TEST BANK
FOR
MATERNAL CHILD NURSING
7TH EDITION BY MCKINNEY
,Chapter i1: iFoundations iof iMaternity, iWomen’s iHealth, iand iChild iHealth
iNursingiTest iBank
MULTIPLE iCHOICE
1. Which ifactor isignificantly icontributed ito ithe ishift ifrom ihome ibirths ito ihospital ibirths iin
itheiearly i20th icentury?
a. Puerperal isepsis iwas iidentified ias ia irisk ifactor iin ilabor iand idelivery.
b. Forceps iwere ideveloped ito ifacilitate idifficult ibirths.
c. The iimportance iof iearly iparental-infant icontact iwas iidentified.
d. Technologic idevelopments ibecame iavailable ito iphysicians.
ANS: i D
Feedback
A Puerperal isepsis ihas ibeen ia iknown iproblem ifor igenerations. iIn ithe ilate i19th
century, iSemmelweis idiscovered ihow iit icould ibe iprevented iwith
iimprovedihygienic ipractices.
B The idevelopment iof iforceps ito ihelp iphysicians ifacilitate idifficult ibirths iwas ia
istrong ifactor iin ithe idecrease iof ihome ibirths iand iincrease iof ihospital ibirths.
iOtheriimportant idiscoveries iincluded ichloroform, idrugs ito iinitiate ilabor, iand
ithe
advancement iof ioperative iprocedures isuch ia icesarean ibirth.
C Unlike ihome-births, iearly ihospital ibirths ihindered ibonding ibetween iparents iand
their iinfants.
D Technological idevelopments iwere iavailable ito iphysicians, inot ilay imidwives.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip.
i2iOBJ: i Nursing iProcess: iAssessment
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
2. Family-centered imaternity icare ideveloped iin iresponse ito:
a. Demands iby iphysicians ifor ifamily iinvolvement iin ichildbirth
b. The iSheppard-Towner iAct iof i1921
c. Parental irequests ithat iinfants ibe iallowed ito iremain iwith ithem irather ithan
iin iainursery
d. Changes iin ipharmacologic imanagement iof ilabor
ANS: i C
Feedback
A Family-centered icare iwas ia irequest iby iparents, inot iphysicians.
B The iSheppard-Towner iAct iprovided ifunds ifor istate-managed iprograms ifor
mothers iand ichildren.
C As iresearch ibegan ito iidentify ithe ibenefits iof iearly iextended iparent-infant
icontact, iparents ibegan ito iinsist ithat ithe iinfant iremain iwith ithem. iThis
igradually
developed iinto ithe ipractice iof irooming-in iand ifinally ito ifamily-
centeredimaternity icare.
D The ichanges iin ipharmacologic imanagement iof ilabor iwere inot ia ifactor iin
ifamily-
, centered imaternity icare.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip. i3
OBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
3. Which isetting ifor ichildbirth iallows ithe ileast iamount iof iparent-infant icontact?
a. Labor/delivery/recovery/postpartum iroom
b. Birth icenter
c. Traditional ihospital ibirth
d. Home ibirth
ANS: i C
Feedback
A The ilabor/delivery/recovery/postpartum iroom isetting iallows iincreased
iparent-iinfant icontact.
B Birth icenters iare iset iup ito iallow ian iincrease iin iparent-infant icontact.
C In ithe itraditional ihospital isetting, ithe imother imay isee ithe iinfant ifor ionly ishort
feeding iperiods, iand ithe iinfant iis icared ifor iin ia iseparate inursery.
D Home ibirths iallow ian iincrease iin iparent-infant icontact.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip. i3
OBJ: i i i Nursing iProcess: iPlanning MSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
4. As ia iresult iof ichanges iin ihealth icare idelivery iand ifunding, ia icurrent itrend iseen iin ithe
ipediatricisetting iis:
a. Increased ihospitalization iof ichildren
b. Decreased inumber iof ichildren iliving iin ipoverty
c. An iincrease iin iambulatory icare
d. Decreased iuse iof imanaged icare
ANS: i C
Feedback
A Hospitalization ifor ichildren ihas idecreased.
