Chapter 1 m
1. Themopeningmupmofmhospitalmvisiting mpoliciesmformchildrenmandmfamiliesmlike
lymresulted mfrommthemworkmof mwhich mindividual?
A. Joseph mBrennaman
B. John mBowlby
C. MarshalmKlaus
D. John mKennell
m Answer:mB
Rationale:mIn m1951,mJohnmBowlbymreceivedmworldwidemattentionmwithmhismstudymthat
mrevealed mthemnegativemresults mofmthemseparationmofmchildmandm mothermbecausemofmh
ospitalization.mHismworkmled mtomamre-
evaluation mandmliberalizationmof mhospitalmvisitingmpoliciesmformchildren.mJosephmBrenn
aman msuggestedmthatmamlackmof mstimulationmforminfantsmcontributed mtomhigh minfantm
mortalitymratesmatmthemtime.mInmthem1970smandm1980s,mphysiciansmMarshallmKlausman
d mJohnmKennellmcarriedmoutmimportantmstudiesmon mthemeffectmofmthemseparationmofmne
wbornsmand mparents.mTheymestablished mthatmearlymseparation mmaymhavemlong-
termmeffectsmon mfamilymrelationshipsmandmthatmofferingmthemnewmfamilyman mopportuni
tymtombemtogethermatmbirthmandmformamsignificantmperiodmaftermbirthmmaymprovidemben
efitsmthatmlastmwellmintomearlymchildhood.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mRemember
ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mNursing mProcess
Reference:mp.m4
2. An mexpectantmmothermstatesmthatmshemreadmthatmmoremblackmmothersmdieminmchil
dbirth mthanmdomwhitemmothers.mWhenmrespondingmtomhermquestionsmaboutmthemreas
onsmformthis,mthemnursemaccuratelymstatesmthatmwhich mismthemmajormreasonmformthemh
igh mmaternalmmortalitymrate?
A. having mformalmeducation.
B. being munmarried.
C. income.
D. lackmof mprenatalmcare.
Answer:mD
Rationale:mResearchmshowsmthatmmaternalmmortalitymratemismdirectlymrelatedmtomlackm
of mprenatalmcaremsecondarymtomlackmofmaccessmtomservicesmorminsurance.mIncomemasm
wellmasmeducationalmlevelmmaymplaymamroleminmthemavailabilitymof mhealth mcare,mbutmth
eymaremnotmdirectlymresponsible.mBeingmunmarried mhasmnombearing monminfantmmortali
ty.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mUnderstand
,ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mNursing mProcess
Reference:mp.m9
3. Which mstatementmcorrectlymdefinesmthemtermm"infantmdeath mrate"?
A. numbermof mdeathsmin muteromof mfetusesm500 mg mormmoremperm1,000 mlivembirths
B. numbermof mdeathsmoccurring min mthemfirstm28 mdaysmof mlifemperm1,000 mlivembirths
C. numbermof mdeathsmoccurringmatmbirthmormin mthemfirstm12mmonthsmofmlifemperm1,0
00 mlivembirths
D. death mof mamlive-born mchild mbeforemhismormhermfirstmbirthday.
Answer:mD
Rationale:mThemtermminfantmdeath mrefersmtomthemdeath mof mamlive-
born mchild mbeforemhemormshemreachesmagem1myear.mItmalsomincludesmneonatalmmortali
tymrate.mNeonatalmmortalitymratemismthemnumbermofminfantmdeathsmduringmthemfirstm2
8 mdaysmof mlifemformeverym1,000 mlivembirths.mInfantmmortalitymratemismthemnumbermof m
deathsmduring mthemfirstm12 mmonthsmof mlifemperm1,000 mlivembirths.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mRemember
ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mNursing mProcess
Reference:mp.m9
4. Themnursingminstructormismpreparingmtomteachmamgroupmofmstudentsmaboutmthemhisto
rymof mmaternitymcare.mWhatmmajormdevelopmentmwillmtheminstructormemphasizemasm
greatlyminfluencingmthempracticemofmmaternitymcareminmthemUnited mStatesmovermthempa
stmcentury?
