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Foundations of Maternity, Women’s Health and Child Health Nursing 8TH Edition by Sharon Smith, Emily Slone

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Foundations of Maternity, Women’s Health and Child Health Nursing 8TH
Edition by Sharon Smith, Emily Slone||Complete Guide

,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 8th 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 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.
CORRECT ANS: D
Rationale: 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 aknown 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 in
a RNry.
d. changes in pharmacologic management of labor.
CORRECT ANS: C
Rationale: 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
CORRECT 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 RNry. 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/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 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.
CORRECT ANS: C
Rationale: 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 outclient settings and in the home. The number of children living in
poverty has increased 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.
CORRECT ANS: D
Rationale: 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.
Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment Program provides for
well-child examinations and for treatment of any medical problems diagnosed during such
checkups. Children in the WIC program are often referred for immunizations, but that is not
the primaryfocus of the program. Public Law 99-457 is part of the Individuals with
Disabilities Education Act that provides financial incentives to states to establish
comprehensive early intervention services for infants and toddlers with, or at risk for,
developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated 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
their parents before
.

, a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
CORRECT ANS: D
Rationale: Minors are not considered capable of giving informed consent, so a surgical
procedure would require consent of the parent or guardian. Exceptions exist for obtaining
treatment for drug abuse or STDs or for getting birth control in most states.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment

7. The maternity RN should have a clear understanding of the correct use of a
clinical pathway. One characteristic of clinical pathways is that they
a. are developed and implemented by RNs.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
CORRECT ANS: C
Rationale: Clinical pathways are standardized, interdisciplinary plans of care devised for
clients with a particular health problem. They are used to identify client outcomes, specify
time lines toachieve those outcomes, direct appropriate interventions and sequencing of
interventions, include interventions from a variety of disciplines, promote collaboration,
and involve a comprehensive approach to care. They are developed by multiple health care
professionals and reflect interdisciplinary care. They can be used in multiple settings and
for clients throughout the life span. They are not part of the nursing process but can be used
in conjunction with the nursing process to provide care to clients.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment

8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
b. migrant workers.
c. single women and their children.
d. intravenous (IV) substance abusers.
CORRECT ANS: C
Rationale: Pregnancy and birth, especially for a teenager, are important contributing factors
for becoming homeless. People preparing for retirement, migrant workers, and IV substance
abusers are not among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 14 OBJ: Nursing Process: Assessment
MSC: Client Needs: Physiologic Integrity

.

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