,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health NursingMcKi
k k k k k k k k k k k
nney: Evolve Resources for Maternal-Child Nursing, 5th Edition
k k k k k k k
MULTIPLEkCHOICE
1. Whichkfactorksignificantlykcontributedktokthekshiftkfromkhomekbirthsktokhospitalkbirthskinkt
hekearlyk20thkcentury?
a. Puerperalksepsiskwaskidentifiedkaskakriskkfactorkinklaborkandkdelivery.
b. Forcepskwerekdevelopedktokfacilitatekdifficultkbirths.
c. Thekimportancekofkearlykparental-infantkcontactkwaskidentified.
d. Technologickdevelopmentskbecamekavailablektokphysicians.
ANS:kD
Technologickdevelopmentskwerekavailablektokphysicians,knotklaykmidwives.kSokin-
hospitalkbirthskincreasedkinkorderktoktakekadvantagekofkthesekadvancements.kPuerperalksepsiskhas
kbeenkakknownkproblemkforkgenerations.kInktheklatek19thkcentury,kSemmelweiskdiscoveredkhowkitk
couldkbekpreventedkwithkimprovedkhygienickpractices.kThekdevelopmentkofkforcepskiskankexampl
ekofkaktechnologykadvancekmadekinkthekearlyk20thkcenturykbutkisknotkthekonlykreasonkbirthplacesk
moved.kUnlikekhomekbirths,kearlykhospitalkbirthskhinderedkbondingkbetweenkparentskandktheirkin
fants.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k1 OBJ:k IntegratedkProcess:kTeaching-
LearningkMSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment
2. Family-centeredkmaternitykcarekdevelopedkinkresponsekto
a. demandskbykphysicianskforkfamilykinvolvementkinkchildbirth.
b. thekSheppard-TownerkActkofk1921.
c. parentalkrequestskthatkinfantskbekallowedktokremainkwithkthemkratherkthankinka
nursery.
k
d. changeskinkpharmacologickmanagementkofklabor.
ANS:kC
Askresearchkbeganktokidentifykthekbenefitskofkearlykextendedkparent-
infantkcontact,kparentskbeganktokinsistkthatkthekinfantkremainkwithkthem.kThiskgraduallykdevel
opedkintokthekpracticekofkrooming-inkandkfinallyktokfamily-centeredkmaternitykcare.kFamily-
centeredkcarekwaskakrequestkbykparents,knotkphysicians.kThekSheppard-
TownerkActkofk1921kprovidedkfundskforkstate-
managedkprogramskforkmotherskandkchildren.kThekchangeskinkpharmacologickmanagementko
fklaborkwereknotkakfactorkinkfamily-centeredkmaternitykcare.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k2 OBJ:k IntegratedkProcess:kTeaching-
LearningkMSC:kClientkNeeds:kPsychosocialkIntegrity
3. Whichksettingkforkchildbirthkallowskthekleastkamountkofkparent-infantkcontact?
a. Labor/delivery/recovery/postpartumkroom
b. Birthkcenter
c. Traditionalkhospitalkbirth
d. Homekbirth
.
, ANS:kC
Inkthektraditionalkhospitalksetting,kthekmotherkmaykseekthekinfantkforkonlykshortkfeedingkperiods,ka
ndkthekinfantkiskcaredkforkinkakseparateknursery.kTheklabor/delivery/recovery/postpartumkroomkset
tingkallowskincreasedkparent-
infantkcontact.kBirthkcenterskareksetkupktokallowkankincreasekinkparent-
infantkcontact.kHomekbirthskallowkankincreasekinkparent-infantkcontact.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k2 OBJ:k NursingkProcess:kPlanning
MSC:k ClientkNeeds:kHealthkPromotionkandkMaintenance
4. Askakresultkofkchangeskinkhealthkcarekdeliverykandkfunding,kakcurrentktrendkseenkinkthekp
ediatricksettingkis
a. increasedkhospitalizationkofkchildren.
b. decreasedknumberkofkchildrenklivingkinkpoverty.
c. ankincreasekinkambulatorykcare.
d. decreasedkusekofkmanagedkcare.
