v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
v v v v v v v v v v v
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
v v v v v v v
MULTIPLE CHOICE v
1. As a result of changes in health care delivery and funding, a current trend s
v v v v v v v v v v v v v v
een in thepediatric setting is
v v v v v
a. increased hospitalization of children. v v v
b. decreased number of children living in poverty. v v v v v v
c. an increase in ambulatory care.
v v v v
d. decreased use of managed care. v v v v
ANS: C v
One effect of managed care has been that pediatric health care delivery has shif
v v v v v v v v v v v v v
ted dramatically from the acute care setting to the ambulatory setting in order t
v v v v v v v v v v v v v
o provide morecost-
v v v
efficient care. The number of hospital beds being used has decreased as more c
v v v v v v v v v v v v v
are is given in outpatient settings and in the home. The number of children livin
v v v v v v v v v v v v v v
g in poverty hasincreased over the past decade. One of the biggest changes in h
v v v v v v v v v v v v v v v
NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
,NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
ealth care has been the growth of managed care.
v v v v v v v v
PTS: 1 vvv DIF:
Cognitive Level: Knowledge/Rememberi v v
ngREF: p. 5
v v v OBJ: Nursing Process: Planning
v v v
MSC: Client Needs: Safe and Effective Care Environment
v v v v v v v
2. Elective abortion is considered an ethical issue because
v v v v v v v
a. abortion law is unclear about a woman’s constitutional rights.
v v v v v v v v
b. the Supreme Court ruled that life begins at conception.
v v v v v v v v
c. a conflict exists between the rights of the woman and the rights of the fetus.
v v v v v v v v v v v v v v
d. it requires third-party consent.
v v v
ANS: C v
Elective abortion is an ethical dilemma because two opposing courses of action ar
v v v v v v v v v v v v
e available.The belief that induced abortion is a private choice is in conflict with th
v v v v v v v v v v v v v v v
e belief that elective pregnancy termination is taking a life. Abortion laws are clear
v v v v v v v v v v v v v
concerning a woman’s constitutional rights. The Supreme Court has not ruled on
v v v v v v v v v v v v v
when life begins. Abortion does notrequire third-party consent.
v v v v v v v v
PTS: 1 vvv DIF:
NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
,NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
Cognitive Level: Knowledge/Rememberi v v
ngREF: p. 11
v v v OBJ: Integrated Process: Teaching-
v v v
Learning MSC: Client Needs: Safe and Effective Care En
v v v v v v v v
vironment
3. Which factor significantly contributed to the shift from home births to hospit
v v v v v v v v v v v
al births inthe early 20th century?
v v v v v v
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
v v v v v v v v v v v
b. Forceps were developed to facilitate difficult births.
v v v v v v
c. The importance of early parental-infant contact was identified.
v v v v v v v
d. Technologic developments became available to physicians.
v v v v v
ANS: D v
Technologic developments were available to physicians, not lay midwives. So in-
v v v v v v v v v v
hospital births increased in order to take advantage of these advancements. Puerpe
v v v v v v v v v v v
ral sepsis has been aknown problem for generations. In the late 19th century, Sem
v v v v v v v v v v v v v v
melweis discovered how it couldbe prevented with improved hygienic practices. T
v v v v v v v v v v v
he development of forceps is an example of a technology advance made in the earl
v v v v v v v v v v v v v v
y 20th century but is not the only reason birthplaces moved. Unlike home births, ea
v v v v v v v v v v v v v v
rly hospital births hindered bonding between parents and their infants.
v v v v v v v v v
NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
, NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v
PTS: 1 vvv DIF:
Cognitive Level: Knowledge/Rememberi v v
ngREF: p. 1
v v v OBJ: Integrated Process: Teaching-
v v v
Learning MSC: Client Needs: Safe and Effective Care En
v v v v v v v v
vironment
4. Family-centered maternity care developed in response to v v v v v v
a. demands by physicians for family involvement in childbirth.
v v v v v v v
b. the Sheppard-Towner Act of 1921.
v v v v
c. parental requests that infants be allowed to remain with them rath
v v v v v v v v v v
er than ina nursery.
v v v v
d. changes in pharmacologic management of labor.
v v v v v
ANS: C v
As research began to identify the benefits of early extended parent-
v v v v v v v v v v
infant contact, parents began to insist that the infant remain with them. This gra
v v v v v v v v v v v v v
dually developed into the practiceof rooming-in and finally to family-
v v v v v v v v v v
centered maternity care. Family- v v v
centered care was a request by parents, not physicians. The Sheppard-
v v v v v v v v v v
Towner Act of 1921 provided funds for state-
v v v v v v v
NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
v v v v
Edition-
Maternity, Women’s Health, and Child Health NursingMcKinne
v v v v v v v v
y: Evolve Resources for Maternal-
v v v v
Child Nursing, 5th Edition by McKinney
v v v v v