TEST BANK
MATERNAL-CHILD NURSING
6TH EDITION
CHAPTER NO. 01: FOUNDATIONS OF MATERNITY, WOMEN’S HEALTH,
AND CHILD HEALTH NURSING
MULTIPLE RESPONSE QUESTION & ANSWERS
1. When counseling the newly pregnant woman regarding the option of using a free-standing
birth center for care, the nurse should be aware that this type of care setting includes which
advantages? (Select all that apply.)
a. Less expensive than acute-care hospitals
b. Access to follow-up care for 6 weeks postpartum
c. Equipped for obstetric emergencies
d. Safe, home-like births in a familiar setting
e. Staffing by lay midwives
ANS: A, B, D
Women who are at low risk and desire a safe, home-like birth are very satisfied with this type
of care setting. The new mother may return to the birth center for postpartum follow-up care,
breastfeeding assistance, and family planning information for 6 weeks postpartum. Because
birth centers do not incorporate advanced technologies into their services, costs are
significantly less than those for a hospital setting. The major disadvantage of this care setting
is that these facilities are not equipped to handle obstetric emergencies. Should unforeseen
difficulties occur, the woman must be transported by ambulance to the nearest hospital. Birth
centers are usually staffed by certified nurse-midwives (CNMs); however, in some states lay
midwives may provide this service.
PTS: 1 DIF: Cognitive Level: Understanding
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
, 2. A school nurse is working with unlicensed assistive personnel (UAPs). What aspects of
delegation should the nurse incorporate into his or her practice in this setting?
a. The registered nurse is always responsible for assessment.
b. Uncomplicated medication administration can be performed by the UAP.
c. The nurse does not need to supervise UAPs in this setting.
d. The nurse must work within school district policies when delegating.
e. Understanding the complexity of the child’s needs is a consideration when
delegating.
ANS: A, B, D, E
Delegation to UAPs is very common in all health care settings, including schools. When
delegating to a UAP in the school setting, factors for the nurse to consider include that the RN
is always responsible for assessment, supervision is necessary, the complexity of the child’s
needs must be considered, and policies must be followed. Medication administration by the
UAP may be allowed.
PTS: 1 DIF: Cognitive Level: Remembering
OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
MULTIPLE CHOICE QUESTION & ANSWERS
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.
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 could
be 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: Remembering
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 developed into the practice of
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: Remembering
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. While this is slowly changing, to more closely
resemble other birthing models, the traditional hospital birth still offers the least amount of
parent-infant contact. 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: Remembering OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. The maternity nurse 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 nurses.
b. are used primarily in the pediatric setting.
c. set specific time lines for sequencing interventions.
d. are part of the nursing process.
ANS: C
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular health problem. They are used to identify patient outcomes, specify timelines to
achieve 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 patients
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 patients.
PTS: 1 DIF: Cognitive Level: Remembering OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
