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Test Bank for Introductory Maternity & Pediatric Nursing, 5th Edition by Hatfield, 9781975163785, Covering Chapters 1-42 |Complete Solution Guide |Grade A+.$17.99
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1. The opening up of hospital visiting policies for children and
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familieslikely resultedfrom the work of which individual?
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A. Joseph Brennaman j|
B. John Bowlby j|
C. Marshal Klaus j|
D. John
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:B j|
Rationale: In 1951, John Bowlby received worldwide attention with his j| j| j| j| j| j| j| j| j|
study that revealed the negative results of the separation of child and mother because of
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hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies
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forchildren. Joseph Brennaman suggested that a lack of stimulation for infants contributed to
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highinfant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and
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John Kennell carried out importantstudies on the effect of the separation of newborns and parents.
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They established that early separation may have long-term effects on family relationships and
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that offering the new family an opportunity to be together at birth and for a significant
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periodafter birth may provide benefitsthat last well into early childhood.
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Question format: Multiple Choice j| j| j|
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Remember
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Client Needs: Health Promotion and j| j| j| j|
MaintenanceIntegrated Process: Nursing Process
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Reference: p. 4 j| j|
2. An expectant mother states that she read that more black mothers die in childbirth than
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dowhite mothers. When responding to her questions about the reasons for this, the nurse
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accurately states that which is the major reason for the high maternal mortality rate?
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A. Having formal education. j| j|
B. Being unmarried. j|
C. Income.
D. Lack of prenatal care. j| j| j|
Answer: D j|
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatalj| j| j| j| j| j| j| j| j| j| j| j| j|
caresecondary to lack of access to services or insurance. Income as well as educational level may
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play a role in the availability of health care, but they are not directly responsible. Being unmarried
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has no bearing on infant mortality.
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Question format: Multiple Choice j| j| j|
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Understand
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,Client Needs: Health Promotion and
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MaintenanceIntegrated Process: Nursing Process
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Reference: p. 9 j| j|
3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
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B. number of deaths occurring in the first 28 days of life per 1,000 live births
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C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D j|
Rationale: The term infant death refers to the death of a live-born child before he or she
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reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
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number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
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mortality rate is the number of deaths during the first 12 months of life per 1,000 live
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Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Remember
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Client Needs: Health Promotion and
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MaintenanceIntegrated Process: Nursing Process
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Reference: p. 9 j| j|
4. The nursing instructor is preparing to teach a group of students about the history of maternity care.
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What major development will the instructor emphasize as greatly influencing the practice of
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maternity care in the United States over the past century?
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A. technologic advances and the use of forceps by primary care providers j| j| j | j | j| j| j | j | j | j|
B. development of anesthesia and acceptance of the germ theory j | j| j | j| j | j | j | j|
C. advent of birthing centers and the development of family-centered care
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D. development of pediatric specialty and replacement of midwives as primary birth attendants j| j| j| j| j| j| j| j| j| j| j|
j| Answer: B j|
Rationale: The emphasis should be placed on anesthesia and the germ theory. The developmentof
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anesthesia allowed women a choice for pain management in birth; the germ theory
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advanced the progress of general health care and decreased infections in laboring women.
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Pediatrics as aspecialty is an important step forward but is not the greatest development, and
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midwives are still in practice. Maternity care continues to evolve, and birthing centers are still
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under development. Forceps are not considered an advance in maternity care.
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Question format: Multiple Choice j| j| j|
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Analyze
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Client Needs: Health Promotion and Maintenance
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, Integrated Process: j|
Teaching/LearningReference: p. 3
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5. When preparing a client for surgery, the nurse explains that the use of an
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antisepticduring the surgery has greatly improved client survival rates and was started by
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whichphysician?
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A. Louis Pasteur j|
B. Ignaz Philip Semmelweis j | j|
C. Joseph Lister j|
D. Alexander
j | GordonAnswer: C j| j|
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
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microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
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surgery and improved the survival rates of his patients. Alexander Gordon proposed the theoryof
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infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
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Question format: Multiple Choice j| j| j|
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Apply
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Client Needs: Safe, Effective Care Environment: Safety and Infection Control
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IntegratedProcess: Nursing Process
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Reference: p. 4 j| j|
6. A young couple are very excited to learn they are expecting their first child and
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question the nurse about which test they need to discover its gender. Which procedure will best
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providethis information to the couple?
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A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling j| j|
D. HGP
j| Answer: A j|
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
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information about the gender. Amniocentesis and chorionic villus sampling provide the
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entire genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
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information regarding gene mutations and variations.
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Question format: Multiple Choice j| j| j|
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
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Cognitive Level: Apply
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Client Needs: Health Promotion and
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MaintenanceIntegrated Process: Caring
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Reference: p. 6 j| j|
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