,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
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McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
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MULTIPLE CHOICE gg
1. Which factor significantly contributed to the shift from home births to hospital
gg gg gg gg gg gg gg gg gg gg gg
gg births in the early 20th century?
gg gg gg gg gg
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
gg gg gg gg gg gg gg gg gg gg gg
b. Forceps were developed to facilitate difficult births.
gg gg gg gg gg gg
c. The importance of early parental-infant contact was identified.
gg gg gg gg gg gg gg
d. Technologic developments became available to physicians. gg gg gg gg gg
ANS: D gg
Technologic developments were available to physicians, not lay midwives. So in-
gg gg gg gg gg gg gg gg gg gg
hospital births increased in order to take advantage of these advancements. Puerperal
gg gg gg gg gg gg gg gg gg gg gg
sepsis has been a known problem for generations. In the late 19th century,
gg gg gg gg gg gg gg gg gg gg gg gg gg
Semmelweis discovered how it could be prevented with improved hygienic practices.
gg gg gg gg gg gg gg gg gg gg gg
The development of forceps is an example of a technology advance made in the early
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
20th century but is not the only reason birthplaces moved. Unlike home births, early
gg gg gg gg gg gg gg gg g g gg gg gg gg gg
hospital births hindered bonding between parents and their infants.
gg gg gg gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 1 OBJ: Integrated gg gg g g
Process: Teaching-Learning MSC: Client Needs: Safe and
gg gg gg gg gg gg gg
Effective Care Environment
gg gg gg
2. Family-centered maternity care developed in response to gg gg gg gg gg gg
a. demands by physicians for family involvement in childbirth.
gg gg gg gg gg gg gg
b. the Sheppard-Towner Act of 1921.
gg gg gg gg
c. parental requests that infants be allowed to remain with them rather
gg gg gg gg gg gg gg gg gg gg
than in a nursery.
gg gg gg gg
d. changes in pharmacologic management of labor.
gg gg gg gg gg
ANS: C gg
As research began to identify the benefits of early extended parent-infant contact,
gg gg gg gg gg gg gg gg gg gg gg
parents began to insist that the infant remain with them. This gradually developed
gg gg gg gg gg gg gg gg gg gg gg gg gg
into the practice of rooming-in and finally to family-centered maternity care.
gg gg gg gg gg gg gg gg gg gg gg
Family- centered care was a request by parents, not physicians. The Sheppard-
gg gg gg gg gg gg gg gg gg gg gg gg
Towner Act of 1921 provided funds for state-managed programs for mothers and
gg gg gg gg gg gg gg gg gg gg gg
children. The changes in pharmacologic management of labor were not a factor
gg gg gg gg gg gg gg gg gg gg gg gg
in family-centered maternity care.
gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 2 OBJ: Integrated gg gg g g
Process: Teaching-Learning MSC: Client Needs: Psychosocial
gg gg gg gg gg gg
Integrity
gg
3. Which setting for childbirth allows the least amount of parent-infant contact?
gg gg gg gg gg gg gg gg gg gg
a. Labor/delivery/recovery/postpartum room gg
b. Birth center gg
c. Traditional hospital birth gg gg
.
,d. Home birth
gg
.
, ANS: C gg
In the traditional hospital setting, the mother may see the infant for only short feeding
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
periods, and the infant is cared for in a separate nursery. The
gg gg gg gg gg gg gg gg gg gg gg gg
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
gg gg gg gg gg gg gg
Birth centers are set up to allow an increase in parent-infant contact. Home births
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
allow an increase in parent-infant contact.
gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 2 OBJ: Nursing gg gg g g
Process: Planning
gg gg
MSC: Client Needs: Health Promotion and Maintenance gg gg gg gg gg
4. As a result of changes in health care delivery and funding, a current trend
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg seen in the pediatric setting is
gg gg gg gg gg
a. increased hospitalization of children. gg gg gg
b. decreased number of children living in poverty. gg gg gg gg gg gg
c. an increase in ambulatory care.
gg gg gg gg
d. decreased use of managed care. gg gg gg gg
ANS: C gg
One effect of managed care has been that pediatric health care delivery has
gg gg gg gg gg gg gg gg gg gg gg gg
shifted dramatically from the acute care setting to the ambulatory setting in order
gg gg gg gg gg gg gg gg gg gg gg gg gg
to provide more cost-efficient care. The number of hospital beds being used has
gg gg gg gg gg gg gg gg gg gg gg gg gg
decreased as more care is given in outpatient settings and in the home. The
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
number of children living in poverty has increased over the past decade. One of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the biggest changes in health care has been the growth of managed care.
