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TESTBANK FOR Maternal-Child Nursing, 5th Edition

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Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE Which factor significantly contributed to the shift from home births to hospital births in the early 20th century? a. Puerperal se...

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  • December 8, 2024
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  • 2024/2025
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  • McKinney: Evolve Resources for Maternal-Child Nurs
  • McKinney: Evolve Resources for Maternal-Child Nurs
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TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022

Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition


MULTIPLE CHOICE

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: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment

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: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity

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

TestBankWorld.org

,TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022

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. 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

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.

ANS: C
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 more
cost-efficient care. The number of hospital beds being used has decreased as more care is
given in outpatient 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

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.

ANS: D
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 primary
focus 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

In most states, adolescents who are not emancipated minors must have the permission of their
parents before
TestBankWorld.org

,TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022

a. treatment for drug abuse.
b. treatment for sexually transmitted diseases (STDs).
c. accessing birth control.
d. surgery.
ANS: D
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

The omaternity onurse oshould ohave oa oclear ounderstanding oof othe ocorrect ouse oof oa
oclinicalopathway. oOne ocharacteristic oof oclinical opathways ois othat othey
a. are odeveloped oand oimplemented oby onurses.
b. are oused oprimarily oin othe opediatric osetting.
c. set ospecific otime olines ofor osequencing
ointerventions.
d. are opart oof othe onursing oprocess.

ANS: o C
Clinical opathways oare ostandardized, ointerdisciplinary oplans oof ocare odevised ofor opatients
owith oaoparticular ohealth oproblem. oThey oare oused oto oidentify opatient ooutcomes, ospecify
otime olines oto oachieve othose ooutcomes, odirect oappropriate ointerventions oand osequencing
oof ointerventions, oinclude ointerventions ofrom oa ovariety oof odisciplines, opromote
ocollaboration, oand oinvolve oa ocomprehensive oapproach oto ocare. oThey oare odeveloped oby
omultiple ohealth ocare oprofessionals oand oreflect ointerdisciplinary ocare. oThey ocan obe
oused oin omultiple osettings oand ofor opatients othroughout othe olife ospan. oThey oare onot opart
oof othe onursing oprocess obut ocan obe oused oin oconjunction owith othe onursing oprocess oto
oprovide ocare oto opatients.


PTS: o o o 1 DIF: Cognitive oLevel:
oKnowledge/RememberingoREF: o o op. o7 OBJ: o Nursing oProcess:
oPlanning
MSC: o Client oNeeds: oSafe oand oEffective oCare oEnvironment

The ofastest ogrowing ogroup oof ohomeless opeople ois
a. men oand owomen opreparing ofor
oretirement.
b. migrant oworkers.
c. single owomen oand otheir ochildren.
d. intravenous o(IV) osubstance oabusers.

ANS: o C
Pregnancy oand obirth, oespecially ofor oa oteenager, oare oimportant ocontributing ofactors ofor
obecoming ohomeless. oPeople opreparing ofor oretirement, omigrant oworkers, oand oIV
osubstance oabusers oare onot oamong othe ofastest ogrowing ogroups oof ohomeless opeople.


PTS: o o o 1 DIF: Cognitive oLevel:
oKnowledge/RememberingoREF: o o op. o14 OBJ: o Nursing oProcess:
oAssessment
MSC: o Client oNeeds: oPhysiologic oIntegrity

, TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022



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