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