B Health icare idelivery ihas inot ialtered ithe inumber iof ichildren iliving iin ipoverty.
C One ieffect iof imanaged icare ihas ibeen ithat ipediatric ihealth icare idelivery ihas
ishifted idramatically ifrom ithe iacute icare isetting ito ithe iambulatory isetting.
iOne iofithe ibiggest ichanges iin ihealth icare ihas ibeen ithe igrowth iof imanaged
icare. iThe inumber iof ihospital ibeds ibeing iused ihas idecreased ias imore icare iis
igiven iin
outpatient isettings iand iin ithe ihome. iThe inumber iof ichildren iliving iin ipoverty
ihasiincreased iover ithe ilast idecade.
D Managed icare ihas iincreased iin iorder ito icontrol icost.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip.
i6iOBJ: i Nursing iProcess: iPlanning
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
5. The iWomen, iInfants, iand iChildren i(WIC) iprogram iprovides:
, a. Well-child iexaminations ifor iinfants iand ichildren iliving iat ithe ipoverty ilevel
b. Immunizations ifor ihigh-risk iinfants iand ichildren
c. Screening ifor iinfants iwith idevelopmental idisorders
d. Supplemental ifood isupplies ito ilow-income iwomen iwho iare ipregnant
ioribreastfeeding
ANS: i D
Feedback
A Medicaid’s iEarly iand iPeriodic iScreening, iDiagnosis, iand iTreatment iProgram
iprovides ifor iwell-child iexaminations iand ifor itreatment iof iany imedical
iproblems
diagnosed iduring isuch icheckups.
B Children iin ithe iWIC iprogram iare ioften ilinked iwith iimmunizations, ibut
ithat iisinot ithe iprimary ifocus iof ithe iprogram.
C Public iLaw i99-457 iprovides ifinancial iincentives ito istates ito iestablish
comprehensive iearly iintervention iservices ifor iinfants iand itoddlers iwith, ior iat
iriskifor, idevelopmental idisabilities.
D WIC iis ia ifederal iprogram ithat iprovides isupplemental ifood isupplies ito ilow-
iincome iwomen iwho iare ipregnant ior ibreastfeeding iand ito itheir ichildren iuntil
iage
5 iyears.
PTS: i i i 1 DIF: Cognitive iLevel: iComprehension REF: ip. i2 i| iTables i1-1,
i1-9iOBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPhysiologic iIntegrity
6. In imost istates, iadolescents iwho iare inot iemancipated iminors imust ihave ithe ipermission iof
itheiriparents ibefore:
a. Treatment ifor idrug iabuse
b. Treatment ifor isexually itransmitted idiseases i(STDs)
c. Accessing ibirth icontrol
d. Surgery
ANS: i D
Feedback
A Most istates iallow iminors ito iobtain itreatment ifor idrug ior ialcohol iabuse iwithout
parental iconsent.
B Most istates iallow iminors ito iobtain itreatment ifor iSTDs iwithout iparental
iconsent.
C In imost istates, iminors iare iallowed iaccess ito ibirth icontrol iwithout iparental
consent.
D If ia iminor ireceives isurgery iwithout iproper iinformed iconsent, iassault iand
ibatteryicharges iagainst ithe icare iprovider ican iresult. iThis idoes inot iapply ito ian
iemancipated iminor i(a iminor ichild iwho ihas ithe ilegal icompetency iof ian iadult
ibecause iof icircumstances iinvolving imarriage, idivorce, iparenting iof ia ichild,
living iindependently iwithout iparents, ior ienlistment iin ithe iarmed iservices).
