Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
Which factor significantly contributed to the shift from home births to hospital births in the
T T T T T T T T T T T T T T
early 20th century?
T T
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
T T T T T T T T T T T
b. Forceps were developed to facilitate difficult births.
T T T T T T
c. The importance of early parental-infant contact was identified.
T T T T T T T
d. Technologic developments became available to physicians.
T T T T T
ANS: D T
Technologic developments were available to physicians, not lay midwives. So in-hospital
T T T T T T T T T T T
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
T T T T T T T T T T T T T T T
known problem for generations. In the late 19th century, Semmelweis discovered how it could
T T T T T T T T T T T T T T
be prevented with improved hygienic practices. The development of forceps is an example of a
T T T T T T T T T T T T T T T
technology advance made in the early 20th century but is not the only reason birthplaces
T T T T T T T T T T T T T T T
moved. Unlike home births, early hospital births hindered bonding between parents and their
T T T T T T T T T T T T T
infants.
PTS: 1 T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 1TTT OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
T T T T T T T T T T T T T T T
nurse administers an analgesic but does not perform any assessments. The woman then has a
T T T T T T T T T T T T T T T
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
T T T T T T T T T T T T T T T T
nurse be interpreted in relation to standards of care?
T T T T T T T T
a. Negligent: the nurse failed to assess the woman for possible complications
T T T T T T T T T T
b. Negligent: because the nurse medicated the woman
T T T T T T
c. Not negligent: the woman had signed a waiver concerning the use of side rails
T T T T T T T T T T T T T
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
T T T T T T T T T T T T T T
they occurred T
ANS: A T
TestBankWorld.org
, There are four elements to malpractice, which is negligence in the performance of
T T T T T T T T T T T T T
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
T T T T T T T T T T T T T
negligent because she or he did not perform any assessments, which is the first step of the
T T T T T T T T T T T T T T T T T
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
T T T T T T T T T T T T T T T T T T
established standards of care, and thus is guilty of professional negligence, or malpractice.
T T T T T T T T T T T T
PTS: 1 T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 16 TTT OBJ: Nursing Process: Evaluation
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
Which patient situation fails to meet the first requirement of informed consent?
T T T T T T T T T T T
a. The patient does not understand the physician’s explanations.
T T T T T T T
b. The physician gives the patient only a partial list of possible side effects and
T T T T T T T T T T T T T
complications.
c. The patient is confused and disoriented.
T T T T T
d. The patient signs a consent form because her husband tells her to.
T T T T T T T T T T T
ANS: C T
The first requirement of informed consent is that the patient must be competent to make
T T T T T T T T T T T T T T T
decisions about health care. Full disclosure of information is an important element of the
T T T T T T T T T T T T T T
consent, but first the patient has to be competent to sign. Understanding is an important
T T T T T T T T T T T T T T T
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
T T T T T T T T T T T T T T T T T
an important element of the consent, but first the patient has to be competent to sign.
T T T T T T T T T T T T T T T
PTS: 1 T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 17 TTT OBJ: Nursing Process: Assessment
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
Which situation reflects a potential ethical dilemma for the nurse?
T T T T T T T T T
a. A nurse administers analgesics to a patient with cancer as often as the provider’s
T T T T T T T T T T T T T
order allows. T
b. A neonatal nurse provides nourishment and care to a newborn who has a defect
T T T T T T T T T T T T T
that is incompatible with life.
T T T T
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
T T T T T T T T T T T T T
abortion.
d. A postpartum nurse provides information about adoption to a new mother who
T T T T T T T T T T T
feels she cannot adequately care for her infant.
T T T T T T T
ANS: C T
A dilemma exists in this situation because the nurse is being asked to assist with a procedure
T T T T T T T T T T T T T T T T T
that she or he believes is morally wrong. The other situations do not contain elements of
T T T T T T T T T T T T T T T T
conflict for the nurse. T T T
PTS: 1 T TT DIF: Cognitive Level: Comprehension/Understanding T T T
REF: p. 11 TTT OBJ: Nursing Process: Assessment
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
When planning a parenting class, the nurse should explain that the leading cause of death in
T T T T T T T T T T T T T T T T
children 1 to 4 years of age in the United States is
T T T T T T T T T T T
a. premature birth. T
b. congenital anomalies. T
TestBankWorld.org
c. accidental death. T
d. respiratory tract illness. T T
ANS: C T
,TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
T T T T T T T T T T T T T T
death for children aged 1 to 19. The other options contribute to morbidity and mortality in
T T T T T T T T T T T T T T T T
children but are not the leading cause.
