TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
TEST BANK FOR MATERNAL-
n n n
CHILD NURSING 5TH EDITION BY MCK
n n n n n
INNEY
Chaptern01:nFoundationsnofnMaternity,nWomen’snHealth,nandnChildnHealthnNursin
gnMULTIPLEnCHOICE
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnth
enearlyn20thncentury?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwerendevelopedntonfacilitatendifficultnbirths.
c. Thenimportancenofnearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailablentonphysicians.n
ANS:nD
Technologicndevelopmentsnwerenavailablentonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedninnorderntontakenadvantagenofnthesenadvancements.nPuerperalnsepsisnhasnbeennan
knownnproblemnforngenerations.nInnthenlaten19thncentury,nSemmelweisndiscoverednhownitncouldnbenpreve
ntednwithnimprovednhygienicnpractices.nThendevelopmentnofnforcepsnisnannexamplenofnantechnologynadvan
cenmadeninnthenearlyn20thncenturynbutnisnnotnthenonlynreasonnbirthplacesnmoved.nUnlikenhomenbirths,nearl
ynhospitalnbirthsnhinderednbondingnbetweennparentsnandntheirninfants.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n1
OBJ:nIntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
2. Family-centerednmaternityncarendevelopedninnresponsento
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. thenSheppard-TownernActnofn1921.
c. parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninnannursery.
d. changesninnpharmacologicnmanagementnofnlabor
.nANS:nC
Asnresearchnbeganntonidentifynthenbenefitsnofnearlynextendednparent-
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevelopednintont
henpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nFamily-
centeredncarenwasnanrequestnbynparents,nnotnphysicians.nThenSheppard-
TownernActnofn1921nprovidednfundsnfornstate-
managednprogramsnfornmothersnandnchildren.nThenchangesninnpharmacologicnmanagementnofnlabornwere
nnotnanfactorninnfamily-centerednmaternityncare.
,TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nIntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nPsychosocialnIntegrity
3. Whichnsettingnfornchildbirthnallowsnthenleastnamountnofnparent-infantncontact?
a. Labor/delivery/recovery/postpartumnroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Homenbirth
.
ANS:nC
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,nandnth
eninfantnisncarednforninnanseparatennursery.nThenlabor/delivery/recovery/postpartumnroomnsettingnallows
nincreasednparent-infantncontact.nBirthncentersnarensetnupntonallownannincreaseninnparent-
infantncontact.nHomenbirthsnallownannincreaseninnparent-infantncontact.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Asnanresultnofnchangesninnhealthncarendeliverynandnfunding,nancurrentntrendnseenninnthenpediatri
cnsettingnis
a. increasednhospitalizationnofnchildren.
b. decreasednnumbernofnchildrennlivingninnpoverty.
c. annincreaseninnambulatoryncare.
d. decreasednusenofnmanagedncare
.nANS:nC
Oneneffectnofnmanagedncarenhasnbeennthatnpediatricnhealthncarendeliverynhasnshiftedndramaticallynfro
mnthenacutencarensettingntonthenambulatorynsettingninnorderntonprovidenmorencost-
efficientncare.nThennumbernofnhospitalnbedsnbeingnusednhasndecreasednasnmorencarenisngivenninnoutpati
entnsettingsnandninnthenhome.nThennumbernofnchildrennlivingninnpovertynhasnincreasednovernthenpastnde
cade.nOnenofnthenbiggestnchangesninnhealthncarenhasnbeennthengrowthnofnmanagedncare.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n5
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
5. ThenWomen,nInfants,nandnChildrenn(WIC)nprogramnprovides
,TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
a. well-childnexaminationsnforninfantsnandnchildrennlivingnatnthenpovertynlevel.
b. immunizationsnfornhigh-riskninfantsnandnchildren.
c. screeningnforninfantsnwithndevelopmentalndisorders.
