Test Bank
Introductory
Maternity & Pediatric
Nursing
5th Edition
Nancy T.Hatfield, Cynthia A.Kincheloe
,Table of Contents
Unit 1 Overview of Maternal and Pediatric Health Care
Chapter 1 The Nurse’s Role in a Changing Maternal–Child Health Care Environment
Chapter 2 Family-Centered and Community-Based Maternal and Pediatric Nursing
Unit 2 Foundations of Maternity Nursing
Chapter 3 Structure and Function of the Reproductive System
Chapter 4 Special Issues of Women’s Health Care and Reproduction
Unit 3 Pregnancy
Chapter 5 Fetal Development
Chapter 6 Maternal Adaptation During Pregnancy
Chapter 7 Prenatal Care
Unit 4 Labor and Birth
Chapter 8 The Labor Process
Chapter 9 Pain Management During Labor and Birth
Chapter 10 Nursing Care During Labor and Birth
Chapter 11 Assisted Delivery and Cesarean Birth
Unit 5 Postpartum and Newborn
Chapter 12 The Postpartum Woman
Chapter 13 Nursing Care During Newborn Transition
Chapter 14 Nursing Care of the Normal Newborn
Chapter 15 Newborn Nutrition
Unit 6 Childbearing at Risk
Chapter 16 Pregnancy at Risk: Conditions That Complicate Pregnancy
Chapter 17 Pregnancy at Risk: Pregnancy-Related Complications
Chapter 18 Labor at Risk
Chapter 19 Postpartum Woman at Risk
Chapter 20 The Newborn at Risk: Gestational and Acquired Disorders
Chapter 21 The Newborn at Risk: Congenital Disorders
Unit 7 Health Promotion for Normal Growth and Development
Chapter 22 Principles of Growth and Development
Chapter 23 Growth and Development of the Infant: 28 Days to 1 Year
Chapter 24 Growth and Development of the Toddler: 1 to 3 Years
Chapter 25 Growth and Development of the Preschool Child: 3 to 6 Years
Chapter 26 Growth and Development of the School-Aged Child: 6 to 10 Years
Chapter 27 Growth and Development of the Adolescent: 11 to 18 Years
Unit 8 Foundations of Pediatric Nursing
Chapter 28 Data Collection (Assessment) for the Child
Chapter 29 Care of the Hospitalized Child
Chapter 30 Procedures and Treatments
Chapter 31 Medication Administration and Intravenous Therapy
Unit 9 Special Concerns of Pediatric Nursing
Chapter 32 The Child with a Chronic Health Problem
Chapter 33 Abuse in the Family and Community
Chapter 34 The Dying Child
Unit 10 The Child with a Health Disorder
Chapter 35 The Child with a Sensory/Neurologic Disorder
Chapter 36 The Child with a Respiratory Disorder
Chapter 37 The Child with a Cardiovascular/Hematologic Disorder
Chapter 38 The Child with a Gastrointestinal/Endocrine Disorder
Chapter 39 The Child with a Genitourinary Disorder
Chapter 40 The Child with a Musculoskeletal Disorder
Chapter 41 The Child with an Integumentary Disorder/Communicable Disease
Chapter 42 The Child with a Cognitive, Behavioral, or Mental Health Disorder
, Chapter 1 : The Nurse’s Role in a Changing Maternal–Child Health Care Environment
1. The opening up of hospital visiting policies for children and families likely
resulted from the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his study that
revealed the negative results of the separation of child and mother because of
hospitalization. His work led to a re-evaluation and liberalization of hospital visiting
policies for children. Joseph Brennaman suggested that a lack of stimulation for
infants contributed to high infant mortality rates at the time. In the 1970s and
1980s, physicians Marshall Klaus and John Kennell carried out important studies on
the effect of the separation of newborns and parents. They established that early
separation may have long-term effects on family relationships and that offering the
new family an opportunity to be together at birth and for a significant period after
birth may provide benefits that last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in
childbirth than do white mothers. When responding to her questions about the
reasons for this, the nurse accurately states that which is the major reason for the
high maternal mortality rate?
