Introductory Maternity & Pediatric Nursing 5th Edition Hatfield Test Bank 2025 I Complete Chapters 1-42 I 600+ Pages I Verified Q&A with Rationales

TESTBANK l



INTRODUCTORYlMATERNITYl&lPEDIATRIClNURSING

NANCYlHATFIELDl&lCYNTHIAlKINCHELOE

5thlEdition




TESTBANK l

,Chapterl1:lThelNurse'slRolelinlalChanginglMaternal–
ChildlHealthlCarelEnvironmentlHatfield:lIntroductorylMaternitylandlPediatriclNursing,l5
thlEdition

1. Thelopeningluploflhospitallvisitinglpolicieslforlchildrenlandlfamilieslli
kelylresultedfromlthelworkloflwhichlindividual?
A. Josephl Brennaman
B. JohnlBowlby
C. MarshallKlaus
D. JohnlKennelll

Answer:lB

Rationale:l Inl 1951,l Johnl Bowlbyl receivedl worldwidel attentionl withl his
studylthatlrevealedlthelnegativelresultsloflthelseparationloflchildlandlmotherlbecauseloflhospitali
zation.lHislworklledltoalre-
evaluationlandlliberalizationloflhospitallvisitinglpolicieslforlchildren.lJosephlBrennamanlsuggeste
dlthatlallackloflstimulationlforlinfantslcontributedltolhighlinfantlmortalitylrateslatltheltime.lInlthel
1970slandl1980s,lphysicianslMarshalllKlauslandlJohnlKennelllcarriedloutlimportantstudieslonlth
eleffectloflthelseparationloflnewbornslandlparents.
Theylestablishedlthatlearlylseparationlmaylhavellong-
termleffectslonlfamilylrelationshipslandlthatlofferinglthelnewlfamilylanlopportunityltolbeltogeth
erlatlbirthlandlforlalsignificantlperiodlafterlbirthlmaylprovidelbenefitsthatllastlwelllintolearlylch
ildhood.
Questionl format:l Multiplel Choice
Chapterl1:lThelNurse'slRolelinlalChanginglMaternal-
ChildlHealthlCarelEnvironmentlCognitivelLevel:lRemember
ClientlNeeds:lHealthlPromotionlandlMaintenancelIntegrate
dlProcess:lNursinglProcess
Reference:lp.l4

2. Anlexpectantlmotherlstateslthatlshelreadlthatlmorelblacklmothersldielinlchildbirthlthanldolw
hitelmothers.lWhenlrespondingltolherlquestionslaboutlthelreasonslforlthis,lthelnurselaccuratel
ylstateslthatlwhichlislthelmajorlreasonlforlthelhighlmaternallmortalitylrate?
A. Havinglformalleducation.
B. Beingl unmarried.
C. Income.
D. Lackloflprenatallcare.

Answer:l D

Rationale:lResearchlshowslthatlmaternallmortalitylratelisldirectlylrelatedltollackloflprenatallcarels
econdaryltollackloflaccessltolserviceslorlinsurance.lIncomelaslwelllasleducationalllevellmaylplayl
alrolelinlthelavailabilityloflhealthlcare,lbutltheylarelnotldirectlylresponsible.lBeinglunmarriedlhasl
nolbearinglonlinfantlmortality.
Questionlformat:lMultiplelChoice
Chapterl1:lThelNurse'slRolelinlalChanginglMaternal-
ChildlHealthlCarelEnvironmentlCognitivelLevel:lUnderstand

,ClientlNeeds:lHealthlPromotionlandlMaintenancelIntegrate
dlProcess:lNursinglProcess
Reference:lp.l9

3. Whichlstatementlcorrectlyldefineslthelterml"infantldeathlrate"?
A. numberlofldeathslinluteroloflfetusesl500lglorlmorelperl1,000llivelbirths
B. numberlofldeathsloccurringlinlthelfirstl28ldayslofllifelperl1,000llivelbirths
C. numberlofldeathsloccurringlatlbirthlorlinlthelfirstl12lmonthslofllifelperl1,000llivelbirths
D. deathloflallive-bornlchildlbeforelhislorlherlfirstlbirthday.

