,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health NursingMcKi
nney: 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 laborvand 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 h
as been aknown problem for generations. In the late 19th century, Semmelweis discovered ho
w it couldbe prevented with improved hygienic practices. The development of forceps is an e
xample of a technology advance made in the early 20th century but is not the only reason birt
hplaces moved. Unlike home births, early hospital births hindered bonding between parents a
nd their infants.
PTS: 1 DIF:
Cognitive Level: Knowledge/RememberingREF: 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 dev
eloped into the practiceof rooming-in and finally to family-
centered maternity care. Family-
centered care was a request by parents, not physicians. The Sheppard-
TownervAct of 1921 providedvfunds 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/RememberingREF: 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
.
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
andvthe 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/RememberingREF:
p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted dramat
ically from the acute care setting to the ambulatory setting in order to provide morecost-
efficient care. The number of hospital beds being used has decreased as more care is give
n in outpatient settings and in the home. The number of children living in poverty hasincr
eased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF:
Cognitive Level: Knowledge/RememberingREF:
p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children livingvat the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-
income women who are pregnant or breastfeeding and to their children until age 5 years. Me
dicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-
child examinations and for treatment of any medical problems diagnosed during such checku
ps. Children in the WIC program are often referred for immunizations, but that is not the pri
maryfocus of the program. Public Law 99-
457 is part of the Individuals with Disabilities Education Act that provides financial incentiv
es to states to establish comprehensive early intervention services for infants and toddlers wit
h, or at risk for, developmental disabilities.
PTS: 1 DIF: REF: p. 8
Cognitive Level: ComprehensionOBJ: I
ntegrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of
theirvparents before
, .
nney: 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 laborvand 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 h
as been aknown problem for generations. In the late 19th century, Semmelweis discovered ho
w it couldbe prevented with improved hygienic practices. The development of forceps is an e
xample of a technology advance made in the early 20th century but is not the only reason birt
hplaces moved. Unlike home births, early hospital births hindered bonding between parents a
nd their infants.
PTS: 1 DIF:
Cognitive Level: Knowledge/RememberingREF: 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 dev
eloped into the practiceof rooming-in and finally to family-
centered maternity care. Family-
centered care was a request by parents, not physicians. The Sheppard-
TownervAct of 1921 providedvfunds 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/RememberingREF: 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
.
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
andvthe 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/RememberingREF:
p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the
pediatric setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted dramat
ically from the acute care setting to the ambulatory setting in order to provide morecost-
efficient care. The number of hospital beds being used has decreased as more care is give
n in outpatient settings and in the home. The number of children living in poverty hasincr
eased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF:
Cognitive Level: Knowledge/RememberingREF:
p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children livingvat the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-
income women who are pregnant or breastfeeding and to their children until age 5 years. Me
dicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program provides for well-
child examinations and for treatment of any medical problems diagnosed during such checku
ps. Children in the WIC program are often referred for immunizations, but that is not the pri
maryfocus of the program. Public Law 99-
457 is part of the Individuals with Disabilities Education Act that provides financial incentiv
es to states to establish comprehensive early intervention services for infants and toddlers wit
h, or at risk for, developmental disabilities.
PTS: 1 DIF: REF: p. 8
Cognitive Level: ComprehensionOBJ: I
ntegrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of
theirvparents before
, .
