TestBank m
Test Bank For Maternal Child Nursing
m m m m m m
6th Edition by Emily Slone McKinney
m m m m m m
Chapter 1-55| Complete Guide 2022
m m m m
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Chapter m01:mFoundations mofmMaternity,mWomen’smHealth,mandmChildmHealthmNursing
McKinney:mEvolve mResources mfor mMaternal-ChildmNursing,m6thmEdition
MULTIPLEmCHOICE
1. Whichmfactormsignificantlymcontributed mtomthemshift mfrommhomembirthsmtomhospitalmbirthsminmt
hemearlym20thmcentury?
a. Puerperalmsepsismwasmidentified masmamriskmfactorminmlabormand mdelivery.
b. Forcepsmweremdeveloped mtomfacilitatemdifficult mbirths.
c. Themimportancemof mearlymparental-infant mcontact mwasmidentified.
d. Technologicmdevelopmentsmbecamemavailablemtomphysicians.
ANS:m D
Technologicmdevelopmentsmweremavailablemtomphysicians,mnot mlaym midwives.mSomin-
hospitalmbirthsmincreased minmordermtomtakemadvantagemof mthesemadvancements.mPuerperalmsepsis
mhasmbeenmamknownmproblemmformgenerations.mInmthemlatem19thmcentury,mSemmelweismdiscovere
d mhow mit mcould mbemprevented mwithmimproved mhygienicmpractices.mThemdevelopment mof mforcepsm
ismanmexamplemof mamtechnologymadvancemmademinmthemearlym20thmcenturymbut mismnot mthemonlymre
asonmbirthplacesmmoved.mUnlikemhomembirths,mearlymhospitalmbirthsmhindered mbondingmbetwee
nmparentsmand mtheirminfants.
PTS:1 mDIF:
Cognitive mLevel:mRememberin
gmOBJ:Integrated mProcess:mTeaching-Learning
MSC:ClientmNeeds:mSafemand mEffective mCaremEnvironment
2. Family-centered mmaternitymcaremdeveloped minmresponsemto
a. demandsmbymphysiciansmformfamilyminvolvement minmchildbirth.
b. themSheppard-TownermAct mof m1921.
c. parentalmrequestsmthat minfantsmbemallowed mtomremainmwithmthemmrathermthanmi
nmamnursery.
d. changesminmpharmacologicmmanagement mof mlabor.
ANS:m C
Asmresearchmbeganmtomidentifymthembenefitsmof mearlymextended mparent-
infant mcontact,mparentsmbeganmtominsist mthat mtheminfant mremainmwithmthem.mThismgraduallymdev
eloped mintomthempracticemof mrooming-inmand mfinallymtomfamily-
centered mmaternitymcare.mFamily-
centered mcaremwasmamrequest mbymparents,mnot mphysicians.mThemSheppard-
TownermAct mof m1921mprovided mfundsmfor
state-
managed mprogramsmformmothersmand mchildren.mThemchangesminmpharmacologicmmanagement mo
f mlabormweremnot mamfactorminmfamily-centered mmaternitymcare.
PTS:1 mDIF:
Cognitive mLevel:mRememberin
gmOBJ:Integrated mProcess:mTeaching-
LearningmMSC:ClientmNeeds:mPsychosocialmIntegrity
3. Whichmsettingmformchildbirthmallowsmthemleast mamount mof mparent-infant mcontact?
a. Labor/delivery/recovery/postpartummroom
b. Birthmcenter
c. Traditionalmhospitalmbirth
d. Homembirth
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
ANS:m C
Inmthemtraditionalmhospitalmsetting,mthemmothermmaymseemtheminfant mformonlymshort mfeedingmperio
ds,mand mtheminfant mismcared mforminmamseparatemnursery.mWhilemthismismslowlymchanging,mtommorem
closelymresemblemothermbirthingmmodels,mthemtraditionalmhospitalmbirthmstillmoffersmthemleast mam
ount mof mparent-
infant mcontact.mThemlabor/delivery/recovery/postpartummroommsettingmallowsmincreased mparent-
infant mcontact.mBirthmcentersmaremset mupmtomallow manmincreaseminmparent-infant mcontact.