Answer:l D

Rationale:lTheltermlinfantldeathlrefersltoltheldeathloflallive-
bornlchildlbeforelhelorlshelreacheslagel1lyear.lItlalsolincludeslneonatallmortalitylrate.lNeonatall
mortalitylratelislthelnumberloflinfantldeathslduringlthelfirstl28ldayslofllifelforleveryl1,000llivelb
irths.lInfantlmortalitylratelislthelnumberlofldeathslduringlthelfirstl12lmonthslofllifelperl1,000llive
lbirths.lQuestionlformat:lMultiplelChoice
Chapterl1:lThelNurse'slRolelinlalChanginglMaternal-
ChildlHealthlCarelEnvironmentlCognitivelLevel:lRemember
ClientlNeeds:lHealthlPromotionlandlMaintenancelIntegrate
dlProcess:lNursinglProcess
Reference:lp.l9

4. Thelnursinglinstructorlislpreparingltolteachlalgrouploflstudentslaboutlthelhistoryloflmaternitylc
are.lWhatlmajorldevelopmentlwilllthelinstructorlemphasizelaslgreatlylinfluencinglthelpracticelofl
maternitylcarelinlthelUnitedlStatesloverlthelpastlcentury?
A. technologicladvanceslandltheluseloflforcepslbylprimarylcarelproviders
B. developmentloflanesthesialandlacceptanceloflthelgermltheory
C. adventloflbirthinglcenterslandltheldevelopmentloflfamily-centeredlcare
D. developmentloflpediatriclspecialtylandlreplacementloflmidwiveslaslprimarylbirthlattendantsl

Answer:lB

Rationale:lThelemphasislshouldlbelplacedlonlanesthesialandlthelgermltheory.lTheldevelopmentlofl
anesthesialallowedlwomenlalchoicelforlpainlmanagementlinlbirth;lthelgermltheoryladvancedlthelp
rogressloflgenerallhealthlcarelandldecreasedlinfectionslinllaboringlwomen.lPediatricslaslalspecialt
ylislanlimportantlsteplforwardlbutlislnotlthelgreatestldevelopment,landlmidwiveslarelstilllinlpracti
ce.lMaternitylcarelcontinuesltolevolve,landlbirthinglcenterslarelstilllunderldevelopment.lForcepsl
arelnotlconsideredlanladvancelinlmaternitylcare.
Questionl format:l Multiplel Choice
Chapterl1:lThelNurse'slRolelinlalChanginglMaternal-
ChildlHealthlCarelEnvironmentlCognitivelLevel:lAnalyze
ClientlNeeds:lHealthlPromotionlandlMaintenance

, IntegratedlProcess:lTeaching/LearninglR
eference:lp.l3

5. Whenlpreparinglalclientlforlsurgery,lthelnurselexplainslthatltheluseloflanlantisepticld
uringlthelsurgerylhaslgreatlylimprovedlclientlsurvivallrateslandlwaslstartedlbylwhichlph
ysician?
A. Louisl Pasteur
B. IgnazlPhiliplSemmelweis
C. Josephl Lister
D. AlexanderlGordonl

Answer:lC

Rationale:lJosephlListerlwaslalBritishlsurgeonlwholembracedlLouislPasteur'sltheoryloflmicroor
ganismslaslthelcauseloflinfection.lListerlusedlcarboliclacidlaslanlantisepticlduringlsurgerylandli
mprovedlthelsurvivallratesloflhislpatients.lAlexanderlGordonlproposedltheltheoryloflinfection.lO
liverlWendelllHolmeslandlIgnazlPhiliplSemmelweislconfirmedlhisltheory.
Questionlformat:lMultiplelChoice
Chapterl1:lThelNurse'slRolelinlalChanginglMaternal-
ChildlHealthlCarelEnvironmentlCognitivelLevel:lApply
ClientlNeeds:lSafe,lEffectivelCarelEnvironment:lSafetylandlInfectionlControllIntegratedlProcess:
lNursinglProcess
Reference:lp.l4

6. Alyounglcouplelarelverylexcitedltollearnltheylarelexpectingltheirlfirstlchildlandlquestionlthel
nurselaboutlwhichltestltheylneedltoldiscoverlitslgender.lWhichlprocedurelwilllbestlprovidelthisli
nformationltolthelcouple?
A. Ultrasound
B. Amniocentesis
C. Chorioniclvilluslsampling
D. HGP

Answer:l A

Rationale:lUltrasoundlislalvisuallmethodlforlassessinglthelfetuslinltheluteruslandlwilllprovidelinfo
rmationlaboutlthelgender.lAmniocentesislandlchorioniclvilluslsamplinglprovidelthelentirelgeneticl
codeloflthelfetus.lHGPlrefersltolthelHumanlGenomelProject,lwhichlcanlprovidelinformationlrega
rdinglgenelmutationslandlvariations.
Questionlformat:lMultiplelChoice
Chapterl1:lThelNurse'slRolelinlalChanginglMaternal-
ChildlHealthlCarelEnvironmentlCognitivelLevel:lApply
ClientlNeeds:lHealthlPromotionlandlMaintenancelIntegrate
dlProcess:lCaring
Reference:lp.l6