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1) 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. cha R321,71   Add to cart

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1) 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. cha

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1) 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 labo...

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  • December 2, 2023
  • 1185
  • 2023/2024
  • Exam (elaborations)
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NR MATERNAL-CHILD-NURSING- CHAPTER 01: FOUNDATIONS OF
MATERNITY, WOMEN’S HEALTH, AND CHILD HEALTH NURSING
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD NURSING,
WITH EXPLAINED ANSWERS .Approved




1) 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

2) 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

.

, NR MATERNAL-CHILD-NURSING- CHAPTER 01: FOUNDATIONS OF
MATERNITY, WOMEN’S HEALTH, AND CHILD HEALTH NURSING
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD NURSING,
WITH EXPLAINED ANSWERS .Approved

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

3) 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

4) The Women, Infants, and Children (WIC) program provides

, NR MATERNAL-CHILD-NURSING- CHAPTER 01: FOUNDATIONS OF
MATERNITY, WOMEN’S HEALTH, AND CHILD HEALTH NURSING
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD NURSING,
WITH EXPLAINED ANSWERS .Approved

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: REF: p. 8
Comprehension OBJ: Integrated Process: Teaching-
Learning
MSC: Client Needs: Health Promotion and Maintenance


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

, NR MATERNAL-CHILD-NURSING- CHAPTER 01: FOUNDATIONS OF
MATERNITY, WOMEN’S HEALTH, AND CHILD HEALTH NURSING
MCKINNEY: EVOLVE RESOURCES FOR MATERNAL-CHILD NURSING,
WITH EXPLAINED ANSWERS .Approved

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

6) The maternity nurse should have a clear understanding of the correct use of a
clinical pathway. 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
a particular health problem. They are used to identify patient outcomes, specify time lines 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.

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