,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
nn nn nn nn nn nn nn nn nn nn
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
nn nn nn nn nn nn nn nn
MULTIPLE nnCHOICE
1. Which nnfactor nnsignificantly nncontributed nnto nnthe nnshift nnfrom nnhome nnbirths nnto nnhospital
nn births nnin nnthe nnearly nn20th nncentury?
a. Puerperal nnsepsis nn was nnidentified nnas nna nnrisk nnfactor nnin nnlabor nnand nndelivery.
b. Forceps nnwere nndeveloped nnto n n facilitate nndifficult n n births.
c. The nnimportance n n of nnearly nnparental-infant nn contact nn was nn identified.
d. Technologic nndevelopments nnbecame nnavailable nnto nnphysicians.
ANS: nnD
Technologic nndevelopments nnwere nnavailable nnto nnphysicians, nnnot nnlay nnmidwives. nnSo nnin-
hospital nnbirths nnincreased nnin nnorder nnto nntake nnadvantage nnof nnthese nnadvancements. nnPuerperal
nnsepsis nnhas nnbeen nna nnknown nnproblem nnfor nngenerations. nnIn nnthe nnlate nn19th nncentury,
nnSemmelweis nndiscovered nnhow nnit nncould nnbe nnprevented nnwith nnimproved nnhygienic
nnpractices. nnThe nndevelopment nnof nnforceps nnis nnan nnexample nnof nna nntechnology nnadvance
nnmade nnin nnthe nnearly nn20th nncentury nnbut nnis nnnot nnthe nnonly nnreason n n birthplaces nnmoved.
nnUnlike nnhome nnbirths, nnearly nnhospital nnbirths nnhindered nnbonding nnbetween nnparents nnand
nntheir nninfants.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn1 OBJ: n n Integrated
nnProcess: nnTeaching-Learning nnMSC: nnClient nnNeeds: nnSafe nnand
nnEffective nnCare nnEnvironment
2. Family-centered nnmaternity nncare nndeveloped nnin n n response nnto
a. demands nnby nnphysicians n n for nnfamily n n involvement nn in n n childbirth.
b. thennSheppard-TownernnAct nnof nn1921.
c. parental nnrequests nnthat nninfants nnbe nnallowed nnto nnremain nnwith nnthem
rather nnthan nnin nna nnnursery.
nn
d. changes nnin nnpharmacologic nnmanagement nnof nnlabor.
ANS: nnC
As nnresearch nnbegan nnto nnidentify nnthe nnbenefits nnof nnearly nnextended nnparent-infant
nncontact, nnparents nnbegan nnto nninsist nnthat nnthe nninfant nnremain nnwith nnthem. nnThis
nngradually nndeveloped nninto nnthe nnpractice nnof nnrooming-in nnand nnfinally nnto nnfamily-
centered nnmaternity nncare. nnFamily- nncentered nncare nnwas nna nnrequest nnby nnparents, nnnot
nnphysicians. nnThe nnSheppard-Towner nnAct nnof nn1921 nnprovided nnfunds nnfor nnstate-
managed nnprograms nnfor nnmothers nnand nnchildren. nnThe nnchanges nnin nnpharmacologic
nnmanagement nnof nnlabor nnwere nnnot nna nnfactor nnin nnfamily-centered nnmaternity nncare.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn2 OBJ: n n Integrated
nnProcess: nnTeaching-Learning nnMSC: nnClient nnNeeds: nnPsychosocial
nnIntegrity
3. Which nnsetting nnfor nnchildbirth n n allows n n the nnleast nnamount nn of nn parent-infant n n contact?
a. Labor/delivery/recovery/postpartum nnroom
b. Birth nn center
.
,c. Traditional nnhospital nnbirth
d. Home n n birth
.
