2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
Chapterg01:gFoundationsgofgMaternity,gWomen’sgHealth,gandgChildgH
ealthgNursinggMcKinney:gEvolvegResourcesgforgMaternal-
ChildgNursing,g5thgEdition
MULTIPLEgCHOICE
• Whichgfactorgsignificantlygcontributedgtogthegshiftgfromghomegbirths
gtoghospitalgbirthsgingthegearlyg20thgcentury?
a. Puerperalgsepsisgwasgidentifiedgasgagriskgfactorginglaborgandgdelivery.
b. Forcepsgweregdevelopedgtogfacilitategdifficultgbirths.
c. Thegimportancegofgearlygparental-infantgcontactgwasgidentified.
d. Technologicgdevelopmentsgbecamegavailablegtogphysicians.
ANS:gD
Technologicgdevelopmentsgweregavailablegtogphysicians,gnotglaygmi
dwives.gSogin-
hospitalg birthsgincreasedgingordergtogtakegadvantagegofgthesegadvan
cements.
Puerperalgsepsisghasgbeengagknowngproblemgforggenerations.gIngtheglateg
19thgcentury,gSemmelweisgdiscoveredghowgitgcouldgbegpreventedgwithgimp
rovedghygienicgpractices.gThegdevelopmentgofgforcepsgisgangexamplegofgag
MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
,MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
technologygadvancegmadegingthegearlyg20thgcenturygbutgisgnotgthegonlygre
asongbirthplacesgmoved.gUnlikeghomegbirths,gearlyghospitalgbirthsghindere
dgbondinggbetweengparentsgandgtheirginfants.
PTS:g1gDIF:gCognitivegLevel:gKnowledge/Reme
mberinggREF:gp.g1gOBJ:gIntegratedgProcess:gT
eaching-
LearninggMSC:gClientgNeeds:gSafegandgEffectiv
egCaregEnvironment
• Agwomangwhogdeliveredghergbabyg6ghoursgagogcomplainsgofgheadache
g andgdizziness.gThegnursegadministersganganalgesicgbutgdoesgnotgperf
ormganygassessments.gThegwomangthenghasgagtonic-
clonicgseizure,gfallsgoutgofgbed,gandgfracturesghergfemur.gHowgwouldgth
egactionsgofg thegnursegbeginterpretedgingrelationgtogstandardsgofgcare?
a. Negligent:gthegnursegfailedgtogassessgthegwomangforgposs
iblegcomplicationsgb.gNegligent:gbecausegthegnursegmedicat
edgthegwoman
c.gNotgnegligent:gthegwomanghadgsignedgagwaivergconcerning
gthegusegofgsidegrailsgd.gNotgnegligent:gthegwomangdidgnotginfor
mgthegnursegofghergsymptomsgasgsoongasgtheygoccurred
ANS:gA
MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
,MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
.
Theregaregfourgelementsgtogmalpractice,gwhichgisgnegligencegingthegperf
ormancegofgprofessionalgduties:gduty,gbreachgofgduty,gdamage,gandgpro
ximategcause.gThegnursegwasgnegligentgbecausegshegorghegdidgnotgperf
ormganygassessments,gwhichgisgthegfirstgstepgofgthegnursinggprocessgan
dgisgag standardgofgcare.gBygnotgassessinggthegpatient,gthegnursegdidgnot
gmeetgestablishedgstandardsgofgcare,gandgthusgisgguiltygofgprofessionalg
negligence,gorgmalpractice.
PTS:g1gDIF:gCognitivegLevel:gKnowledge/Remembering
REF:gp.g16gOBJ:gNursinggProcess:gEvaluation
MSC:gClientgNeeds:gSafegandgEffectivegCaregEnvironment
• Whichgpatientgsituationgfailsgtogmeetgthegfirstgrequirementgo
fginformedgconsent?ga.gThegpatientgdoesgnotgunderstandgth
egphysician’sgexplanations.
b. Thegphysicianggivesgthegpatientgonlygagpartialglistgofgpos
siblegsidegeffectsgandgcomplications.
MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
, MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION
c. Thegpatientgisgconfusedgandgdisoriented.
d. Thegpatientgsignsgagconsentgformgbecausegherghusbandgtellsghergto.
ANS:gC
Thegfirstgrequirementgofginformedgconsentgisgthatgthegpatientgmustgbegc
ompetentgtogmakegdecisionsgaboutghealthgcare.gFullgdisclosuregofginfor
mationgisgangimportantgelementgofgthegconsent,gbutgfirstgthegpatientghas
togbegcompetentgtogsign.
g
Understandinggisgangimportantgelementgofgthegconsent,gbutgfirstgthegpatient
hasgto
g
MATERNALgCHILDgNURSINGg5THgEDITIONgTEST-BANKg2021-
2022gCOMMUNICATINGgWITHgCHILDRENgANDgFAMILIES
MCKINNEY:gEVOLVEgRESOURCESgFORgMATERNAL-
CHILDgNURSING,g5THgEDITION