Test Bank - Introductory Maternity and Pediatric Nursing, 5th Edition

TESTBANK n




INTRODUCTORYnMATERNITYn&nPEDIATRICnNURSING

NANCYnHATFIELDn&nCYNTHIAnKINCHELOE
5th Edition
n




TESTBANK n

,Chaptern1:nThenNurse'snRoleninnanChangingnMaternal–
ChildnHealthnCarenEnvironmentnHatfield:nIntroductorynMaternitynandnPediatricnNursing,
n5thnEdition




1. Thenopeningnupnofnhospitalnvisitingnpoliciesnfornchildrennandnfamiliesnlik
elyn resultedfromnthen workn ofnwhichn individual?
A. Josephn Brennaman
B. Johnn Bowlby
C. Marshaln Klaus
D. JohnnKennell

n Answer:nB

Rationale:n Inn 1951,n Johnn Bowlbyn receivedn worldwiden attentionn withn his
studyn thatn revealedn then negativen resultsn ofn then separationn ofn childn andn mothern becausen ofnhospita
lization.nHisn workn ledntoanre-
evaluationnandnliberalizationn ofnhospitaln visitingnpoliciesnfornchildren.nJosephnBrennamann suggested
n thatnan lackn ofn stimulationn forn infantsn contributedn ton highninfantn mortalityn ratesn atn then time.n Inn the

n 1970sn andn 1980s,n physiciansn Marshalln Klausn andn JohnnKennelln carriedn outn importantstudiesn onn

then effectn ofn then separationn ofn newbornsn andn parents.nTheyn establishedn thatn earlyn separationn ma
yn havenlong-
termn effectsn onn familyn relationshipsn andnthatn offeringn then newn familyn ann opportunityn ton bentogeth
ern atn birthn andn forn an significantn periodnaftern birthn mayn providen benefitsthatn lastn welln inton earlyn c
hildhood.
Questionn format:n Multiplen Choice
Chaptern1:nThenNurse'snRoleninn anChangingn Maternal-
Childn Healthn CarenEnvironmentn CognitivenLevel:nRemember
ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrate
dnProcess:nNursingnProcess
Reference:n p.n 4

2. Annexpectantn mothern statesnthatn shenreadnthatn morenblackn mothersndien innchildbirthnthanndonw
hiten mothers.n Whenn respondingn ton hern questionsn aboutn then reasonsn forn this,n then nursenaccurat
elyn statesn thatn whichn isn then majorn reasonn forn then highn maternaln mortalityn rate?
A. Havingn formaln education.
B. Beingn unmarried.
C. Income.
D. Lackn ofnprenataln care.

Answer:n D

Rationale:n Researchn showsnthatn maternaln mortalitynratenisndirectlynrelatedntonlacknofnprenataln carense
condaryn ton lackn ofn accessn ton servicesn orn insurance.n Incomen asn welln asn educationaln leveln maynpla
yn an rolen inn then availabilityn ofn healthn care,n butn theyn aren notn directlyn responsible.n Beingnunmarriedn
hasnnonbearingnonninfantnmortality.
Questionn format:n Multiplen Choice
Chaptern1:nThenNurse'snRoleninn anChangingn Maternal-
Childn Healthn CarenEnvironmentn CognitivenLevel:nUnderstand

,ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrate
dnProcess:nNursingnProcess
Reference:n p.n 9

3. Whichn statementn correctlyn definesn then termn "infantn deathn rate"?
A. numbern ofn deathsn inn uteron ofn fetusesn 500n gnorn moren pern 1,000n livenbirths
B. numbern ofn deathsn occurringn inn then firstn 28n daysn ofn lifen pern 1,000n livenbirths
C. numbern ofn deathsn occurringn atn birthn orninnthen firstn 12n monthsn ofn lifen pern1,000n liven births
D. deathnofnan live-bornn childn beforen hisn orn hern firstnbirthday.

