Chapter z01: zFoundations zof zMaternity, zWomen’s zHealth, zand zChild zHealth zNursingMcKinney: zEvolve zResources zfor zMaternal-
Child zNursing, z5th zEdition
Chapter z01: zFoundations zof zMaternity, zWomen’s zHealth, zand zChild zHealth
zNursingzMcKinney: zEvolve zResources zfor zMaternal-Child zNursing, z5th zEdition
MULTIPLE zCHOICE
1. Which zfactor zsignificantly zcontributed zto zthe zshift zfrom zhome zbirths zto zhospital
zbirths zinzthe zearly z20th zcentury?
a. Puerperal zsepsis zwas zidentified zas za zrisk zfactor zin zlabor zand zdelivery.
b. Forceps zwere zdeveloped zto zfacilitate zdifficult zbirths.
c. The zimportance zof zearly zparental-infant zcontact zwas zidentified.
d. Technologic zdevelopments zbecame zavailable zto zphysicians.
ANS: zD
Technologic zdevelopments zwere zavailable zto zphysicians, znot zlay zmidwives. zSo zin-
hospital zbirths zincreased zin zorder zto ztake zadvantage zof zthese zadvancements. zPuerperal
zsepsis zhas zbeen zazknown zproblem zfor zgenerations. zIn zthe zlate z19th zcentury, zSemmelweis
zdiscovered zhow zit zcouldzbe zprevented zwith zimproved zhygienic zpractices. zThe
zdevelopment zof zforceps zis zan zexample zof za ztechnology zadvance zmade zin zthe zearly z20th
zcentury zbut zis znot zthe zonly zreason zbirthplaces zmoved. zUnlike zhome zbirths, zearly
zhospital zbirths zhindered zbonding zbetween zparents zand ztheir zinfants.
PTS: z z z 1 DIF: Cognitive zLevel: zKnowledge/Remembering
zREF: z p. z1 OBJ: z Integrated zProcess: zTeaching-Learning
zMSC: zClient zNeeds: zSafe zand zEffective zCare zEnvironment
2. Family-centered zmaternity zcare zdeveloped zin zresponse zto
a. demands zby zphysicians zfor zfamily zinvolvement zin zchildbirth.
b. the zSheppard-Towner zAct zof z1921.
c. parental zrequests zthat zinfants zbe zallowed zto zremain zwith zthem zrather
zthan zinza znursery.
d. changes zin zpharmacologic zmanagement zof zlabor.
ANS: zC
As zresearch zbegan zto zidentify zthe zbenefits zof zearly zextended zparent-infant zcontact,
zparents zbegan zto zinsist zthat zthe zinfant zremain zwith zthem. zThis zgradually zdeveloped
zinto zthe zpracticezof zrooming-in zand zfinally zto zfamily-centered zmaternity zcare.
zFamily-centered zcare zwas za zrequest zby zparents, znot zphysicians. zThe zSheppard-
Towner zAct zof z1921 zprovided zfunds zfor zstate-managed zprograms zfor zmothers zand
zchildren. zThe zchanges zin zpharmacologic zmanagement zof zlabor zwere znot za zfactor zin
zfamily-centered zmaternity z care.
PTS: z z z 1 DIF: Cognitive zLevel: zKnowledge/Remembering
zREF: z p. z2 OBJ: z Integrated zProcess: zTeaching-Learning
,Chapter z01: zFoundations zof zMaternity, zWomen’s zHealth, zand zChild zHealth zNursingMcKinney: zEvolve zResources zfor zMaternal-
Child zNursing, z5th zEdition
MSC: zClient zNeeds: zPsychosocial zIntegrity
3. Which zsetting zfor zchildbirth zallows zthe zleast zamount zof zparent-infant zcontact?
a. Labor/delivery/recovery/postpartum zroom
b. Birth zcenter
c. Traditional zhospital zbirth
d. Home zbirth
.
,Chapter z01: zFoundations zof zMaternity, zWomen’s zHealth, zand zChild zHealth zNursingMcKinney: zEvolve zResources zfor zMaternal-
Child zNursing, z5th zEdition
ANS: zC
In zthe ztraditional zhospital zsetting, zthe zmother zmay zsee zthe zinfant zfor zonly zshort zfeeding
zperiods,zand zthe zinfant zis zcared zfor zin za zseparate znursery. zThe
zlabor/delivery/recovery/postpartum zroomzsetting zallows zincreased zparent-infant zcontact.
zBirth zcenters zare zset zup zto zallow zan zincrease zin zparent-infant zcontact. z Home zbirths
zallow z an zincrease zin zparent-infant zcontact.
PTS: z z z 1 DIF: Cognitive zLevel: zKnowledge/Remembering
zREF: z p. z2 OBJ: z Nursing zProcess: zPlanning
MSC: z Client zNeeds: zHealth zPromotion zand zMaintenance
4. As za zresult zof zchanges zin zhealth zcare zdelivery zand zfunding, za zcurrent ztrend
zseen zin zthezpediatric zsetting zis
a. increased zhospitalization zof zchildren.
b. decreased znumber zof zchildren zliving zin zpoverty.
c. an zincrease zin zambulatory zcare.
d. decreased zuse zof zmanaged zcare.
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 zmorezcost-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 zhaszincreased zover zthe zpast zdecade. zOne zof
zthe zbiggest zchanges zin zhealth zcare zhas zbeen zthe zgrowth zof zmanaged zcare.
PTS: z z z 1 DIF: Cognitive zLevel: zKnowledge/Remembering
zREF: z p. z5 OBJ: z Nursing zProcess: zPlanning
MSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment
5. The zWomen, zInfants, zand zChildren z(WIC) zprogram zprovides
a. well-child zexaminations zfor zinfants zand zchildren zliving zat zthe zpoverty zlevel.
b. immunizations zfor zhigh-risk zinfants zand zchildren.
c. screening zfor zinfants zwith zdevelopmental zdisorders.
d. supplemental zfood zsupplies zto zlow-income zpregnant zor zbreastfeeding zwomen.
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 zprimaryzfocus zof zthe zprogram. zPublic zLaw z 99-457 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.
PTS: z 1 DIF: Cognitive zLevel: REF: z p. z8
zComprehensionzOBJ: z Integrated zProcess: zTeaching-
Learning
MSC: zClient zNeeds: zHealth zPromotion zand zMaintenance
6. In zmost zstates, zadolescents zwho zare znot zemancipated zminors zmust zhave zthe zpermission zof
, Chapter z01: zFoundations zof zMaternity, zWomen’s zHealth, zand zChild zHealth zNursingMcKinney: zEvolve zResources zfor zMaternal-
Child zNursing, z5th zEdition
their zparents zbefore
.
