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Test Bank For Maternal Child Nursing6
n n n n n n
th Edition by Emily Slone McKinneyCh
n n n n n n
apter 1-55| Complete Guide 2022
n n n n
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Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
n n n n n n n n n n
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
n n n n n n n
MULTIPLEnCHOICE
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnthene
arlyn20thncentury?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwerendevelopedntonfacilitatendifficultnbirths.
c. Thenimportancenofnearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailablentonphysicians.
ANS:n D
Technologicndevelopmentsnwerenavailablentonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedninnorderntontakenadvantagenofnthesenadvancements.nPuerperalnsepsisnhas
nbeennanknownnproblemnforngenerations.nInnthenlaten19thncentury,nSemmelweisndiscoverednhownitn
couldnbenpreventednwithnimprovednhygienicnpractices.nThendevelopmentnofnforcepsnisnannexampl
enofnantechnologynadvancenmadeninnthenearlyn20thncenturynbutnisnnotnthenonlynreasonnbirthplacesn
moved.nUnlikenhomenbirths,nearlynhospitalnbirthsnhinderednbondingnbetweennparentsnandntheirnin
fants.
PTS:1n DIF:
CognitivenLevel:nRememberingn
OBJ:IntegratednProcess:nTeaching-Learning
MSC:ClientnNeeds:nSafenandnEffectivenCarenEnvironment
2. Family-centerednmaternityncarendevelopedninnresponsento
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. thenSheppard-TownernActnofn1921.
c. parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninnann
ursery.
d. changesninnpharmacologicnmanagementnofnlabor.
ANS:n C
Asnresearchnbeganntonidentifynthenbenefitsnofnearlynextendednparent-
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevelop
ednintonthenpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nFamily-
centeredncarenwasnanrequestnbynparents,nnotnphysicians.nThenSheppard-
TownernActnofn1921nprovidednfundsnfor
state-
managednprogramsnfornmothersnandnchildren.nThenchangesninnpharmacologicnmana
gementnofnlabornwerennotnanfactorninnfamily-centerednmaternityncare.
PTS:1n DIF:
CognitivenLevel:nRememberingn
OBJ:IntegratednProcess:nTeaching-
LearningnMSC:ClientnNeeds:nPsychosocialnIntegrity
3. Whichnsettingnfornchildbirthnallowsnthenleastnamountnofnparent-infantncontact?
a. Labor/delivery/recovery/postpartumnroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Homenbirth
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ANS:n C
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,na
ndntheninfantnisncarednforninnanseparatennursery.nWhilenthisnisnslowlynchanging,ntonmorencloselynres
emblenothernbirthingnmodels,nthentraditionalnhospitalnbirthnstillnoffersnthenleastnamountnofnparent-
infantncontact.nThenlabor/delivery/recovery/postpartumnroomnsettingnallowsnincreasednparent-
infantncontact.nBirthncentersnarensetnupntonallownannincreaseninnparent-infantncontact.
Homenbirthsnallownannincreaseninnparent-infantncontact.
PTS:1n DIF: CognitivenLevel:nRemembering
OBJ:NursingnProcess:nPlanningnMSC:ClientnNeeds:nHealthnPromotionnandn
Maintenance
4. Thenmaternitynnursenshouldnhavenanclearnunderstandingnofnthencorrectnusenofnanclinicalnp
athway.nOnencharacteristicnofnclinicalnpathwaysnisnthatnthey
a. arendevelopednandnimplementednbynnurses.
b. arenusednprimarilyninnthenpediatricnsetting.
c. setnspecificntimenlinesnfornsequencingninterventions.
d. arenpartnofnthennursingnprocess.
ANS:n C
Clinicalnpathwaysnarenstandardized,ninterdisciplinarynplansnofncarendevisednfornpatientsnwithnanp
articularnhealthnproblem.nTheynarenusedntonidentifynpatientnoutcomes,nspecifyntimelinesntonachi
eventhosenoutcomes,ndirectnappropriateninterventionsnandnsequencingnofninterventions,nincluden
interventionsnfromnanvarietynofndisciplines,npromotencollaboration,nandninvolvenancomprehensi
venapproachntoncare.nTheynarendevelopednbynmultiplenhealthncarenprofessionalsnandnreflectninter
disciplinaryncare.nTheyncannbenusedninnmultiplensettingsnandnfornpatientsnthroughoutnthenlifenspa
n.nTheynarennotnpartnofnthennursingnprocessnbutncannbenusedninnconjunctionnwithnthennursingnpro
cessntonprovidencarentonpatients.