T T T T T T
PTS: 1T TT DIF: Cognitive Level: Knowledge/Remembering T T
REF: p. 10 | Table 1.3
TTT T T T OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
Family-centered maternity care developed in response to T T T T T T
a. demands by physicians for family involvement in childbirth.
T T T T T T T
b. the Sheppard-Towner Act of 1921.
T T T T
c. parental requests that infants be allowed to remain with them rather than in a
T T T T T T T T T T T T T
nursery.
d. changes in pharmacologic management of labor.
T T T T T
ANS: C T
As research began to identify the benefits of early extended parent-infant contact, parents
T T T T T T T T T T T T T
began to insist that the infant remain with them. This gradually developed into the practice of
T T T T T T T T T T T T T T T T
rooming-in and finally to family-centered maternity care. Family-centered care was a request
T T T T T T T T T T T T
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
T T T T T T T T T T T
state-managed programs for mothers and children. The changes in pharmacologic
T T T T T T T T T T
management of labor were not a factor in family-centered maternity care.
T T T T T T T T T T
PTS: 1T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 2
TTT OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Psychosocial Integrity
T T T T
Which setting for childbirth allows the least amount of parent-infant contact?
T T T T T T T T T T
a. Labor/delivery/recovery/postpartum room T
b. Birth center T
c. Traditional hospital birth T T
d. Home birth T
TestBankWorld.org
TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
, TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
ANS: C T
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
T T T T T T T T T T T T T T T T
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
T T T T T T T T T T T T T
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
T T T T T T T T T T T T T T T
parent-infant contact. Home births allow an increase in parent-infant contact.
T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T TT T T T
REF: p. 2 OBJ: Nursing Process: Planning
TTT T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
As a result of changes in health care delivery and funding, a current trend seen in the pediatric
T T T T T T T T T T T T T T T T T T
setting is T
a. increased hospitalization of children. T T T
b. decreased number of children living in poverty. T T T T T T
c. an increase in ambulatory care.
T T T T
d. decreased use of managed care. T T T T
ANS: C T
One effect of managed care has been that pediatric health care delivery has shifted
T T T T T T T T T T T T T T
dramatically from the acute care setting to the ambulatory setting in order to provide more
T T T T T T T T T T T T T T T
cost-efficient care. The number of hospital beds being used has decreased as more care is
T T T T T T T T T T T T T T T
given in outpatient settings and in the home. The number of children living in poverty has
T T T T T T T T T T T T T T T T
increased over the past decade. One of the biggest changes in health care has been the growth
T T T T T T T T T T T T T T T T T
of managed care.
T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T TT T T T
REF: p. 5 OBJ: Nursing Process: Planning
TTT T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
The Women, Infants, and Children (WIC) program provides
T T T T T T T
a. well-child examinations for infants and children living at the poverty level.
T T T T T T T T T T
b. immunizations for high-risk infants and children. T T T T T
c. screening for infants with developmental disorders. T T T T T
d. supplemental food supplies to low-income pregnant or breastfeeding women. T T T T T T T T
ANS: D T
WIC is a federal program that provides supplemental food supplies to low-income women
T T T T T T T T T T T T T
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and
T T T T T T T T T T T T T T T T
Periodic Screening, Diagnosis, and Treatment Program provides for well-child examinations
T T T T T T T T T T
and for treatment of any medical problems diagnosed during such checkups. Children in the
T T T T T T T T T T T T T T
WIC program are often referred for immunizations, but that is not the primaryfocus of the
T T T T T T T T T T T T T T T T
program. Public Law 99-457 is part of the Individuals with Disabilities EducationAct that
T T T T T T T T T T T T T T
TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
Which factor significantly contributed to the shift from home births to hospital births in the
T T T T T T T T T T T T T T
early 20th century?
T T
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
T T T T T T T T T T T
b. Forceps were developed to facilitate difficult births.
T T T T T T
c. The importance of early parental-infant contact was identified.
