Test Bank For
Maternal-Child Nursing
6th Edition By Emily Slone Mckinney
,Chapter 1: Foundations Of Maternity, Women’s Health, And Child Health
Nursingtest Bank
MULTIPLE CHOICE
1. Which Factor Significantly Contributed To The Shift From Home Births To Hospital
Births InTheearly 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
Feedback
A Puerperal Sepsis Has Been A Known Problem For Generations. In The
Late 19thCentury, Semmelweis Discovered How It Could Be Prevented
With
Improvedhygienic Practices.
B The Development Of Forceps To Help Physicians Facilitate Difficult Births
Was AStrong Factor In The Decrease Of Home Births And Increase Of
Hospital Births. Otheriimportant Discoveries Included Chloroform, Drugs To
Initiate Labor, And The
Advancement Of Operative Procedures Such A Cesarean Birth.
C Unlike Home-Births, Early Hospital Births Hindered Bonding Between Parents
AndTheir Infants.
D Technological Developments Were Available To Physicians, Not Lay
Midwives.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P.
2OBJ: Nursing Process: Assessment
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 ThanIn Anursery
d. Changes In Pharmacologic Management Of Labor
ANS: C
Feedback
A Family-Centered Care Was A Request By Parents, Not Physicians.
B The Sheppard-Towner Act Provided Funds For State-Managed Programs
ForMothers And Children.
C As Research Began To Identify The Benefits Of Early Extended Parent-
InfantContact, Parents Began To Insist That The Infant Remain With
Them. This Gradually
Developed Into The Practice Of Rooming-In And Finally To
Family-Centeredmaternity Care.
D The Changes In Pharmacologic Management Of Labor Were Not A Factor In
Family-
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
ANS: C
Feedback
A The Labor/Delivery/Recovery/Postpartum Room Setting Allows Increased
Parent-Infant Contact.
B Birth Centers Are Set Up To Allow An Increase In Parent-Infant Contact.
C In The Traditional Hospital Setting, The Mother May See The Infant For
Only ShortFeeding Periods, And The Infant Is Cared For In A Separate
Nursery.
D Home Births Allow An Increase In Parent-Infant Contact.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P. 3
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion And Maintenance
4. As A Result Of Changes In Health Care Delivery And Funding, A Current Trend
Seen In ThePediatricsetting 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
Feedback
A Hospitalization For Children Has Decreased.
B Health Care Delivery Has Not Altered The Number Of Children Living In
Poverty.
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.One Ofthe Biggest Changes In Health Care Has Been
The Growth Of Managed Care. The Number Of Hospital Beds Being Used
Has Decreased As More Care IsGiven In
Outpatient Settings And In The Home. The Number Of Children Living In
PovertyHasincreased Over The Last Decade.
D Managed Care Has Increased In Order To Control Cost.
PTS: 1 DIF: Cognitive Level: Knowledge REF: P.
6iobj: Nursing Process: Planning
MSC: Client Needs: Safe And Effective Care Environment
5. 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 Women Who Are
PregnantOrbreastfeeding
ANS: D
Feedback
A Medicaid’s Early And Periodic Screening, Diagnosis, And Treatment
ProgramProvides For Well-Child Examinations And For Treatment Of Any
Medical Problems
Diagnosed During Such Checkups.
B Children In The WIC Program Are Often Linked With Immunizations,
ButThat Isnot The Primary Focus Of The Program.
C Public Law 99-457 Provides Financial Incentives To States To Establish
Comprehensive Early Intervention Services For Infants And Toddlers With,
Or At
Riskfor, Developmental Disabilities.
D WIC Is A Federal Program That Provides Supplemental Food Supplies To
Low- Income Women Who Are Pregnant Or Breastfeeding And To Their
Children UntilAge
5 Years.
6. In Most States, Adolescents Who Are Not Emancipated Minors Must Have The
Permission OfTheirparents Before:
a. Treatment For Drug Abuse
b. Treatment For Sexually Transmitted Diseases (Stds)
c. Accessing Birth Control
d. Surgery
ANS: D
Feedback
A Most States Allow Minors To Obtain Treatment For Drug Or Alcohol Abuse
WithoutParental Consent.
B Most States Allow Minors To Obtain Treatment For Stds Without
ParentalConsent.
C In Most States, Minors Are Allowed Access To Birth Control Without
ParentalConsent.
D If A Minor Receives Surgery Without Proper Informed Consent, Assault And
Batterycharges Against The Care Provider Can Result. This Does Not Apply
To AnEmancipated Minor (A Minor Child Who Has The Legal Competency
Of An Adult
Because Of Circumstances Involving Marriage, Divorce, Parenting Of A
Child,Living Independently Without Parents, Or Enlistment In The Armed
Services).
PTS: 1 DIF: Cognitive Level: Application REF: P.
19OBJ: Nursing Process: Planning
MSC: Client Needs: Safe And Effective Care Environment
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