PTS:1n DIF: CognitivenLevel:nRemembering
OBJ:NursingnProcess:nPlanningnMSC:ClientnNeeds:nSafenandnEffectivenCaren
Environment
5. AnnursenwishesntonworkntonreduceninfantnmortalityninnthenUnitednStates.nWhichnactivitynwouldnt
hisnnursenmostnlikelynparticipatenin?
a. Creatingnpamphletsninnseveralndifferentnlanguagesnusingnanninterpreter.
b. AssistingnwomenntonenrollninnMedicaidnbyntheirnthirdntrimester.
c. Volunteeringntonprovidenprenatalncarenatncommunityncenters.
d. Workingnasnannintakencounselornatnanwomen‘snshelter.
ANS:n C
Prenatalncarenisnvitalntonreducingninfantnmortalitynandnmedicalncosts.nThisnnursenwouldnmostnlike
lynparticipateninncommunitynservicenprovidingnprenatalncarenoutreachnactivitiesninncommunitync
enters,nparticularlyninnlow-
incomenareas.nPamphletsninnothernlanguages,nenrollingninnMedicaid,nandnworkingnatnanwomen‘sn
shelternallnmightnimpactninfantnmortality,nbutnthengreatestneffectnwouldnbenfromnassistingnwomen
ntongetn consistentnprenataln care.
PTS:1n DIF: CognitivenLevel:nApplying
OBJ:NursingnProcess:nImplementation MSC:ClientnNeeds:nHealthnPromotionnandnMaintenance
6. Whichnstatementnisntruenregardingnthen―qualitynassurance‖norn―incident‖nreport?
a. Thenreportnassuresnthenlegalndepartmentnthatnnonproblemnexists.
b. Reportsnarenanpermanentnpartnofnthenpatient‘snchart.
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c. Thennurse‘snnotesnshouldncontain,n―Incidentnreportnfiled,nandncopynplacedninnchart.‖
d. Thisnreportnisnanformnofndocumentationnofnanneventnthatnmaynresultninnlegalnaction.
ANS:n D
Annincidentnreportnisnusednwhennsomethingnoccursnthatnmightnresultninnlegalnaction,nsuchnasnanpat
ientnfallnornmedicationnerror.nItnwarnsnthenlegalndepartmentnthatntherenmaynbenanproblemninnanparti
cularnpatient‘sncare.nIncidentnreportsnarennotnpartnofnthenpatient‘snchart;nthusnthennurses‘nnotesnsh
ouldnnotncontainnanynreferencentonthem.
PTS:1n DIF:
CognitivenLevel:nRememberingnOBJ:I
ntegratednProcess:nCommunicationnandnDocumentationnMSC:
ClientnNeeds:nSafenandnEffectivenCarenEnvironment
7. Whichnwomannwouldnbenmostnlikelyntonseeknprenatalncare?
a. An15-year-oldnwhontellsnhernfriends,n ―Indon‘tnbelievenI‘mnpregnant.‖
b. An20-year-oldnwhonisninnhernfirstnpregnancynandnhasnaccessntonanfreenprenatalnclinic.
c. An28-year-oldnwhonisninnhernsecondnpregnancynandnabusesndrugsnandnalcohol.
d. An30-year-oldnwhonisninnhernfifthnpregnancynandndeliverednhernlastninfantnatnhome.
ANS:n B
Thenpatientnwhonacknowledgesnthenpregnancynearly,nhasnaccessntonhealthncare,nandnhasnnonreas
onntonavoidnhealthncarenisnmostnlikelyntonseeknprenatalncare.nBeingninndenialnaboutnthenpregnanc
ynincreasesnthenrisknofnnotnseekingncare.nThisnpatientnisnalson15,nandnothernsocialnfactorsnmayndis
couragenhernfromnseekingncarenasnwell.nWomennwhonabusensubstancesnarenlessnlikelyntonreceiven
prenatalncare.nSomenwomennseenpregnancynandndeliverynasnannaturalnoccurrencenandndonnotnsee
knhealthncare.