Homembirthsmallow manmincreaseminmparent-infant mcontact.
PTS:1 mDIF: Cognitive mLevel:mRemembering
OBJ:NursingmProcess:mPlanningmMSC:ClientmNeeds:mHealthmPromotionmand
mMaintenance
4. Themmaternitymnursemshould mhavemamclearmunderstandingmof mthemcorrect musemof mamclini
calmpathway.mOnemcharacteristicmof mclinicalmpathwaysmismthat mthey
a. aremdeveloped mand mimplemented mbymnurses.
b. aremused mprimarilyminmthempediatricmsetting.
c. set mspecificmtimemlinesmformsequencingminterventions.
d. arempart mof mthemnursingmprocess.
ANS:m C
Clinicalmpathwaysmaremstandardized,minterdisciplinarymplansmof mcaremdevised mformpatientsmwithm
amparticularmhealthmproblem.mTheymaremused mtomidentifympatient moutcomes,mspecifymtimelinesmt
omachievemthosemoutcomes,mdirect mappropriateminterventionsmand msequencingmof minterventions,
mincludeminterventionsmfrommamvarietymof mdisciplines,mpromotemcollaboration,mand minvolvema mc
omprehensivemapproachmtomcare.mTheymaremdeveloped mbymmultiplemhealthmcaremprofessionals ma
nd mreflect minterdisciplinarymcare.mTheymcanmbemused minmmultiple msettingsmand mformpatientsmthro
ughout mthemlifemspan.mTheymaremnot mpart mof mthemnursingmprocessmbut mcanmbemused minmconjunctio
nmwithmthemnursingmprocessmtomprovidemcaremtompatients.
PTS:1 mDIF: Cognitive mLevel:mRemembering
OBJ:NursingmProcess:mPlanningmMSC:ClientmNeeds:mSafemand mEffectivemCa
remEnvironment
5. A mnursemwishesmtomworkmtomreduceminfant mmortalityminmthemUnited mStates.mWhichmactivitymwo
uld mthismnursemmost mlikelymparticipatemin?
a. Creatingmpamphletsminmseveralmdifferent mlanguagesmusingmanminterpreter.
b. AssistingmwomenmtomenrollminmMedicaid mbymtheirmthird mtrimester.
c. Volunteeringmtomprovidemprenatalmcaremat mcommunitymcenters.
d. Workingmasmanmintakemcounselormat mamwomen‘smshelter.
ANS:m C
Prenatalmcaremismvitalmtomreducingminfant mmortalitymand mmedicalmcosts.mThismnursemwould mmost m
likelymparticipateminmcommunitymservice mprovidingmprenatalmcare moutreachmactivitiesmin mcomm
unitymcenters,mparticularlyminmlow-
incomemareas.mPamphletsminmothermlanguages,menrollingmin mMedicaid,mand mworkingmat mamwome
n‘smsheltermallmmight mimpact minfant mmortality,mbut mthemgreatest meffect mwould mbemfrommassistingm
womenmtomget mconsistent mprenatalmcare.
PTS:1 m DIF: Cognitive mLevel:mApplying
OBJ:NursingmProcess:mImplementation MSC:ClientmNeeds:mHealth mPromotion mand mMaintenance
6. Whichmstatement mismtruemregardingmthem―qualitymassurance‖ morm―incident‖ mreport?
a. Themreport massuresmthemlegalmdepartment mthat mnomproblemmexists.
b. Reportsmaremampermanent mpart mof mthempatient‘smchart.
Downloadedmby:mExamsonlinem|
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Distribution mofmthis mdocumentmis millegal
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mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
c. Themnurse‘smnotesmshould mcontain,m―Incident mreport mfiled,mand mcopymplaced minmchart.‖
d. Thismreport mismamformmof mdocumentationmof manmevent mthat mmaymresult minmlegalmaction.
ANS:m D
Anmincident mreport mismused mwhenmsomethingmoccursmthat mmight mresult minmlegalmaction,msuchmasma
mpatient mfallmormmedicationmerror.mIt mwarnsmthemlegalmdepartment mthat mtheremmaymbemamproblemmi
nmamparticularmpatient‘smcare.mIncident mreportsmaremnot mpart mof mthempatient‘smchart;mthusmthemnurs
es‘mnotesmshould mnot mcontainmanymreferencemtomthem.
