,TEST BANK FOR MATERNAL CHILD NURSING
5TH EDITION BY MCKINNEY
Chapter 01: Foundations of Maternity, Women’s Health,
and Child Health NursingMcKinney: Evolve Resources for
Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
• Which factor significantly contributed to the shift from home
births to hospital births inthe early 20th century?
• Puerperal sepsis was identified as a risk factor in labor and delivery.
• Forceps were developed to facilitate difficult births.
• The importance of early parental-infant contact was identified.
• Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay
midwives. So in-hospital births increased in order to take advantage
of these advancements. Puerperal sepsis has been a known problem
for generations. In the late 19th century, Semmelweis discovered
how it couldbe prevented with improved hygienic practices. The
development of forceps is an example of a technology advance
made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding
between parents and their infants.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
1 OBJ: Integrated
Process: Teaching-Learning MSC: Client
Needs: Safe and Effective Care
Environment
• Family-centered maternity care developed in response to
• demands by physicians for family involvement in childbirth.
• the Sheppard-Towner Act of 1921.
• parental requests that infants be allowed to
remain with them rather than ina nursery.
• changes in pharmacologic management of labor.
, ANS: C
As research began to identify the benefits of early extended
parent-infant contact, parents began to insist that the infant
remain with them. This gradually developed into the practiceof
rooming-in and finally to family-centered maternity care.
Family-centered care was a request by parents, not physicians.
The Sheppard-Towner Act of 1921 provided funds for state-
managed programs for mothers and children. The changes in
pharmacologic management of labor were not a factor in
family-centered maternity care.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
2 OBJ: Integrated
Process: Teaching-Learning MSC: Client
Needs: Psychosocial Integrity
• Which setting for childbirth allows the least amount of parent-infant
contact?
• Labor/delivery/recovery/postpartum room
• Birth center
• Traditional hospital birth
• Home birth
.
ANS: C
In the traditional hospital setting, the mother may see the infant for
only short feeding periods, and the infant is cared for in a separate
nursery. The labor/delivery/recovery/postpartum roomsetting allows
increased parent-infant contact. Birth centers are set up to allow an
increase in parent-infant contact. Home births allow an increase in
parent-infant contact.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
2 OBJ: Nursing
Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
• As a result of changes in health care delivery and funding,
a current trend seen in thepediatric setting is
• increased hospitalization of children.
• decreased number of children living in poverty.
• an increase in ambulatory care.
• decreased use of managed care.
ANS: C
, One effect of managed care has been that pediatric health care
delivery has shifted dramatically from the acute care setting to
the ambulatory setting in order to provide morecost-efficient
care. The number of hospital beds being used has decreased as
more care is given in outclient settings and in the home. The
number of children living in poverty has increased over the past
decade. One of the biggest changes in health care has been the
growth of managed care.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
5 OBJ: Nursing
Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
• The Women, Infants, and Children (WIC) program provides
• well-child examinations for infants and children living at the poverty
level.
• immunizations for high-risk infants and children.
• screening for infants with developmental disorders.
• supplemental food supplies to low-income pregnant or breastfeeding
women.
ANS: D
WIC is a federal program that provides supplemental food supplies
to low-income women who are pregnant or breastfeeding and to
their children until age 5 years. Medicaid’s Early and Periodic
Screening, Diagnosis, and Treatment Program provides for well-
child examinations and for treatment of any medical problems
diagnosed during such checkups. Children in the WIC program are
often referred for immunizations, but that is not the primaryfocus
of the program. Public Law 99-457 is part of the Individuals with
Disabilities Education Act that provides financial incentives to
states to establish comprehensive early intervention services for
infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: ComprehensionOBJ: Integrated
Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
REF: p. 8
• In most states, adolescents who are not emancipated minors
must have the permission oftheir parents before
.
5TH EDITION BY MCKINNEY
Chapter 01: Foundations of Maternity, Women’s Health,
and Child Health NursingMcKinney: Evolve Resources for
Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
• Which factor significantly contributed to the shift from home
births to hospital births inthe early 20th century?
• Puerperal sepsis was identified as a risk factor in labor and delivery.
• Forceps were developed to facilitate difficult births.
• The importance of early parental-infant contact was identified.
• Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay
midwives. So in-hospital births increased in order to take advantage
of these advancements. Puerperal sepsis has been a known problem
for generations. In the late 19th century, Semmelweis discovered
how it couldbe prevented with improved hygienic practices. The
development of forceps is an example of a technology advance
made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding
between parents and their infants.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
1 OBJ: Integrated
Process: Teaching-Learning MSC: Client
Needs: Safe and Effective Care
Environment
• Family-centered maternity care developed in response to
• demands by physicians for family involvement in childbirth.
• the Sheppard-Towner Act of 1921.
• parental requests that infants be allowed to
remain with them rather than ina nursery.
• changes in pharmacologic management of labor.
, ANS: C
As research began to identify the benefits of early extended
parent-infant contact, parents began to insist that the infant
remain with them. This gradually developed into the practiceof
rooming-in and finally to family-centered maternity care.
Family-centered care was a request by parents, not physicians.
The Sheppard-Towner Act of 1921 provided funds for state-
managed programs for mothers and children. The changes in
pharmacologic management of labor were not a factor in
family-centered maternity care.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
2 OBJ: Integrated
Process: Teaching-Learning MSC: Client
Needs: Psychosocial Integrity
• Which setting for childbirth allows the least amount of parent-infant
contact?
• Labor/delivery/recovery/postpartum room
• Birth center
• Traditional hospital birth
• Home birth
.
ANS: C
In the traditional hospital setting, the mother may see the infant for
only short feeding periods, and the infant is cared for in a separate
nursery. The labor/delivery/recovery/postpartum roomsetting allows
increased parent-infant contact. Birth centers are set up to allow an
increase in parent-infant contact. Home births allow an increase in
parent-infant contact.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
2 OBJ: Nursing
Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
• As a result of changes in health care delivery and funding,
a current trend seen in thepediatric setting is
• increased hospitalization of children.
• decreased number of children living in poverty.
• an increase in ambulatory care.
• decreased use of managed care.
ANS: C
, One effect of managed care has been that pediatric health care
delivery has shifted dramatically from the acute care setting to
the ambulatory setting in order to provide morecost-efficient
care. The number of hospital beds being used has decreased as
more care is given in outclient settings and in the home. The
number of children living in poverty has increased over the past
decade. One of the biggest changes in health care has been the
growth of managed care.
PTS: 1 DIF: Cognitive
Level: Knowledge/Remembering REF: p.
5 OBJ: Nursing
Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
• The Women, Infants, and Children (WIC) program provides
• well-child examinations for infants and children living at the poverty
level.
• immunizations for high-risk infants and children.
• screening for infants with developmental disorders.
• supplemental food supplies to low-income pregnant or breastfeeding
women.
ANS: D
WIC is a federal program that provides supplemental food supplies
to low-income women who are pregnant or breastfeeding and to
their children until age 5 years. Medicaid’s Early and Periodic
Screening, Diagnosis, and Treatment Program provides for well-
child examinations and for treatment of any medical problems
diagnosed during such checkups. Children in the WIC program are
often referred for immunizations, but that is not the primaryfocus
of the program. Public Law 99-457 is part of the Individuals with
Disabilities Education Act that provides financial incentives to
states to establish comprehensive early intervention services for
infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: ComprehensionOBJ: Integrated
Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
REF: p. 8
• In most states, adolescents who are not emancipated minors
must have the permission oftheir parents before
.
