Stuvia.com - The Marketplace to Buy and Sell your Study
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Material
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
ss ss ss ss ss ss ss ss ss ss ss
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
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1. The opening up of hospital visiting policies for children and families
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likely resultedfrom the work of which individual?
ss ss ss ss ss ss ss
A. Joseph Brennaman ss
B. John Bowlby ss
C. Marshal Klaus ss
D. John Kennell ss
ss Answer: B ss
Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother because of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
ss ss ss ss ss ss ss ss ss ss ss ss ss
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
They established that early separation may have long-term effects on family relationships and
ss ss ss ss ss ss ss ss ss ss ss ss
that offering the new family an opportunity to be together at birth and for a significant period
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
after birth may provide benefitsthat last well into early childhood.
ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice s s s s ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Remember
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Nursing Process
ss ss ss ss
Reference: p. 4 ss ss
2. An expectant mother states that she read that more black mothers die in childbirth than do
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
white mothers. When responding to her questions about the reasons for this, the nurse
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
accurately states that which is the major reason for the high maternal mortality rate?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
A. Having formal education. ss ss
B. Being unmarried. ss
C. Income.
D. Lack of prenatal care. ss ss ss
Answer: D ss
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
secondary to lack of access to services or insurance. Income as well as educational level may
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
play a role in the availability of health care, but they are not directly responsible. Being
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
unmarried has no bearing on infant mortality.
ss ss ss ss ss ss ss
Question format: Multiple Choice ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Understand
ss ss
, 5 : 1 3: 2 6
Stuvia.com - The Marketplace to B u y a n d Sell your Study
ss ss ss ss ss ss ss ss
Material
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Nursing Process
ss ss ss ss
Reference: p. 9 ss ss
3. Which statement correctly defines the term "infant death rate"?
ss ss ss ss ss ss ss ss
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
B. number of deaths occurring in the first 28 days of life per 1,000 live births
ss ss ss ss ss ss ss ss ss ss ss ss ss s
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
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D. death of a live-born child before his or her first birthday.
ss ss ss ss ss ss ss ss ss ss
Answer: D ss
Rationale: The term infant death refers to the death of a live-born child before he or she
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice
ss ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Remember
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Nursing Process
ss ss ss ss
Reference: p. 9 ss ss
4. The nursing instructor is preparing to teach a group of students about the history of maternity
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
care. What major development will the instructor emphasize as greatly influencing the practice
ss ss ss ss ss ss ss ss ss ss ss ss ss
of maternity care in the United States over the past century?
ss ss ss ss ss ss ss ss ss ss ss
A. technologic advances and the use of forceps by primary care providers ss ss ss ss ss ss ss ss ss ss
B. development of anesthesia and acceptance of the germ theory ss ss ss ss ss ss ss ss
C. advent of birthing centers and the development of family-centered care
ss ss ss ss ss ss ss ss ss
D. development of pediatric specialty and replacement of midwives as primary birth attendants ss ss ss ss ss ss ss ss ss ss ss
ss Answer: B ss
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
progress of general health care and decreased infections in laboring women. Pediatrics as a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
specialty is an important step forward but is not the greatest development, and midwives are
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
still in practice. Maternity care continues to evolve, and birthing centers are still under
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
development. Forceps are not considered an advance in maternity care.
ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice s s ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Analyze
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
, 5 : 1 3: 2 6
Stuvia.com - The Marketplace to B u y a n d Sell your Study
ss ss ss ss ss ss ss ss
Material
Integrated Process: Teaching/Learning ss ss
Reference: p. 3
ss ss ss
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
during the surgery has greatly improved client survival rates and was started by which
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
physician?
ss
A. Louis Pasteur ss
B. Ignaz Philip Semmelweis ss ss
C. Joseph Lister ss
D. Alexander Gordon ss
ss Answer: C ss
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
ss ss ss ss ss ss ss ss ss ss ss ss
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
ss ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Apply
ss ss
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
ss ss ss ss ss ss ss ss ss ss ss
Nursing Process
ss ss
Reference: p. 4 ss ss
6. A young couple are very excited to learn they are expecting their first child and question
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the nurse about which test they need to discover its gender. Which procedure will best provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
this information to the couple?
ss ss ss ss ss
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling ss ss
D. HGP
Answer: A ss
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
ss ss ss ss ss ss ss ss ss ss ss ss
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
information regarding gene mutations and variations.
ss ss ss ss ss ss
Question format: Multiple Choice ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Apply
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Caring
ss ss ss
Reference: p. 6 ss ss
ss ss ss ss ss ss ss ss ss
Material
, Stuvia.com - The Marketplace to Buy and Sell your Study ss ss ss ss ss ss ss ss ss
Material
Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
ss ss ss ss ss ss ss ss ss ss ss
Hatfield: Introductory Maternity and Pediatric Nursing, 5th Edition
ss ss ss ss ss ss ss ss
1. The opening up of hospital visiting policies for children and families
ss ss ss ss ss ss ss ss ss ss
likely resultedfrom the work of which individual?
ss ss ss ss ss ss ss
A. Joseph Brennaman ss
B. John Bowlby ss
C. Marshal Klaus ss
D. John Kennell ss
ss Answer: B ss
Rationale: In 1951, John Bowlby received worldwide attention with his
ss ss s s ss ss s s ss s s s s
study that revealed the negative results of the separation of child and mother because of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
ss ss ss ss ss ss ss ss ss ss ss ss ss
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
They established that early separation may have long-term effects on family relationships and
ss ss ss ss ss ss ss ss ss ss ss ss
that offering the new family an opportunity to be together at birth and for a significant period
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
after birth may provide benefitsthat last well into early childhood.
ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice s s s s ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Remember
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Nursing Process
ss ss ss ss
Reference: p. 4 ss ss
2. An expectant mother states that she read that more black mothers die in childbirth than do
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
white mothers. When responding to her questions about the reasons for this, the nurse
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
accurately states that which is the major reason for the high maternal mortality rate?
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
A. Having formal education. ss ss
B. Being unmarried. ss
C. Income.
D. Lack of prenatal care. ss ss ss
Answer: D ss
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
secondary to lack of access to services or insurance. Income as well as educational level may
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
play a role in the availability of health care, but they are not directly responsible. Being
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
unmarried has no bearing on infant mortality.
ss ss ss ss ss ss ss
Question format: Multiple Choice ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Understand
ss ss
, 5 : 1 3: 2 6
Stuvia.com - The Marketplace to B u y a n d Sell your Study
ss ss ss ss ss ss ss ss
Material
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Nursing Process
ss ss ss ss
Reference: p. 9 ss ss
3. Which statement correctly defines the term "infant death rate"?
ss ss ss ss ss ss ss ss
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
B. number of deaths occurring in the first 28 days of life per 1,000 live births
ss ss ss ss ss ss ss ss ss ss ss ss ss s
C. number of deaths occurring at birth or in the first 12 months of life per1,000 live births
ss ss ss ss ss ss ss ss ss ss ss ss ss ss s ss ss
D. death of a live-born child before his or her first birthday.
ss ss ss ss ss ss ss ss ss ss
Answer: D ss
Rationale: The term infant death refers to the death of a live-born child before he or she
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice
ss ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Remember
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Nursing Process
ss ss ss ss
Reference: p. 9 ss ss
4. The nursing instructor is preparing to teach a group of students about the history of maternity
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
care. What major development will the instructor emphasize as greatly influencing the practice
ss ss ss ss ss ss ss ss ss ss ss ss ss
of maternity care in the United States over the past century?
ss ss ss ss ss ss ss ss ss ss ss
A. technologic advances and the use of forceps by primary care providers ss ss ss ss ss ss ss ss ss ss
B. development of anesthesia and acceptance of the germ theory ss ss ss ss ss ss ss ss
C. advent of birthing centers and the development of family-centered care
ss ss ss ss ss ss ss ss ss
D. development of pediatric specialty and replacement of midwives as primary birth attendants ss ss ss ss ss ss ss ss ss ss ss
ss Answer: B ss
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
anesthesia allowed women a choice for pain management in birth; the germ theory advanced the
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
progress of general health care and decreased infections in laboring women. Pediatrics as a
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
specialty is an important step forward but is not the greatest development, and midwives are
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
still in practice. Maternity care continues to evolve, and birthing centers are still under
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
development. Forceps are not considered an advance in maternity care.
ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice s s ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Analyze
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
, 5 : 1 3: 2 6
Stuvia.com - The Marketplace to B u y a n d Sell your Study
ss ss ss ss ss ss ss ss
Material
Integrated Process: Teaching/Learning ss ss
Reference: p. 3
ss ss ss
5. When preparing a client for surgery, the nurse explains that the use of an antiseptic
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
during the surgery has greatly improved client survival rates and was started by which
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
physician?
ss
A. Louis Pasteur ss
B. Ignaz Philip Semmelweis ss ss
C. Joseph Lister ss
D. Alexander Gordon ss
ss Answer: C ss
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of
ss ss ss ss ss ss ss ss ss ss ss ss
microorganisms as the cause of infection. Lister used carbolic acid as an antiseptic during
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
infection. Oliver Wendell Holmes and Ignaz Philip Semmelweis confirmed his theory.
ss ss ss ss ss ss ss ss ss ss ss
Question format: Multiple Choice ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Apply
ss ss
Client Needs: Safe, Effective Care Environment: Safety and Infection Control Integrated Process:
ss ss ss ss ss ss ss ss ss ss ss
Nursing Process
ss ss
Reference: p. 4 ss ss
6. A young couple are very excited to learn they are expecting their first child and question
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
the nurse about which test they need to discover its gender. Which procedure will best provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
this information to the couple?
ss ss ss ss ss
A. Ultrasound
B. Amniocentesis
C. Chorionic villus sampling ss ss
D. HGP
Answer: A ss
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and will provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
information about the gender. Amniocentesis and chorionic villus sampling provide the entire
ss ss ss ss ss ss ss ss ss ss ss ss
genetic code of the fetus. HGP refers to the Human Genome Project, which can provide
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
information regarding gene mutations and variations.
ss ss ss ss ss ss
Question format: Multiple Choice ss ss ss
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
ss ss ss ss ss ss ss ss ss ss ss ss
Level: Apply
ss ss
Client Needs: Health Promotion and Maintenance
ss ss ss ss ss
Integrated Process: Caring
ss ss ss
Reference: p. 6 ss ss
