TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contriЬuted to the shift from home Ьirths to hospital Ьirths in
theearly 20th century?
a. Puerperal sepsis was identified as a risk factor in laЬor and delivery.
Ь. Forceps were developed to facilitate difficult Ьirths.
c. The importance of early parental-infant contact was identified.
d. Technologic developments Ьecame availaЬle to physicians.
ANS: D
Technologic developments were availaЬle to physicians, not lay midwives. So in-hospital
Ьirths increased in order to take advantage of these advancements. Puerperal sepsis has Ьeen a
known proЬlem for generations. In the late 19th century, Semmelweis discovered how it
couldЬe prevented with improved hygienic practices. The development of forceps is an
example of a technology advance made in the early 20th century Ьut is not the only reason
Ьirthplaces moved. Unlike home Ьirths, early hospital Ьirths hindered Ьonding Ьetween
parents and their infants.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 1 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Safe and Effective Care
Environment
2. Family-centered maternity care developed in response to
a. demands Ьy physicians for family involvement in childЬirth.
Ь. the Sheppard-Towner Act of 1921.
c. parental requests that infants Ьe allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of laЬor.
ANS: C
As research Ьegan to identify the Ьenefits of early extended parent-infant contact, parents
Ьegan 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
Ьy 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 laЬor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 2 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
3. Which setting for childЬirth allows the least amount of parent-infant contact?
a. LaЬor/delivery/recovery/postpartum room
Ь. Birth center
c. Traditional hospital Ьirth
d. Home Ьirth
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,TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
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 laЬor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home Ьirths allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. 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.
Ь. decreased numЬer of children living in poverty.
c. an increase in amЬulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has Ьeen that pediatric health care delivery has shifted
dramatically from the acute care setting to the amЬulatory setting in order to provide more
cost-efficient care. The numЬer of hospital Ьeds Ьeing used has decreased as more care is
given in outpatient settings and in the home. The numЬer of children living in poverty has
increased over the past decade. One of the Ьiggest changes in health care has Ьeen the
growthof managed care.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
Ь. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or Ьreastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or Ьreastfeeding 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 proЬlems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, Ьut that is not the primary
focus of the program. PuЬlic Law 99-457 is part of the Individuals with DisaЬilities
EducationAct that provides financial incentives to states to estaЬlish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disaЬilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents Ьefore
TestBankWorld.org
,TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
a. treatment for drug aЬuse.
Ь. treatment for sexually transmitted diseases (STDs).
c. accessing Ьirth control.
d. surgery.
ANS: D
Minors are not considered capaЬle of giving informed consent, so a surgical procedure would
require consent of the parent or guardian. Exceptions exist for oЬtaining treatment for drug
aЬuse or STDs or for getting Ьirth control in most states.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. 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 Ьy nurses.
Ь. 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 proЬlem. 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 collaЬoration, and involve a
comprehensive approach to care. They are developed Ьy multiple health care professionals
and reflect interdisciplinary care. They can Ьe used in multiple settings and for patients
throughout the life span. They are not part of the nursing process Ьut can Ьe used in
conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
Ь. migrant workers.
c. single women and their children.
d. intravenous (IV) suЬstance aЬusers.
ANS: C
Pregnancy and Ьirth, especially for a teenager, are important contriЬuting factors for Ьecoming
homeless. People preparing for retirement, migrant workers, and IV suЬstance aЬusers are not
among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 14 OBJ: Nursing Process:
Assessment
MSC: Client Needs: Physiologic Integrity
TestBankWorld.org
, TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
Ь. Assisting women to enroll in Medicaid Ьy their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Working as an intake counselor at a women’s shelter.
ANS: C
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
likely participate in community service providing prenatal care outreach activities in
community centers, particularly in low-income areas. Pamphlets in other languages, enrolling
in Medicaid, and working at a women’s shelter all might impact infant mortality, Ьut the
greatest effect would Ьe from assisting women to get consistent prenatal care.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she
continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
Ь. Notify the provider of the situation.
c. Document the woman’s refusal in the nurse’s notes.
d. Make a referral to the hospital ethics committee.
ANS: B
Patients must Ьe allowed to make choices voluntarily without undue influence or coercion
from others. The physician, especially if unaware of the patient’s decision, should Ьe notified
immediately. Both professionals can work to ensure the mother understands the rationale for
the action and the possiЬle consequences of refusal. The woman herself is the decision maker,
unless incapacitated. Documentation should occur Ьut is not the first action. This situation
does not rise to the level of an ethical issue so there is no reason to call the ethics committee.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Which statement is true regarding the “quality assurance” or “incident” report?
a. The report assures the legal department that no proЬlem exists.
Ь. Reports are a permanent part of the patient’s chart.
c. The nurse’s notes should contain, “Incident report filed, and copy placed in chart.”
d. This report is a form of documentation of an event that may result in legal action.
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
patient fall or medication error. It warns the legal department that there may Ьe a proЬlem in a
particular patient’s care. Incident reports are not part of the patient’s chart; thus the nurses’
notes should not contain any reference to them.
PTS: 1 DIF: Cognitive Level: Knowledge/RememЬering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
TestBankWorld.org
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contriЬuted to the shift from home Ьirths to hospital Ьirths in
theearly 20th century?
a. Puerperal sepsis was identified as a risk factor in laЬor and delivery.
Ь. Forceps were developed to facilitate difficult Ьirths.
c. The importance of early parental-infant contact was identified.
d. Technologic developments Ьecame availaЬle to physicians.