PTS:1 mDIF:
Cognitive mLevel:mRememberingmOBJ:I
ntegrated mProcess:mCommunicationmandmDocumentation mMS
C:ClientmNeeds:mSafemand mEffective mCaremEnvironment
7. Whichmwomanmwould mbemmost mlikelymtomseekmprenatalmcare?
a. A m15-year-old mwhomtellsmhermfriends,m―I mdon‘t mbelievemI‘mmpregnant.‖
b. A m20-year-old mwhomisminmhermfirst mpregnancymand mhasmaccessmtomamfreemprenatalmclinic.
c. A m28-year-old mwhomisminmhermsecond mpregnancymand mabusesmdrugsmand malcohol.
d. A m30-year-old mwhomisminmhermfifthmpregnancymand mdelivered mhermlast minfant mat mhome.
ANS:m B
Thempatient mwhomacknowledgesmthempregnancymearly,mhasmaccessmtomhealthmcare,mand mhasmnomr
easonmtomavoid mhealthmcaremismmost mlikelymtomseekmprenatalmcare.mBeingm inmdenialmabout mthemp
regnancymincreasesmthemriskmof mnot mseekingmcare.m Thismpatient m ismalsom15,mand mothermsocialmfa
ctorsmmaymdiscouragemhermfrommseekingmcaremasmwell.mWomenmwhomabusemsubstancesmarem less
mlikelymtomreceivemprenatalmcare.mSomemwomenm seempregnancymand mdeliverymasma mnaturalmoccu
rrencemand mdomnot mseekmhealthmcare.
PTS:1 m DIF: Cognitive mLevel:mUnderstanding
OBJ:NursingmProcess:mAssessment MSC:ClientmNeeds:mHealth mPromotion mand mMaintenance
8. A mwomanmwhomdelivered mhermbabym6mhoursmagomcomplainsmof mheadachemand mdizziness.mThem
nursemadministersmanmanalgesicmbut mdoesmnot mperformmanymassessments.mThemwomanmthenmha
smamtonic-
clonicmseizure,mfallsmout mof mbed,mand mfracturesmhermfemur.mHow mwould mthemactionsmof mthemnur
sembeminterpreted minmrelationmtomstandardsmof mcare?
a. Negligent:mthemnursemfailed mtomassessmthemwomanmformpossiblemcomplications
b. Negligent:mbecausemthemnursemmedicated mthemwoman
c. Not mnegligent:mthemwomanmhad msigned mamwaivermconcerningmthemusemof msidemrails
d. Not mnegligent:mthemwomanmdid mnot minformmthemnursemof mhermsymptomsmasmsoonm
asmtheymoccurred
ANS:m A
Theremaremfourmelementsmtommalpractice,mwhichmismnegligencem inmthemperformancemof mprofessi
onalmduties:mduty,mbreachmof mduty,mdamage,mand mproximatemcause.mThemnursemwasmnegligent mb
ecausemshemormhemdid mnot mperformmanymassessments,mwhichmismthemfirst mstepmof mthemnursingmpr
ocessmand mismamstandard mof mcare.mBymnot massessingmthempatient,mthemnursemdid mnot mmeet mestabli
shed mstandardsmof mcare,mand mthusmismguiltymof mprofessionalmnegligence,mormmalpractice.
PTS:1 mDIF: Cognitive mLevel:mRemembering
OBJ:NursingmProcess:mEvaluationmMSC:ClientmNeeds:mSafemandmEffectivemCa
remEnvironment
9. Whichmpatient msituationmfailsmtommeet mthemfirst mrequirement mof minformed mconsent?
a. Thempatient mdoesmnot munderstand mthemphysician‘smexplanations.