A. technologicmadvancesmand mthemusemof mforcepsmbymprimarymcaremproviders
B. developmentmof manesthesiamand macceptancemof mthemgermmtheory
C. adventmof mbirthing mcentersmand mthemdevelopmentmof mfamily-centered mcare
D. developmentmofmpediatricmspecialtymandmreplacementmofmmidwivesmasmprimarymbir
th mattendants
Answer:mB
Rationale:mThememphasismshouldmbemplacedmonmanesthesiamandmthemgermmtheory.mTh
emdevelopmentmofmanesthesiamallowedmwomenmamchoicemformpainmmanagementmin mbir
th;mthemgermmtheorymadvancedmthemprogressmofmgeneralmhealthmcaremand mdecreased
minfections min mlaboringmwomen.mPediatrics masmamspecialty mismanm importantmstepmforwa
rd mbutmismnotmthemgreatestmdevelopment,mandmmidwivesmaremstillmin mpractice.mMatern
itymcaremcontinuesmtomevolve,mandmbirthingmcentersmaremstillmundermdevelopment.mFor
cepsmaremnotmconsidered man madvancemin mmaternitymcare.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mAnalyze
ClientmNeeds:mHealth mPromotion mand mMaintenance
,Integrated mProcess:mTeaching/LearningmReferenc
e:mp.m3
5. When mpreparingmamclientmformsurgery,mthemnursemexplainsmthatmthemusemofmanm
antisepticmduringmthemsurgerymhasmgreatlymimproved mclientmsurvivalmratesmand mw
asmstarted mbymwhich mphysician?
A. LouismPasteur
B. IgnazmPhilipmSemmelweis
C. Joseph mLister
D. AlexandermGordon
m Answer:mC
Rationale:mJosephmListermwasmamBritishmsurgeon mwhomembracedmLouismPasteur'smtheo
rymof mmicroorganismsmasmthemcausemof minfection.mListermused mcarbolicmacidmasmanmant
isepticmduring msurgerymandmimproved mthemsurvivalmratesmofmhismpatients.mAlexanderm
Gordon mproposedmthemtheorymofminfection.mOlivermWendellmHolmesmand mIgnazmPhilipm
Semmelweismconfirmed mhismtheory.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment:mSafetymand mInfection mControlmInte
grated mProcess:mNursing mProcess
Reference:mp.m4
6. Amyoung mcouplemaremverymexcitedmtomlearn mtheymaremexpectingmtheirmfirstmchildma
nd mquestion mthemnursemaboutmwhichmtestmtheymneedmtomdiscovermitsmgender.mWhich
mprocedure mwillmbest mprovidemthis minformation m tomthem couple?
A. Ultrasound
B. Amniocentesis
C. Chorionicmvillusmsampling
D. HGP
Answer:mA
Rationale:mUltrasound mismamvisualmmethod mformassessingmthemfetusmin mthemuterusmand
mwillmprovideminformationm aboutmthemgender.mAmniocentesis mand mchorionic mvillus m sa
mpling mprovidemthementiremgeneticmcodemofmthemfetus.mHGPmrefersmtomthemHuman mGe
nomemProject,mwhichmcanmprovideminformation mregardingmgenemmutationsmand mvariat
ions.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mCaring
Reference:mp.m6
, 7. Amfamilymismseekingmsourcesmformpaymentmof mhealthmcaremcosts.mWhen mtalkingmwi
th mthemfamily,mthemnursemdeterminesmthatmthemfamilymmakesmtoommuchmmoneymtomq
ualifymformthemfederalmprogram.mWhichmsourcemwouldmthemnursemlikelymrecommend?