PTS:1n DIF: CognitivenLevel:nUnderstanding
OBJ:NursingnProcess:nAssessment MSC:ClientnNeeds:nHealthnPromotionnandnMaintenance
8. Anwomannwhondeliverednhernbabyn6nhoursnagoncomplainsnofnheadachenandndizziness.nThennurs
enadministersnannanalgesicnbutndoesnnotnperformnanynassessments.nThenwomannthennhasnantonic
-
clonicnseizure,nfallsnoutnofnbed,nandnfracturesnhernfemur.nHownwouldnthenactionsnofnthennursenb
eninterpretedninnrelationntonstandardsnofncare?
a. Negligent:nthennursenfailedntonassessnthenwomannfornpossiblencomplications
b. Negligent:nbecausenthennursenmedicatednthenwoman
c. Notnnegligent:nthenwomannhadnsignednanwaivernconcerningnthenusenofnsidenrails
d. Notnnegligent:nthenwomanndidnnotninformnthennursenofnhernsymptomsnasnsoonnasnt
heynoccurred
ANS:n A
Therenarenfournelementsntonmalpractice,nwhichnisnnegligenceninnthenperformancenofnprofessiona
lnduties:nduty,nbreachnofnduty,ndamage,nandnproximatencause.nThennursenwasnnegligentnbecausen
shenornhendidnnotnperformnanynassessments,nwhichnisnthenfirstnstepnofnthennursingnprocessnandnisn
anstandardnofncare.nBynnotnassessingnthenpatient,nthennursendidnnotnmeetnestablishednstandardsnofn
care,nandnthusnisnguiltynofnprofessionalnnegligence,nornmalpractice.
PTS:1n DIF: CognitivenLevel:nRemembering
OBJ:NursingnProcess:nEvaluationnMSC:ClientnNeeds:nSafenandnEffectivenCaren
Environment
9. Whichnpatientnsituationnfailsntonmeetnthenfirstnrequirementnofninformednconsent?
a. Thenpatientndoesnnotnunderstandnthenphysician‘snexplanations.
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TestBank n
Test Bank For Maternal Child Nursing6
n n n n n n
th Edition by Emily Slone McKinneyCh
n n n n n n
apter 1-55| Complete Guide 2022
n n n n
DownloadednbynSAMUELnWAMn()
, lOMoAR cPSD| 13778330
Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
n n n n n n n n n n
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
n n n n n n n
MULTIPLEnCHOICE
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnthene
arlyn20thncentury?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwerendevelopedntonfacilitatendifficultnbirths.
c. Thenimportancenofnearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailablentonphysicians.
ANS:n D
Technologicndevelopmentsnwerenavailablentonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedninnorderntontakenadvantagenofnthesenadvancements.nPuerperalnsepsisnhas
nbeennanknownnproblemnforngenerations.nInnthenlaten19thncentury,nSemmelweisndiscoverednhownitn
couldnbenpreventednwithnimprovednhygienicnpractices.nThendevelopmentnofnforcepsnisnannexampl
enofnantechnologynadvancenmadeninnthenearlyn20thncenturynbutnisnnotnthenonlynreasonnbirthplacesn
moved.nUnlikenhomenbirths,nearlynhospitalnbirthsnhinderednbondingnbetweennparentsnandntheirnin
fants.
PTS:1n DIF:
CognitivenLevel:nRememberingn
OBJ:IntegratednProcess:nTeaching-Learning
MSC:ClientnNeeds:nSafenandnEffectivenCarenEnvironment
2. Family-centerednmaternityncarendevelopedninnresponsento
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. thenSheppard-TownernActnofn1921.
c. parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninnann
ursery.
d. changesninnpharmacologicnmanagementnofnlabor.
ANS:n C
Asnresearchnbeganntonidentifynthenbenefitsnofnearlynextendednparent-
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevelop
ednintonthenpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nFamily-
centeredncarenwasnanrequestnbynparents,nnotnphysicians.nThenSheppard-
TownernActnofn1921nprovidednfundsnfor
state-
managednprogramsnfornmothersnandnchildren.nThenchangesninnpharmacologicnmana
gementnofnlabornwerennotnanfactorninnfamily-centerednmaternityncare.
