TESTBANK FOR FOUNDATIONS OF MATERNITY,
q q q q
WOMENS HEALTH,AND CHILD HEALTH
q q q q
NURSING:MATERNAL-CHILDNURSING,5thEDITION
q q q
qCOMPLETE SOLUTION 100% VERIFIED.
q q q
written by q
master2000
www.stuvia.com
Downloaded qby: qmaster2000 q|
qdenniswalker1738@gmail.com
, Stuvia.com q -qkThekMarketplace q tokBuy qand q SellqkyourqkStudy q Materialqk
TEST FO FOUNDATIONS OF MATERNITY, WOM q q q q
q RSING:M
Chapter 01: Foundations of Maternity, Women’s
q CHILD
Health, and Child Health Nursing q q q q q q q q
k
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
q q q q q q q q
RSING,5th EDITION
MULTIPLE CHOICE q
1. Which factor significantly contributed to the shift from home births to hospital births in
q q q q q q q q q q q q q
q the early 20th century?
q q q
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
q q q q q q q q q q q
b. Forceps were developed to facilitate difficult births. q q q q q q
c. The importance of early parental-infant contact was identified.
q q q q q q q
d. Technologic developments became available to physicians. q q q q q
ANS: D q
Technologic developments were available to physicians, not lay midwives. So in-hospital
q q q q q q q q q q
births increased in order to take advantage of these advancements. Puerperal sepsis has been
q q q q q q q q q q q q q q
a known problem for generations. In the late 19th century, Semmelweis discovered how it
q k q q q q q q q q q q q q
could be prevented with improved hygienic practices. The development of forceps is an
q k q q q q q q q q q q q
example of a technology advance made in the early 20th century but is not the only reason
q q q q q q q q q q q q q q q q q
birthplaces moved. Unlike home births, early hospital births hindered bonding between
q q q q q q q q q q q
parents and their infants.
q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q q
REF: p. 1
q OBJ: Integrated Process: Teaching-Learning
q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q q
2. Family-centered maternity care developed in response to q q q q q q
a. demands by physicians for family involvement in childbirth. q q q q q q q
b. the Sheppard-Towner Act of 1921. q q q q
c. parental requests that infants be allowed to remain with them rather than in
q q q q q q q q q q q q
q a nursery.
q
d. changes in pharmacologic management of labor. q q q q q
ANS: C q
As research began to identify the benefits of early extended parent-infant contact, parents
q q q q q q q q q q q q
began to insist that the infant remain with them. This gradually developed into the
q q q q q q q q q q q q q q
practiceof rooming-in and finally to family-centered maternity care. Family-centered care
q q q q q q q q q q
was a request by parents, not physicians. The Sheppard-Towner Act of 1921 provided
q q q q q q q q q q q q q
funds for state-managed programs for mothers and children. The changes in
q q q q q q q q q q q
pharmacologic management of labor were not a factor in family-centered maternity care.
q q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q q
REF: p. 2
q OBJ: Integrated Process: Teaching-Learning
q q q
MSC: Client Needs: Psychosocial Integrity
q q q q q
3. Which setting for childbirth allows the least amount of parent-infant contact?
q q q q q q q q q q
a. Labor/delivery/recovery/postpartum room q
b. Birth center q
c. Traditional hospital birth q q
d. Home birth q
.
Downloaded qby: qmaster2000 q|
qdenniswalker1738@gmail.com
, Stuvia.com q - q The q Marketplace q to q Buy q and q Sell q your
q Study
ANS: C q
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
q q q q q q q q q q q q q q q
qand the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
q q q q q q q q q q q q
qsetting allows increased parent-infant contact. Birth centers are set up to allow an increase in
q q q q q q q q q q q q q q
qparent-infant contact. Home births allow an increase in parent-infant contact.
q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q
REF: p. 2
q OBJ: Nursing Process: Planning q q q q
MSC: Client Needs: Health Promotion and Maintenance
q q q q q q
4. As a result of changes in health care delivery and funding, a current trend seen in the
q q q q q q q q q q q q q q q q
qpediatric setting is q q
a. increased hospitalization of children. q q q
b. decreased number of children living in poverty. q q q q q q
c. an increase in ambulatory care.