A. Medicaid
B. SpecialmSupplementalmNutritionmProgrammformWomen,mInfants,mand mChildren m(WIC)
C. CentersmformDiseasemControl
D. StatemChild mHealth mInsurancemProgra
mmAnswer:mD
Rationale:mThemStatemChild mHealthmInsurancemProgram,mfirstmknownmbymitsmacronymm
"SCHIP"mnowmreferredmtomasm"CHIP,"mwasmenacted minm1997.mCHIPmprovidesmhealthmin
surancemtomnewbornsmand mchildren min mlow-
incomemfamiliesmwhomdomnotmotherwisemqualifymformMedicaidmandmaremuninsured.mBas
ed mon mtheminformationmgiven,mthemfamilymdoesmnotmqualifymformMedicaid,mamfederalmp
rogrammthatmsuppliesmgrantsmtomstatesmtomprovidemhealthmcaremformindividualsmwhomh
avemlowmincomesmandmmeetmothermeligibilitymcriteria.mThemSpecialmSupplementalmNutr
ition mProgrammformWomen,mInfants,mandmChildren m(WIC)mprovidesmnutritionalmservid
esmtomlow-income,mnutritionallymat-riskmpregnant,mbreast-
feeding,mandmpostpartummwomen mandmtheirmchildren m(asmoldmasm5myears).mThemCent
ersmformDiseasemControlmdoesmnotmprovidemfunding mformhealth mcaremservices.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment:mManagementmof mCare
mIntegrated mProcess: m Caring
Reference:mp.m8
8. Aftermdiscussingmthemvariousmoptionsmwithmampregnantmclientmand mpartner,mth
eymhavemchosen mtomstaymwithmtheirmnewbornmand mreceivemcaremfrommonemnursem
atmthemtimemof mbirth.mThismismreferred mtomasmwhich mtypemof mcare?
A. Regionalized mcare
B. Maternal-child mcare
C. Centralized mcare
D. Coupletmcare
m Answer:mD
Rationale:mCoupletmcaremismcaremin mwhichmthemmothermandmchildmremain minmthemsam
emroommaftermlabor/deliverymthroughmthempostpartummperiod.mThismhasmbecomemthe
mstandardm of mcare.mRegionalized mormcentralizedmcaremplacesm themtreatmentmcenters mi
n mcentralizedmlocationsmandmtransfersmthempatientmtomthemfacility.mMaternalmchildmcar
emallowsmthemmothermtombemthemprimarymprovidermof mcare.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment:mManagementmof mCare
mIntegrated mProcess: m Caring
1. Themopeningmupmofmhospitalmvisiting mpoliciesmformchildrenmandmfamiliesmlike
lymresulted mfrommthemworkmof mwhich mindividual?
A. Joseph mBrennaman
B. John mBowlby
C. MarshalmKlaus
D. John mKennell
m Answer:mB
Rationale:mIn m1951,mJohnmBowlbymreceivedmworldwidemattentionmwithmhismstudymthat
mrevealed mthemnegativemresults mofmthemseparationmofmchildmandm mothermbecausemofmh
ospitalization.mHismworkmled mtomamre-
evaluation mandmliberalizationmof mhospitalmvisitingmpoliciesmformchildren.mJosephmBrenn
aman msuggestedmthatmamlackmof mstimulationmforminfantsmcontributed mtomhigh minfantm
mortalitymratesmatmthemtime.mInmthem1970smandm1980s,mphysiciansmMarshallmKlausman
d mJohnmKennellmcarriedmoutmimportantmstudiesmon mthemeffectmofmthemseparationmofmne
wbornsmand mparents.mTheymestablished mthatmearlymseparation mmaymhavemlong-
termmeffectsmon mfamilymrelationshipsmandmthatmofferingmthemnewmfamilyman mopportuni
tymtombemtogethermatmbirthmandmformamsignificantmperiodmaftermbirthmmaymprovidemben
efitsmthatmlastmwellmintomearlymchildhood.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mRemember
ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mNursing mProcess
Reference:mp.m4
2. An mexpectantmmothermstatesmthatmshemreadmthatmmoremblackmmothersmdieminmchil
dbirth mthanmdomwhitemmothers.mWhenmrespondingmtomhermquestionsmaboutmthemreas
onsmformthis,mthemnursemaccuratelymstatesmthatmwhich mismthemmajormreasonmformthemh
igh mmaternalmmortalitymrate?