T T T T T T T
d. Technologic developments became available to physicians.
T T T T T
ANS: D T
Technologic developments were available to physicians, not lay midwives. So in-hospital
T T T T T T T T T T T
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
T T T T T T T T T T T T T T T
known problem for generations. In the late 19th century, Semmelweis discovered how it could
T T T T T T T T T T T T T T
be prevented with improved hygienic practices. The development of forceps is an example of a
T T T T T T T T T T T T T T T
technology advance made in the early 20th century but is not the only reason birthplaces
T T T T T T T T T T T T T T T
moved. Unlike home births, early hospital births hindered bonding between parents and their
T T T T T T T T T T T T T
infants.
PTS: 1 T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 1TTT OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
T T T T T T T T T T T T T T T
nurse administers an analgesic but does not perform any assessments. The woman then has a
T T T T T T T T T T T T T T T
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
T T T T T T T T T T T T T T T T
nurse be interpreted in relation to standards of care?
T T T T T T T T
a. Negligent: the nurse failed to assess the woman for possible complications
T T T T T T T T T T
b. Negligent: because the nurse medicated the woman
T T T T T T
c. Not negligent: the woman had signed a waiver concerning the use of side rails
T T T T T T T T T T T T T
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
T T T T T T T T T T T T T T
they occurred T
ANS: A T
TestBankWorld.org
, There are four elements to malpractice, which is negligence in the performance of
T T T T T T T T T T T T T
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
T T T T T T T T T T T T T
negligent because she or he did not perform any assessments, which is the first step of the
T T T T T T T T T T T T T T T T T
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
T T T T T T T T T T T T T T T T T T
established standards of care, and thus is guilty of professional negligence, or malpractice.
T T T T T T T T T T T T
PTS: 1 T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 16 TTT OBJ: Nursing Process: Evaluation
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
Which patient situation fails to meet the first requirement of informed consent?
T T T T T T T T T T T
a. The patient does not understand the physician’s explanations.
T T T T T T T
b. The physician gives the patient only a partial list of possible side effects and
T T T T T T T T T T T T T
complications.
c. The patient is confused and disoriented.
T T T T T
d. The patient signs a consent form because her husband tells her to.
T T T T T T T T T T T
ANS: C T
The first requirement of informed consent is that the patient must be competent to make
T T T T T T T T T T T T T T T
decisions about health care. Full disclosure of information is an important element of the
T T T T T T T T T T T T T T
consent, but first the patient has to be competent to sign. Understanding is an important
T T T T T T T T T T T T T T T
element of the consent, but first the patient has to be competent to sign. Voluntary consent is
T T T T T T T T T T T T T T T T T
an important element of the consent, but first the patient has to be competent to sign.
T T T T T T T T T T T T T T T
PTS: 1 T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 17 TTT OBJ: Nursing Process: Assessment
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
Which situation reflects a potential ethical dilemma for the nurse?
T T T T T T T T T
a. A nurse administers analgesics to a patient with cancer as often as the provider’s
T T T T T T T T T T T T T
order allows. T
b. A neonatal nurse provides nourishment and care to a newborn who has a defect
T T T T T T T T T T T T T
that is incompatible with life.
T T T T
c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective
T T T T T T T T T T T T T
abortion.
d. A postpartum nurse provides information about adoption to a new mother who
T T T T T T T T T T T
feels she cannot adequately care for her infant.
T T T T T T T
ANS: C T
A dilemma exists in this situation because the nurse is being asked to assist with a procedure
T T T T T T T T T T T T T T T T T
that she or he believes is morally wrong. The other situations do not contain elements of
T T T T T T T T T T T T T T T T
conflict for the nurse. T T T
PTS: 1 T TT DIF: Cognitive Level: Comprehension/Understanding T T T
REF: p. 11 TTT OBJ: Nursing Process: Assessment
T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
When planning a parenting class, the nurse should explain that the leading cause of death in
T T T T T T T T T T T T T T T T
children 1 to 4 years of age in the United States is
T T T T T T T T T T T
a. premature birth. T
b. congenital anomalies. T
TestBankWorld.org
c. accidental death. T
d. respiratory tract illness. T T
ANS: C T
,TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
Although the rates have dropped, unintentional injury (accidents) are still the leading cause of
T T T T T T T T T T T T T T
death for children aged 1 to 19. The other options contribute to morbidity and mortality in
T T T T T T T T T T T T T T T T
children but are not the leading cause.
