RESOURCES
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FOR
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MATERNAL-
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CHILD
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,NURSING,5TH 3j
EDITIONTEST
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BANKBY
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MCKINNEY
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,Chapter01:FoundationsofMaternity,Women’sHealth,andChildHealthNursing
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McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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MULTIPLECHOICE 3j
1. Whichfactorsignificantlycontributedtotheshiftfromhomebirthstohospitalbirthsinthe early
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3j 20th century? 3j
a. Puerperalsepsis was identified as a risk factor in labor and delivery. 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j
b. Forcepswere developedto facilitate difficult births. 3j 3j 3j 3j 3j 3j
c. Theimportance of earlyparental-infant contact was identified.
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d. Technologicdevelopments became available to physicians. 3j 3j 3j 3j 3j
ANS: 3 j D
Technologic developments were available to physicians, not lay midwives. So in-hospital births 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j
increasedin order to take advantageof these advancements. Puerperalsepsis has been a known
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problemforgenerations.Inthelate19thcentury,Semmelweisdiscoveredhowitcould be prevented
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with improved hygienic practices. The development of forceps is an example of a technology
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advance made in the early 20th century but is not the only reason birthplaces moved. Unlike home
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births, early hospital births hindered bonding between parents and their infants.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 1
3j OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Safe and Effective Care Environment
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2. Family-centeredmaternity caredevelopedin response to 3j 3j 3j 3j 3j 3j
a. demandsby physicians for family involvement inchildbirth. 3j 3j 3j 3j 3j 3j 3j
b. theSheppard-Towner Act of1921. 3j 3j 3j 3j
c. parentalrequests thatinfantsbeallowedto remainwiththemratherthanin a 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j
nursery.
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d. changesin pharmacologic management of labor. 3j 3j 3j 3j 3j
ANS: 3 j C
As research began to identify the benefits of early extended parent-infant contact, parents beganto
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insistthattheinfantremainwiththem.Thisgraduallydevelopedintothepracticeof rooming-inand
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finallyto family-centeredmaternitycare.Family-centeredcarewasarequest by parents, not
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physicians. The Sheppard-Towner Act of 1921 provided funds for
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state-managedprogramsformothersandchildren.Thechangesinpharmacologic management of 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j
labor were not a factor in family-centered maternity care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 2
3j OBJ: Integrated Process: Teaching-Learning
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MSC: Client Needs: Psychosocial Integrity
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3. Whichsetting forchildbirth allows the least amount of parent-infant contact?
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a. Labor/delivery/recovery/postpartumroom 3j
b. Birthcenter 3j
c. Traditionalhospital birth 3j 3j
d. Homebirth 3j
TestBankWorld.org
, ANS: C 3 j
Inthetraditionalhospitalsetting,themothermayseetheinfantforonlyshortfeedingperiods, and the
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infantiscaredfor in aseparate nursery.Thelabor/delivery/recovery/postpartum room setting
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allows increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant
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contact. Home births allow an increase in parent-infant contact.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 2
3j OBJ: Nursing Process: Planning 3 j 3j 3 j 3j 3j
MSC: ClientNeeds:HealthPromotionandMaintenance 3 j 3j 3j 3j 3j 3j
4. As aresult ofchanges in healthcaredeliveryand funding, acurrent trendseeninthepediatric setting is
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a. increasedhospitalization ofchildren. 3j 3j 3j
b. decreased number of children living in poverty. 3j 3j 3j 3j 3j 3j
c. an increase in ambulatory care. 3j 3j 3j 3j
d. decreased use of managed care. 3j 3j 3j 3j
ANS: 3 j C
One effect of managed care has been that pediatric health care delivery has shifted dramatically
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from the acute care setting to the ambulatory setting in order to provide more cost-efficient care.
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The number of hospital beds being used has decreased as more care is given in outpatient settings
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and in the home. The number of children living in poverty has increasedover thepastdecade.One
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ofthe biggestchangesinhealthcarehasbeenthegrowth of managed care.
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PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
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REF: p. 5
3j OBJ: Nursing Process: Planning 3 j 3j 3 j 3j 3j
MSC: ClientNeeds:SafeandEffectiveCareEnvironment 3 j 3j 3j 3j 3j 3j 3j
5. TheWomen, Infants, and Children(WIC)program provides
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a. well-childexaminations for infants and children living at thepoverty level. 3j 3j 3j 3j 3j 3j 3j 3j 3j 3j
b. immunizations forhigh-risk infants and children. 3j 3j 3j 3j 3j
c. screening for infants with developmental disorders. 3j 3j 3j 3j 3j
d. supplementalfood supplies to low-incomepregnant or breastfeeding women. 3j 3j 3j 3j 3j 3j 3j 3j
ANS: 3 j D
WIC is a federal program that provides supplemental food supplies to low-income women who are
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pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and Periodic
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Screening, Diagnosis, and Treatment Program provides for well-child examinations and for
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treatment of any medical problems diagnosed during such checkups. Children in the WIC program
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areoften referredfor immunizations, but that isnot the primary focusoftheprogram. PublicLaw99-
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457ispartoftheIndividualswithDisabilitiesEducation Act that provides financial incentives to
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states to establish comprehensive early intervention services for infants and toddlers with, or at risk
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for, developmental disabilities.
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PTS: 1 DIF: Cognitive Level: Comprehension
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OBJ: Integrated Process: Teaching-Learning
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MSC: ClientNeeds:HealthPromotionandMaintenance 3 j 3j 3j 3j 3j 3j
6. Inmoststates,adolescentswhoarenotemancipatedminorsmusthavethepermissionoftheir parents
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3j before
TestBankWorld.org