PTS: i i i 1 DIF: Cognitive iLevel: iApplication REF: ip.
i19iOBJ: i Nursing iProcess: iPlanning
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
,7. The imaternity inurse ishould ihave ia iclear iunderstanding iof ithe icorrect iuse
iof iaiclinical ipathway. iOne icharacteristic iof iclinical ipathways iis ithat ithey:
a. Are ideveloped iand iimplemented iby inurses
b. Are iused iprimarily iin ithe ipediatric isetting
c. Set ispecific itime ilines ifor isequencing iinterventions
d. Are ipart iof ithe inursing iprocess
ANS: i C
Feedback
A Clinical ipathways iare ideveloped iby imultiple ihealth icare iprofessionals iand
ireflect
interdisciplinary iinterventions.
B They iare iused iin imultiple isettings iand ifor ipatients ithroughout ithe ilife ispan.
C Clinical ipathways imeasure ioutcomes iof ipatient icare. iEach ipathway ioutlines
specific itime ilines ifor isequencing iinterventions.
D The isteps iof ithe inursing iprocess iare iassessment, idiagnosis, iplanning,
intervention, iand ievaluation.
PTS: i i i 1 DIF: Cognitive iLevel: iApplication REF: ip.
i8iOBJ: i Nursing iProcess: iPlanning
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
8. The ifastest-growing igroup iof ihomeless ipeople iis:
a. Men iand iwomen ipreparing ifor iretirement
b. Migrant iworkers
c. Single iwomen iand itheir ichildren
d. Intravenous i(IV) isubstance iabusers
ANS: i C
Feedback
A Most ipeople icontemplating iretirement ihave imade iprovisions.
B Migrant iworkers imay iseek ihealth icare ionly iwhen iabsolutely inecessary;
ihowever,
not iall iare ihomeless.
C Pregnancy iand ibirth, iespecially ifor ia iteenager, iare iimportant icontributing
ifactors
for ibecoming ihomeless.
D Not iall isubstance iabusers iare ihomeless.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip. i16
OBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPhysiologic iIntegrity
9. The iUnited iStates iranks i25th iin iinfant imortality irates iof ithe iworld. iWhich ifactor
ihas iaisignificant iimpact ion idecreasing ithe imortality irate iof iinfants?
a. Resolving iall ilanguage iand icultural idifferences
b. Enrolling ithe ipregnant iwoman iin ithe iMedicaid iprogram iby ithe i8th
imonth iofipregnancy
c. Ensuring iearly iand iadequate iprenatal icare
d. Providing imore iwomen’s ishelters
, Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
iMaterial
ANS:
iC
Feedback
A Language iand icultural idifferences iare inot iinfant imortality iissues ibut imust ibe
addressed ito iimprove ioverall ihealth icare.
B Medicaid iprovides ihealth icare ifor ipoor ipregnant iwomen, ibut ithe iprocess imay
itake iweeks ito itake ieffect. iThe i8th imonth iis itoo ilate ito iapply iand ireceive
ibenefits
for ithis ipregnancy.
C Because ipreterm iinfants iform ithe ilargest icategory iof ithose ineeding iexpensive
iintensive icare, iearly ipregnancy iintervention iis iessential ifor idecreasing iinfant
imortality irates. iThis iis iespecially iimportant ifor iwomen iin ihigh-risk igroups,
isuch
as iracial iminorities, iteenagers, iand ithose iliving iin ipoverty.
D The iwomen iin ishelters ihave ithe isame idifficulties iin iobtaining ihealth icare ias ido
other ipoor ipeople, iparticularly ilack iof itransportation iand iinconvenient ihours
iofithe iclinics.
PTS: i i i 1 DIF: Cognitive iLevel: iComprehension REF: ip. i11, i16
OBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
10. The iintrapartum iwoman isees ino ineed ifor ian iadmission ifetal imonitoring istrip. iIf
isheicontinues ito irefuse, iwhat iis ithe ifirst iaction ithe inurse ishould itake?
a. Consult ithe ifamily iof ithe iwoman.
b. Notify ithe iphysician.
c. Document ithe iwoman’s irefusal iin ithe inurse’s inotes.
d. Make ia ireferral ito ithe ihospital iethics icommittee.
