MATERNAL CHILD NURSING 5TH EDITION BY MCKINNEY COMPLETE QUESTIONS AND ANSWERS

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Chap�er 01: Founda�ions of Ma�erni�y, Women’s Heal�h, and Child Heal�h Nursi
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ngMcKinney: Evolve Resources for Ma�ernal-Child Nursing, 5�h Edi�ion
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MULTIPLE CHOICE m




1. Which fac�or significan�ly con�ribu�ed �o �he shif� from home bir�hs �o hospi�al bir�
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hs in �heearly 20�h cen�ury?
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a. Puerperal sepsis was iden�ified as a risk fac�or in labor and delivery. m m m m m m m m m m m




b. Forceps were developed �o facili�a�e difficul� bir�hs. m m m m m m




c. The impor�ance of early paren�al-infan� con�ac� was iden�ified.
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d. Technologic developmen�s became available �o physicians. m m m m m




ANS: D m




Technologic developmen�s were available �o physicians, no� lay midwives. So in- m m m m m m m m m m




hospi�al bir�hs increased in order �o �ake advan�age of �hese advancemen�s. Puerperal sepsi
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s has been aknown problem for genera�ions. In �he la�e 19�h cen�ury, Semmelweis discovered
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how i� couldbe preven�ed wi�h improved hygienic prac�ices. The developmen� of forceps is an
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example of a �echnology advance made in �he early 20�h cen�ury bu� is no� �he only reason bi
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r�hplaces moved. Unlike home bir�hs, early hospi�al bir�hs hindered bonding be�ween paren m m m m m m m m m m m




�s and �heir infan�s.m m m




PTS: 1 DIF: mmm




Cogni�ive Level: Knowledge/RememberingREF: m m m mmm




p. 1 m OBJ: In�egra�ed Process: Teaching- m m m




Learning MSC: Clien� Needs: Safe and Effec�ive Care Environmen� m m m m m m m m




2. Family-cen�ered ma�erni�y care developed in response �o m m m m m m




a. demands by physicians for family involvemen� in childbir�h. m m m m m m m




b. �he Sheppard-Towner Ac� of 1921. m m m m




c. paren�al reques�s �ha� infan�s be allowed �o remain wi�h �hem ra�her �ha m m m m m m m m m m m




n in a m m




nursery.
d. changes in pharmacologic managemen� of labor. m m m m m




ANS: C m




As research began �o iden�ify �he benefi�s of early ex�ended paren�-
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infan� con�ac�, paren�s began �o insis� �ha� �he infan� remain wi�h �hem. This graduall
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y developed in�o �he prac�ice ofrooming-in and finally �o family-
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cen�ered ma�erni�y care. Family- m m m




cen�ered care was a reques�by paren�s, no� physicians. The Sheppard- m m m m m m m m m m




Towner Ac� of 1921 provided funds for m m m m m m




s�a�e-
managed programs for mo�hers and children. The changes in pharmacologicmanagem m m m m m m m m m




men� of labor were no� a fac�or in family-cen�ered ma�erni�y care.
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PTS: 1 DIF: mmm




Cogni�ive Level: Knowledge/RememberingREF: m m m mmm




p. 2 m OBJ: In�egra�ed Process: Teaching- m m m




Learning MSC: Clien� Needs: Psychosocial In�egri�y m m m m m




3. Which se��ing for childbir�h allows �he leas� amoun� of paren�-infan� con�ac�?
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a. Labor/delivery/recovery/pos�par�um room m

,TESTBANK FOR Ma�ernal-Child Nursing, 5�h Edi�ion 2022

b. Bir�h cen�er
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c. Tradi�ional hospi�al bir�h
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d. Home bir�h
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ANS: C m




In �he �radi�ional hospi�al se��ing, �he mo�her may see �he infan� for only shor� feeding
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periods,and �he infan� is cared for in a separa�e nursery. The labor/delivery/recovery/pos�par�
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um roomse��ing allows increased paren�-
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infan� con�ac�. Bir�h cen�ers are se� up �o allow an increase in paren�-
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infan� con�ac�. Home bir�hs allow an increase in paren�-infan� con�ac�.
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PTS: 1 DIF: mmm




Cogni�ive Level: Knowledge/RememberingREF: m m m mmm




p. 2 m OBJ: Nursing Process: Planning m m m




MSC: Clien� Needs: Heal�h Promo�ion and Main�enance
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4. As a resul� of changes in heal�h care delivery and funding, a curren� �rend seen in �he pedia�ric
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se��ing is m




a. increased hospi�aliza�ion of children. m m m




b. decreased number of children living in pover�y. m m m m m m




c. an increase in ambula�ory care. m m m m




d. decreased use of managed care. m m m m




ANS: C m




One effec� of managed care has been �ha� pedia�ric heal�h care delivery has shif�ed drama�i
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cally from �he acu�e care se��ing �o �he ambula�ory se��ing in order �o provide more cos
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�-
efficien� care. The number of hospi�al beds being used has decreased as more care is given in ou�
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pa�ien� se��ings and in �he home. The number of children living in pover�y has increased ove
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r �he pas� decade. One of �he bigges� changes in heal�h care has been �he grow�hof managed
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care.

PTS: 1 DIF: mmm




Cogni�ive Level: Knowledge/RememberingREF: m m m mmm




p. 5 m OBJ: Nursing Process: Planning m m m




MSC: Clien� Needs: Safe and Effec�ive Care Environmen�
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5. The Women, Infan�s, and Children (WIC) program provides
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a. well-child examina�ions for infan�s and children living a� �he pover�y level. m m m m m m m m m m




b. immuniza�ions for high-risk infan�s and children. m m m m m




c. screening for infan�s wi�h developmen�al disorders. m m m m m




d. supplemen�al food supplies �o low-income pregnan� or breas�feeding women. m m m m m m m m




ANS: D m




WIC is a federal program �ha� provides supplemen�al food supplies �o low-
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income women who are pregnan� or breas�feeding and �o �heir children un�il age 5 years. Medi
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caid’s Early and Periodic Screening, Diagnosis, and Trea�men� Program provides for well-
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child examina�ions and for �rea�men� of any medical problems diagnosed during such checkup
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s. Children in �he WIC program are of�en referred for immuniza�ions, bu� �ha� is no� �he pri
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maryfocus of �he program. Public Law 99-
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457 is par� of �he Individuals wi�h Disabili�ies Educa�ionAc� �ha� provides financial incen
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�ives �o s�a�es �o es�ablish comprehensive early in�erven�ion services for infan�s and �od
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dlers wi�h, or a� risk for, developmen�al disabili�ies.
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PTS: 1 DIF: Cogni�ive Level: Comprehension
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REF: p. 8OBJ: In�egra�ed Process: Teaching-Learning m m m m m m




MSC: Clien� Needs: Heal�h Promo�ion and Main�enance
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6. In mos� s�a�es, adolescen�s who are no� emancipa�ed minors mus� have �he permission of
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�heirparen�s before
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