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Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

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  • September 12, 2024
  • 1170
  • 2024/2025
  • Exam (elaborations)
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  • 9780323478342
  • maternal child nursing
  • foundations of maternity womens health
  • child health nursing mckinney
  • evolve resources for maternal child nursing
  • maternal child nursing 5th edition

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Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney:
Evolve Resources for Maternal-Child Nursing, 5th Edition


Chapter 01:
MULTIPLE CHOICE y




 Which factor significantly contributed to the shift from home births to hospital births in the
y y y y y y y y y y y y y y


early 20th century?
y y y


a. Puerperal sepsis was identified as a risk factor in labor and delivery.
y y y y y y y y y y y


b. Forceps were developed to facilitate difficult births.
y y y y y y


c. The importance of early parental-infant contact was identified.
y y y y y y y


d. Technologic developments became available to physicians. y y y y y




ANS: D y


Technologic developments were available to physicians, not lay midwives. So in-hospital
y y y y y y y y y y


births increased in order to take advantage of these advancements. Puerperal sepsis has been a
y y y y y y y y y y y y y y y


known problem for generations. In the late 19th century, Semmelweis discovered how it could
y y y y y y y y y y y y y y


be prevented with improved hygienic practices. The development of forceps is an example of
y y y y y y y y y y y y y y


a technology advance made in the early 20th century but is not the only reason birthplaces
y y y y y y y y y y y y y y y y


moved. Unlike home births, early hospital births hindered bonding between parents and their
y y y y y y y y y y y y y


infants.
y




PTS: 1 DIF: Cognitive Level:
yy y y


Knowledge/RememberingREF: p. 1 OBJ: Integrated Process:
y y yyy y y y


Teaching-Learning MSC: Client Needs: Safe and Effective Care
y y y y y y y y


Environment
y




 A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
y y y y y y y y y y y y y y


nurse administers an analgesic but does not perform any assessments. The woman then has
y y y y y y y y y y y y y y


atonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of
y y y y y y y y y y y y y y y y


the nurse be interpreted in relation to standards of care?
y y y y y y y y y y


a. Negligent: the nurse failed to assess the woman for possible complications
y y y y y y y y y y


b. Negligent: because the nurse medicated the woman y y y y y y


c. Not negligent: the woman had signed a waiver concerning the use of side rails
y y y y y y y y y y y y y


d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
y y y y y y y y y y y y y y


they occurred y




ANS: A y




TestBankWorld.org

, There are four elements to malpractice, which is negligence in the performance of
y y y y y y y y y y y y


professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
y y y y y y y y y y y y y


negligent because she or he did not perform any assessments, which is the first step of the
y y y y y y y y y y y y y y y y y


nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
y y y y y y y y y y y y y y y y y y


established standards of care, and thus is guilty of professional negligence, or malpractice.
y y y y y y y y y y y y y




PTS: 1 DIF: Cognitive Level:
yy y y


Knowledge/RememberingREF: p. 16 OBJ: Nursing Process:
y y yyy y y y


Evaluation
y


MSC: Client Needs: Safe and Effective Care Environment
y y y y y y y




 Which patient situation fails to meet the first requirement of informed consent?
y y y y y y y y y y y


a. The patient does not understand the physician’s explanations.
y y y y y y y


b. The physician gives the patient only a partial list of possible side effects and
y y y y y y y y y y y y y


complications.
c. The patient is confused and disoriented.
y y y y y


d. The patient signs a consent form because her husband tells her to.
y y y y y y y y y y y




ANS: C y


The first requirement of informed consent is that the patient must be competent to make
y y y y y y y y y y y y y y


decisions about health care. Full disclosure of information is an important element of the
y y y y y y y y y y y y y y


consent, but first the patient has to be competent to sign. Understanding is an important
y y y y y y y y y y y y y y y


element of the consent, but first the patient has to be competent to sign. Voluntary consent is
y y y y y y y y y y y y y y y y y


an important element of the consent, but first the patient has to be competent to sign.
y y y y y y y y y y y y y y y y




PTS: 1 DIF: Cognitive Level:
yy y y


Knowledge/RememberingREF: p. 17 OBJ: Nursing Process:
y y yyy y y y


Assessment
y


MSC: Client Needs: Safe and Effective Care Environment
y y y y y y y




 Which situation reflects a potential ethical dilemma for the nurse?
y y y y y y y y y


a. A nurse administers analgesics to a patient with cancer as often as the provider’s
y y y y y y y y y y y y y


order allows. y


b. A neonatal nurse provides nourishment and care to a newborn who has a defect
y y y y y y y y y y y y y


that is incompatible with life.
y y y y


c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
y y y y y y y y y y y y y


abortion.
d. A postpartum nurse provides information about adoption to a new mother who
y y y y y y y y y y y


feels she cannot adequately care for her infant.
y y y y y y y




ANS: C y


A dilemma exists in this situation because the nurse is being asked to assist with a procedure
y y y y y y y y y y y y y y y y


that she or he believes is morally wrong. The other situations do not contain elements of
y y y y y y y y y y y y y y y y


yconflict for the nurse. y y y




PTS: 1 DIF: Cognitive Level:
yy y y


Comprehension/UnderstandingREF: p. 11
y OBJ: Nursing Process: y yyy y y y


Assessment
y


MSC: Client Needs: Safe and Effective Care Environment
y y y y y y y




 When planning a parenting class, the nurse should explain that the leading cause of death in
y y y y y y y y y y y y y y y


children 1 to 4 years of age in the United States is
y y y y y y y y y y y y


a. premature birth. y


b. congenital anomalies. y


TestBankWorld.org
c. accidental death. y

,TEST BANK EXAM Foundations of Maternity, Women’s
y y y y y y




Health, and Child Health NursingMcKinney: Evolve
y y y y y y y




Resources for Maternal-Child Nursing, 5th Edition
y y y y y y




d. respiratory tract illness. y y




ANS: C y


Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
y y y y y y y y y y y y y


death for children aged 1 to 19. The other options contribute to morbidity and mortality in
y y y y y y y y y y y y y y y y


children but are not the leading cause.
y y y y y y y




PTS: 1 yy y DIF: Cognitive Level: Knowledge/Remembering y y


REF: p. 10 | Table 1.3
yyy y OBJ: Integrated Process: Teaching-Learning
y y y y y y