T T T T T T
PTS: 1T TT DIF: Cognitive Level: Knowledge/Remembering T T
REF: p. 10 | Table 1.3
TTT T T T OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
Family-centered maternity care developed in response to T T T T T T
a. demands by physicians for family involvement in childbirth.
T T T T T T T
b. the Sheppard-Towner Act of 1921.
T T T T
c. parental requests that infants be allowed to remain with them rather than in a
T T T T T T T T T T T T T
nursery.
d. changes in pharmacologic management of labor.
T T T T T
ANS: C T
As research began to identify the benefits of early extended parent-infant contact, parents
T T T T T T T T T T T T T
began to insist that the infant remain with them. This gradually developed into the practice of
T T T T T T T T T T T T T T T T
rooming-in and finally to family-centered maternity care. Family-centered care was a request
T T T T T T T T T T T T
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
T T T T T T T T T T T
state-managed programs for mothers and children. The changes in pharmacologic
T T T T T T T T T T
management of labor were not a factor in family-centered maternity care.
T T T T T T T T T T
PTS: 1T TT DIF: Cognitive Level: Knowledge/Remembering T T T
REF: p. 2
TTT OBJ: Integrated Process: Teaching-Learning
T T T T T
MSC: Client Needs: Psychosocial Integrity
T T T T
Which setting for childbirth allows the least amount of parent-infant contact?
T T T T T T T T T T
a. Labor/delivery/recovery/postpartum room T
b. Birth center T
c. Traditional hospital birth T T
d. Home birth T
TestBankWorld.org
TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
, TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
ANS: C T
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
T T T T T T T T T T T T T T T T
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
T T T T T T T T T T T T T
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
T T T T T T T T T T T T T T T
parent-infant contact. Home births allow an increase in parent-infant contact.
T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T TT T T T
REF: p. 2 OBJ: Nursing Process: Planning
TTT T T T T
MSC: Client Needs: Health Promotion and Maintenance
T T T T T T
As a result of changes in health care delivery and funding, a current trend seen in the pediatric
T T T T T T T T T T T T T T T T T T
setting is T
a. increased hospitalization of children. T T T
b. decreased number of children living in poverty. T T T T T T
c. an increase in ambulatory care.
T T T T
d. decreased use of managed care. T T T T
ANS: C T
One effect of managed care has been that pediatric health care delivery has shifted
T T T T T T T T T T T T T T
dramatically from the acute care setting to the ambulatory setting in order to provide more
T T T T T T T T T T T T T T T
cost-efficient care. The number of hospital beds being used has decreased as more care is
T T T T T T T T T T T T T T T
given in outpatient settings and in the home. The number of children living in poverty has
T T T T T T T T T T T T T T T T
increased over the past decade. One of the biggest changes in health care has been the growth
T T T T T T T T T T T T T T T T T
of managed care.
T T
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
T TT T T T
REF: p. 5 OBJ: Nursing Process: Planning
TTT T T T T
MSC: Client Needs: Safe and Effective Care Environment
T T T T T T T
The Women, Infants, and Children (WIC) program provides
T T T T T T T
a. well-child examinations for infants and children living at the poverty level.
T T T T T T T T T T
b. immunizations for high-risk infants and children. T T T T T
c. screening for infants with developmental disorders. T T T T T
d. supplemental food supplies to low-income pregnant or breastfeeding women. T T T T T T T T
ANS: D T
WIC is a federal program that provides supplemental food supplies to low-income women
T T T T T T T T T T T T T
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid’s Early and
T T T T T T T T T T T T T T T T
Periodic Screening, Diagnosis, and Treatment Program provides for well-child examinations
T T T T T T T T T T
and for treatment of any medical problems diagnosed during such checkups. Children in the
T T T T T T T T T T T T T T
WIC program are often referred for immunizations, but that is not the primaryfocus of the
T T T T T T T T T T T T T T T T
program. Public Law 99-457 is part of the Individuals with Disabilities EducationAct that
T T T T T T T T T T T T T T
TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
