TEST BANK FOR MATERNAL CHILD NURSING 5TH EDITI
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ON BY MCKINNEY|| NUR 121 MATERNAL CHILD NURSI
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NG 5TH EDITION BY MCKINNEY EXAM ALL CHAPTERS IN
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CLUDED ALL QUESTIONS AND ANSWERSGRADED A+||
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ASSURED PASS!! v
CHAPTERv1:v
1. Whichvfactorvsignificantlyvcontributedvtovthevshiftvfromvhomevbirthsvtovhospitalvbirthsvinvt
hevearlyv20thvcentury?
a. Puerperalvsepsisvwasvidentifiedvasvavriskvfactorvinvlaborvandvdelivery.
b. Forcepsvwerevdevelopedvtovfacilitatevdifficultvbirths.
c. Thevimportancevofvearlyvparental-infantvcontactvwasvidentified.
d. Technologicvdevelopmentsvbecamevavailablevtovphysicians.
ANS:vD
Technologicvdevelopmentsvwerevavailablevtovphysicians,vnotvlayvmidwives.vSovin-
hospitalvbirthsvincreasedvinvordervtovtakevadvantagevofvthesevadvancements.vPuerperalvsepsisvhas
vbeenvavknownvproblemvforvgenerations.vInvthevlatev19thvcentury,vSemmelweisvdiscoveredvhowvitv
couldvbevpreventedvwithvimprovedvhygienicvpractices.vThevdevelopmentvofvforcepsvisvanvexampl
evofvavtechnologyvadvancevmadevinvthevearlyv20thvcenturyvbutvisvnotvthevonlyvreasonvbirthplacesv
moved.vUnlikevhomevbirths,vearlyvhospitalvbirthsvhinderedvbondingvbetweenvparentsvandvtheirvin
fants.
PTS:vvv 1 DIF:
CognitivevLevel:vKnowledge/RememberingvREF:v
p.v1 OBJ:v IntegratedvProcess:vTeaching-
LearningvMSC:vClientvNeeds:vSafevandvEffectivevCarevEnvironment
2. Family-centeredvmaternityvcarevdevelopedvinvresponsevto
a. demandsvbyvphysiciansvforvfamilyvinvolvementvinvchildbirth.
b. thevSheppard-TownervActvofv1921.
c. parentalvrequestsvthatvinfantsvbevallowedvtovremainvwithvthemvrathervthanvinva
v nursery.
d. changesvinvpharmacologicvmanagementvofvlabor.
ANS:vC
Asvresearchvbeganvtovidentifyvthevbenefitsvofvearlyvextendedvparent-
infantvcontact,vparentsvbeganvtovinsistvthatvthevinfantvremainvwithvthem.vThisvgraduallyvdevel
opedvintovthevpracticevofvrooming-invandvfinallyvtovfamily-centeredvmaternityvcare.vFamily-
centeredvcarevwasvavrequestvbyvparents,vnotvphysicians.vThevSheppard-
TownervActvofv1921vprovidedvfundsvforvstate-
managedvprogramsvforvmothersvandvchildren.vThevchangesvinvpharmacologicvmanagementvo
fvlaborvwerevnotvavfactorvinvfamily-centeredvmaternityvcare.
PTS:vvv 1 DIF:
CognitivevLevel:vKnowledge/RememberingvREF:v
p.v2 OBJ:v IntegratedvProcess:vTeaching-
LearningvMSC:vClientvNeeds:vPsychosocialvIntegrity
3. Whichvsettingvforvchildbirthvallowsvthevleastvamountvofvparent-infantvcontact?
,a. Labor/delivery/recovery/postpartumvroom
b. Birthvcenter
,CreatedvbyvTestBankStuvia
c. Traditionalvhospitalvbirth
d. Homevbirth
ANS:vC
Invthevtraditionalvhospitalvsetting,vthevmothervmayvseevthevinfantvforvonlyvshortvfeedingvperiods,va
ndvthevinfantvisvcaredvforvinvavseparatevnursery.vThevlabor/delivery/recovery/postpartumvroomvse
ttingvallowsvincreasedvparent-
infantvcontact.vBirthvcentersvarevsetvupvtovallowvanvincreasevinvparent-
infantvcontact.vHomevbirthsvallowvanvincreasevinvparent-infantvcontact.