d. supplementalnfoodnsuppliesntonlow-
incomenpregnantnornbreastfeedingnwomen.nANS:nD
WICnisnanfederalnprogramnthatnprovidesnsupplementalnfoodnsuppliesntonlow-
incomenwomennwhonarenpregnantnornbreastfeedingnandntontheirnchildrennuntilnagen5nyears.nMedicaid’snE
arlynandnPeriodicnScreening,nDiagnosis,nandnTreatmentnProgramnprovidesnfornwell-
childnexaminationsnandnforntreatmentnofnanynmedicalnproblemsndiagnosednduringnsuchncheckups.nChildre
nninnthenWICnprogramnarenoftennreferrednfornimmunizations,nbutnthatnisnnotnthenprimarynfocusnofnthenpro
gram.nPublicnLawn99-
457nisnpartnofnthenIndividualsnwithnDisabilitiesnEducationnActnthatnprovidesnfinancialnincentivesntonstatesnt
onestablishncomprehensivenearlyninterventionnservicesnforninfantsnandntoddlersnwith,nornatnrisknfor,ndevel
opmentalndisabilities.
PTS:n1nnn DIF: CognitivenLevel:nComprehensionnOBJ:nIntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
REF:np.n8
6. Innmostnstates,nadolescentsnwhonarennotnemancipatednminorsnmustnhaventhenpermissionnofnthei
rnparentsnbefore
.
a. treatmentnforndrugnabuse.
b. treatmentnfornsexuallyntransmittedndiseasesn(STDs).
c. accessingnbirthncontrol.
d. surgery.n
ANS:nD
Minorsnarennotnconsideredncapablenofngivingninformednconsent,nsonansurgicalnprocedurenwouldnrequirenco
nsentnofnthenparentnornguardian.nExceptionsnexistnfornobtainingntreatmentnforndrugnabusenornSTDsnornforng
ettingnbirthncontrolninnmostnstates.
, TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n17
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
7. Thenmaternitynnursenshouldnhavenanclearnunderstandingnofnthencorrectnusenofnanclinicalnpathway.
Onencharacteristicnofnclinicalnpathwaysnisnthatnthey
a. arendevelopednandnimplementednbynnurses.
b. arenusednprimarilyninnthenpediatricnsetting.
c. setnspecificntimenlinesnfornsequencingninterventions.
d. arenpartnofnthennursingnprocess
.nANS:nC
Clinicalnpathwaysnarenstandardized,ninterdisciplinarynplansnofncarendevisednfornpatientsnwithnanparticularn
healthnproblem.nTheynarenusedntonidentifynpatientnoutcomes,nspecifyntimenlinesntonachieventhosenoutcom
es,ndirectnappropriateninterventionsnandnsequencingnofninterventions,nincludeninterventionsnfromnanvariet
ynofndisciplines,npromotencollaboration,nandninvolvenancomprehensivenapproachntoncare.nTheynarendevelo
pednbynmultiplenhealthncarenprofessionalsnandnreflectninterdisciplinaryncare.nTheyncannbenusedninnmultipl
ensettingsnandnfornpatientsnthroughoutnthenlifenspan.nTheynarennotnpartnofnthennursingnprocessnbutncannbe
nusedninnconjunctionnwithnthennursingnprocessntonprovidencarentonpatients.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n7
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
8. Thenfastestngrowingngroupnofnhomelessnpeoplenis
a. mennandnwomennpreparingnfornretirement.
b. migrantnworkers.
c. singlenwomennandntheirnchildren.
d. intravenousn(IV)nsubstancenabusers
.nANS:nC
Pregnancynandnbirth,nespeciallynfornanteenager,narenimportantncontributingnfactorsnfornbecomingnhome
less.nPeoplenpreparingnfornretirement,nmigrantnworkers,nandnIVnsubstancenabusersnarennotnamongnthenf
astestngrowingngroupsnofnhomelessnpeople.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n14
OBJ:nNursingnProcess:nAssessment
MSC:nClientnNeeds:nPhysiologicnIntegrity
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
TEST BANK FOR MATERNAL-
n n n
CHILD NURSING 5TH EDITION BY MCK
n n n n n
INNEY
Chaptern01:nFoundationsnofnMaternity,nWomen’snHealth,nandnChildnHealthnNursin
gnMULTIPLEnCHOICE
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnth
enearlyn20thncentury?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwerendevelopedntonfacilitatendifficultnbirths.
c. Thenimportancenofnearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailablentonphysicians.n
ANS:nD
Technologicndevelopmentsnwerenavailablentonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedninnorderntontakenadvantagenofnthesenadvancements.nPuerperalnsepsisnhasnbeennan
knownnproblemnforngenerations.nInnthenlaten19thncentury,nSemmelweisndiscoverednhownitncouldnbenpreve
ntednwithnimprovednhygienicnpractices.nThendevelopmentnofnforcepsnisnannexamplenofnantechnologynadvan
cenmadeninnthenearlyn20thncenturynbutnisnnotnthenonlynreasonnbirthplacesnmoved.nUnlikenhomenbirths,nearl
ynhospitalnbirthsnhinderednbondingnbetweennparentsnandntheirninfants.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n1
OBJ:nIntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
2. Family-centerednmaternityncarendevelopedninnresponsento
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. thenSheppard-TownernActnofn1921.
c. parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninnannursery.
d. changesninnpharmacologicnmanagementnofnlabor
.nANS:nC
Asnresearchnbeganntonidentifynthenbenefitsnofnearlynextendednparent-
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevelopednintont
henpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nFamily-
centeredncarenwasnanrequestnbynparents,nnotnphysicians.nThenSheppard-
TownernActnofn1921nprovidednfundsnfornstate-
managednprogramsnfornmothersnandnchildren.nThenchangesninnpharmacologicnmanagementnofnlabornwere
nnotnanfactorninnfamily-centerednmaternityncare.
,TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nIntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nPsychosocialnIntegrity
3. Whichnsettingnfornchildbirthnallowsnthenleastnamountnofnparent-infantncontact?
a. Labor/delivery/recovery/postpartumnroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Homenbirth
.
ANS:nC
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,nandnth
eninfantnisncarednforninnanseparatennursery.nThenlabor/delivery/recovery/postpartumnroomnsettingnallows
nincreasednparent-infantncontact.nBirthncentersnarensetnupntonallownannincreaseninnparent-
infantncontact.nHomenbirthsnallownannincreaseninnparent-infantncontact.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Asnanresultnofnchangesninnhealthncarendeliverynandnfunding,nancurrentntrendnseenninnthenpediatri
cnsettingnis
a. increasednhospitalizationnofnchildren.
b. decreasednnumbernofnchildrennlivingninnpoverty.
c. annincreaseninnambulatoryncare.
d. decreasednusenofnmanagedncare
.nANS:nC
Oneneffectnofnmanagedncarenhasnbeennthatnpediatricnhealthncarendeliverynhasnshiftedndramaticallynfro
mnthenacutencarensettingntonthenambulatorynsettingninnorderntonprovidenmorencost-
efficientncare.nThennumbernofnhospitalnbedsnbeingnusednhasndecreasednasnmorencarenisngivenninnoutpati
entnsettingsnandninnthenhome.nThennumbernofnchildrennlivingninnpovertynhasnincreasednovernthenpastnde
cade.nOnenofnthenbiggestnchangesninnhealthncarenhasnbeennthengrowthnofnmanagedncare.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n5
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
5. ThenWomen,nInfants,nandnChildrenn(WIC)nprogramnprovides
,TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
a. well-childnexaminationsnforninfantsnandnchildrennlivingnatnthenpovertynlevel.
b. immunizationsnfornhigh-riskninfantsnandnchildren.
c. screeningnforninfantsnwithndevelopmentalndisorders.