Downloadedmby:mExamsonlinem|
m
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Distribution mofmthis mdocumentmis millegal
Test Bank For Maternal Child Nursing
m m m m m m
6th Edition by Emily Slone McKinney
m m m m m m
Chapter 1-55| Complete Guide 2022
m m m m
Downloaded mby mSAMUELmWAMm()
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Chapter m01:mFoundations mofmMaternity,mWomen’smHealth,mandmChildmHealthmNursing
McKinney:mEvolve mResources mfor mMaternal-ChildmNursing,m6thmEdition
MULTIPLEmCHOICE
1. Whichmfactormsignificantlymcontributed mtomthemshift mfrommhomembirthsmtomhospitalmbirthsminmt
hemearlym20thmcentury?
a. Puerperalmsepsismwasmidentified masmamriskmfactorminmlabormand mdelivery.
b. Forcepsmweremdeveloped mtomfacilitatemdifficult mbirths.
c. Themimportancemof mearlymparental-infant mcontact mwasmidentified.
d. Technologicmdevelopmentsmbecamemavailablemtomphysicians.
ANS:m D
Technologicmdevelopmentsmweremavailablemtomphysicians,mnot mlaym midwives.mSomin-
hospitalmbirthsmincreased minmordermtomtakemadvantagemof mthesemadvancements.mPuerperalmsepsis
mhasmbeenmamknownmproblemmformgenerations.mInmthemlatem19thmcentury,mSemmelweismdiscovere
d mhow mit mcould mbemprevented mwithmimproved mhygienicmpractices.mThemdevelopment mof mforcepsm
ismanmexamplemof mamtechnologymadvancemmademinmthemearlym20thmcenturymbut mismnot mthemonlymre
asonmbirthplacesmmoved.mUnlikemhomembirths,mearlymhospitalmbirthsmhindered mbondingmbetwee
nmparentsmand mtheirminfants.
PTS:1 mDIF:
Cognitive mLevel:mRememberin
gmOBJ:Integrated mProcess:mTeaching-Learning
MSC:ClientmNeeds:mSafemand mEffective mCaremEnvironment
2. Family-centered mmaternitymcaremdeveloped minmresponsemto
a. demandsmbymphysiciansmformfamilyminvolvement minmchildbirth.
b. themSheppard-TownermAct mof m1921.
c. parentalmrequestsmthat minfantsmbemallowed mtomremainmwithmthemmrathermthanmi
nmamnursery.
d. changesminmpharmacologicmmanagement mof mlabor.
ANS:m C
Asmresearchmbeganmtomidentifymthembenefitsmof mearlymextended mparent-
infant mcontact,mparentsmbeganmtominsist mthat mtheminfant mremainmwithmthem.mThismgraduallymdev
eloped mintomthempracticemof mrooming-inmand mfinallymtomfamily-
centered mmaternitymcare.mFamily-
centered mcaremwasmamrequest mbymparents,mnot mphysicians.mThemSheppard-
TownermAct mof m1921mprovided mfundsmfor
state-
managed mprogramsmformmothersmand mchildren.mThemchangesminmpharmacologicmmanagement mo
f mlabormweremnot mamfactorminmfamily-centered mmaternitymcare.
PTS:1 mDIF:
Cognitive mLevel:mRememberin
gmOBJ:Integrated mProcess:mTeaching-
LearningmMSC:ClientmNeeds:mPsychosocialmIntegrity
3. Whichmsettingmformchildbirthmallowsmthemleast mamount mof mparent-infant mcontact?
a. Labor/delivery/recovery/postpartummroom
b. Birthmcenter
c. Traditionalmhospitalmbirth
d. Homembirth
Downloadedmby:mExamsonlinem|
m
DownloadedmbymSAMUELmWAMm(
Distribution mofmthis mdocumentmis millegal
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
ANS:m C
Inmthemtraditionalmhospitalmsetting,mthemmothermmaymseemtheminfant mformonlymshort mfeedingmperio
ds,mand mtheminfant mismcared mforminmamseparatemnursery.mWhilemthismismslowlymchanging,mtommorem
closelymresemblemothermbirthingmmodels,mthemtraditionalmhospitalmbirthmstillmoffersmthemleast mam
ount mof mparent-
infant mcontact.mThemlabor/delivery/recovery/postpartummroommsettingmallowsmincreased mparent-
infant mcontact.mBirthmcentersmaremset mupmtomallow manmincreaseminmparent-infant mcontact.
