TEST BANK FOR MATERNAL-CHILD
NURSING 5TH EDITION BY MCKINNEY
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
MULTIPLE CHOICE
1. Which factorF significantlyF contributedF toF theF shiftF fromFhomeF birthsF toF hospitalF birthsFinF
theF earlyF 20thF century?
a. PuerperalFsepsisFwasF identifiedF asF aF riskF factorFinF laborFandF delivery.
b. ForcepsF wereF developedF toF facilitateF difficultF births.
c. TheFimportanceF ofFearlyF parental-infantFcontactFwasFidentified.
d. TechnologicF developmentsF becameF availableF toF
physicians.F ANS:F D
TechnologicFdevelopmentsFwereFavailableFtoF physicians,FnotFlayF midwives.F SoF in-hospitalF birthsF
increasedF inF orderF toF takeF advantageF ofF theseF advancements.F PuerperalF sepsisF hasF beenF aF knownF
problemF forF generations.F InF theF lateF 19thF century,F SemmelweisF discoveredF howF itF couldF beF
preventedF withF improvedF hygienicF practices.F TheF developmentF ofF forcepsF isF anFexampleF ofF aF
technologyF advanceF madeF inF theF earlyF 20thF centuryF butF isF notF theF onlyF reasonF birthplacesF moved.F
UnlikeF homeF births,F earlyF hospitalF birthsF hinderedF bondingF betweenF parentsF andF theirF infants.
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 1 OBJ:F IntegratedF
Process:F Teaching-LearningF MSC:F ClientF Needs:F SafeF andF EffectiveF CareF Environment
2. Family-centeredF maternityF careF developedF inF responseF to
a. demandsFbyF physiciansFforFfamilyFinvolvementF inF childbirth.
b. theF Sheppard-TownerF ActFofF 1921.
c. parentalF requestsF thatF infantsF beF allowedF toF remainFwithF themF ratherF thanF inF aF nursery.
d. changesFinFpharmacologicFmanagementFofF
labor.F ANS:F C
AsF researchF beganF toF identifyF theF benefitsF ofF earlyF extendedF parent-infantF contact,F parentsF beganF
toF insistF thatF theF infantF remainF withF them.F ThisF graduallyF developedF intoF theF practiceF ofF rooming-
inF andF finallyF toF family-centeredFmaternityF care.F Family-centeredF careF wasF aFrequestF byF parents,FnotF
physicians.F TheF Sheppard-TownerF ActF ofF 1921F providedF fundsF forF state-managedF programsF forF
mothersF andF children.F TheF changesF inF pharmacologicF managementF ofF laborF wereF notF aF factorF inF
family-centeredF maternityF care.
,TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 2 OBJ:F IntegratedF
Process:F Teaching-LearningF MSC:F ClientF Needs:F PsychosocialF Integrity
3. WhichFsettingFforFchildbirthF allowsF theFleastFamountFofFparent-infantFcontact?
a. Labor/delivery/recovery/postpartumF room
b. BirthF center
c. TraditionalF hospitalF birth
d. HomeF birth
.
ANS:F C
InF theF traditionalF hospitalF setting,F theF motherF mayF seeF theF infantF forFonlyF shortF feedingF periods,F andF
theF infantF isF caredF forF inF aF separateF nursery.F TheF labor/delivery/recovery/postpartumF roomF settingF
allowsF increasedF parent-infantF contact.F BirthF centersF areF setF upF toF allowF anF increaseF inF parent-
infantF contact.F HomeF birthsF allowF anF increaseF inF parent-infantF contact.
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 2 OBJ:FNursingFProcess:F
PlanningF MSC:F ClientF Needs:F HealthF PromotionF andF Maintenance
4. AsF aF resultF ofF changesF inF healthF careF deliveryF andF funding,F aF currentF trendF seenF inFtheF
pediatricF settingF is
a. increasedF hospitalizationF ofF children.
b. decreasedF numberF ofFchildrenFlivingF inF poverty.
c. anF increaseF inF ambulatoryF care.
d. decreasedFuseFofFmanagedF
care.F ANS:F C
OneF effectF ofFmanagedF careF hasF beenF thatF pediatricF healthF careF deliveryF hasF shiftedF dramaticallyF
fromF theF acuteF careF settingF toF theF ambulatoryF settingF inF orderF toF provideF moreF cost-efficientF
care.F TheF numberF ofF hospitalF bedsF beingF usedF hasF decreasedF asF moreF careF isF givenF inF outpatientF
settingsF andF inF theF home.F TheF numberF ofF childrenF livingF inF povertyF hasF increasedF overF theF pastF
decade.F OneF ofF theF biggestF changesF inF healthF careF hasF beenF theF growthF ofF managedF care.