PTS:1n DIF:
CognitivenLevel:nRememberingn
OBJ:IntegratednProcess:nTeaching-
LearningnMSC:ClientnNeeds:nPsychosocialnIntegrity
3. Whichnsettingnfornchildbirthnallowsnthenleastnamountnofnparent-infantncontact?
a. Labor/delivery/recovery/postpartumnroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Homenbirth
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ANS:n C
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,na
ndntheninfantnisncarednforninnanseparatennursery.nWhilenthisnisnslowlynchanging,ntonmorencloselynres
emblenothernbirthingnmodels,nthentraditionalnhospitalnbirthnstillnoffersnthenleastnamountnofnparent-
infantncontact.nThenlabor/delivery/recovery/postpartumnroomnsettingnallowsnincreasednparent-
infantncontact.nBirthncentersnarensetnupntonallownannincreaseninnparent-infantncontact.
Homenbirthsnallownannincreaseninnparent-infantncontact.
PTS:1n DIF: CognitivenLevel:nRemembering
OBJ:NursingnProcess:nPlanningnMSC:ClientnNeeds:nHealthnPromotionnandn
Maintenance
4. Thenmaternitynnursenshouldnhavenanclearnunderstandingnofnthencorrectnusenofnanclinicalnp
athway.nOnencharacteristicnofnclinicalnpathwaysnisnthatnthey
a. arendevelopednandnimplementednbynnurses.
b. arenusednprimarilyninnthenpediatricnsetting.
c. setnspecificntimenlinesnfornsequencingninterventions.
d. arenpartnofnthennursingnprocess.
ANS:n C
Clinicalnpathwaysnarenstandardized,ninterdisciplinarynplansnofncarendevisednfornpatientsnwithnanp
articularnhealthnproblem.nTheynarenusedntonidentifynpatientnoutcomes,nspecifyntimelinesntonachi
eventhosenoutcomes,ndirectnappropriateninterventionsnandnsequencingnofninterventions,nincluden
interventionsnfromnanvarietynofndisciplines,npromotencollaboration,nandninvolvenancomprehensi
venapproachntoncare.nTheynarendevelopednbynmultiplenhealthncarenprofessionalsnandnreflectninter
disciplinaryncare.nTheyncannbenusedninnmultiplensettingsnandnfornpatientsnthroughoutnthenlifenspa
n.nTheynarennotnpartnofnthennursingnprocessnbutncannbenusedninnconjunctionnwithnthennursingnpro
cessntonprovidencarentonpatients.
PTS:1n DIF: CognitivenLevel:nRemembering
OBJ:NursingnProcess:nPlanningnMSC:ClientnNeeds:nSafenandnEffectivenCaren
Environment
5. AnnursenwishesntonworkntonreduceninfantnmortalityninnthenUnitednStates.nWhichnactivitynwouldnt
hisnnursenmostnlikelynparticipatenin?
a. Creatingnpamphletsninnseveralndifferentnlanguagesnusingnanninterpreter.
b. AssistingnwomenntonenrollninnMedicaidnbyntheirnthirdntrimester.
c. Volunteeringntonprovidenprenatalncarenatncommunityncenters.
d. Workingnasnannintakencounselornatnanwomen‘snshelter.
ANS:n C
Prenatalncarenisnvitalntonreducingninfantnmortalitynandnmedicalncosts.nThisnnursenwouldnmostnlike
lynparticipateninncommunitynservicenprovidingnprenatalncarenoutreachnactivitiesninncommunitync
enters,nparticularlyninnlow-
incomenareas.nPamphletsninnothernlanguages,nenrollingninnMedicaid,nandnworkingnatnanwomen‘sn
shelternallnmightnimpactninfantnmortality,nbutnthengreatestneffectnwouldnbenfromnassistingnwomen
ntongetn consistentnprenataln care.
PTS:1n DIF: CognitivenLevel:nApplying
OBJ:NursingnProcess:nImplementation MSC:ClientnNeeds:nHealthnPromotionnandnMaintenance
6. Whichnstatementnisntruenregardingnthen―qualitynassurance‖norn―incident‖nreport?
a. Thenreportnassuresnthenlegalndepartmentnthatnnonproblemnexists.
b. Reportsnarenanpermanentnpartnofnthenpatient‘snchart.