, ANS: nnC
In nnthe nntraditional nnhospital nnsetting, nnthe nnmother nnmay nnsee nnthe nninfant nnfor nnonly nnshort
nnfeeding nnperiods, nnand nnthe nninfant nnis nncared nnfor nnin nna nnseparate nnnursery. nnThe
nnlabor/delivery/recovery/postpartum nnroom nnsetting nnallows nnincreased nnparent-infant
nncontact. nnBirth nncenters nnare nnset nnup nnto nnallow nnan nnincrease nnin nnparent-infant nncontact.
nnHome nnbirths nnallow nnan nnincrease nnin nnparent-infant nncontact.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn2 OBJ: n n Nursing
nnProcess: nnPlanning
MSC: Client nnNeeds: nn Health nnPromotion nnand nnMaintenance
4. As nna nnresult nnof nnchanges nnin nnhealth nncare nndelivery nnand nnfunding, nna nncurrent nntrend
nn seen nnin nnthe nnpediatric nnsetting nnis
a. increased nnhospitalization nnof nnchildren.
b. decreased nnnumber nn of nnchildren nn living nnin nnpoverty.
c. an nnincrease nnin nnambulatory nn care.
d. decreased nnuse nnof nnmanaged nn care.
ANS: nnC
One nneffect nnof nnmanaged nncare nnhas nnbeen nnthat nnpediatric nnhealth nncare nndelivery nnhas
nnshifted nndramatically nnfrom nnthe nnacute nncare nnsetting nnto nnthe nnambulatory nnsetting nnin
nnorder nnto nnprovide nnmore nncost-efficient nncare. nnThe nnnumber nnof nnhospital nnbeds nnbeing
nnused nnhas nndecreased nnas nnmore nncare nnis nngiven nnin nnoutpatient nnsettings nnand nnin nnthe
nnhome. nnThe nnnumber nnof nnchildren nnliving nnin nnpoverty nnhas nnincreased nnover nnthe nnpast
nndecade. nnOne nnof nnthe nnbiggest nnchanges nnin nnhealth nncare nnhas nnbeen nnthe nngrowth nnof
nnmanaged nncare.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn5 OBJ: n n Nursing
nnProcess: nnPlanning
MSC: Client nnNeeds: nn Safe nnand nnEffective nnCare nnEnvironment
5. ThennWomen, nnInfants, nnand nn Children nn(WIC) nnprogram n n provides
a. well-child nnexaminations nn for nn infants nn and nnchildren nn living n n at nnthe nn poverty nn level.
b. immunizations nn for nnhigh-risk nninfants nn and nn children.
c. screening nnfor nninfants n n with n n developmental nndisorders.
d. supplemental nnfood nnsupplies nn to n n low-income nn pregnant n n or nnbreastfeeding n n women.
ANS: nnD
WIC nnis nna nnfederal nnprogram nnthat nnprovides nnsupplemental nnfood nnsupplies nnto nnlow-income
nnwomen nnwho nnare nnpregnant nnor nnbreastfeeding nnand nnto nntheir nnchildren nnuntil nnage nn5 nn years.
nnMedicaid‘s nnEarly nnand nnPeriodic nnScreening, nnDiagnosis, nnand nnTreatment nnProgram
nnprovides nnfor nnwell-child nnexaminations nnand nnfor nntreatment nnof nnany nnmedical nnproblems
nndiagnosed nnduring nnsuch nncheckups. nnChildren nnin nnthe nnWIC nnprogram nnare nnoften nnreferred
nnfor nnimmunizations, nnbut nnthat nnis nnnot nnthe nnprimary nnfocus n n of n n the n n program. n n Public
n n Law n n 99-457 n n is n n part n n of nnthe n n Individuals n n with nnDisabilities nnEducation nnAct nnthat
nnprovides nnfinancial nnincentives nnto nnstates nnto nnestablish nncomprehensive nnearly nnintervention
nnservices nnfor nninfants nnand nntoddlers nnwith, nnor nnat nnrisk nnfor, nndevelopmental nndisabilities.
