithgimmunizations,gbutgthatgis
notgthegprimarygfocusgofgthegprogram.
C PublicgLawg99-457gprovidesgfinancialgincentivesgtogstatesgtogestablish
comprehensivegearlyginterventiongservicesgforginfantsgandgtoddlersgwith,gorgatgriskgfo
r,gdevelopmentalgdisabilities.
D WICgisgagfederalgprogramgthatgprovidesgsupplementalgfoodgsuppliesgtoglow-
gincomegwomengwhogaregpregnantgorgbreastfeedinggandgtogtheirgchildrenguntilgage
5gyears.
PTS:g 1 DIF: CognitivegLevel:gComprehension REF:gp.g2g|gTablesg1-1,g1-
9gOBJ:g NursinggProcess:gAssessment MSC:g ClientgNeeds:gPhysiologicgIntegrity
6. Ingmostgstates,gadolescentsgwhogaregnotgemancipatedgminorsgmustghavegthegpermissiongofgtheirgp
arentsgbefore:
a. Treatmentgforgdruggabuse
b. Treatmentgforgsexuallygtransmittedgdiseasesg(STDs)
c. Accessinggbirthgcontrol
d. Surgery
ANS:g D
Feedback
A Mostgstatesgallowgminorsgtogobtaingtreatmentgforgdruggorgalcoholgabusegwithout
parentalgconsent.
B MostgstatesgallowgminorsgtogobtaingtreatmentgforgSTDsgwithoutgparentalgconsent.
C Ingmostgstates,gminorsgaregallowedgaccessgtogbirthgcontrolgwithoutgparental
consent.
D Ifgagminorgreceivesgsurgerygwithoutgproperginformedgconsent,gassaultgandgbatterygcha
rgesgagainstgthegcaregprovidergcangresult.gThisgdoesgnotgapplygtogangemancipatedgmi
norg(agminorgchildgwhoghasgtheglegalgcompetencygofgangadultgbecausegofgcircumstan
cesginvolvinggmarriage,gdivorce,gparentinggofgagchild,
livinggindependentlygwithoutgparents,gorgenlistmentgingthegarmedgservices).
PTS:g 1 DIF: CognitivegLevel:gApplication
REF:gp.g19gOBJ:gNursinggProcess:gPlanning
MSC:g ClientgNeeds:gSafegandgEffectivegCaregEnvironment