gg gg gg gg gg gg gg gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 5 OBJ: Nursing gg gg g g
Process: Planning
gg gg
MSC: Client Needs: Safe and Effective Care Environment gg gg gg gg gg gg
5. The Women, Infants, and Children (WIC) program provides
gg gg gg gg gg gg gg
a. well-child examinations for infants and children living at the poverty level.
gg gg gg gg gg gg gg gg gg gg
b. immunizations for high-risk infants and children. gg gg gg gg gg
c. screening for infants with developmental disorders. gg gg gg gg gg
d. supplemental food supplies to low-income pregnant or breastfeeding women. gg gg gg gg gg gg gg gg
ANS: D gg
WIC is a federal program that provides supplemental food supplies to low-income
gg gg gg gg gg gg gg gg gg gg gg
women who are pregnant or breastfeeding and to their children until age 5 years.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
Medicaid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides
gg gg gg gg gg gg gg gg gg gg
for well-child examinations and for treatment of any medical problems diagnosed
gg gg gg gg gg gg gg gg gg gg gg
during such checkups. Children in the WIC program are often referred for
gg gg gg gg gg gg gg gg gg gg gg gg
immunizations, but that is not the primary focus of the program. Public Law 99-
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
457 is part of the Individuals with Disabilities Education Act that provides
gg gg gg gg gg gg gg gg gg gg gg
financial incentives to states to establish comprehensive early intervention services for
gg gg gg gg gg gg gg gg gg gg gg
infants and toddlers with, or at risk for, developmental disabilities.
gg gg gg gg gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: Comprehension gg gg REF: p. 8 gg
OBJ:
gg Integrated Process: Teaching-Learning
g g gg gg
MSC: Client Needs: Health Promotion and Maintenance
gg gg gg gg gg gg
.
gg gg gg gg gg gg gg gg gg gg
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
gg gg gg gg gg gg gg gg
MULTIPLE CHOICE gg
1. Which factor significantly contributed to the shift from home births to hospital
gg gg gg gg gg gg gg gg gg gg gg
gg births in the early 20th century?
gg gg gg gg gg
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
gg gg gg gg gg gg gg gg gg gg gg
b. Forceps were developed to facilitate difficult births.
gg gg gg gg gg gg
c. The importance of early parental-infant contact was identified.
gg gg gg gg gg gg gg
d. Technologic developments became available to physicians. gg gg gg gg gg
ANS: D gg
Technologic developments were available to physicians, not lay midwives. So in-
gg gg gg gg gg gg gg gg gg gg
hospital births increased in order to take advantage of these advancements. Puerperal
gg gg gg gg gg gg gg gg gg gg gg
sepsis has been a known problem for generations. In the late 19th century,
gg gg gg gg gg gg gg gg gg gg gg gg gg
Semmelweis discovered how it could be prevented with improved hygienic practices.
gg gg gg gg gg gg gg gg gg gg gg
The development of forceps is an example of a technology advance made in the early
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
20th century but is not the only reason birthplaces moved. Unlike home births, early
gg gg gg gg gg gg gg gg g g gg gg gg gg gg
hospital births hindered bonding between parents and their infants.
gg gg gg gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 1 OBJ: Integrated gg gg g g
Process: Teaching-Learning MSC: Client Needs: Safe and
gg gg gg gg gg gg gg
Effective Care Environment
gg gg gg
2. Family-centered maternity care developed in response to gg gg gg gg gg gg
a. demands by physicians for family involvement in childbirth.
gg gg gg gg gg gg gg
b. the Sheppard-Towner Act of 1921.
gg gg gg gg
c. parental requests that infants be allowed to remain with them rather
gg gg gg gg gg gg gg gg gg gg
than in a nursery.
gg gg gg gg
d. changes in pharmacologic management of labor.
gg gg gg gg gg
ANS: C gg
As research began to identify the benefits of early extended parent-infant contact,
gg gg gg gg gg gg gg gg gg gg gg
parents began to insist that the infant remain with them. This gradually developed
gg gg gg gg gg gg gg gg gg gg gg gg gg
into the practice of rooming-in and finally to family-centered maternity care.