ANS: i B
Feedback
A The ipatient imust ibe iallowed ito imake ichoices ivoluntarily iwithout iundue
influence ior icoercion ifrom iothers.
B Patients imust ibe iallowed ito imake ichoices ivoluntarily iwithout iundue iinfluence
ioricoercion ifrom iothers. iThe iphysician, iespecially iif iunaware iof ithe ipatient’s
idecision, ishould ibe inotified iimmediately. iThe inurse ishould inotify ithe
iphysician
of ithe irefusal iof ithe iagency’s iprotocol iand idocument iall iaspects iof ithe
iexplanations igiven iby ithe inurse, ias iwell ias iany iinstructions ifrom ithe
iphysician.
C Documentation iis iimportant, ibut iit ishould inot ibe ithe ifirst iaction.
D Fetal imonitoring iis inot iusually iconsidered ian iethical iproblem.
PTS: i i i 1 DIF: Cognitive iLevel: iApplication REF: ip.
i20iOBJ: i Nursing iProcess: iImplementation
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
11. Which istatement iis itrue iregarding ithe i“quality iassurance” ior i“incident” ireport?
a. The ireport iassures ithe ilegal idepartment ithat ino iproblem iexists.
b. Reports iare ia ipermanent ipart iof ithe ipatient’s ichart.
c. The inurse’s inotes ishould icontain, i“Incident ireport ifiled, iand icopy iplaced iin ichart.”
d. This ireport iis ia iform iof idocumentation iof ian ievent ithat imay iresult iin ilegal iaction.
Downloaded iby: iAriah i|
Distribution iof ithis idocument iis iillegal
FOR
MATERNAL CHILD NURSING
7TH EDITION BY MCKINNEY
,Chapter i1: iFoundations iof iMaternity, iWomen’s iHealth, iand iChild iHealth
iNursingiTest iBank
MULTIPLE iCHOICE
1. Which ifactor isignificantly icontributed ito ithe ishift ifrom ihome ibirths ito ihospital ibirths iin
itheiearly i20th icentury?
a. Puerperal isepsis iwas iidentified ias ia irisk ifactor iin ilabor iand idelivery.
b. Forceps iwere ideveloped ito ifacilitate idifficult ibirths.
c. The iimportance iof iearly iparental-infant icontact iwas iidentified.
d. Technologic idevelopments ibecame iavailable ito iphysicians.
ANS: i D
Feedback
A Puerperal isepsis ihas ibeen ia iknown iproblem ifor igenerations. iIn ithe ilate i19th
century, iSemmelweis idiscovered ihow iit icould ibe iprevented iwith
iimprovedihygienic ipractices.
B The idevelopment iof iforceps ito ihelp iphysicians ifacilitate idifficult ibirths iwas ia
istrong ifactor iin ithe idecrease iof ihome ibirths iand iincrease iof ihospital ibirths.
iOtheriimportant idiscoveries iincluded ichloroform, idrugs ito iinitiate ilabor, iand
ithe
advancement iof ioperative iprocedures isuch ia icesarean ibirth.
C Unlike ihome-births, iearly ihospital ibirths ihindered ibonding ibetween iparents iand
their iinfants.
D Technological idevelopments iwere iavailable ito iphysicians, inot ilay imidwives.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip.
i2iOBJ: i Nursing iProcess: iAssessment
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
2. Family-centered imaternity icare ideveloped iin iresponse ito:
a. Demands iby iphysicians ifor ifamily iinvolvement iin ichildbirth
b. The iSheppard-Towner iAct iof i1921
c. Parental irequests ithat iinfants ibe iallowed ito iremain iwith ithem irather ithan
iin iainursery
d. Changes iin ipharmacologic imanagement iof ilabor
ANS: i C
Feedback
A Family-centered icare iwas ia irequest iby iparents, inot iphysicians.