ANS:kC
Onekeffectkofkmanagedkcarekhaskbeenkthatkpediatrickhealthkcarekdeliverykhaskshiftedkdramati
callykfromkthekacutekcareksettingktokthekambulatoryksettingkinkorderktokprovidekmorekcost-
efficientkcare.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreasedkaskmorekcarekiskgivenki
nkoutpatientksettingskandkinkthekhome.kTheknumberkofkchildrenklivingkinkpovertykhaskincrease
dkoverkthekpastkdecade.kOnekofkthekbiggestkchangeskinkhealthkcarekhaskbeenkthekgrowthkofkma
nagedkcare.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k5 OBJ:k NursingkProcess:kPlanning
MSC:k ClientkNeeds:kSafekandkEffectivekCarekEnvironment
5. ThekWomen,kInfants,kandkChildrenk(WIC)kprogramkprovides
a. well-childkexaminationskforkinfantskandkchildrenklivingkatkthekpovertyklevel.
b. immunizationskforkhigh-riskkinfantskandkchildren.
c. screeningkforkinfantskwithkdevelopmentalkdisorders.
d. supplementalkfoodksuppliesktoklow-incomekpregnantkorkbreastfeedingkwomen.
ANS:kD
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreastfeedingkandktoktheirkchildrenkuntilkagek5kyears.kMedi
caid’skEarlykandkPeriodickScreening,kDiagnosis,kandkTreatmentkProgramkprovideskforkwell-
childkexaminationskandkforktreatmentkofkanykmedicalkproblemskdiagnosedkduringksuchkcheckup
s.kChildrenkinkthekWICkprogramkarekoftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimar
ykfocuskofkthekprogram.kPublickLawk99-
457kiskpartkofkthekIndividualskwithkDisabilitieskEducationkActkthatkprovideskfinancialkincentives
ktokstatesktokestablishkcomprehensivekearlykinterventionkserviceskforkinfantskandktoddlerskwith,ko
rkatkriskkfor,kdevelopmentalkdisabilities.
PTS:k 1 DIF: REF:k p.k8
CognitivekLevel:kComprehensionkOBJ:k I
ntegratedkProcess:kTeaching-Learning
MSC:kClientkNeeds:kHealthkPromotionkandkMaintenance
6. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekthekpermissionkofkt
heirkparentskbefore
, .
k k k k k k k k k k k
nney: Evolve Resources for Maternal-Child Nursing, 5th Edition
k k k k k k k
MULTIPLEkCHOICE
1. Whichkfactorksignificantlykcontributedktokthekshiftkfromkhomekbirthsktokhospitalkbirthskinkt
hekearlyk20thkcentury?
a. Puerperalksepsiskwaskidentifiedkaskakriskkfactorkinklaborkandkdelivery.
b. Forcepskwerekdevelopedktokfacilitatekdifficultkbirths.
c. Thekimportancekofkearlykparental-infantkcontactkwaskidentified.
d. Technologickdevelopmentskbecamekavailablektokphysicians.
ANS:kD
Technologickdevelopmentskwerekavailablektokphysicians,knotklaykmidwives.kSokin-
hospitalkbirthskincreasedkinkorderktoktakekadvantagekofkthesekadvancements.kPuerperalksepsiskhas
kbeenkakknownkproblemkforkgenerations.kInktheklatek19thkcentury,kSemmelweiskdiscoveredkhowkitk
couldkbekpreventedkwithkimprovedkhygienickpractices.kThekdevelopmentkofkforcepskiskankexampl
ekofkaktechnologykadvancekmadekinkthekearlyk20thkcenturykbutkisknotkthekonlykreasonkbirthplacesk
moved.kUnlikekhomekbirths,kearlykhospitalkbirthskhinderedkbondingkbetweenkparentskandktheirkin
fants.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k1 OBJ:k IntegratedkProcess:kTeaching-
LearningkMSC:kClientkNeeds:kSafekandkEffectivekCarekEnvironment
2. Family-centeredkmaternitykcarekdevelopedkinkresponsekto
a. demandskbykphysicianskforkfamilykinvolvementkinkchildbirth.
b. thekSheppard-TownerkActkofk1921.
c. parentalkrequestskthatkinfantskbekallowedktokremainkwithkthemkratherkthankinka
nursery.
k
d. changeskinkpharmacologickmanagementkofklabor.