MSC: nnClient nnNeeds:
PTS: 1 DIF: Cognitive nnLevel: nnHealth nnPromotion nnand
nnComprehension nnOBJ: n n Integrated nnProcess: nnTeaching-
nnMaintenance
Learning
.
nn nn nn nn nn nn nn nn nn nn
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
nn nn nn nn nn nn nn nn
MULTIPLE nnCHOICE
1. Which nnfactor nnsignificantly nncontributed nnto nnthe nnshift nnfrom nnhome nnbirths nnto nnhospital
nn births nnin nnthe nnearly nn20th nncentury?
a. Puerperal nnsepsis nn was nnidentified nnas nna nnrisk nnfactor nnin nnlabor nnand nndelivery.
b. Forceps nnwere nndeveloped nnto n n facilitate nndifficult n n births.
c. The nnimportance n n of nnearly nnparental-infant nn contact nn was nn identified.
d. Technologic nndevelopments nnbecame nnavailable nnto nnphysicians.
ANS: nnD
Technologic nndevelopments nnwere nnavailable nnto nnphysicians, nnnot nnlay nnmidwives. nnSo nnin-
hospital nnbirths nnincreased nnin nnorder nnto nntake nnadvantage nnof nnthese nnadvancements. nnPuerperal
nnsepsis nnhas nnbeen nna nnknown nnproblem nnfor nngenerations. nnIn nnthe nnlate nn19th nncentury,
nnSemmelweis nndiscovered nnhow nnit nncould nnbe nnprevented nnwith nnimproved nnhygienic
nnpractices. nnThe nndevelopment nnof nnforceps nnis nnan nnexample nnof nna nntechnology nnadvance
nnmade nnin nnthe nnearly nn20th nncentury nnbut nnis nnnot nnthe nnonly nnreason n n birthplaces nnmoved.
nnUnlike nnhome nnbirths, nnearly nnhospital nnbirths nnhindered nnbonding nnbetween nnparents nnand
nntheir nninfants.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn1 OBJ: n n Integrated
nnProcess: nnTeaching-Learning nnMSC: nnClient nnNeeds: nnSafe nnand
nnEffective nnCare nnEnvironment
2. Family-centered nnmaternity nncare nndeveloped nnin n n response nnto
a. demands nnby nnphysicians n n for nnfamily n n involvement nn in n n childbirth.
b. thennSheppard-TownernnAct nnof nn1921.
c. parental nnrequests nnthat nninfants nnbe nnallowed nnto nnremain nnwith nnthem
rather nnthan nnin nna nnnursery.
nn
d. changes nnin nnpharmacologic nnmanagement nnof nnlabor.
ANS: nnC
As nnresearch nnbegan nnto nnidentify nnthe nnbenefits nnof nnearly nnextended nnparent-infant
nncontact, nnparents nnbegan nnto nninsist nnthat nnthe nninfant nnremain nnwith nnthem. nnThis
nngradually nndeveloped nninto nnthe nnpractice nnof nnrooming-in nnand nnfinally nnto nnfamily-
centered nnmaternity nncare. nnFamily- nncentered nncare nnwas nna nnrequest nnby nnparents, nnnot
nnphysicians. nnThe nnSheppard-Towner nnAct nnof nn1921 nnprovided nnfunds nnfor nnstate-
managed nnprograms nnfor nnmothers nnand nnchildren. nnThe nnchanges nnin nnpharmacologic
nnmanagement nnof nnlabor nnwere nnnot nna nnfactor nnin nnfamily-centered nnmaternity nncare.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn2 OBJ: n n Integrated
nnProcess: nnTeaching-Learning nnMSC: nnClient nnNeeds: nnPsychosocial
nnIntegrity
3. Which nnsetting nnfor nnchildbirth n n allows n n the nnleast nnamount nn of nn parent-infant n n contact?
a. Labor/delivery/recovery/postpartum nnroom
b. Birth nn center
.
,c. Traditional nnhospital nnbirth
d. Home n n birth
.
