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