q q q q
d. decreased use of managed care. q q q q
ANS: C q
One effect of managed care has been that pediatric health care delivery has shifted
q q q q q q q q q q q q q
dramatically from the acute care setting to the ambulatory setting in order to provide
q q q q q q q q q q q q q q
morecost-efficient care. The number of hospital beds being used has decreased as more
q q q q q q q q q q q q q
care is given in outpatient settings and in the home. The number of children living in
q q q q q q q q q q q q q q q q
poverty hasincreased over the past decade. One of the biggest changes in health care has
q q q q q q q q q q q q q q q
been the growth of managed care.
q q q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q
REF: p. 5
q OBJ: Nursing Process: Planning q q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q
5. The Women, Infants, and Children (WIC) program provides
q q q q q q q
a. well-child examinations for infants and children living at the poverty level.
q q q q q q q q q q
b. immunizations for high-risk infants and children. q q q q q
c. screening for infants with developmental disorders. q q q q q
d. supplemental food supplies to low-income pregnant or breastfeeding women. q q q q q q q q
ANS: D q
WIC is a federal program that provides supplemental food supplies to low-income women
q q q q q q q q q q q q
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early
q q q q q q q q q q q q q q q
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
q q q q q q q q q q
examinations and for treatment of any medical problems diagnosed during such checkups.
q q q q q q q q q q q q
Children in the WIC program are often referred for immunizations, but that is not the primary
q q q q q q q q q q q q q q q q
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
q q q q q q q q q q q q q q
Education Act that provides financial incentives to states to establish comprehensive early
q q q q q q q q q q q q
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
q q q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Comprehension q q REF: q q p. 8 q
OBJ: Integrated Process: Teaching-Learning
q q q q
MSC: Client Needs: Health Promotion and Maintenance
q q q q q q
6. In most states, adolescents who are not emancipated minors must have the permission of
q q q q q q q q q q q q q
q their parents before
q q
.
Downloaded qby: qmaster2000 q|
qdenniswalker1738@gmail.com
, Stuvia.com q - q The q Marketplace q to q Buy q and q Sell q your
q Study
a. treatment for drug abuse. q q q
b. treatment for sexually transmitted diseases (STDs).
q q q q q
c. accessing birth control. q q
d. surgery.
ANS: D q
Minors are not considered capable of giving informed consent, so a surgical procedure
q q q q q q q q q q q q
would require consent of the parent or guardian. Exceptions exist for obtaining treatment
q q q q q q q q q q q q q
fordrug abuse or STDs or for getting birth control in most states.
q q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q
REF: p. 17
q OBJ: Nursing Process: Planning
q q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q
7. The maternity nurse should have a clear understanding of the correct use of a
q q q q q q q q q q q q q
q clinical pathway. One characteristic of clinical pathways is that they
q q q q q q q q q
a. are developed and implemented by nurses.
q q q q q
b. are used primarily in the pediatric setting.
q q q q q q
c. set specific time lines for sequencing interventions.
q q q q q q
d. are part of the nursing process.
q q q q q
ANS: C q
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
q q q q q q q q q q q
a particular health problem. They are used to identify patient outcomes, specify time lines to
q q q q q q q q q q q q q q q
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
q q q q q q q q q q
include interventions from a variety of disciplines, promote collaboration, and involve a
q q q q q q q q q q q q
comprehensive approach to care. They are developed by multiple health care professionals
q q q q q q q q q q q q
and reflect interdisciplinary care. They can be used in multiple settings and for patients
q q q q q q q q q q q q q q
throughout the life span. They are not part of the nursing process but can be used in
q q q q q q q q q q q q q q q q q
conjunction with the nursing process to provide care to patients.
q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q
REF: p. 7
q OBJ: Nursing Process: Planning
q q q q
MSC: Client Needs: Safe and Effective Care Environment
q q q q q q q
8. The fastest growing group of homeless people is
q q q q q q q
a. men and women preparing for retirement.
q q q q q
b. migrant workers. q
c. single women and their children. q q q q
d. intravenous (IV) substance abusers. q q q
ANS: C q
Pregnancy and birth, especially for a teenager, are important contributing factors for
q q q q q q q q q q q
becoming homeless. People preparing for retirement, migrant workers, and IV substance
q q q q q q q q q q q
abusers are not among the fastest growing groups of homeless people.
q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering q q
REF: p. 14
q OBJ: Nursing Process: Assessment
q q q q
MSC: Client Needs: Physiologic Integrity
q q q q
.
Downloaded qby: qmaster2000 q|
qdenniswalker1738@gmail.com