A. having mformalmeducation.
B. being munmarried.
C. income.
D. lackmof mprenatalmcare.
Answer:mD
Rationale:mResearchmshowsmthatmmaternalmmortalitymratemismdirectlymrelatedmtomlackm
of mprenatalmcaremsecondarymtomlackmofmaccessmtomservicesmorminsurance.mIncomemasm
wellmasmeducationalmlevelmmaymplaymamroleminmthemavailabilitymof mhealth mcare,mbutmth
eymaremnotmdirectlymresponsible.mBeingmunmarried mhasmnombearing monminfantmmortali
ty.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mUnderstand
,ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mNursing mProcess
Reference:mp.m9
3. Which mstatementmcorrectlymdefinesmthemtermm"infantmdeath mrate"?
A. numbermof mdeathsmin muteromof mfetusesm500 mg mormmoremperm1,000 mlivembirths
B. numbermof mdeathsmoccurring min mthemfirstm28 mdaysmof mlifemperm1,000 mlivembirths
C. numbermof mdeathsmoccurringmatmbirthmormin mthemfirstm12mmonthsmofmlifemperm1,0
00 mlivembirths
D. death mof mamlive-born mchild mbeforemhismormhermfirstmbirthday.
Answer:mD
Rationale:mThemtermminfantmdeath mrefersmtomthemdeath mof mamlive-
born mchild mbeforemhemormshemreachesmagem1myear.mItmalsomincludesmneonatalmmortali
tymrate.mNeonatalmmortalitymratemismthemnumbermofminfantmdeathsmduringmthemfirstm2
8 mdaysmof mlifemformeverym1,000 mlivembirths.mInfantmmortalitymratemismthemnumbermof m
deathsmduring mthemfirstm12 mmonthsmof mlifemperm1,000 mlivembirths.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mRemember
ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mNursing mProcess
Reference:mp.m9
4. Themnursingminstructormismpreparingmtomteachmamgroupmofmstudentsmaboutmthemhisto
rymof mmaternitymcare.mWhatmmajormdevelopmentmwillmtheminstructormemphasizemasm
greatlyminfluencingmthempracticemofmmaternitymcareminmthemUnited mStatesmovermthempa
stmcentury?
A. technologicmadvancesmand mthemusemof mforcepsmbymprimarymcaremproviders
B. developmentmof manesthesiamand macceptancemof mthemgermmtheory
C. adventmof mbirthing mcentersmand mthemdevelopmentmof mfamily-centered mcare
D. developmentmofmpediatricmspecialtymandmreplacementmofmmidwivesmasmprimarymbir
th mattendants
Answer:mB
Rationale:mThememphasismshouldmbemplacedmonmanesthesiamandmthemgermmtheory.mTh
emdevelopmentmofmanesthesiamallowedmwomenmamchoicemformpainmmanagementmin mbir
th;mthemgermmtheorymadvancedmthemprogressmofmgeneralmhealthmcaremand mdecreased
minfections min mlaboringmwomen.mPediatrics masmamspecialty mismanm importantmstepmforwa
rd mbutmismnotmthemgreatestmdevelopment,mandmmidwivesmaremstillmin mpractice.mMatern
itymcaremcontinuesmtomevolve,mandmbirthingmcentersmaremstillmundermdevelopment.mFor
cepsmaremnotmconsidered man madvancemin mmaternitymcare.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mAnalyze
ClientmNeeds:mHealth mPromotion mand mMaintenance
,Integrated mProcess:mTeaching/LearningmReferenc
e:mp.m3
5. When mpreparingmamclientmformsurgery,mthemnursemexplainsmthatmthemusemofmanm
antisepticmduringmthemsurgerymhasmgreatlymimproved mclientmsurvivalmratesmand mw
asmstarted mbymwhich mphysician?
A. LouismPasteur
B. IgnazmPhilipmSemmelweis
C. Joseph mLister
D. AlexandermGordon
m Answer:mC
Rationale:mJosephmListermwasmamBritishmsurgeon mwhomembracedmLouismPasteur'smtheo
rymof mmicroorganismsmasmthemcausemof minfection.mListermused mcarbolicmacidmasmanmant
isepticmduring msurgerymandmimproved mthemsurvivalmratesmofmhismpatients.mAlexanderm
Gordon mproposedmthemtheorymofminfection.mOlivermWendellmHolmesmand mIgnazmPhilipm
Semmelweismconfirmed mhismtheory.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment:mSafetymand mInfection mControlmInte
grated mProcess:mNursing mProcess
Reference:mp.m4
6. Amyoung mcouplemaremverymexcitedmtomlearn mtheymaremexpectingmtheirmfirstmchildma
nd mquestion mthemnursemaboutmwhichmtestmtheymneedmtomdiscovermitsmgender.mWhich
mprocedure mwillmbest mprovidemthis minformation m tomthem couple?
