Evolve
Resources
for
Maternal-
Child
,Nursing, 5th
Edition test
bank by
mckinney
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it
could be prevented with improved hygienic practices. The development of forceps is an
example of a technology advance made in the early 20th century but is not the only reason
birthplaces moved. Unlike home births, early hospital births hindered bonding between
parents and their infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in
a nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care. Family-centered care was a
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As za zresult zof zchanges zin zhealth zcare zdelivery zand zfunding, za zcurrent ztrend zseen zin zthe
zpediatric zsetting zis z
a. increased zhospitalization zof zchildren. z
b. decreased znumber zof zchildren zliving zin zpoverty. z
c. an zincrease zin zambulatory zcare. z
d. decreased zuse zof zmanaged zcare. z
ANS: zC
One zeffect zof zmanaged zcare zhas zbeen zthat zpediatric zhealth zcare zdelivery zhas zshifted
zdramatically zfrom zthe zacute zcare zsetting zto zthe zambulatory zsetting zin zorder zto zprovide
zmore zcost-efficient zcare. zThe znumber zof zhospital zbeds zbeing zused zhas zdecreased zas
zmore zcare zis zgiven zin zoutpatient zsettings zand zin zthe zhome. zThe znumber zof zchildren
zliving zin zpoverty zhas zincreased zover zthe zpast zdecade. zOne zof zthe zbiggest zchanges zin
zhealth zcare zhas zbeen zthe zgrowth zof zmanaged zcare.
Cognitive zLevel:
PTS: 1 DIF: zKnowledge/Remembering
REF: p. z5 OBJ: Nursing zProcess: zPlanning
MSC: Client zNeeds: zSafe zand zEffective zCare zEnvironment
5. The zWomen, zInfants, zand zChildren z(WIC) zprogram zprovides z
a. well-child zexaminations zfor zinfants zand zchildren zliving zat zthe zpoverty zlevel. z
b. immunizations zfor zhigh-risk zinfants zand zchildren. z
c. screening zfor zinfants zwith zdevelopmental zdisorders. z
d. supplemental zfood zsupplies zto zlow-income zpregnant zor zbreastfeeding zwomen. z
ANS: zD
WIC zis za zfederal zprogram zthat zprovides zsupplemental zfood zsupplies zto zlow-income
zwomen zwho zare zpregnant zor zbreastfeeding zand zto ztheir zchildren zuntil zage z5 zyears.
zMedicaid’s zEarly zand zPeriodic zScreening, zDiagnosis, zand zTreatment zProgram zprovides
zfor zwell-child zexaminations zand zfor ztreatment zof zany zmedical zproblems zdiagnosed
zduring zsuch zcheckups. zChildren zin zthe zWIC zprogram zare zoften zreferred zfor
zimmunizations, zbut zthat zis znot zthe zprimary zfocus zof zthe zprogram. zPublic zLaw z99-457
zis zpart zof zthe zIndividuals zwith zDisabilities zEducation zAct zthat zprovides zfinancial
zincentives zto zstates zto zestablish zcomprehensive zearly zintervention zservices zfor zinfants
zand ztoddlers zwith, zor zat zrisk zfor, zdevelopmental zdisabilities.
REF: z zp.
PTS: 1 DIF: z zCognitive zLevel: zComprehension z8
OBJ: Integrated zProcess: zTeaching-Learning
MSC: Client zNeeds: zHealth zPromotion zand zMaintenance
6. In zmost zstates, zadolescents zwho zare znot zemancipated zminors zmust zhave zthe zpermission
Resources
for
Maternal-
Child
,Nursing, 5th
Edition test
bank by
mckinney
,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in
the early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it
could be prevented with improved hygienic practices. The development of forceps is an
example of a technology advance made in the early 20th century but is not the only reason
birthplaces moved. Unlike home births, early hospital births hindered bonding between
parents and their infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in
a nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice
of rooming-in and finally to family-centered maternity care. Family-centered care was a
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As za zresult zof zchanges zin zhealth zcare zdelivery zand zfunding, za zcurrent ztrend zseen zin zthe
zpediatric zsetting zis z
a. increased zhospitalization zof zchildren. z
b. decreased znumber zof zchildren zliving zin zpoverty. z
c. an zincrease zin zambulatory zcare. z
d. decreased zuse zof zmanaged zcare. z
ANS: zC
One zeffect zof zmanaged zcare zhas zbeen zthat zpediatric zhealth zcare zdelivery zhas zshifted
zdramatically zfrom zthe zacute zcare zsetting zto zthe zambulatory zsetting zin zorder zto zprovide
zmore zcost-efficient zcare. zThe znumber zof zhospital zbeds zbeing zused zhas zdecreased zas
zmore zcare zis zgiven zin zoutpatient zsettings zand zin zthe zhome. zThe znumber zof zchildren
zliving zin zpoverty zhas zincreased zover zthe zpast zdecade. zOne zof zthe zbiggest zchanges zin
zhealth zcare zhas zbeen zthe zgrowth zof zmanaged zcare.
Cognitive zLevel:
PTS: 1 DIF: zKnowledge/Remembering
REF: p. z5 OBJ: Nursing zProcess: zPlanning
MSC: Client zNeeds: zSafe zand zEffective zCare zEnvironment
5. The zWomen, zInfants, zand zChildren z(WIC) zprogram zprovides z
a. well-child zexaminations zfor zinfants zand zchildren zliving zat zthe zpoverty zlevel. z
b. immunizations zfor zhigh-risk zinfants zand zchildren. z
c. screening zfor zinfants zwith zdevelopmental zdisorders. z
d. supplemental zfood zsupplies zto zlow-income zpregnant zor zbreastfeeding zwomen. z
ANS: zD
WIC zis za zfederal zprogram zthat zprovides zsupplemental zfood zsupplies zto zlow-income
zwomen zwho zare zpregnant zor zbreastfeeding zand zto ztheir zchildren zuntil zage z5 zyears.
zMedicaid’s zEarly zand zPeriodic zScreening, zDiagnosis, zand zTreatment zProgram zprovides
zfor zwell-child zexaminations zand zfor ztreatment zof zany zmedical zproblems zdiagnosed
zduring zsuch zcheckups. zChildren zin zthe zWIC zprogram zare zoften zreferred zfor
zimmunizations, zbut zthat zis znot zthe zprimary zfocus zof zthe zprogram. zPublic zLaw z99-457
zis zpart zof zthe zIndividuals zwith zDisabilities zEducation zAct zthat zprovides zfinancial
zincentives zto zstates zto zestablish zcomprehensive zearly zintervention zservices zfor zinfants
zand ztoddlers zwith, zor zat zrisk zfor, zdevelopmental zdisabilities.
REF: z zp.
PTS: 1 DIF: z zCognitive zLevel: zComprehension z8
OBJ: Integrated zProcess: zTeaching-Learning
MSC: Client zNeeds: zHealth zPromotion zand zMaintenance
6. In zmost zstates, zadolescents zwho zare znot zemancipated zminors zmust zhave zthe zpermission