gg gg gg gg gg gg gg gg gg gg gg
Family- centered care was a request by parents, not physicians. The Sheppard-
gg gg gg gg gg gg gg gg gg gg gg gg
Towner Act of 1921 provided funds for state-managed programs for mothers and
gg gg gg gg gg gg gg gg gg gg gg
children. The changes in pharmacologic management of labor were not a factor
gg gg gg gg gg gg gg gg gg gg gg gg
in family-centered maternity care.
gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 2 OBJ: Integrated gg gg g g
Process: Teaching-Learning MSC: Client Needs: Psychosocial
gg gg gg gg gg gg
Integrity
gg
3. Which setting for childbirth allows the least amount of parent-infant contact?
gg gg gg gg gg gg gg gg gg gg
a. Labor/delivery/recovery/postpartum room gg
b. Birth center gg
c. Traditional hospital birth gg gg
.
,d. Home birth
gg
.
, ANS: C gg
In the traditional hospital setting, the mother may see the infant for only short feeding
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
periods, and the infant is cared for in a separate nursery. The
gg gg gg gg gg gg gg gg gg gg gg gg
labor/delivery/recovery/postpartum room setting allows increased parent-infant contact.
gg gg gg gg gg gg gg
Birth centers are set up to allow an increase in parent-infant contact. Home births
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
allow an increase in parent-infant contact.
gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 2 OBJ: Nursing gg gg g g
Process: Planning
gg gg
MSC: Client Needs: Health Promotion and Maintenance gg gg gg gg gg
4. As a result of changes in health care delivery and funding, a current trend
gg gg gg gg gg gg gg gg gg gg gg gg gg
gg seen in the pediatric setting is
gg gg gg gg gg
a. increased hospitalization of children. gg gg gg
b. decreased number of children living in poverty. gg gg gg gg gg gg
c. an increase in ambulatory care.
gg gg gg gg
d. decreased use of managed care. gg gg gg gg
ANS: C gg
One effect of managed care has been that pediatric health care delivery has
gg gg gg gg gg gg gg gg gg gg gg gg
shifted dramatically from the acute care setting to the ambulatory setting in order
gg gg gg gg gg gg gg gg gg gg gg gg gg
to provide more cost-efficient care. The number of hospital beds being used has
gg gg gg gg gg gg gg gg gg gg gg gg gg
decreased as more care is given in outpatient settings and in the home. The
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
number of children living in poverty has increased over the past decade. One of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
the biggest changes in health care has been the growth of managed care.
gg gg gg gg gg gg gg gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: gg
Knowledge/Remembering REF:
gg p. 5 OBJ: Nursing gg gg g g
Process: Planning
gg gg
MSC: Client Needs: Safe and Effective Care Environment gg gg gg gg gg gg
5. The Women, Infants, and Children (WIC) program provides
gg gg gg gg gg gg gg
a. well-child examinations for infants and children living at the poverty level.
gg gg gg gg gg gg gg gg gg gg
b. immunizations for high-risk infants and children. gg gg gg gg gg
c. screening for infants with developmental disorders. gg gg gg gg gg
d. supplemental food supplies to low-income pregnant or breastfeeding women. gg gg gg gg gg gg gg gg
ANS: D gg
WIC is a federal program that provides supplemental food supplies to low-income
gg gg gg gg gg gg gg gg gg gg gg
women who are pregnant or breastfeeding and to their children until age 5 years.
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
Medicaid‘s Early and Periodic Screening, Diagnosis, and Treatment Program provides
gg gg gg gg gg gg gg gg gg gg
for well-child examinations and for treatment of any medical problems diagnosed
gg gg gg gg gg gg gg gg gg gg gg
during such checkups. Children in the WIC program are often referred for
gg gg gg gg gg gg gg gg gg gg gg gg
immunizations, but that is not the primary focus of the program. Public Law 99-
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
457 is part of the Individuals with Disabilities Education Act that provides
gg gg gg gg gg gg gg gg gg gg gg
financial incentives to states to establish comprehensive early intervention services for
gg gg gg gg gg gg gg gg gg gg gg
infants and toddlers with, or at risk for, developmental disabilities.
gg gg gg gg gg gg gg gg gg gg
PTS: 1 DIF: Cognitive Level: Comprehension gg gg REF: p. 8 gg
OBJ:
gg Integrated Process: Teaching-Learning
g g gg gg
MSC: Client Needs: Health Promotion and Maintenance
gg gg gg gg gg gg
.