Homembirthsmallow manmincreaseminmparent-infant mcontact.
PTS:1 mDIF: Cognitive mLevel:mRemembering
OBJ:NursingmProcess:mPlanningmMSC:ClientmNeeds:mHealthmPromotionmand
mMaintenance
4. Themmaternitymnursemshould mhavemamclearmunderstandingmof mthemcorrect musemof mamclini
calmpathway.mOnemcharacteristicmof mclinicalmpathwaysmismthat mthey
a. aremdeveloped mand mimplemented mbymnurses.
b. aremused mprimarilyminmthempediatricmsetting.
c. set mspecificmtimemlinesmformsequencingminterventions.
d. arempart mof mthemnursingmprocess.
ANS:m C
Clinicalmpathwaysmaremstandardized,minterdisciplinarymplansmof mcaremdevised mformpatientsmwithm
amparticularmhealthmproblem.mTheymaremused mtomidentifympatient moutcomes,mspecifymtimelinesmt
omachievemthosemoutcomes,mdirect mappropriateminterventionsmand msequencingmof minterventions,
mincludeminterventionsmfrommamvarietymof mdisciplines,mpromotemcollaboration,mand minvolvema mc
omprehensivemapproachmtomcare.mTheymaremdeveloped mbymmultiplemhealthmcaremprofessionals ma
nd mreflect minterdisciplinarymcare.mTheymcanmbemused minmmultiple msettingsmand mformpatientsmthro
ughout mthemlifemspan.mTheymaremnot mpart mof mthemnursingmprocessmbut mcanmbemused minmconjunctio
nmwithmthemnursingmprocessmtomprovidemcaremtompatients.
PTS:1 mDIF: Cognitive mLevel:mRemembering
OBJ:NursingmProcess:mPlanningmMSC:ClientmNeeds:mSafemand mEffectivemCa
remEnvironment
5. A mnursemwishesmtomworkmtomreduceminfant mmortalityminmthemUnited mStates.mWhichmactivitymwo
uld mthismnursemmost mlikelymparticipatemin?
a. Creatingmpamphletsminmseveralmdifferent mlanguagesmusingmanminterpreter.
b. AssistingmwomenmtomenrollminmMedicaid mbymtheirmthird mtrimester.
c. Volunteeringmtomprovidemprenatalmcaremat mcommunitymcenters.
d. Workingmasmanmintakemcounselormat mamwomen‘smshelter.
ANS:m C
Prenatalmcaremismvitalmtomreducingminfant mmortalitymand mmedicalmcosts.mThismnursemwould mmost m
likelymparticipateminmcommunitymservice mprovidingmprenatalmcare moutreachmactivitiesmin mcomm
unitymcenters,mparticularlyminmlow-
incomemareas.mPamphletsminmothermlanguages,menrollingmin mMedicaid,mand mworkingmat mamwome
n‘smsheltermallmmight mimpact minfant mmortality,mbut mthemgreatest meffect mwould mbemfrommassistingm
womenmtomget mconsistent mprenatalmcare.
PTS:1 m DIF: Cognitive mLevel:mApplying
OBJ:NursingmProcess:mImplementation MSC:ClientmNeeds:mHealth mPromotion mand mMaintenance
6. Whichmstatement mismtruemregardingmthem―qualitymassurance‖ morm―incident‖ mreport?
a. Themreport massuresmthemlegalmdepartment mthat mnomproblemmexists.
b. Reportsmaremampermanent mpart mof mthempatient‘smchart.
Downloadedmby:mExamsonlinem|
m
DownloadedmbymSAMUELmWAMm(
Distribution mofmthis mdocumentmis millegal
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
c. Themnurse‘smnotesmshould mcontain,m―Incident mreport mfiled,mand mcopymplaced minmchart.‖
d. Thismreport mismamformmof mdocumentationmof manmevent mthat mmaymresult minmlegalmaction.