Answer:n D

Rationale:n Then termn infantn deathn refersn ton then deathn ofn an live-
bornn childn beforen hen orn shenreachesn agen 1n year.n Itn alson includesn neonataln mortalityn rate.n Neonata
ln mortalityn raten isn thennumbern ofninfantn deathsn duringn then firstn 28n daysn ofn lifen forn everyn 1,000n liv
en births.n Infantnmortalitynratenisnthennumbern ofndeathsnduringnthen firstn12nmonthsnofnlifenpern1,000nliv
enbirths.n Questionnformat:nMultiplenChoice
Chaptern1:nThenNurse'snRoleninn anChangingn Maternal-
Childn Healthn CarenEnvironmentn CognitivenLevel:nRemember
ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrate
dnProcess:nNursingnProcess
Reference:n p.n 9

4. Thennursingninstructornisnpreparingntonteachnangroupnofnstudentsnaboutnthenhistorynofnmaternityncare
.n Whatn majorn developmentn willn then instructorn emphasizen asn greatlyn influencingn then practicenofn m
aternityn caren inn then Unitedn Statesn overn then pastn century?
A. technologicn advancesn andn then usen ofn forcepsn byn primaryn caren providers
B. developmentn ofn anesthesian andn acceptancen ofn then germn theory
C. adventn ofn birthingn centersn andn then developmentn ofn family-centeredn care
D. developmentnofnpediatricn specialtynandn replacementn ofn midwivesn asn primaryn birthnattendantsnA

nswer:nB

Rationale:n Then emphasisn shouldn benplacedn onn anesthesian andn then germn theory.nThen developmentnof
nanesthesianallowedn womenn an choicenforn painnmanagementn innbirth;n thengermntheoryn advancednthen p

rogressn ofn generaln healthn caren andn decreasedn infectionsn inn laboringn women.n Pediatricsn asnanspecial
tyn isn ann importantn stepn forwardn butn isn notn then greatestn development,n andn midwivesn arenstilln inn pr
actice.n Maternityn caren continuesn ton evolve,n andn birthingn centersn arenstilln underndevelopment.n For
cepsn aren notn consideredn ann advancen inn maternityn care.
Questionn format:n Multiplen Choice
Chaptern1:nThenNurse'snRoleninn anChangingn Maternal-
Childn Healthn CarenEnvironmentn CognitivenLevel:nAnalyze
Clientn Needs:n Healthn Promotionn andn Maintenance

, IntegratednProcess:nTeaching/Learningn
Reference:np.n3

5. Whennpreparingnanclientnfornsurgery,nthennursenexplainsnthatnthenusenofnannantisepticnduri
ngnthensurgerynhasngreatlynimprovednclientnsurvivalnratesnandnwasnstartednbynwhichnphysicia
n?
A. Louisn Pasteur
B. Ignazn Philipn Semmelweis
C. Josephn Lister
D. AlexandernGordon

n Answer:nC

Rationale:n Josephn Listern wasn an Britishn surgeonn whon embracedn Louisn Pasteur'sn theoryn ofnmicr
oorganismsn asnthen causen ofn infection.n Listern usedn carbolicn acidn asn ann antisepticn duringnsurgery
nandn improvedn then survivaln ratesnofn hisnpatients.n Alexandern Gordonn proposednthentheorynofn infec

tion.n Olivern Wendelln Holmesn andn Ignazn Philipn Semmelweisn confirmedn hisn theory.
Questionn format:n Multiplen Choice
Chaptern1:nThenNurse'snRoleninn anChangingn Maternal-
Childn Healthn CarenEnvironmentn CognitivenLevel:nApply
Clientn Needs:n Safe,nEffectivenCarenEnvironment:nSafetynandnInfectionnControlnIntegratednProcess
:nNursingnProcess
Reference:n p.n 4

6. An youngn couplen aren veryn excitedn ton learnn theyn aren expectingn theirn firstn childn andn questionnt
hennursenaboutn whichntestntheynneedntondiscovernitsngender.nWhichn proceduren willn bestn providenthis
ninformationntonthencouple?

A. Ultrasound
B. Amniocentesis
C. Chorionicn villusn sampling
D. HGP

Answer:n A

Rationale:n Ultrasoundnisnan visualn methodn fornassessingn then fetusninnthenuterusnandn willn provideninfor
mationnaboutnthengender.n Amniocentesisnandn chorionicnvillusnsamplingn providen thenentirengeneticn c
oden ofn then fetus.n HGPn refersn ton then Humann Genomen Project,n whichn cann provideninformationn reg
ardingn genen mutationsn andn variations.
Questionn format:n Multiplen Choice
Chaptern 1:nThenNurse'snRoleninn anChangingn Maternal-
Childn Healthn CarenEnvironmentn CognitivenLevel:nApply
ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrate
dnProcess:nCaring
Reference:n p.n 6