B The iSheppard-Towner iAct iprovided ifunds ifor istate-managed iprograms ifor
mothers iand ichildren.
C As iresearch ibegan ito iidentify ithe ibenefits iof iearly iextended iparent-infant
icontact, iparents ibegan ito iinsist ithat ithe iinfant iremain iwith ithem. iThis
igradually
developed iinto ithe ipractice iof irooming-in iand ifinally ito ifamily-
centeredimaternity icare.
D The ichanges iin ipharmacologic imanagement iof ilabor iwere inot ia ifactor iin
ifamily-
, centered imaternity icare.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip. i3
OBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
3. Which isetting ifor ichildbirth iallows ithe ileast iamount iof iparent-infant icontact?
a. Labor/delivery/recovery/postpartum iroom
b. Birth icenter
c. Traditional ihospital ibirth
d. Home ibirth
ANS: i C
Feedback
A The ilabor/delivery/recovery/postpartum iroom isetting iallows iincreased
iparent-iinfant icontact.
B Birth icenters iare iset iup ito iallow ian iincrease iin iparent-infant icontact.
C In ithe itraditional ihospital isetting, ithe imother imay isee ithe iinfant ifor ionly ishort
feeding iperiods, iand ithe iinfant iis icared ifor iin ia iseparate inursery.
D Home ibirths iallow ian iincrease iin iparent-infant icontact.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip. i3
OBJ: i i i Nursing iProcess: iPlanning MSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
4. As ia iresult iof ichanges iin ihealth icare idelivery iand ifunding, ia icurrent itrend iseen iin ithe
ipediatricisetting iis:
a. Increased ihospitalization iof ichildren
b. Decreased inumber iof ichildren iliving iin ipoverty
c. An iincrease iin iambulatory icare
d. Decreased iuse iof imanaged icare
ANS: i C
Feedback
A Hospitalization ifor ichildren ihas idecreased.
B Health icare idelivery ihas inot ialtered ithe inumber iof ichildren iliving iin ipoverty.
C One ieffect iof imanaged icare ihas ibeen ithat ipediatric ihealth icare idelivery ihas
ishifted idramatically ifrom ithe iacute icare isetting ito ithe iambulatory isetting.
iOne iofithe ibiggest ichanges iin ihealth icare ihas ibeen ithe igrowth iof imanaged
icare. iThe inumber iof ihospital ibeds ibeing iused ihas idecreased ias imore icare iis
igiven iin
outpatient isettings iand iin ithe ihome. iThe inumber iof ichildren iliving iin ipoverty
ihasiincreased iover ithe ilast idecade.
D Managed icare ihas iincreased iin iorder ito icontrol icost.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip.
i6iOBJ: i Nursing iProcess: iPlanning
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
5. The iWomen, iInfants, iand iChildren i(WIC) iprogram iprovides:
, a. Well-child iexaminations ifor iinfants iand ichildren iliving iat ithe ipoverty ilevel
b. Immunizations ifor ihigh-risk iinfants iand ichildren
c. Screening ifor iinfants iwith idevelopmental idisorders
d. Supplemental ifood isupplies ito ilow-income iwomen iwho iare ipregnant
ioribreastfeeding
ANS: i D
Feedback
A Medicaid’s iEarly iand iPeriodic iScreening, iDiagnosis, iand iTreatment iProgram
iprovides ifor iwell-child iexaminations iand ifor itreatment iof iany imedical
iproblems
diagnosed iduring isuch icheckups.
B Children iin ithe iWIC iprogram iare ioften ilinked iwith iimmunizations, ibut
ithat iisinot ithe iprimary ifocus iof ithe iprogram.
C Public iLaw i99-457 iprovides ifinancial iincentives ito istates ito iestablish
comprehensive iearly iintervention iservices ifor iinfants iand itoddlers iwith, ior iat
iriskifor, idevelopmental idisabilities.
