,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
kk kk kk kk kk kk kk kk kk kk
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
kk kk kk kk kk kk kk kk
MULTIPLE CHOICE kk
1. Which factor significantly contributed to the shift from home births to hospital births
kk kk kk kk kk kk kk kk kk kk kk kk
in the early 20th century?
kk kk kk kk kk
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
kk kk kk kk kk kk kk kk kk kk kk
b. Forceps were developed to facilitate difficult births.
kk kk kk kk kk kk
c. The importance of early parental-infant contact was identified.
kk kk kk kk kk kk kk
d. Technologic developments became available to physicians. kk kk kk kk kk
ANS: D kk
Technologic developments were available to physicians, not lay midwives. So in-hospital
kk kk kk kk kk kk kk kk kk kk
births increased in order to take advantage of these advancements. Puerperal sepsis has
kk kk kk kk kk kk kk kk kk kk kk kk kk
been a known problem for generations. In the late 19th century, Semmelweis discovered
kk kk kk kk kk kk kk kk kk kk kk kk kk
how it could be prevented with improved hygienic practices. The development of forceps is
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
an example of a technology advance made in the early 20th century but is not the only
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
reason birthplaces moved. Unlike home births, early hospital births hindered bonding
kk kk kk kk kk kk kk kk kk kk kk
between parents and their infants.
kk kk kk kk kk
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
k k k kk kk
REF: p. 1
kk OBJ: Integrated Process: Teaching-Learning
k k kk k k kk kk
MSC: Client Needs: Safe and Effective Care Environment
kk k k kk kk kk kk kk kk
2. Family-centered maternity care developed in response to kk kk kk kk kk kk
a. demands by physicians for family involvement in childbirth.
kk kk kk kk kk kk kk
b. the Sheppard-Towner Act of 1921.
kk kk kk kk
c. parental requests that infants be allowed to remain with them rather than
kk kk kk kk kk kk kk kk kk kk kk
in a nursery.
kk kk kk
d. changes in pharmacologic management of labor. kk kk kk kk kk
ANS: C kk
As research began to identify the benefits of early extended parent-infant contact,
kk kk kk kk kk kk kk kk kk kk kk
parents began to insist that the infant remain with them. This gradually developed into
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the practice of rooming-in and finally to family-centered maternity care. Family-
kk kk kk kk kk kk kk kk kk kk kk
centered care was a request by parents, not physicians. The Sheppard-Towner Act of
kk kk kk kk kk kk kk kk kk kk kk kk
1921 provided funds for state-managed programs for mothers and children. The
kk kk kk kk kk kk kk kk kk kk kk
changes in pharmacologic management of labor were not a factor in family-centered
kk kk kk kk kk kk kk kk kk kk kk kk
maternity care.
kk kk
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
k k k kk kk
REF: p. 2
kk OBJ: Integrated Process: Teaching-Learning
k k kk k k kk kk
MSC: Client Needs: Psychosocial Integrity
kk k k kk kk kk
3. Which setting for childbirth allows the least amount of parent-infant contact?
kk kk kk kk kk kk kk kk kk kk
a. Labor/delivery/recovery/postpartum room k k
b. Birth center kk
c. Traditional hospital birth kk kk
d. Home birth kk
.
, ANS: C kk
In the traditional hospital setting, the mother may see the infant for only short feeding
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
periods, and the infant is cared for in a separate nursery. The
kk kk kk kk kk kk kk kk kk kk kk kk
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
kk kk kk kk kk kk kk
Birth centers are set up to allow an increase in parent-infant contact. Home births allow an
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
increase in parent-infant contact.
kk kk kk kk
PTS: k k 1 DIF: Cognitive Level: Knowledge/Remembering kk kk
REF:
kk k kp. 2 OBJ: Nursing Process: Planning
kk k k kk kk
MSC: k k Client Needs: Health Promotion and Maintenance
kk kk kk kk kk
4. As a result of changes in health care delivery and funding, a current trend seen in
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
the pediatric setting is
kk kk kk kk
a. increased hospitalization of children. kk kk kk
b. decreased number of children living in poverty. kk kk kk kk kk kk
c. an increase in ambulatory care.
kk kk kk kk
d. decreased use of managed care. kk kk kk kk
ANS: C kk
One effect of managed care has been that pediatric health care delivery has shifted
kk kk kk kk kk kk kk kk kk kk kk kk kk
dramatically from the acute care setting to the ambulatory setting in order to provide
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
more cost-efficient care. The number of hospital beds being used has decreased as
kk kk kk kk kk kk kk kk kk kk kk kk kk
more care is given in outpatient settings and in the home. The number of children
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
living in poverty has increased over the past decade. One of the biggest changes in
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
health care has been the growth of managed care.
kk kk kk kk kk kk kk kk kk
PTS: k k 1 DIF: Cognitive Level: Knowledge/Remembering kk kk
REF:
kk k kp. 5 OBJ: Nursing Process: Planning
kk k k kk kk
MSC: k k Client Needs: Safe and Effective Care Environment
kk kk kk kk kk kk
5. The Women, Infants, and Children (WIC) program provides
kk kk kk kk kk kk kk
a. well-child examinations for infants and children living at the poverty level.