PTS:vvv 1 DIF:
CognitivevLevel:vKnowledge/RememberingvREF:v
p.v2 OBJ:v NursingvProcess:vPlanning
MSC:v ClientvNeeds:vHealthvPromotionvandvMaintenance
4. Asvavresultvofvchangesvinvhealthvcarevdeliveryvandvfunding,vavcurrentvtrendvseenvinvthevp
ediatricvsettingvis
a. increasedvhospitalizationvofvchildren.
b. decreasedvnumbervofvchildrenvlivingvinvpoverty.
c. anvincreasevinvambulatoryvcare.
d. decreasedvusevofvmanagedvcare.
ANS:vC
Oneveffectvofvmanagedvcarevhasvbeenvthatvpediatricvhealthvcarevdeliveryvhasvshiftedvdramati
callyvfromvthevacutevcarevsettingvtovthevambulatoryvsettingvinvordervtovprovidevmorevcost-
efficientvcare.vThevnumbervofvhospitalvbedsvbeingvusedvhasvdecreasedvasvmorevcarevisvgivenvi
nvoutpatientvsettingsvandvinvthevhome.vThevnumbervofvchildrenvlivingvinvpovertyvhasvincrease
dvovervthevpastvdecade.vOnevofvthevbiggestvchangesvinvhealthvcarevhasvbeenvthevgrowthvofvma
nagedvcare.
PTS:vvv 1 DIF:
CognitivevLevel:vKnowledge/RememberingvREF:v
p.v5 OBJ:v NursingvProcess:vPlanning
MSC:v ClientvNeeds:vSafevandvEffectivevCarevEnvironment
5. ThevWomen,vInfants,vandvChildrenv(WIC)vprogramvprovides
a. well-childvexaminationsvforvinfantsvandvchildrenvlivingvatvthevpovertyvlevel.
b. immunizationsvforvhigh-riskvinfantsvandvchildren.
c. screeningvforvinfantsvwithvdevelopmentalvdisorders.
d. supplementalvfoodvsuppliesvtovlow-incomevpregnantvorvbreastfeedingvwomen.
ANS:vD
WICvisvavfederalvprogramvthatvprovidesvsupplementalvfoodvsuppliesvtovlow-
incomevwomenvwhovarevpregnantvorvbreastfeedingvandvtovtheirvchildrenvuntilvagev5vyears.vMedi
caid’svEarlyvandvPeriodicvScreening,vDiagnosis,vandvTreatmentvProgramvprovidesvforvwell-
childvexaminationsvandvforvtreatmentvofvanyvmedicalvproblemsvdiagnosedvduringvsuchvcheckup
s.vChildrenvinvthevWICvprogramvarevoftenvreferredvforvimmunizations,vbutvthatvisvnotvthevprimar
yvfocusvofvthevprogram.vPublicvLawv99-
457visvpartvofvthevIndividualsvwithvDisabilitiesvEducationvActvthatvprovidesvfinancialvincentives
vtovstatesvtovestablishvcomprehensivevearlyvinterventionvservicesvforvinfants vandvtoddlersvwith,vo
rvatvriskvfor,vdevelopmentalvdisabilities.
PTS:v 1 DIF: CognitivevLevel:vComprehensionOBJ:v IntegratedvProcess:vTeaching-
vLearning
MSC:vClientvNeeds:vHealthvPromotionvandvMaintenanceREF:v p.v8
, 6. Invmostvstates,vadolescentsvwhovarevnotvemancipatedvminorsvmustvhavevthevpermissionvofvt
heirvparentsvbefore.