,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
ss ss ss ss ss ss ss ss ss ss
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
ss ss ss ss ss ss ss ss
MULTIPLE ssCHOICE
1. Which ssfactor sssignificantly sscontributed ssto ssthe ssshift ssfrom sshome ssbirths ssto sshospital
births ssin ssthe ssearly ss20th sscentury?
ss
a. Puerperal sssepsis sswas ssidentified ssas ssa ssrisk ssfactor ssin sslabor ssand ssdelivery.
b. Forceps sswere ssdeveloped ssto ssfacilitate ssdifficult ssbirths.
c. The ssimportance ssof ssearly ssparental-infant sscontact sswas ssidentified.
d. Technologic ssdevelopments ssbecame ssavailable ssto ssphysicians.
ANS: ssD
Technologic ssdevelopments sswere ssavailable ssto ssphysicians, ssnot sslay ssmidwives. ssSo ssin-
hospital ssbirths ssincreased ssin ssorder ssto sstake ssadvantage ssof ssthese ssadvancements. ssPuerperal
sssepsis sshas ssbeen ssa ssknown ssproblem ssfor ssgenerations. ssIn ssthe sslate ss19th sscentury,
ssSemmelweis ssdiscovered sshow ssit sscould ssbe ssprevented sswith ssimproved sshygienic sspractices.
ssThe ssdevelopment ssof ssforceps ssis ssan ssexample ssof ssa sstechnology ssadvance ssmade ssin ssthe ssearly
ss20th sscentury ssbut ssis ssnot ssthe ssonly ssreason ssbirthplaces ssmoved. ssUnlike sshome ssbirths, ssearly
sshospital ssbirths sshindered ssbonding ssbetween ssparents ssand sstheir ssinfants.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss1 OBJ:
Integrated ssProcess: ssTeaching-Learning ssMSC: s s Client
ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
2. Family-centered ssmaternity sscare ssdeveloped ssin ssresponse ssto
a. demands ssby ssphysicians ssfor ssfamily ssinvolvement ssin sschildbirth.
b. thessSheppard-TownersAct ssof ss1921.
c. parental ssrequests ssthat ssinfants ssbe ssallowed ssto ssremain sswith ssthem ssrather
than ssin ssa ssnursery.
ss
d. changes ssin sspharmacologic ssmanagement ssof sslabor.
ANS: ssC
As ssresearch ssbegan ssto ssidentify ssthe ssbenefits ssof ssearly ssextended ssparent-infant sscontact,
ssparents ssbegan ssto ssinsist ssthat ssthe ssinfant ssremain sswith ssthem. ssThis ssgradually ssdeveloped
ssinto ssthe sspractice ssof ssrooming-in ssand ssfinally ssto ssfamily-centered ssmaternity sscare.
ssFamily-centered s s care sswas ssa ssrequest ssby ssparents, ssnot ssphysicians. ssThe ssSheppard-
Towner ssAct ssof ss1921 ssprovided ssfunds ssfor ssstate-managed ssprograms ssfor ssmothers ssand
sschildren. ssThe sschanges ssin sspharmacologic ssmanagement ssof sslabor sswere ssnot ssa ssfactor ssin
ssfamily-centered ssmaternity sscare.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss2 OBJ:
Integrated ssProcess: ssTeaching-Learning ssMSC: s s Client
ssNeeds: ssPsychosocial ssIntegrity
3. Which sssetting ssfor sschildbirth ssallows ssthe ssleast ssamount ssof ssparent-infant ss contact?
a. Labor/delivery/recovery/postpartum room
b. Birth sscenter
c. Traditional sshospital ssbirth
d. Home ssbirth
.
, ANS: ssC
In ssthe sstraditional sshospital sssetting, ssthe ssmother ssmay sssee ssthe ssinfant ssfor ssonly ssshort ssfeeding
ssperiods, ssand ssthe ssinfant ssis sscared ssfor ssin ssa ssseparate ssnursery. ssThe
sslabor/delivery/recovery/postpartum ssroom sssetting ssallows ssincreased ssparent-infant sscontact.
ssBirth sscenters ssare ssset ssup ssto ssallow ssan ssincrease ssin ssparent-infant sscontact. ssHome ssbirths
ssallow ssan ssincrease ssin ssparent-infant sscontact.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss2 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssHealth ssPromotion ssand ssMaintenance
4. As ssa ssresult ssof sschanges ssin sshealth sscare ssdelivery ssand ssfunding, ssa sscurrent sstrend ssseen
in ssthe sspediatric sssetting ssis
ss
a. increased sshospitalization ssof sschildren.
b. decreased ssnumber ssof sschildren ssliving ssin sspoverty.
c. an ssincrease ssin ssambulatory sscare.
d. decreased ssuse ssof ssmanaged sscare.
