TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
e e e e e e e e e e e
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
e e e e e e e
MULTIPLEeCHOICE
1. Whichefactoresignificantlyecontributedetoetheeshiftefromehomeebirthsetoehospitalebirthseinetheeea
rlye20thecentury?
a. Puerperalesepsisewaseidentifiedeaseaeriskefactoreinelaboreandedelivery.
b. Forcepsewereedevelopedetoefacilitateedifficultebirths.
c. Theeimportanceeofeearlyeparental-infantecontactewaseidentified.
d. Technologicedevelopmentsebecameeavailableetoephysicians.
ANS:e D
Technologicedevelopmentsewereeavailableetoephysicians,enotelayemidwives.eSoein-
hospitalebirthseincreasedeineorderetoetakeeadvantageeofetheseeadvancements.ePuerperalesepsisehase
beeneaeknowneproblemeforegenerations.eInetheelatee19thecentury,eSemmelweisediscoveredehoweitec
ouldebeepreventedewitheimprovedehygienicepractices.eTheedevelopmenteofeforcepseiseaneexamplee
ofeaetechnologyeadvanceemadeeinetheeearlye20thecenturyebuteisenotetheeonlyereasonebirthplacesemo
ved.eUnlikeehomeebirths,eearlyehospitalebirthsehinderedebondingebetweeneparentseandetheireinfant
s.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e1 OBJ:e IntegratedeProcess:eTeaching-
LearningeMSC:e ClienteNeeds:eSafeeandeEffectiveeCareeEnvironment
2. Family-centeredematernityecareedevelopedeineresponseeto
a. demandsebyephysicianseforefamilyeinvolvementeinechildbirth.
b. theeSheppard-TownereActeofe1921.
c. parentalerequestsethateinfantsebeeallowedetoeremainewithethemeratherethaneinea
nursery.
d. changeseinepharmacologicemanagementeofelabor.
ANS:e C
Aseresearchebeganetoeidentifyetheebenefitseofeearlyeextendedeparent-
infantecontact,eparentsebeganetoeinsistethatetheeinfanteremainewithethem.eThisegraduallyedevelope
deintoetheepracticeeoferooming-ineandefinallyetoefamily-centeredematernityecare.eFamily-
centeredecareewaseaerequestebyeparents,enotephysicians.eTheeSheppard-
TownereActeofe1921eprovidedefundsefor
state-
managedeprogramseforemotherseandechildren.eTheechangeseinepharmacologicemanag
ementeofelaborewereenoteaefactoreinefamily-centeredematernityecare.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e2 OBJ:e IntegratedeProcess:eTeaching-
LearningeMSC:e ClienteNeeds:ePsychosocialeIntegrity
3. Whichesettingeforechildbirtheallowsetheeleasteamounteofeparent-infantecontact?
a. Labor/delivery/recovery/postpartumeroom
b. Birthecenter
c. Traditionalehospitalebirth
,TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
d. Homeebirth
TestBankWorld.org
,TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
ANS:e C
Inetheetraditionalehospitalesetting,etheemotheremayeseeetheeinfanteforeonlyeshortefeedingeperiods,ean
detheeinfanteisecaredeforeineaeseparateenursery.eTheelabor/delivery/recovery/postpartumeroomesetti
ngeallowseincreasedeparent-infantecontact.eBirthecenterseareeseteupetoealloweaneincreaseeineparent-
infantecontact.eHomeebirthsealloweaneincreaseeineparent-infantecontact.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e2 OBJ:e NursingeProcess:ePlanning
MSC:e ClienteNeeds:eHealthePromotioneandeMaintenance
4. Aseaeresulteofechangeseinehealthecareedeliveryeandefunding,eaecurrentetrendeseeneinetheepediatriceset
tingeis
a. increasedehospitalizationeofechildren.
b. decreasedenumbereofechildrenelivingeinepoverty.
c. aneincreaseeineambulatoryecare.
d. decreasedeuseeofemanagedecare.