ANS:m D
Anmincident mreport mismused mwhenmsomethingmoccursmthat mmight mresult minmlegalmaction,msuchmasma
mpatient mfallmormmedicationmerror.mIt mwarnsmthemlegalmdepartment mthat mtheremmaymbemamproblemmi
nmamparticularmpatient‘smcare.mIncident mreportsmaremnot mpart mof mthempatient‘smchart;mthusmthemnurs
es‘mnotesmshould mnot mcontainmanymreferencemtomthem.
PTS:1 mDIF:
Cognitive mLevel:mRememberingmOBJ:I
ntegrated mProcess:mCommunicationmandmDocumentation mMS
C:ClientmNeeds:mSafemand mEffective mCaremEnvironment
7. Whichmwomanmwould mbemmost mlikelymtomseekmprenatalmcare?
a. A m15-year-old mwhomtellsmhermfriends,m―I mdon‘t mbelievemI‘mmpregnant.‖
b. A m20-year-old mwhomisminmhermfirst mpregnancymand mhasmaccessmtomamfreemprenatalmclinic.
c. A m28-year-old mwhomisminmhermsecond mpregnancymand mabusesmdrugsmand malcohol.
d. A m30-year-old mwhomisminmhermfifthmpregnancymand mdelivered mhermlast minfant mat mhome.
ANS:m B
Thempatient mwhomacknowledgesmthempregnancymearly,mhasmaccessmtomhealthmcare,mand mhasmnomr
easonmtomavoid mhealthmcaremismmost mlikelymtomseekmprenatalmcare.mBeingm inmdenialmabout mthemp
regnancymincreasesmthemriskmof mnot mseekingmcare.m Thismpatient m ismalsom15,mand mothermsocialmfa
ctorsmmaymdiscouragemhermfrommseekingmcaremasmwell.mWomenmwhomabusemsubstancesmarem less
mlikelymtomreceivemprenatalmcare.mSomemwomenm seempregnancymand mdeliverymasma mnaturalmoccu
rrencemand mdomnot mseekmhealthmcare.
PTS:1 m DIF: Cognitive mLevel:mUnderstanding
OBJ:NursingmProcess:mAssessment MSC:ClientmNeeds:mHealth mPromotion mand mMaintenance
8. A mwomanmwhomdelivered mhermbabym6mhoursmagomcomplainsmof mheadachemand mdizziness.mThem
nursemadministersmanmanalgesicmbut mdoesmnot mperformmanymassessments.mThemwomanmthenmha
smamtonic-
clonicmseizure,mfallsmout mof mbed,mand mfracturesmhermfemur.mHow mwould mthemactionsmof mthemnur
sembeminterpreted minmrelationmtomstandardsmof mcare?
a. Negligent:mthemnursemfailed mtomassessmthemwomanmformpossiblemcomplications
b. Negligent:mbecausemthemnursemmedicated mthemwoman
c. Not mnegligent:mthemwomanmhad msigned mamwaivermconcerningmthemusemof msidemrails
d. Not mnegligent:mthemwomanmdid mnot minformmthemnursemof mhermsymptomsmasmsoonm
asmtheymoccurred
ANS:m A
Theremaremfourmelementsmtommalpractice,mwhichmismnegligencem inmthemperformancemof mprofessi
onalmduties:mduty,mbreachmof mduty,mdamage,mand mproximatemcause.mThemnursemwasmnegligent mb
ecausemshemormhemdid mnot mperformmanymassessments,mwhichmismthemfirst mstepmof mthemnursingmpr
ocessmand mismamstandard mof mcare.mBymnot massessingmthempatient,mthemnursemdid mnot mmeet mestabli
shed mstandardsmof mcare,mand mthusmismguiltymof mprofessionalmnegligence,mormmalpractice.
PTS:1 mDIF: Cognitive mLevel:mRemembering
OBJ:NursingmProcess:mEvaluationmMSC:ClientmNeeds:mSafemandmEffectivemCa
remEnvironment
9. Whichmpatient msituationmfailsmtommeet mthemfirst mrequirement mof minformed mconsent?
a. Thempatient mdoesmnot munderstand mthemphysician‘smexplanations.
Downloadedmby:mExamsonlinem|
m
DownloadedmbymSAMUELmWAMm(
Distribution mofmthis mdocumentmis millegal