ANS: ssC
One sseffect ssof ssmanaged sscare sshas ssbeen ssthat sspediatric sshealth sscare ssdelivery sshas ssshifted
ssdramatically ssfrom ssthe ssacute sscare sssetting ssto ssthe ssambulatory sssetting ssin ssorder ssto
ssprovide ssmore sscost-efficient sscare. ssThe ssnumber ssof sshospital ssbeds ssbeing ssused sshas
ssdecreased ssas ssmore sscare ssis ssgiven ssin ssoutpatient sssettings ssand ssin ssthe sshome. ssThe
ssnumber ssof sschildren ssliving ssin sspoverty sshas ssincreased ssover ssthe sspast ssdecade. ssOne ssof
ssthe ssbiggest sschanges ssin sshealth sscare s s has ssbeen ssthe ssgrowth ssof ssmanaged sscare.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss5 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
5. ThessWomen, ssInfants, ssand ssChildren ss(WIC) ssprogram ssprovides
a. well-child ssexaminations ssfor ssinfants ssand sschildren ssliving ssat ssthe sspoverty sslevel.
b. immunizations ssfor sshigh-risk ssinfants ssand sschildren.
c. screening ssfor ssinfants sswith ssdevelopmental ssdisorders.
d. supplemental ssfood sssupplies ssto sslow-income sspregnant ssor ssbreastfeeding sswomen.
ANS: ssD
WIC ssis ssa ssfederal ssprogram ssthat ssprovides sssupplemental ssfood sssupplies ssto sslow-income
sswomen sswho ssare sspregnant ssor ssbreastfeeding ssand ssto sstheir sschildren ssuntil ssage ss5 ss years.
ssMedicaid‘s ssEarly ssand ssPeriodic ssScreening, ssDiagnosis, ssand ssTreatment ssProgram
ssprovides ssfor sswell-child ssexaminations ssand ssfor sstreatment ssof ssany ssmedical ssproblems
ssdiagnosed ssduring sssuch sscheckups. ssChildren ssin ssthe ssWIC ssprogram ssare ssoften ssreferred ssfor
ssimmunizations, ssbut ssthat ssis ssnot ssthe ssprimary ssfocus ssof ssthe ssprogram. ssPublic ssLaw ss99-457
ssis sspart ssof ssthe ssIndividuals sswith s s Disabilities ssEducation ssAct ssthat ssprovides ssfinancial
ssincentives ssto ssstates ssto ssestablish sscomprehensive ssearly ssintervention ssservices ssfor ssinfants
ssand sstoddlers sswith, ssor ssat ssrisk ssfor, ssdevelopmental ssdisabilities.
PTS: 1 DIF: CognitivessLevel:ssComprehension REF: p. s s 8
ssOBJ: Integrated ssProcess: ssTeaching-Learning
MSC: ssClient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
6. In ssmost ssstates, ssadolescents sswho ssare ssnot ssemancipated ssminors ssmust sshave ssthe
permission ssof sstheir ssparents ssbefore
ss
.
, a. treatment ssfor ssdrug ssabuse.
b. treatment ssfor sssexually sstransmitted ssdiseases ss(STDs).
c. accessing ssbirth sscontrol.
d. surgery.
ANS: ssD
Minors ssare ssnot ssconsidered sscapable ssof ssgiving ssinformed ssconsent, ssso ssa sssurgical ssprocedure
sswould ssrequire ssconsent ssof ssthe ssparent ssor ssguardian. ssExceptions ssexist ssfor ssobtaining
sstreatment ssfor ssdrug ssabuse ssor ssSTDs ssor ssfor ssgetting ssbirth sscontrol ssin ssmost ssstates.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss17 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
7. The ssmaternity ssnurse ssshould sshave ssa ssclear ssunderstanding ssof ssthe sscorrect ssuse
of ssa ssclinical sspathway. ssOne sscharacteristic ssof ssclinical sspathways ssis ssthat
ss
they
ss
a. are ssdeveloped ssand ssimplemented ssby ssnurses.
b. are ssused ssprimarily ssin ssthe sspediatric sssetting.
c. set ssspecific sstime sslines ssfor sssequencing ssinterventions.
d. are sspart ssof ssthe ssnursing ssprocess.