ANS:e C
Oneeeffecteofemanagedecareehasebeenethatepediatricehealthecareedeliveryehaseshiftededramatically
efrometheeacuteecareesettingetoetheeambulatoryesettingeineorderetoeprovideemoreecost-
efficientecare.eTheenumbereofehospitalebedsebeingeusedehasedecreasedeasemoreecareeisegiveneineou
tpatientesettingseandeinetheehome.eTheenumbereofechildrenelivingeinepovertyehaseincreasedeoveret
heepastedecade.eOneeofetheebiggestechangeseinehealthecareehasebeenetheegrowtheofemanagedecare.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e5 OBJ:e NursingeProcess:ePlanning
MSC:e ClienteNeeds:eSafeeandeEffectiveeCareeEnvironment
5. TheeWomen,eInfants,eandeChildrene(WIC)eprogrameprovides
a. well-childeexaminationseforeinfantseandechildrenelivingeatetheepovertyelevel.
b. immunizationseforehigh-riskeinfantseandechildren.
c. screeningeforeinfantsewithedevelopmentaledisorders.
d. supplementalefoodesuppliesetoelow-incomeepregnanteorebreastfeedingewomen.
ANS:e D
WICeiseaefederaleprogramethateprovidesesupplementalefoodesuppliesetoelow-
incomeewomenewhoeareepregnanteorebreastfeedingeandetoetheirechildreneuntileagee5eyears.eMedic
aid’seEarlyeandePeriodiceScreening,eDiagnosis,eandeTreatmenteProgrameprovideseforewell-
childeexaminationseandeforetreatmenteofeanyemedicaleproblemsediagnosededuringesuchecheckups.
eChildreneinetheeWICeprogrameareeoftenereferredeforeimmunizations,ebutethateisenotetheeprimaryefo
cuseofetheeprogram.ePubliceLawe99-
457eiseparteofetheeIndividualsewitheDisabilitieseEducationeActethateprovidesefinancialeincentiveset
oestatesetoeestablishecomprehensiveeearlyeinterventioneserviceseforeinfantseandetoddlersewith,eorea
teriskefor,edevelopmentaledisabilities.
PTS:eee 1 DIF: CognitiveeLevel:eComprehension
REF:ep.e8eOBJ:e IntegratedeProcess:eTeaching-Learning
MSC:e ClienteNeeds:eHealthePromotioneandeMaintenance
6. Inemostestates,eadolescentsewhoeareenoteemancipatedeminorsemustehaveetheepermissioneofetheirepa
rentsebefore
, TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
TestBankWorld.org
e
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
e e e e e e e e e e e
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
e e e e e e e
MULTIPLEeCHOICE
1. Whichefactoresignificantlyecontributedetoetheeshiftefromehomeebirthsetoehospitalebirthseinetheeea
rlye20thecentury?
a. Puerperalesepsisewaseidentifiedeaseaeriskefactoreinelaboreandedelivery.
b. Forcepsewereedevelopedetoefacilitateedifficultebirths.
c. Theeimportanceeofeearlyeparental-infantecontactewaseidentified.
d. Technologicedevelopmentsebecameeavailableetoephysicians.
ANS:e D
Technologicedevelopmentsewereeavailableetoephysicians,enotelayemidwives.eSoein-
hospitalebirthseincreasedeineorderetoetakeeadvantageeofetheseeadvancements.ePuerperalesepsisehase
beeneaeknowneproblemeforegenerations.eInetheelatee19thecentury,eSemmelweisediscoveredehoweitec
ouldebeepreventedewitheimprovedehygienicepractices.eTheedevelopmenteofeforcepseiseaneexamplee
ofeaetechnologyeadvanceemadeeinetheeearlye20thecenturyebuteisenotetheeonlyereasonebirthplacesemo
ved.eUnlikeehomeebirths,eearlyehospitalebirthsehinderedebondingebetweeneparentseandetheireinfant
s.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e1 OBJ:e IntegratedeProcess:eTeaching-
LearningeMSC:e ClienteNeeds:eSafeeandeEffectiveeCareeEnvironment
2. Family-centeredematernityecareedevelopedeineresponseeto
a. demandsebyephysicianseforefamilyeinvolvementeinechildbirth.
b. theeSheppard-TownereActeofe1921.
c. parentalerequestsethateinfantsebeeallowedetoeremainewithethemeratherethaneinea
nursery.
d. changeseinepharmacologicemanagementeofelabor.