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c. Thennurse‘snnotesnshouldncontain,n―Incidentnreportnfiled,nandncopynplacedninnchart.‖
d. Thisnreportnisnanformnofndocumentationnofnanneventnthatnmaynresultninnlegalnaction.
ANS:n D
Annincidentnreportnisnusednwhennsomethingnoccursnthatnmightnresultninnlegalnaction,nsuchnasnanpat
ientnfallnornmedicationnerror.nItnwarnsnthenlegalndepartmentnthatntherenmaynbenanproblemninnanparti
cularnpatient‘sncare.nIncidentnreportsnarennotnpartnofnthenpatient‘snchart;nthusnthennurses‘nnotesnsh
ouldnnotncontainnanynreferencentonthem.
PTS:1n DIF:
CognitivenLevel:nRememberingnOBJ:I
ntegratednProcess:nCommunicationnandnDocumentationnMSC:
ClientnNeeds:nSafenandnEffectivenCarenEnvironment
7. Whichnwomannwouldnbenmostnlikelyntonseeknprenatalncare?
a. An15-year-oldnwhontellsnhernfriends,n ―Indon‘tnbelievenI‘mnpregnant.‖
b. An20-year-oldnwhonisninnhernfirstnpregnancynandnhasnaccessntonanfreenprenatalnclinic.
c. An28-year-oldnwhonisninnhernsecondnpregnancynandnabusesndrugsnandnalcohol.
d. An30-year-oldnwhonisninnhernfifthnpregnancynandndeliverednhernlastninfantnatnhome.
ANS:n B
Thenpatientnwhonacknowledgesnthenpregnancynearly,nhasnaccessntonhealthncare,nandnhasnnonreas
onntonavoidnhealthncarenisnmostnlikelyntonseeknprenatalncare.nBeingninndenialnaboutnthenpregnanc
ynincreasesnthenrisknofnnotnseekingncare.nThisnpatientnisnalson15,nandnothernsocialnfactorsnmayndis
couragenhernfromnseekingncarenasnwell.nWomennwhonabusensubstancesnarenlessnlikelyntonreceiven
prenatalncare.nSomenwomennseenpregnancynandndeliverynasnannaturalnoccurrencenandndonnotnsee
knhealthncare.
PTS:1n DIF: CognitivenLevel:nUnderstanding
OBJ:NursingnProcess:nAssessment MSC:ClientnNeeds:nHealthnPromotionnandnMaintenance
8. Anwomannwhondeliverednhernbabyn6nhoursnagoncomplainsnofnheadachenandndizziness.nThennurs
enadministersnannanalgesicnbutndoesnnotnperformnanynassessments.nThenwomannthennhasnantonic
-
clonicnseizure,nfallsnoutnofnbed,nandnfracturesnhernfemur.nHownwouldnthenactionsnofnthennursenb
eninterpretedninnrelationntonstandardsnofncare?
a. Negligent:nthennursenfailedntonassessnthenwomannfornpossiblencomplications
b. Negligent:nbecausenthennursenmedicatednthenwoman
c. Notnnegligent:nthenwomannhadnsignednanwaivernconcerningnthenusenofnsidenrails
d. Notnnegligent:nthenwomanndidnnotninformnthennursenofnhernsymptomsnasnsoonnasnt
heynoccurred
ANS:n A
Therenarenfournelementsntonmalpractice,nwhichnisnnegligenceninnthenperformancenofnprofessiona
lnduties:nduty,nbreachnofnduty,ndamage,nandnproximatencause.nThennursenwasnnegligentnbecausen
shenornhendidnnotnperformnanynassessments,nwhichnisnthenfirstnstepnofnthennursingnprocessnandnisn
anstandardnofncare.nBynnotnassessingnthenpatient,nthennursendidnnotnmeetnestablishednstandardsnofn
care,nandnthusnisnguiltynofnprofessionalnnegligence,nornmalpractice.
PTS:1n DIF: CognitivenLevel:nRemembering
OBJ:NursingnProcess:nEvaluationnMSC:ClientnNeeds:nSafenandnEffectivenCaren
Environment
9. Whichnpatientnsituationnfailsntonmeetnthenfirstnrequirementnofninformednconsent?
a. Thenpatientndoesnnotnunderstandnthenphysician‘snexplanations.
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