ANS: ssC
Clinical sspathways ssare ssstandardized, ssinterdisciplinary ssplans ssof sscare ssdevised ssfor sspatients
sswith ssa ssparticular sshealth ssproblem. ssThey ssare ssused ssto ssidentify sspatient ssoutcomes, ssspecify
sstime sslines ssto ssachieve ssthose ssoutcomes, ssdirect ssappropriate ssinterventions ssand sssequencing
ssof s s interventions, ssinclude ssinterventions ssfrom ssa ssvariety ssof ssdisciplines, sspromote
sscollaboration, ssand s s involve s s a s s comprehensive s s approach s s to s s care. s s They ssare
ssdeveloped s s by ssmultiple s s health sscare ssprofessionals ssand ssreflect ssinterdisciplinary sscare.
ssThey sscan ssbe ssused ssin ssmultiple sssettings ssand ssfor sspatients ssthroughout ssthe sslife ssspan. ssThey
ssare ssnot sspart ssof ssthe ssnursing ssprocess ssbut sscan s s be ssused ssin ssconjunction sswith ssthe ssnursing
ssprocess ssto ssprovide sscare ssto sspatients.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss7 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
8. The ssfastest ssgrowing ssgroup ssof sshomeless sspeople ssis
a. men ssand sswomen sspreparing ssfor ssretirement.
b. migrant ssworkers.
c. single sswomen ssand sstheir sschildren.
d. intravenous ss(IV) sssubstance ssabusers.
ANS: ssC
Pregnancy ssand ssbirth, ssespecially ssfor ssa ssteenager, ssare ssimportant sscontributing ssfactors ssfor
s s becoming sshomeless. ssPeople sspreparing ssfor ssretirement, ssmigrant ssworkers, ssand ss IV
sssubstance ssabusers ssare ssnot ssamong ssthe ssfastest ssgrowing ssgroups ssof sshomeless sspeople.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss14 OBJ:
Nursing ssProcess: ssAssessment
MSC: Client ssNeeds: ssPhysiologic ssIntegrity
ss ss ss ss ss ss ss ss ss ss
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
ss ss ss ss ss ss ss ss
MULTIPLE ssCHOICE
1. Which ssfactor sssignificantly sscontributed ssto ssthe ssshift ssfrom sshome ssbirths ssto sshospital
births ssin ssthe ssearly ss20th sscentury?
ss
a. Puerperal sssepsis sswas ssidentified ssas ssa ssrisk ssfactor ssin sslabor ssand ssdelivery.
b. Forceps sswere ssdeveloped ssto ssfacilitate ssdifficult ssbirths.
c. The ssimportance ssof ssearly ssparental-infant sscontact sswas ssidentified.
d. Technologic ssdevelopments ssbecame ssavailable ssto ssphysicians.
ANS: ssD
Technologic ssdevelopments sswere ssavailable ssto ssphysicians, ssnot sslay ssmidwives. ssSo ssin-
hospital ssbirths ssincreased ssin ssorder ssto sstake ssadvantage ssof ssthese ssadvancements. ssPuerperal
sssepsis sshas ssbeen ssa ssknown ssproblem ssfor ssgenerations. ssIn ssthe sslate ss19th sscentury,
ssSemmelweis ssdiscovered sshow ssit sscould ssbe ssprevented sswith ssimproved sshygienic sspractices.
ssThe ssdevelopment ssof ssforceps ssis ssan ssexample ssof ssa sstechnology ssadvance ssmade ssin ssthe ssearly
ss20th sscentury ssbut ssis ssnot ssthe ssonly ssreason ssbirthplaces ssmoved. ssUnlike sshome ssbirths, ssearly
sshospital ssbirths sshindered ssbonding ssbetween ssparents ssand sstheir ssinfants.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss1 OBJ:
Integrated ssProcess: ssTeaching-Learning ssMSC: s s Client
ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
2. Family-centered ssmaternity sscare ssdeveloped ssin ssresponse ssto
a. demands ssby ssphysicians ssfor ssfamily ssinvolvement ssin sschildbirth.
b. thessSheppard-TownersAct ssof ss1921.
c. parental ssrequests ssthat ssinfants ssbe ssallowed ssto ssremain sswith ssthem ssrather
than ssin ssa ssnursery.
ss
d. changes ssin sspharmacologic ssmanagement ssof sslabor.