ANS:e C
Aseresearchebeganetoeidentifyetheebenefitseofeearlyeextendedeparent-
infantecontact,eparentsebeganetoeinsistethatetheeinfanteremainewithethem.eThisegraduallyedevelope
deintoetheepracticeeoferooming-ineandefinallyetoefamily-centeredematernityecare.eFamily-
centeredecareewaseaerequestebyeparents,enotephysicians.eTheeSheppard-
TownereActeofe1921eprovidedefundsefor
state-
managedeprogramseforemotherseandechildren.eTheechangeseinepharmacologicemanag
ementeofelaborewereenoteaefactoreinefamily-centeredematernityecare.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e2 OBJ:e IntegratedeProcess:eTeaching-
LearningeMSC:e ClienteNeeds:ePsychosocialeIntegrity
3. Whichesettingeforechildbirtheallowsetheeleasteamounteofeparent-infantecontact?
a. Labor/delivery/recovery/postpartumeroom
b. Birthecenter
c. Traditionalehospitalebirth
,TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
d. Homeebirth
TestBankWorld.org
,TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
ANS:e C
Inetheetraditionalehospitalesetting,etheemotheremayeseeetheeinfanteforeonlyeshortefeedingeperiods,ean
detheeinfanteisecaredeforeineaeseparateenursery.eTheelabor/delivery/recovery/postpartumeroomesetti
ngeallowseincreasedeparent-infantecontact.eBirthecenterseareeseteupetoealloweaneincreaseeineparent-
infantecontact.eHomeebirthsealloweaneincreaseeineparent-infantecontact.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e2 OBJ:e NursingeProcess:ePlanning
MSC:e ClienteNeeds:eHealthePromotioneandeMaintenance
4. Aseaeresulteofechangeseinehealthecareedeliveryeandefunding,eaecurrentetrendeseeneinetheepediatriceset
tingeis
a. increasedehospitalizationeofechildren.
b. decreasedenumbereofechildrenelivingeinepoverty.
c. aneincreaseeineambulatoryecare.
d. decreasedeuseeofemanagedecare.
ANS:e C
Oneeeffecteofemanagedecareehasebeenethatepediatricehealthecareedeliveryehaseshiftededramatically
efrometheeacuteecareesettingetoetheeambulatoryesettingeineorderetoeprovideemoreecost-
efficientecare.eTheenumbereofehospitalebedsebeingeusedehasedecreasedeasemoreecareeisegiveneineou
tpatientesettingseandeinetheehome.eTheenumbereofechildrenelivingeinepovertyehaseincreasedeoveret
heepastedecade.eOneeofetheebiggestechangeseinehealthecareehasebeenetheegrowtheofemanagedecare.
PTS:eee 1 DIF:
CognitiveeLevel:eKnowledge/RememberingeREF:eee
p.e5 OBJ:e NursingeProcess:ePlanning
MSC:e ClienteNeeds:eSafeeandeEffectiveeCareeEnvironment
5. TheeWomen,eInfants,eandeChildrene(WIC)eprogrameprovides
a. well-childeexaminationseforeinfantseandechildrenelivingeatetheepovertyelevel.
b. immunizationseforehigh-riskeinfantseandechildren.
c. screeningeforeinfantsewithedevelopmentaledisorders.
d. supplementalefoodesuppliesetoelow-incomeepregnanteorebreastfeedingewomen.
ANS:e D
WICeiseaefederaleprogramethateprovidesesupplementalefoodesuppliesetoelow-
incomeewomenewhoeareepregnanteorebreastfeedingeandetoetheirechildreneuntileagee5eyears.eMedic
aid’seEarlyeandePeriodiceScreening,eDiagnosis,eandeTreatmenteProgrameprovideseforewell-
childeexaminationseandeforetreatmenteofeanyemedicaleproblemsediagnosededuringesuchecheckups.
eChildreneinetheeWICeprogrameareeoftenereferredeforeimmunizations,ebutethateisenotetheeprimaryefo
cuseofetheeprogram.ePubliceLawe99-
457eiseparteofetheeIndividualsewitheDisabilitieseEducationeActethateprovidesefinancialeincentiveset
oestatesetoeestablishecomprehensiveeearlyeinterventioneserviceseforeinfantseandetoddlersewith,eorea
teriskefor,edevelopmentaledisabilities.
PTS:eee 1 DIF: CognitiveeLevel:eComprehension
REF:ep.e8eOBJ:e IntegratedeProcess:eTeaching-Learning
MSC:e ClienteNeeds:eHealthePromotioneandeMaintenance
6. Inemostestates,eadolescentsewhoeareenoteemancipatedeminorsemustehaveetheepermissioneofetheirepa
rentsebefore
, TESTBANKeFOReMaternal-ChildeNursing,e5theEditione2022
e
TestBankWorld.org