D WIC iis ia ifederal iprogram ithat iprovides isupplemental ifood isupplies ito ilow-
iincome iwomen iwho iare ipregnant ior ibreastfeeding iand ito itheir ichildren iuntil
iage
5 iyears.
PTS: i i i 1 DIF: Cognitive iLevel: iComprehension REF: ip. i2 i| iTables i1-1,
i1-9iOBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPhysiologic iIntegrity
6. In imost istates, iadolescents iwho iare inot iemancipated iminors imust ihave ithe ipermission iof
itheiriparents ibefore:
a. Treatment ifor idrug iabuse
b. Treatment ifor isexually itransmitted idiseases i(STDs)
c. Accessing ibirth icontrol
d. Surgery
ANS: i D
Feedback
A Most istates iallow iminors ito iobtain itreatment ifor idrug ior ialcohol iabuse iwithout
parental iconsent.
B Most istates iallow iminors ito iobtain itreatment ifor iSTDs iwithout iparental
iconsent.
C In imost istates, iminors iare iallowed iaccess ito ibirth icontrol iwithout iparental
consent.
D If ia iminor ireceives isurgery iwithout iproper iinformed iconsent, iassault iand
ibatteryicharges iagainst ithe icare iprovider ican iresult. iThis idoes inot iapply ito ian
iemancipated iminor i(a iminor ichild iwho ihas ithe ilegal icompetency iof ian iadult
ibecause iof icircumstances iinvolving imarriage, idivorce, iparenting iof ia ichild,
living iindependently iwithout iparents, ior ienlistment iin ithe iarmed iservices).
PTS: i i i 1 DIF: Cognitive iLevel: iApplication REF: ip.
i19iOBJ: i Nursing iProcess: iPlanning
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
,7. The imaternity inurse ishould ihave ia iclear iunderstanding iof ithe icorrect iuse
iof iaiclinical ipathway. iOne icharacteristic iof iclinical ipathways iis ithat ithey:
a. Are ideveloped iand iimplemented iby inurses
b. Are iused iprimarily iin ithe ipediatric isetting
c. Set ispecific itime ilines ifor isequencing iinterventions
d. Are ipart iof ithe inursing iprocess
ANS: i C
Feedback
A Clinical ipathways iare ideveloped iby imultiple ihealth icare iprofessionals iand
ireflect
interdisciplinary iinterventions.
B They iare iused iin imultiple isettings iand ifor ipatients ithroughout ithe ilife ispan.
C Clinical ipathways imeasure ioutcomes iof ipatient icare. iEach ipathway ioutlines
specific itime ilines ifor isequencing iinterventions.
D The isteps iof ithe inursing iprocess iare iassessment, idiagnosis, iplanning,
intervention, iand ievaluation.
PTS: i i i 1 DIF: Cognitive iLevel: iApplication REF: ip.
i8iOBJ: i Nursing iProcess: iPlanning
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
8. The ifastest-growing igroup iof ihomeless ipeople iis:
a. Men iand iwomen ipreparing ifor iretirement
b. Migrant iworkers
c. Single iwomen iand itheir ichildren
d. Intravenous i(IV) isubstance iabusers
ANS: i C
Feedback
A Most ipeople icontemplating iretirement ihave imade iprovisions.
B Migrant iworkers imay iseek ihealth icare ionly iwhen iabsolutely inecessary;
ihowever,
not iall iare ihomeless.
C Pregnancy iand ibirth, iespecially ifor ia iteenager, iare iimportant icontributing
ifactors
for ibecoming ihomeless.
D Not iall isubstance iabusers iare ihomeless.