ANS:kC
Askresearchkbeganktokidentifykthekbenefitskofkearlykextendedkparent-
infantkcontact,kparentskbeganktokinsistkthatkthekinfantkremainkwithkthem.kThiskgraduallykdevel
opedkintokthekpracticekofkrooming-inkandkfinallyktokfamily-centeredkmaternitykcare.kFamily-
centeredkcarekwaskakrequestkbykparents,knotkphysicians.kThekSheppard-
TownerkActkofk1921kprovidedkfundskforkstate-
managedkprogramskforkmotherskandkchildren.kThekchangeskinkpharmacologickmanagementko
fklaborkwereknotkakfactorkinkfamily-centeredkmaternitykcare.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k2 OBJ:k IntegratedkProcess:kTeaching-
LearningkMSC:kClientkNeeds:kPsychosocialkIntegrity
3. Whichksettingkforkchildbirthkallowskthekleastkamountkofkparent-infantkcontact?
a. Labor/delivery/recovery/postpartumkroom
b. Birthkcenter
c. Traditionalkhospitalkbirth
d. Homekbirth
.
, ANS:kC
Inkthektraditionalkhospitalksetting,kthekmotherkmaykseekthekinfantkforkonlykshortkfeedingkperiods,ka
ndkthekinfantkiskcaredkforkinkakseparateknursery.kTheklabor/delivery/recovery/postpartumkroomkset
tingkallowskincreasedkparent-
infantkcontact.kBirthkcenterskareksetkupktokallowkankincreasekinkparent-
infantkcontact.kHomekbirthskallowkankincreasekinkparent-infantkcontact.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k2 OBJ:k NursingkProcess:kPlanning
MSC:k ClientkNeeds:kHealthkPromotionkandkMaintenance
4. Askakresultkofkchangeskinkhealthkcarekdeliverykandkfunding,kakcurrentktrendkseenkinkthekp
ediatricksettingkis
a. increasedkhospitalizationkofkchildren.
b. decreasedknumberkofkchildrenklivingkinkpoverty.
c. ankincreasekinkambulatorykcare.
d. decreasedkusekofkmanagedkcare.
ANS:kC
Onekeffectkofkmanagedkcarekhaskbeenkthatkpediatrickhealthkcarekdeliverykhaskshiftedkdramati
callykfromkthekacutekcareksettingktokthekambulatoryksettingkinkorderktokprovidekmorekcost-
efficientkcare.kTheknumberkofkhospitalkbedskbeingkusedkhaskdecreasedkaskmorekcarekiskgivenki
nkoutpatientksettingskandkinkthekhome.kTheknumberkofkchildrenklivingkinkpovertykhaskincrease
dkoverkthekpastkdecade.kOnekofkthekbiggestkchangeskinkhealthkcarekhaskbeenkthekgrowthkofkma
nagedkcare.
PTS:kkk 1 DIF:
CognitivekLevel:kKnowledge/RememberingkREF:k p
.k5 OBJ:k NursingkProcess:kPlanning
MSC:k ClientkNeeds:kSafekandkEffectivekCarekEnvironment
5. ThekWomen,kInfants,kandkChildrenk(WIC)kprogramkprovides
a. well-childkexaminationskforkinfantskandkchildrenklivingkatkthekpovertyklevel.
b. immunizationskforkhigh-riskkinfantskandkchildren.
c. screeningkforkinfantskwithkdevelopmentalkdisorders.
d. supplementalkfoodksuppliesktoklow-incomekpregnantkorkbreastfeedingkwomen.
ANS:kD
WICkiskakfederalkprogramkthatkprovidesksupplementalkfoodksuppliesktoklow-
incomekwomenkwhokarekpregnantkorkbreastfeedingkandktoktheirkchildrenkuntilkagek5kyears.kMedi
caid’skEarlykandkPeriodickScreening,kDiagnosis,kandkTreatmentkProgramkprovideskforkwell-
childkexaminationskandkforktreatmentkofkanykmedicalkproblemskdiagnosedkduringksuchkcheckup
s.kChildrenkinkthekWICkprogramkarekoftenkreferredkforkimmunizations,kbutkthatkisknotkthekprimar
ykfocuskofkthekprogram.kPublickLawk99-
457kiskpartkofkthekIndividualskwithkDisabilitieskEducationkActkthatkprovideskfinancialkincentives
ktokstatesktokestablishkcomprehensivekearlykinterventionkserviceskforkinfantskandktoddlerskwith,ko
rkatkriskkfor,kdevelopmentalkdisabilities.
PTS:k 1 DIF: REF:k p.k8
CognitivekLevel:kComprehensionkOBJ:k I
ntegratedkProcess:kTeaching-Learning
MSC:kClientkNeeds:kHealthkPromotionkandkMaintenance
6. Inkmostkstates,kadolescentskwhokareknotkemancipatedkminorskmustkhavekthekpermissionkofkt
heirkparentskbefore
, .
