Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
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1. The opening up of hospital visiting policies for children and families likely resultedfrom
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the work of which individual?
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A. Joseph Brennaman 9i
B. John Bowlby 9i
C. Marshal Klaus 9i
D. John Kennell Answer: B 9i 9i 9i
Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother because of hospital
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ization. His work led toa re- 9i 9i 9i 9i 9i
evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman sugges
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ted that a lack of stimulation for infants contributed to high infant mortality rates at the time. In
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the 1970s and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies
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on the effect of the separation of newborns and parents.
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They established that early separation may have long-
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term effects on family relationships and that offering the new family an opportunity to be tog
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ether at birth and for a significant period after birth may provide benefitsthat last well into ea
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rly childhood.
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Question format: Multiple Choice 9i 9i 9i
Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference
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: p. 4
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2. An expectant mother states that she read that more black mothers die in childbirth than do
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white mothers. When responding to her questions about the reasons for this, the nurse accurately
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9i states that which is the major reason for the high maternal mortality rate?
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A. Having formal education. 9i 9i
B. Being unmarried. 9i
C. Income.
D. Lack of prenatal care. 9i 9i 9i
https://www.stuvia.com/user/asolution
,Created By: A Solution
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Answer: D 9i
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, Created By: A Solution 9i 9i 9i
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
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secondary to lack of access to services or insurance. Income as well as educational level may pl
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ay a role in the availability of health care, but they are not directly responsible. Being unmarried
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has no bearing on infant mortality.
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Question format: Multiple Choice 9i 9i 9i
Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Understand
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference
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: p. 9
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3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
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B. number of deaths occurring in the first 28 days of life per 1,000 live births
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C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D 9i
Rationale: The term infant death refers to the death of a live-
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born child before he or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal
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mortality rate is the number of infant deaths during the first 28 days of life for every 1,000 live b
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irths. Infant mortality rate is the number of deaths during the first 12 months of life per 1,000 liv
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Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference
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: p. 9
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