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Test bank for maternal child nursing 5th edition by mckinney
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Test bank for maternal child nursing 5th edition byMaternal
mckinney
Child Nursing 5 th
Test bank for maternal child nursing 5th edition by
Edition By Mckinney Test
mckinney
Test bank for maternal child nursing 5th edition by
mckinney Bank
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health
NursingMcKinney: Evolve Resources for Maternal-Child Nursing, 5th
Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital
births inthe 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 couldbe 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 ina 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 practiceof 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
,.
, 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 roomsetting 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 a result of changes in health care delivery and funding, a current trend
seen in thepediatric 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 dramatically 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 given in outpatient settings and in the home. The
number of children living in poverty hasincreased 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/Remembering REF: 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 living at 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
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