A. having formal education.
B. being unmarried.
C. income.
D. lack of prenatal care.
Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of
prenatal care secondary to lack of access to services or insurance. Income as well
as educational level may play a role in the availability of health care, but they are
not directly responsible. Being unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Understand
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000
live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he
or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal
mortality rate is the number of infant deaths during the first 28 days of life for
every 1,000 live births. Infant mortality rate is the number of deaths during the
first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history
of maternity care. What major development will the instructor emphasize as
greatly influencing the practice of maternity care in the United States over the past
century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth
attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
development of anesthesia allowed women a choice for pain management in birth;
the germ theory advanced the progress of general health care and decreased
infections in laboring women. Pediatrics as a specialty is an important step forward
but is not the greatest development, and midwives are still in practice. Maternity
care continues to evolve, and birthing centers are still under development. Forceps
are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance
Introductory
Maternity & Pediatric
Nursing
5th Edition
Nancy T.Hatfield, Cynthia A.Kincheloe
,Table of Contents
Unit 1 Overview of Maternal and Pediatric Health Care
Chapter 1 The Nurse’s Role in a Changing Maternal–Child Health Care Environment
Chapter 2 Family-Centered and Community-Based Maternal and Pediatric Nursing
Unit 2 Foundations of Maternity Nursing
Chapter 3 Structure and Function of the Reproductive System
Chapter 4 Special Issues of Women’s Health Care and Reproduction
Unit 3 Pregnancy
Chapter 5 Fetal Development
Chapter 6 Maternal Adaptation During Pregnancy
Chapter 7 Prenatal Care
Unit 4 Labor and Birth
Chapter 8 The Labor Process
Chapter 9 Pain Management During Labor and Birth
Chapter 10 Nursing Care During Labor and Birth
Chapter 11 Assisted Delivery and Cesarean Birth
Unit 5 Postpartum and Newborn
Chapter 12 The Postpartum Woman
Chapter 13 Nursing Care During Newborn Transition
Chapter 14 Nursing Care of the Normal Newborn
Chapter 15 Newborn Nutrition
Unit 6 Childbearing at Risk
Chapter 16 Pregnancy at Risk: Conditions That Complicate Pregnancy
Chapter 17 Pregnancy at Risk: Pregnancy-Related Complications
Chapter 18 Labor at Risk
Chapter 19 Postpartum Woman at Risk
Chapter 20 The Newborn at Risk: Gestational and Acquired Disorders
Chapter 21 The Newborn at Risk: Congenital Disorders
Unit 7 Health Promotion for Normal Growth and Development
Chapter 22 Principles of Growth and Development
Chapter 23 Growth and Development of the Infant: 28 Days to 1 Year
Chapter 24 Growth and Development of the Toddler: 1 to 3 Years
Chapter 25 Growth and Development of the Preschool Child: 3 to 6 Years
Chapter 26 Growth and Development of the School-Aged Child: 6 to 10 Years
Chapter 27 Growth and Development of the Adolescent: 11 to 18 Years
Unit 8 Foundations of Pediatric Nursing
Chapter 28 Data Collection (Assessment) for the Child
Chapter 29 Care of the Hospitalized Child
Chapter 30 Procedures and Treatments
Chapter 31 Medication Administration and Intravenous Therapy
Unit 9 Special Concerns of Pediatric Nursing
Chapter 32 The Child with a Chronic Health Problem
Chapter 33 Abuse in the Family and Community
Chapter 34 The Dying Child
Unit 10 The Child with a Health Disorder
Chapter 35 The Child with a Sensory/Neurologic Disorder
Chapter 36 The Child with a Respiratory Disorder
Chapter 37 The Child with a Cardiovascular/Hematologic Disorder
Chapter 38 The Child with a Gastrointestinal/Endocrine Disorder
Chapter 39 The Child with a Genitourinary Disorder
Chapter 40 The Child with a Musculoskeletal Disorder
Chapter 41 The Child with an Integumentary Disorder/Communicable Disease
Chapter 42 The Child with a Cognitive, Behavioral, or Mental Health Disorder
, Chapter 1 : The Nurse’s Role in a Changing Maternal–Child Health Care Environment
1. The opening up of hospital visiting policies for children and families likely
resulted from the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his study that
revealed the negative results of the separation of child and mother because of
hospitalization. His work led to a re-evaluation and liberalization of hospital visiting
policies for children. Joseph Brennaman suggested that a lack of stimulation for
infants contributed to high infant mortality rates at the time. In the 1970s and
1980s, physicians Marshall Klaus and John Kennell carried out important studies on
the effect of the separation of newborns and parents. They established that early
separation may have long-term effects on family relationships and that offering the
new family an opportunity to be together at birth and for a significant period after
birth may provide benefits that last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in
childbirth than do white mothers. When responding to her questions about the
reasons for this, the nurse accurately states that which is the major reason for the
high maternal mortality rate?
A. having formal education.
B. being unmarried.
C. income.
D. lack of prenatal care.
Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of
prenatal care secondary to lack of access to services or insurance. Income as well
as educational level may play a role in the availability of health care, but they are
not directly responsible. Being unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Understand
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000
live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he
or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal
mortality rate is the number of infant deaths during the first 28 days of life for
every 1,000 live births. Infant mortality rate is the number of deaths during the
first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history
of maternity care. What major development will the instructor emphasize as
greatly influencing the practice of maternity care in the United States over the past
century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth
attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The
development of anesthesia allowed women a choice for pain management in birth;
the germ theory advanced the progress of general health care and decreased
infections in laboring women. Pediatrics as a specialty is an important step forward
but is not the greatest development, and midwives are still in practice. Maternity
care continues to evolve, and birthing centers are still under development. Forceps
are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Analyze
Client Needs: Health Promotion and Maintenance