ANS: ssC
As ssresearch ssbegan ssto ssidentify ssthe ssbenefits ssof ssearly ssextended ssparent-infant sscontact,
ssparents ssbegan ssto ssinsist ssthat ssthe ssinfant ssremain sswith ssthem. ssThis ssgradually ssdeveloped
ssinto ssthe sspractice ssof ssrooming-in ssand ssfinally ssto ssfamily-centered ssmaternity sscare.
ssFamily-centered s s care sswas ssa ssrequest ssby ssparents, ssnot ssphysicians. ssThe ssSheppard-
Towner ssAct ssof ss1921 ssprovided ssfunds ssfor ssstate-managed ssprograms ssfor ssmothers ssand
sschildren. ssThe sschanges ssin sspharmacologic ssmanagement ssof sslabor sswere ssnot ssa ssfactor ssin
ssfamily-centered ssmaternity sscare.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss2 OBJ:
Integrated ssProcess: ssTeaching-Learning ssMSC: s s Client
ssNeeds: ssPsychosocial ssIntegrity
3. Which sssetting ssfor sschildbirth ssallows ssthe ssleast ssamount ssof ssparent-infant ss contact?
a. Labor/delivery/recovery/postpartum room
b. Birth sscenter
c. Traditional sshospital ssbirth
d. Home ssbirth
.
, ANS: ssC
In ssthe sstraditional sshospital sssetting, ssthe ssmother ssmay sssee ssthe ssinfant ssfor ssonly ssshort ssfeeding
ssperiods, ssand ssthe ssinfant ssis sscared ssfor ssin ssa ssseparate ssnursery. ssThe
sslabor/delivery/recovery/postpartum ssroom sssetting ssallows ssincreased ssparent-infant sscontact.
ssBirth sscenters ssare ssset ssup ssto ssallow ssan ssincrease ssin ssparent-infant sscontact. ssHome ssbirths
ssallow ssan ssincrease ssin ssparent-infant sscontact.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss2 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssHealth ssPromotion ssand ssMaintenance
4. As ssa ssresult ssof sschanges ssin sshealth sscare ssdelivery ssand ssfunding, ssa sscurrent sstrend ssseen
in ssthe sspediatric sssetting ssis
ss
a. increased sshospitalization ssof sschildren.
b. decreased ssnumber ssof sschildren ssliving ssin sspoverty.
c. an ssincrease ssin ssambulatory sscare.
d. decreased ssuse ssof ssmanaged sscare.
ANS: ssC
One sseffect ssof ssmanaged sscare sshas ssbeen ssthat sspediatric sshealth sscare ssdelivery sshas ssshifted
ssdramatically ssfrom ssthe ssacute sscare sssetting ssto ssthe ssambulatory sssetting ssin ssorder ssto
ssprovide ssmore sscost-efficient sscare. ssThe ssnumber ssof sshospital ssbeds ssbeing ssused sshas
ssdecreased ssas ssmore sscare ssis ssgiven ssin ssoutpatient sssettings ssand ssin ssthe sshome. ssThe
ssnumber ssof sschildren ssliving ssin sspoverty sshas ssincreased ssover ssthe sspast ssdecade. ssOne ssof
ssthe ssbiggest sschanges ssin sshealth sscare s s has ssbeen ssthe ssgrowth ssof ssmanaged sscare.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss5 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
5. ThessWomen, ssInfants, ssand ssChildren ss(WIC) ssprogram ssprovides
a. well-child ssexaminations ssfor ssinfants ssand sschildren ssliving ssat ssthe sspoverty sslevel.
b. immunizations ssfor sshigh-risk ssinfants ssand sschildren.
c. screening ssfor ssinfants sswith ssdevelopmental ssdisorders.
d. supplemental ssfood sssupplies ssto sslow-income sspregnant ssor ssbreastfeeding sswomen.
ANS: ssD
WIC ssis ssa ssfederal ssprogram ssthat ssprovides sssupplemental ssfood sssupplies ssto sslow-income
sswomen sswho ssare sspregnant ssor ssbreastfeeding ssand ssto sstheir sschildren ssuntil ssage ss5 ss years.
ssMedicaid‘s ssEarly ssand ssPeriodic ssScreening, ssDiagnosis, ssand ssTreatment ssProgram
ssprovides ssfor sswell-child ssexaminations ssand ssfor sstreatment ssof ssany ssmedical ssproblems
ssdiagnosed ssduring sssuch sscheckups. ssChildren ssin ssthe ssWIC ssprogram ssare ssoften ssreferred ssfor
ssimmunizations, ssbut ssthat ssis ssnot ssthe ssprimary ssfocus ssof ssthe ssprogram. ssPublic ssLaw ss99-457
ssis sspart ssof ssthe ssIndividuals sswith s s Disabilities ssEducation ssAct ssthat ssprovides ssfinancial
ssincentives ssto ssstates ssto ssestablish sscomprehensive ssearly ssintervention ssservices ssfor ssinfants
ssand sstoddlers sswith, ssor ssat ssrisk ssfor, ssdevelopmental ssdisabilities.
