Chapter 01: Foundations Of Maternity, Women’s Health, And Child Health
NursingMckinney: Evolve Resources For Maternal-Child Nursing, 6th Edition
Multiple Choice
1. Which Factor Significantly Contributed To The Shift From Home Births To Hospital
Births In TheEarly 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 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: 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 ANursery.
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 OfRooming-In And Finally To Family-Centered Maternity Care. Family-
Centered Care Was A RequestBy Parents, Not Physicians. The Sheppard-Towner Act Of
1921 Provided Funds For
State-Managed Programs For Mothers And Children. The Changes In
PharmacologicManagement Of Labor Were Not A Factor In Family-Centered
Maternity Care.
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
, l
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 CloselyResemble 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
ClinicalPathway. 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 AParticular 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
5. A Nurse Wishes To Work To Reduce Infant Mortality In The United States. Which Activity
WouldThis Nurse Most Likely Participate In?
a. Creating Pamphlets In Several Different Languages Using An Interpreter.
b. Assisting Women To Enroll In Medicaid By Their Third Trimester.
c. Volunteering To Provide Prenatal Care At Community Centers.
d. Working As An Intake Counselor At A Women‘S Shelter.
Ans: C
Prenatal Care Is Vital To Reducing Infant Mortality And Medical Costs. This Nurse Would
Most Likely Participate In Community Service Providing Prenatal Care Outreach Activities
In Community Centers, Particularly In Low-Income Areas. Pamphlets In Other Languages,
EnrollingIn Medicaid, And Working At A Women‘S Shelter All Might Impact Infant
Mortality, But The Greatest Effect Would Be From Assisting Women To Get Consistent
Prenatal Care.
Pts:1 Dif: Cognitive Level: Applying
Obj:Nursing Process: Implementation Msc:Client Needs: Health Promotion And Maintenance
6. Which Statement Is True Regarding The ―Quality Assurance‖ Or ―Incident‖ Report?
a. The Report Assures The Legal Department That No Problem Exists.
b. Reports Are A Permanent Part Of The Patient‘S Chart.
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