, ANS: nnC
In nnthe nntraditional nnhospital nnsetting, nnthe nnmother nnmay nnsee nnthe nninfant nnfor nnonly nnshort
nnfeeding nnperiods, nnand nnthe nninfant nnis nncared nnfor nnin nna nnseparate nnnursery. nnThe
nnlabor/delivery/recovery/postpartum nnroom nnsetting nnallows nnincreased nnparent-infant
nncontact. nnBirth nncenters nnare nnset nnup nnto nnallow nnan nnincrease nnin nnparent-infant nncontact.
nnHome nnbirths nnallow nnan nnincrease nnin nnparent-infant nncontact.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn2 OBJ: n n Nursing
nnProcess: nnPlanning
MSC: Client nnNeeds: nn Health nnPromotion nnand nnMaintenance
4. As nna nnresult nnof nnchanges nnin nnhealth nncare nndelivery nnand nnfunding, nna nncurrent nntrend
nn seen nnin nnthe nnpediatric nnsetting nnis
a. increased nnhospitalization nnof nnchildren.
b. decreased nnnumber nn of nnchildren nn living nnin nnpoverty.
c. an nnincrease nnin nnambulatory nn care.
d. decreased nnuse nnof nnmanaged nn care.
ANS: nnC
One nneffect nnof nnmanaged nncare nnhas nnbeen nnthat nnpediatric nnhealth nncare nndelivery nnhas
nnshifted nndramatically nnfrom nnthe nnacute nncare nnsetting nnto nnthe nnambulatory nnsetting nnin
nnorder nnto nnprovide nnmore nncost-efficient nncare. nnThe nnnumber nnof nnhospital nnbeds nnbeing
nnused nnhas nndecreased nnas nnmore nncare nnis nngiven nnin nnoutpatient nnsettings nnand nnin nnthe
nnhome. nnThe nnnumber nnof nnchildren nnliving nnin nnpoverty nnhas nnincreased nnover nnthe nnpast
nndecade. nnOne nnof nnthe nnbiggest nnchanges nnin nnhealth nncare nnhas nnbeen nnthe nngrowth nnof
nnmanaged nncare.
PTS: 1 DIF: Cognitive nnLevel:
nnKnowledge/Remembering nnREF: p. nn5 OBJ: n n Nursing
nnProcess: nnPlanning
MSC: Client nnNeeds: nn Safe nnand nnEffective nnCare nnEnvironment
5. ThennWomen, nnInfants, nnand nn Children nn(WIC) nnprogram n n provides
a. well-child nnexaminations nn for nn infants nn and nnchildren nn living n n at nnthe nn poverty nn level.
b. immunizations nn for nnhigh-risk nninfants nn and nn children.
c. screening nnfor nninfants n n with n n developmental nndisorders.
d. supplemental nnfood nnsupplies nn to n n low-income nn pregnant n n or nnbreastfeeding n n women.
ANS: nnD
WIC nnis nna nnfederal nnprogram nnthat nnprovides nnsupplemental nnfood nnsupplies nnto nnlow-income
nnwomen nnwho nnare nnpregnant nnor nnbreastfeeding nnand nnto nntheir nnchildren nnuntil nnage nn5 nn years.
nnMedicaid‘s nnEarly nnand nnPeriodic nnScreening, nnDiagnosis, nnand nnTreatment nnProgram
nnprovides nnfor nnwell-child nnexaminations nnand nnfor nntreatment nnof nnany nnmedical nnproblems
nndiagnosed nnduring nnsuch nncheckups. nnChildren nnin nnthe nnWIC nnprogram nnare nnoften nnreferred
nnfor nnimmunizations, nnbut nnthat nnis nnnot nnthe nnprimary nnfocus n n of n n the n n program. n n Public
n n Law n n 99-457 n n is n n part n n of nnthe n n Individuals n n with nnDisabilities nnEducation nnAct nnthat
nnprovides nnfinancial nnincentives nnto nnstates nnto nnestablish nncomprehensive nnearly nnintervention
nnservices nnfor nninfants nnand nntoddlers nnwith, nnor nnat nnrisk nnfor, nndevelopmental nndisabilities.
MSC: nnClient nnNeeds:
PTS: 1 DIF: Cognitive nnLevel: nnHealth nnPromotion nnand
nnComprehension nnOBJ: n n Integrated nnProcess: nnTeaching-
nnMaintenance
Learning
.