A. Ultrasound
B. Amniocentesis
C. Chorionicmvillusmsampling
D. HGP
Answer:mA
Rationale:mUltrasound mismamvisualmmethod mformassessingmthemfetusmin mthemuterusmand
mwillmprovideminformationm aboutmthemgender.mAmniocentesis mand mchorionic mvillus m sa
mpling mprovidemthementiremgeneticmcodemofmthemfetus.mHGPmrefersmtomthemHuman mGe
nomemProject,mwhichmcanmprovideminformation mregardingmgenemmutationsmand mvariat
ions.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mHealth mPromotionmandmMaintenanc
emIntegrated mProcess:mCaring
Reference:mp.m6
, 7. Amfamilymismseekingmsourcesmformpaymentmof mhealthmcaremcosts.mWhen mtalkingmwi
th mthemfamily,mthemnursemdeterminesmthatmthemfamilymmakesmtoommuchmmoneymtomq
ualifymformthemfederalmprogram.mWhichmsourcemwouldmthemnursemlikelymrecommend?
A. Medicaid
B. SpecialmSupplementalmNutritionmProgrammformWomen,mInfants,mand mChildren m(WIC)
C. CentersmformDiseasemControl
D. StatemChild mHealth mInsurancemProgra
mmAnswer:mD
Rationale:mThemStatemChild mHealthmInsurancemProgram,mfirstmknownmbymitsmacronymm
"SCHIP"mnowmreferredmtomasm"CHIP,"mwasmenacted minm1997.mCHIPmprovidesmhealthmin
surancemtomnewbornsmand mchildren min mlow-
incomemfamiliesmwhomdomnotmotherwisemqualifymformMedicaidmandmaremuninsured.mBas
ed mon mtheminformationmgiven,mthemfamilymdoesmnotmqualifymformMedicaid,mamfederalmp
rogrammthatmsuppliesmgrantsmtomstatesmtomprovidemhealthmcaremformindividualsmwhomh
avemlowmincomesmandmmeetmothermeligibilitymcriteria.mThemSpecialmSupplementalmNutr
ition mProgrammformWomen,mInfants,mandmChildren m(WIC)mprovidesmnutritionalmservid
esmtomlow-income,mnutritionallymat-riskmpregnant,mbreast-
feeding,mandmpostpartummwomen mandmtheirmchildren m(asmoldmasm5myears).mThemCent
ersmformDiseasemControlmdoesmnotmprovidemfunding mformhealth mcaremservices.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment:mManagementmof mCare
mIntegrated mProcess: m Caring
Reference:mp.m8
8. Aftermdiscussingmthemvariousmoptionsmwithmampregnantmclientmand mpartner,mth
eymhavemchosen mtomstaymwithmtheirmnewbornmand mreceivemcaremfrommonemnursem
atmthemtimemof mbirth.mThismismreferred mtomasmwhich mtypemof mcare?
A. Regionalized mcare
B. Maternal-child mcare
C. Centralized mcare
D. Coupletmcare
m Answer:mD
Rationale:mCoupletmcaremismcaremin mwhichmthemmothermandmchildmremain minmthemsam
emroommaftermlabor/deliverymthroughmthempostpartummperiod.mThismhasmbecomemthe
mstandardm of mcare.mRegionalized mormcentralizedmcaremplacesm themtreatmentmcenters mi
n mcentralizedmlocationsmandmtransfersmthempatientmtomthemfacility.mMaternalmchildmcar
emallowsmthemmothermtombemthemprimarymprovidermof mcare.
Question mformat:mMultiplemChoice
Chapterm1:mThemNurse'smRolemin mamChanging mMaternal-
Child mHealth mCaremEnvironmentmCognitivemLevel:mApply
ClientmNeeds:mSafe,mEffectivemCaremEnvironment:mManagementmof mCare
mIntegrated mProcess: m Caring