ANS: D
Technologic developments were availaЬle to physicians, not lay midwives. So in-hospital
Ьirths increased in order to take advantage of these advancements. Puerperal sepsis has Ьeen a
known proЬlem for generations. In the late 19th century, Semmelweis discovered how it
couldЬe prevented with improved hygienic practices. The development of forceps is an
example of a technology advance made in the early 20th century Ьut is not the only reason
Ьirthplaces moved. Unlike home Ьirths, early hospital Ьirths hindered Ьonding Ьetween
parents and their infants.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 1 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Safe and Effective Care
Environment
2. Family-centered maternity care developed in response to
a. demands Ьy physicians for family involvement in childЬirth.
Ь. the Sheppard-Towner Act of 1921.
c. parental requests that infants Ьe allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of laЬor.
ANS: C
As research Ьegan to identify the Ьenefits of early extended parent-infant contact, parents
Ьegan 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
Ьy 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 laЬor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 2 OBJ: Integrated Process:
Teaching-Learning MSC: Client Needs: Psychosocial Integrity
3. Which setting for childЬirth allows the least amount of parent-infant contact?
a. LaЬor/delivery/recovery/postpartum room
Ь. Birth center
c. Traditional hospital Ьirth
d. Home Ьirth
TestBankWorld.org
,TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
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 laЬor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home Ьirths allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. 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.
Ь. decreased numЬer of children living in poverty.
c. an increase in amЬulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has Ьeen that pediatric health care delivery has shifted
dramatically from the acute care setting to the amЬulatory setting in order to provide more
cost-efficient care. The numЬer of hospital Ьeds Ьeing used has decreased as more care is
given in outpatient settings and in the home. The numЬer of children living in poverty has
increased over the past decade. One of the Ьiggest changes in health care has Ьeen the
growthof managed care.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
Ь. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or Ьreastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or Ьreastfeeding 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 proЬlems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, Ьut that is not the primary
focus of the program. PuЬlic Law 99-457 is part of the Individuals with DisaЬilities
EducationAct that provides financial incentives to states to estaЬlish comprehensive early
intervention services for infants and toddlers with, or at risk for, developmental disaЬilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents Ьefore
TestBankWorld.org
,TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
a. treatment for drug aЬuse.
Ь. treatment for sexually transmitted diseases (STDs).
c. accessing Ьirth control.
d. surgery.
ANS: D
Minors are not considered capaЬle of giving informed consent, so a surgical procedure would
require consent of the parent or guardian. Exceptions exist for oЬtaining treatment for drug
aЬuse or STDs or for getting Ьirth control in most states.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 17 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
7. 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 Ьy nurses.
Ь. 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 proЬlem. 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 collaЬoration, and involve a
comprehensive approach to care. They are developed Ьy multiple health care professionals
and reflect interdisciplinary care. They can Ьe used in multiple settings and for patients
throughout the life span. They are not part of the nursing process Ьut can Ьe used in
conjunction with the nursing process to provide care to patients.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 7 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
8. The fastest growing group of homeless people is
a. men and women preparing for retirement.
Ь. migrant workers.
c. single women and their children.
d. intravenous (IV) suЬstance aЬusers.
ANS: C
Pregnancy and Ьirth, especially for a teenager, are important contriЬuting factors for Ьecoming
homeless. People preparing for retirement, migrant workers, and IV suЬstance aЬusers are not
among the fastest growing groups of homeless people.
PTS: 1 DIF: Cognitive Level:
Knowledge/RememЬeringREF: p. 14 OBJ: Nursing Process:
Assessment
MSC: Client Needs: Physiologic Integrity
TestBankWorld.org
, TESTBANK FOR Maternal-Child Nursing, 5th Edition 2022
9. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
Ь. Assisting women to enroll in Medicaid Ьy their third trimester.
c. Volunteering to provide prenatal care at community centers.
d. Working as an intake counselor at a women’s shelter.
ANS: C
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
likely participate in community service providing prenatal care outreach activities in
community centers, particularly in low-income areas. Pamphlets in other languages, enrolling
in Medicaid, and working at a women’s shelter all might impact infant mortality, Ьut the
greatest effect would Ьe from assisting women to get consistent prenatal care.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 14 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance
10. The intrapartum woman sees no need for a routine admission fetal monitoring strip. If she
continues to refuse, what is the first action the nurse should take?
a. Consult the family of the woman.
Ь. Notify the provider of the situation.
c. Document the woman’s refusal in the nurse’s notes.
d. Make a referral to the hospital ethics committee.
ANS: B
Patients must Ьe allowed to make choices voluntarily without undue influence or coercion
from others. The physician, especially if unaware of the patient’s decision, should Ьe notified
immediately. Both professionals can work to ensure the mother understands the rationale for
the action and the possiЬle consequences of refusal. The woman herself is the decision maker,
unless incapacitated. Documentation should occur Ьut is not the first action. This situation
does not rise to the level of an ethical issue so there is no reason to call the ethics committee.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 18 OBJ: Nursing Process: Implementation
MSC: Client Needs: Safe and Effective Care Environment
11. Which statement is true regarding the “quality assurance” or “incident” report?
a. The report assures the legal department that no proЬlem exists.
Ь. Reports are a permanent part of the patient’s chart.
c. The nurse’s notes should contain, “Incident report filed, and copy placed in chart.”
d. This report is a form of documentation of an event that may result in legal action.
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
patient fall or medication error. It warns the legal department that there may Ьe a proЬlem in a
particular patient’s care. Incident reports are not part of the patient’s chart; thus the nurses’
notes should not contain any reference to them.
PTS: 1 DIF: Cognitive Level: Knowledge/RememЬering
REF: p. 18 OBJ: Integrated Process: Communication and Documentation
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