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 5 OBJ:FNursingFProcess:F
PlanningF MSC:F ClientF Needs:F SafeF andF EffectiveF CareF Environment
5. TheF Women,FInfants,F andF ChildrenF(WIC)F programF provides
,TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
a. well-childFexaminationsF forFinfantsF andFchildrenF livingFatFtheF povertyF level.
b. immunizationsF forF high-riskF infantsF andF children.
c. screeningF forF infantsF withF developmentalF disorders.
d. supplementalFfoodFsuppliesFtoFlow-incomeFpregnantForFbreastfeedingF
women.F ANS:F D
WICF isF aF federalF programF thatF providesF supplementalF foodF suppliesF toF low-incomeF womenF whoF
areF pregnantF orF breastfeedingF andF toF theirF childrenF untilF ageF 5F years.F Medicaid’sF EarlyF andF
PeriodicF Screening,FDiagnosis,FandFTreatmentFProgramFprovidesFforFwell-childFexaminationsF andF forF
treatmentFofF anyF medicalF problemsF diagnosedF duringF suchF checkups.F ChildrenF inF theF WICF programF
areF oftenF referredF forF immunizations,F butF thatF isF notF theF primaryF focusF ofF theF program.F PublicF LawF
99-457F isF partF ofF theF IndividualsF withF DisabilitiesF EducationF ActF thatF providesF financialF incentivesF
toF statesF toF establishF comprehensiveF earlyF interventionF servicesF forF infantsF andF toddlersF with,F orF
atF riskF for,F developmentalF disabilities.
PTS:F 1F DIF: CognitiveF Level:F ComprehensionF OBJ:F IntegratedF Process:F Teaching-
LearningF MSC:F ClientF Needs:F HealthF PromotionF andF Maintenance
REF:F p.F 8
6. InF mostF states,F adolescentsF whoF areF notF emancipatedF minorsFmustF haveF theF permissionF ofF
theirF parentsF before
.
a. treatmentFforFdrugF abuse.
b. treatmentF forF sexuallyF transmittedF diseasesF (STDs).
c. accessingF birthF control.
d. surgery.
F ANS:F D
MinorsF areF notF consideredF capableF ofF givingF informedF consent,F soF aF surgicalF procedureF wouldF
requireF consentFofF theF parentF orF guardian.F ExceptionsF existF forF obtainingF treatmentF forF drugF abuseF
orF STDsF orF forF gettingF birthF controlF inF mostF states.
, TEST BANK FOR MATERNAL-CHILD NURSING 5TH EDITION BY MCKINNEY
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 17 OBJ:FNursingFProcess:F
PlanningF MSC:F ClientF Needs:F SafeF andF EffectiveF CareF Environment
7. TheFmaternityF nurseF shouldF haveF aFclearFunderstandingF ofF theF correctF useF ofFaF clinicalF pathway.
OneF characteristicF ofF clinicalF pathwaysFisF thatF they
a. areFdevelopedF andF implementedF byF nurses.
b. areF usedF primarilyF inF theF pediatricF setting.
c. setFspecificF timeFlinesF forFsequencing Finterventions.
d. areFpartFofFtheFnursingF
process.F ANS:F C
ClinicalF pathwaysF areF standardized,F interdisciplinaryF plansF ofF careF devisedF forF patientsF withF aF
particularF healthF problem.F TheyF areF usedF toF identifyF patientF outcomes,F specifyF timeF linesF toF
achieveF thoseF outcomes,FdirectFappropriateFinterventionsFandFsequencingFofFinterventions,FincludeF
interventionsFfromF aF varietyF ofF disciplines,F promoteF collaboration,F andF involveF aF comprehensiveF
approachF toF care.F TheyF areF developedF byF multipleF healthF careF professionalsF andF reflectF
interdisciplinaryF care.F TheyF canF beF usedF inF multipleF settingsF andF forF patientsF throughoutF theF lifeF
span.F TheyF areF notF partF ofF theF nursingF processF butF canF beF usedF inF conjunctionF withF theF nursingF
processF toF provideF careF toF patients.
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 7 OBJ:FNursingFProcess:F
PlanningF MSC:F ClientF Needs:F SafeF andF EffectiveF CareF Environment
8. TheFfastestFgrowingF groupF ofF homelessF peopleFis
a. menF andFwomenF preparingF forF retirement.
b. migrantFworkers.
c. singleF womenF andF theirF children.
d. intravenousF (IV)F substanceF
abusers.F ANS:F C
PregnancyF andF birth,F especiallyF forF aF teenager,F areF importantF contributingF factorsF forF becomingF
homeless.FPeopleFpreparingF forF retirement,FmigrantF workers,F andF IVF substanceF abusersF areF notF
amongF theF fastestF growingF groupsF ofF homelessF people.
PTS:F 1F DIF: CognitiveF Level:F Knowledge/RememberingF REF:F p.F 14 OBJ:FNursingF
Process:F Assessment
MSC:F ClientF Needs:F PhysiologicF Integrity