PTS: 1 DIF: CognitivessLevel:ssComprehension REF: p. s s 8
ssOBJ: Integrated ssProcess: ssTeaching-Learning
MSC: ssClient ssNeeds: ssHealth ssPromotion ssand ssMaintenance
6. In ssmost ssstates, ssadolescents sswho ssare ssnot ssemancipated ssminors ssmust sshave ssthe
permission ssof sstheir ssparents ssbefore
ss
.
, a. treatment ssfor ssdrug ssabuse.
b. treatment ssfor sssexually sstransmitted ssdiseases ss(STDs).
c. accessing ssbirth sscontrol.
d. surgery.
ANS: ssD
Minors ssare ssnot ssconsidered sscapable ssof ssgiving ssinformed ssconsent, ssso ssa sssurgical ssprocedure
sswould ssrequire ssconsent ssof ssthe ssparent ssor ssguardian. ssExceptions ssexist ssfor ssobtaining
sstreatment ssfor ssdrug ssabuse ssor ssSTDs ssor ssfor ssgetting ssbirth sscontrol ssin ssmost ssstates.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss17 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
7. The ssmaternity ssnurse ssshould sshave ssa ssclear ssunderstanding ssof ssthe sscorrect ssuse
of ssa ssclinical sspathway. ssOne sscharacteristic ssof ssclinical sspathways ssis ssthat
ss
they
ss
a. are ssdeveloped ssand ssimplemented ssby ssnurses.
b. are ssused ssprimarily ssin ssthe sspediatric sssetting.
c. set ssspecific sstime sslines ssfor sssequencing ssinterventions.
d. are sspart ssof ssthe ssnursing ssprocess.
ANS: ssC
Clinical sspathways ssare ssstandardized, ssinterdisciplinary ssplans ssof sscare ssdevised ssfor sspatients
sswith ssa ssparticular sshealth ssproblem. ssThey ssare ssused ssto ssidentify sspatient ssoutcomes, ssspecify
sstime sslines ssto ssachieve ssthose ssoutcomes, ssdirect ssappropriate ssinterventions ssand sssequencing
ssof s s interventions, ssinclude ssinterventions ssfrom ssa ssvariety ssof ssdisciplines, sspromote
sscollaboration, ssand s s involve s s a s s comprehensive s s approach s s to s s care. s s They ssare
ssdeveloped s s by ssmultiple s s health sscare ssprofessionals ssand ssreflect ssinterdisciplinary sscare.
ssThey sscan ssbe ssused ssin ssmultiple sssettings ssand ssfor sspatients ssthroughout ssthe sslife ssspan. ssThey
ssare ssnot sspart ssof ssthe ssnursing ssprocess ssbut sscan s s be ssused ssin ssconjunction sswith ssthe ssnursing
ssprocess ssto ssprovide sscare ssto sspatients.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss7 OBJ:
Nursing ssProcess: ssPlanning
MSC: Client ssNeeds: ssSafe ssand ssEffective ssCare ssEnvironment
8. The ssfastest ssgrowing ssgroup ssof sshomeless sspeople ssis
a. men ssand sswomen sspreparing ssfor ssretirement.
b. migrant ssworkers.
c. single sswomen ssand sstheir sschildren.
d. intravenous ss(IV) sssubstance ssabusers.
ANS: ssC
Pregnancy ssand ssbirth, ssespecially ssfor ssa ssteenager, ssare ssimportant sscontributing ssfactors ssfor
s s becoming sshomeless. ssPeople sspreparing ssfor ssretirement, ssmigrant ssworkers, ssand ss IV
sssubstance ssabusers ssare ssnot ssamong ssthe ssfastest ssgrowing ssgroups ssof sshomeless sspeople.
PTS: 1 DIF: Cognitive ssLevel:
ssKnowledge/Remembering ssREF: p. ss14 OBJ:
Nursing ssProcess: ssAssessment
MSC: Client ssNeeds: ssPhysiologic ssIntegrity