PTS: i i i 1 DIF: Cognitive iLevel: iKnowledge REF: ip. i16
OBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPhysiologic iIntegrity
9. The iUnited iStates iranks i25th iin iinfant imortality irates iof ithe iworld. iWhich ifactor
ihas iaisignificant iimpact ion idecreasing ithe imortality irate iof iinfants?
a. Resolving iall ilanguage iand icultural idifferences
b. Enrolling ithe ipregnant iwoman iin ithe iMedicaid iprogram iby ithe i8th
imonth iofipregnancy
c. Ensuring iearly iand iadequate iprenatal icare
d. Providing imore iwomen’s ishelters
, Stuvia.com i- iThe iMarketplace ito iBuy iand iSell iyour iStudy
iMaterial
ANS:
iC
Feedback
A Language iand icultural idifferences iare inot iinfant imortality iissues ibut imust ibe
addressed ito iimprove ioverall ihealth icare.
B Medicaid iprovides ihealth icare ifor ipoor ipregnant iwomen, ibut ithe iprocess imay
itake iweeks ito itake ieffect. iThe i8th imonth iis itoo ilate ito iapply iand ireceive
ibenefits
for ithis ipregnancy.
C Because ipreterm iinfants iform ithe ilargest icategory iof ithose ineeding iexpensive
iintensive icare, iearly ipregnancy iintervention iis iessential ifor idecreasing iinfant
imortality irates. iThis iis iespecially iimportant ifor iwomen iin ihigh-risk igroups,
isuch
as iracial iminorities, iteenagers, iand ithose iliving iin ipoverty.
D The iwomen iin ishelters ihave ithe isame idifficulties iin iobtaining ihealth icare ias ido
other ipoor ipeople, iparticularly ilack iof itransportation iand iinconvenient ihours
iofithe iclinics.
PTS: i i i 1 DIF: Cognitive iLevel: iComprehension REF: ip. i11, i16
OBJ: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iHealth iPromotion iand iMaintenance
10. The iintrapartum iwoman isees ino ineed ifor ian iadmission ifetal imonitoring istrip. iIf
isheicontinues ito irefuse, iwhat iis ithe ifirst iaction ithe inurse ishould itake?
a. Consult ithe ifamily iof ithe iwoman.
b. Notify ithe iphysician.
c. Document ithe iwoman’s irefusal iin ithe inurse’s inotes.
d. Make ia ireferral ito ithe ihospital iethics icommittee.
ANS: i B
Feedback
A The ipatient imust ibe iallowed ito imake ichoices ivoluntarily iwithout iundue
influence ior icoercion ifrom iothers.
B Patients imust ibe iallowed ito imake ichoices ivoluntarily iwithout iundue iinfluence
ioricoercion ifrom iothers. iThe iphysician, iespecially iif iunaware iof ithe ipatient’s
idecision, ishould ibe inotified iimmediately. iThe inurse ishould inotify ithe
iphysician
of ithe irefusal iof ithe iagency’s iprotocol iand idocument iall iaspects iof ithe
iexplanations igiven iby ithe inurse, ias iwell ias iany iinstructions ifrom ithe
iphysician.
C Documentation iis iimportant, ibut iit ishould inot ibe ithe ifirst iaction.
D Fetal imonitoring iis inot iusually iconsidered ian iethical iproblem.
PTS: i i i 1 DIF: Cognitive iLevel: iApplication REF: ip.
i20iOBJ: i Nursing iProcess: iImplementation
MSC: i Client iNeeds: iSafe iand iEffective iCare iEnvironment
11. Which istatement iis itrue iregarding ithe i“quality iassurance” ior i“incident” ireport?
a. The ireport iassures ithe ilegal idepartment ithat ino iproblem iexists.
b. Reports iare ia ipermanent ipart iof ithe ipatient’s ichart.
c. The inurse’s inotes ishould icontain, i“Incident ireport ifiled, iand icopy iplaced iin ichart.”
d. This ireport iis ia iform iof idocumentation iof ian ievent ithat imay iresult iin ilegal iaction.
Downloaded iby: iAriah i|
Distribution iof ithis idocument iis iillegal