MSC: Client Needs: Safe and Effective Care Environment
y y y y y y y y




 Family-centered maternity care developed in response to y y y y y y


a. demands by physicians for family involvement in childbirth.
y y y y y y y


b. the Sheppard-Towner Act of 1921.
y y y y


c. parental requests that infants be allowed to remain with them rather than in a
y y y y y y y y y y y y y


nursery.
d. changes in pharmacologic management of labor.
y y y y y




ANS: C y


As research began to identify the benefits of early extended parent-infant contact, parents
y y y y y y y y y y y y


ybegan to insist that the infant remain with them. This gradually developed into the practice of
y y y y y y y y y y y y y y y


rooming-in and finally to family-centered maternity care. Family-centered care was a request
y y y y y y y y y y y y


by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
y y y y y y y y y y y y


state-managed programs for mothers and children. The changes in pharmacologic
y y y y y y y y y


management of labor were not a factor in family-centered maternity care.
y y y y y y y y y y y




PTS: 1 yy y DIF: Cognitive Level: y


Knowledge/RememberingREF: p. 2 OBJ: Integrated Process:
y y yyy y y y


Teaching-Learning MSC: Client Needs: Psychosocial Integrity
y y y y y y




 Which setting for childbirth allows the least amount of parent-infant contact?
y y y y y y y y y y


a. Labor/delivery/recovery/postpartum room y


b. Birth center y


c. Traditional hospital birth y y


d. Home birth y




TestBankWorld.org




TEST BANK EXAM Foundations of Maternity, Women’s
y y y y y y




Health, and Child Health NursingMcKinney: Evolve
y y y y y y y




Resources for Maternal-Child Nursing, 5th Edition
y y y y y y

, TEST BANK EXAM Foundations of Maternity, Women’s
y y y y y y




Health, and Child Health NursingMcKinney: Evolve
y y y y y y y




Resources for Maternal-Child Nursing, 5th Edition
y y y y y y




ANS: C y


In the traditional hospital setting, the mother may see the infant for only short feeding periods,
y y y y y y y y y y y y y y y


and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
y y y y y y y y y y y y y


setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
y y y y y y y y y y y y y y y


parent-infant contact. Home births allow an increase in parent-infant contact.
y y y y y y y y y y




PTS: 1 DIF: Cognitive Level:
yy y y


Knowledge/RememberingREF: p. 2 OBJ: Nursing Process: Planning
y y yyy y y y y


MSC: Client Needs: Health Promotion and Maintenance
y y y y y y




 As a result of changes in health care delivery and funding, a current trend seen in the pediatric
y y y y y y y y y y y y y y y y y


setting is
y y


a. increased hospitalization of children. y y y


b. decreased number of children living in poverty. y y y y y y


c. an increase in ambulatory care.
y y y y


d. decreased use of managed care. y y y y




ANS: C y


One effect of managed care has been that pediatric health care delivery has shifted
y y y y y y y y y y y y y


dramatically from the acute care setting to the ambulatory setting in order to provide more
y y y y y y y y y y y y y y y


cost-efficient care. The number of hospital beds being used has decreased as more care is
y y y y y y y y y y y y y y y


given in outpatient settings and in the home. The number of children living in poverty has
y y y y y y y y y y y y y y y y


increased over the past decade. One of the biggest changes in health care has been the
y y y y y y y y y y y y y y y y


growthof managed care.
y y y y




PTS: 1 DIF: Cognitive Level:
yy y y


Knowledge/RememberingREF: p. 5 OBJ: Nursing Process: Planning
y y yyy y y y y


MSC: Client Needs: Safe and Effective Care Environment
y y y y y y y




 The Women, Infants, and Children (WIC) program provides
y y y y y y y


a. well-child examinations for infants and children living at the poverty level.
y y y y y y y y y y


b. immunizations for high-risk infants and children. y y y y y


c. screening for infants with developmental disorders. y y y y y


d. supplemental food supplies to low-income pregnant or breastfeeding women. y y y y y y y y




ANS: D y


WIC is a federal program that provides supplemental food supplies to low-income women
y y y y y y y y y y y y


who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
y y y y y y y y y y y y y y y


and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
y y y y y y y y y y


examinations and for treatment of any medical problems diagnosed during such checkups.
y y y y y y y y y y y y


Children in the WIC program are often referred for immunizations, but that is not the primary
y y y y y y y y y y y y y y y y


focus of the program. Public Law 99-457 is part of the Individuals with Disabilities Education
y y y y y y y y y y y y y y y




TEST BANK EXAM Foundations of Maternity, Women’s
y y y y y y




Health, and Child Health NursingMcKinney: Evolve
y y y y y y y




Resources for Maternal-Child Nursing, 5th Edition
y y y y y y

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