d. supplementalnfoodnsuppliesntonlow-
incomenpregnantnornbreastfeedingnwomen.nANS:nD
WICnisnanfederalnprogramnthatnprovidesnsupplementalnfoodnsuppliesntonlow-
incomenwomennwhonarenpregnantnornbreastfeedingnandntontheirnchildrennuntilnagen5nyears.nMedicaid’snE
arlynandnPeriodicnScreening,nDiagnosis,nandnTreatmentnProgramnprovidesnfornwell-
childnexaminationsnandnforntreatmentnofnanynmedicalnproblemsndiagnosednduringnsuchncheckups.nChildre
nninnthenWICnprogramnarenoftennreferrednfornimmunizations,nbutnthatnisnnotnthenprimarynfocusnofnthenpro
gram.nPublicnLawn99-
457nisnpartnofnthenIndividualsnwithnDisabilitiesnEducationnActnthatnprovidesnfinancialnincentivesntonstatesnt
onestablishncomprehensivenearlyninterventionnservicesnforninfantsnandntoddlersnwith,nornatnrisknfor,ndevel
opmentalndisabilities.
PTS:n1nnn DIF: CognitivenLevel:nComprehensionnOBJ:nIntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
REF:np.n8
6. Innmostnstates,nadolescentsnwhonarennotnemancipatednminorsnmustnhaventhenpermissionnofnthei
rnparentsnbefore
.
a. treatmentnforndrugnabuse.
b. treatmentnfornsexuallyntransmittedndiseasesn(STDs).
c. accessingnbirthncontrol.
d. surgery.n
ANS:nD
Minorsnarennotnconsideredncapablenofngivingninformednconsent,nsonansurgicalnprocedurenwouldnrequirenco
nsentnofnthenparentnornguardian.nExceptionsnexistnfornobtainingntreatmentnforndrugnabusenornSTDsnornforng
ettingnbirthncontrolninnmostnstates.
, TESTnBANKnFORnMATERNAL-
CHILDnNURSINGn5THnEDITIONnBYnMCKINNEY
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n17
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
7. Thenmaternitynnursenshouldnhavenanclearnunderstandingnofnthencorrectnusenofnanclinicalnpathway.
Onencharacteristicnofnclinicalnpathwaysnisnthatnthey
a. arendevelopednandnimplementednbynnurses.
b. arenusednprimarilyninnthenpediatricnsetting.
c. setnspecificntimenlinesnfornsequencingninterventions.
d. arenpartnofnthennursingnprocess
.nANS:nC
Clinicalnpathwaysnarenstandardized,ninterdisciplinarynplansnofncarendevisednfornpatientsnwithnanparticularn
healthnproblem.nTheynarenusedntonidentifynpatientnoutcomes,nspecifyntimenlinesntonachieventhosenoutcom
es,ndirectnappropriateninterventionsnandnsequencingnofninterventions,nincludeninterventionsnfromnanvariet
ynofndisciplines,npromotencollaboration,nandninvolvenancomprehensivenapproachntoncare.nTheynarendevelo
pednbynmultiplenhealthncarenprofessionalsnandnreflectninterdisciplinaryncare.nTheyncannbenusedninnmultipl
ensettingsnandnfornpatientsnthroughoutnthenlifenspan.nTheynarennotnpartnofnthennursingnprocessnbutncannbe
nusedninnconjunctionnwithnthennursingnprocessntonprovidencarentonpatients.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n7
OBJ:nNursingnProcess:nPlanningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
8. Thenfastestngrowingngroupnofnhomelessnpeoplenis
a. mennandnwomennpreparingnfornretirement.
b. migrantnworkers.
c. singlenwomennandntheirnchildren.
d. intravenousn(IV)nsubstancenabusers
.nANS:nC
Pregnancynandnbirth,nespeciallynfornanteenager,narenimportantncontributingnfactorsnfornbecomingnhome
less.nPeoplenpreparingnfornretirement,nmigrantnworkers,nandnIVnsubstancenabusersnarennotnamongnthenf
astestngrowingngroupsnofnhomelessnpeople.
PTS:n 1n DIF: CognitivenLevel:nKnowledge/RememberingnREF:np.n14
OBJ:nNursingnProcess:nAssessment
MSC:nClientnNeeds:nPhysiologicnIntegrity