kk kk kk kk kk kk kk kk kk kk
b. immunizations for high-risk infants and children. kk kk kk kk kk
c. screening for infants with developmental disorders. kk kk kk kk kk
d. supplemental food supplies to low-income pregnant or breastfeeding women. kk kk kk kk kk kk kk kk
ANS: D kk
WIC is a federal program that provides supplemental food supplies to low-income women
kk kk kk kk kk kk kk kk kk kk kk kk
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
kk kk kk kk kk kk kk kk kk kk
examinations and for treatment of any medical problems diagnosed during such checkups.
kk kk kk kk kk kk kk kk kk kk kk kk
Children in the WIC program are often referred for immunizations, but that is not the
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
primary focus of the program. Public Law 99-457 is part of the Individuals with
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
Disabilities Education Act that provides financial incentives to states to establish
kk kk kk kk kk kk kk kk kk kk kk
comprehensive early intervention services for infants and toddlers with, or at risk for,
kk kk kk kk kk kk kk kk kk kk kk kk kk
developmental disabilities.
kk kk
PTS: 1 DIF: Cognitive Level: Comprehension
k k kk kk REF: k k p. 8 kk
OBJ: Integrated Process: Teaching-Learning
kk k k kk kk
MSC: Client Needs: Health Promotion and Maintenance
kk kk kk kk kk kk
6. In most states, adolescents who are not emancipated minors must have the permission
kk kk kk kk kk kk kk kk kk kk kk kk
of their parents before
kk kk kk kk
.
, a. treatment for drug abuse. kk kk kk
b. treatment for sexually transmitted diseases (STDs). kk kk kk kk kk
c. accessing birth control. kk kk
d. surgery.
ANS: D kk
Minors are not considered capable of giving informed consent, so a surgical procedure
kk kk kk kk kk kk kk kk kk kk kk kk
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
kk kk kk kk kk kk kk kk kk kk kk kk kk
for drug abuse or STDs or for getting birth control in most states.
kk kk kk kk kk kk kk kk kk kk kk kk kk
PTS: k k 1 DIF: Cognitive Level: Knowledge/Remembering kk kk
REF:
kk k k p. 17 OBJ: Nursing Process: Planning
kk k k kk kk
MSC: k k Client Needs: Safe and Effective Care Environment
kk kk kk kk kk kk
7. The maternity nurse should have a clear understanding of the correct use of
kk kk kk kk kk kk kk kk kk kk kk kk
a clinical pathway. One characteristic of clinical pathways is that they
kk kk kk kk kk kk kk kk kk kk kk
a. are developed and implemented by nurses.
kk kk kk kk kk
b. are used primarily in the pediatric setting.
kk kk kk kk kk kk
c. set specific time lines for sequencing interventions.
kk kk kk kk kk kk
d. are part of the nursing process.
kk kk kk kk kk
ANS: C kk
Clinical pathways are standardized, interdisciplinary plans of care devised for patients
kk kk kk kk kk kk kk kk kk kk
with a particular health problem. They are used to identify patient outcomes, specify time
kk kk kk kk kk kk kk kk kk kk kk kk kk kk
lines to achieve those outcomes, direct appropriate interventions and sequencing of
kk kk kk kk kk kk kk kk kk kk kk
interventions, include interventions from a variety of disciplines, promote collaboration,
kk kk kk kk kk kk kk kk kk kk
and involve a comprehensive approach to care. They are developed by multiple health
kk kk kk kk kk kk kk kk kk kk kk kk kk
care professionals and reflect interdisciplinary care. They can be used in multiple settings
kk kk kk kk kk kk kk kk kk kk kk kk kk
and for patients throughout the life span. They are not part of the nursing process but can
kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk kk
be used in conjunction with the nursing process to provide care to patients.
kk kk kk kk kk kk kk kk kk kk kk kk kk
PTS: k k 1 DIF: Cognitive Level: Knowledge/Remembering kk kk
REF:
kk k k p. 7 OBJ: Nursing Process: Planning
kk k k kk kk
MSC: k k Client Needs: Safe and Effective Care Environment
kk kk kk kk kk kk
8. The fastest growing group of homeless people is
kk kk kk kk kk kk kk
a. men and women preparing for retirement. kk kk kk kk kk
b. migrant workers. kk
c. single women and their children. kk kk kk kk
d. intravenous (IV) substance abusers. kk kk kk
ANS: C kk
Pregnancy and birth, especially for a teenager, are important contributing factors for
kk kk kk kk kk kk kk kk kk kk kk
becoming homeless. People preparing for retirement, migrant workers, and IV substance
k k kk kk kk kk kk kk kk kk kk kk
abusers are not among the fastest growing groups of homeless people.
kk kk kk kk kk kk kk kk kk kk kk
PTS: k k 1 DIF: Cognitive Level: Knowledge/Remembering kk kk
REF:
kk k k p. 14 OBJ:
kk Nursing Process: Assessment k k kk kk
MSC: k k Client Needs: Physiologic Integrity
kk kk kk
.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GeniusExpert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
