,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it could
be prevented with improved hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice of
rooming-in and finally to family-centered maternity care. Family-centered care was a request
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide more
cost-efficient care. The number of hospital beds being used has decreased as more care is
given in outpatient settings and in the home. The number of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities Education
Act that provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents before
TestBankWorld.org
, a. treatment zfor zdrug zabuse.
b. treatment zfor zsexually ztransmitted zdiseases
z(STDs).
c. accessing zbirth zcontrol.
d. surgery.
ANS: z D
Minors zare znot zconsidered zcapable zof zgiving zinformed zconsent, zso za zsurgical zprocedure
zwould zrequire zconsent zof zthe zparent zor zguardian. zExceptions zexist zfor zobtaining ztreatment
zfor zdrug zabuse zor zSTDs zor zfor zgetting zbirth zcontrol zin zmost zstates.
PTS: z 1 DIF: Cognitive zLevel:
zKnowledge/Remembering zREF: z p. z17 OBJ: zNursing zProcess:
zPlanning
MSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment
7. The zmaternity znurse zshould zhave za zclear zunderstanding zof zthe zcorrect zuse zof za
zclinical zpathway. zOne zcharacteristic zof zclinical zpathways zis zthat zthey
a. are zdeveloped zand zimplemented zby znurses.
b. are zused zprimarily zin zthe zpediatric zsetting.
c. set zspecific ztime zlines zfor zsequencing
zinterventions.
d. are zpart zof zthe znursing zprocess.
ANS: z C
Clinical zpathways zare zstandardized, zinterdisciplinary zplans zof zcare zdevised zfor zpatients
zwith za zparticular zhealth zproblem. zThey zare zused zto zidentify zpatient zoutcomes, zspecify
ztime zlines zto zachieve zthose zoutcomes, zdirect zappropriate zinterventions zand zsequencing zof
zinterventions, zinclude zinterventions zfrom za zvariety zof zdisciplines, zpromote zcollaboration,
zand zinvolve za zcomprehensive zapproach zto zcare. zThey zare zdeveloped zby zmultiple zhealth
zcare zprofessionals zand zreflect zinterdisciplinary zcare. zThey zcan zbe zused zin zmultiple
zsettings zand zfor zpatients zthroughout zthe zlife zspan. zThey zare znot zpart zof zthe znursing
zprocess zbut zcan zbe zused zin zconjunction zwith zthe znursing zprocess zto zprovide zcare zto
zpatients.
PTS: z 1 DIF: Cognitive zLevel:
zKnowledge/Remembering zREF: z p. z7 OBJ: zNursing zProcess:
zPlanning
MSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment
8. The zfastest zgrowing zgroup zof zhomeless zpeople zis
a. men zand zwomen zpreparing zfor
zretirement.
b. migrant zworkers.
c. single zwomen zand ztheir zchildren.
d. intravenous z(IV) zsubstance zabusers.
ANS: z C
Pregnancy zand zbirth, zespecially zfor za zteenager, zare zimportant zcontributing zfactors zfor
zbecoming zhomeless. zPeople zpreparing zfor zretirement, zmigrant zworkers, zand zIV zsubstance
zabusers zare znot zamong zthe zfastest zgrowing zgroups zof zhomeless zpeople.
PTS: z 1 DIF: Cognitive zLevel:
zKnowledge/Remembering zREF: z p. z14 OBJ: zNursing zProcess:
zAssessment
MSC: z Client zNeeds: zPhysiologic zIntegrity
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
ANS: D
Technologic developments were available to physicians, not lay midwives. So in-hospital
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century, Semmelweis discovered how it could
be prevented with improved hygienic practices. The development of forceps is an example of
a technology advance made in the early 20th century but is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
nursery.
d. changes in pharmacologic management of labor.
ANS: C
As research began to identify the benefits of early extended parent-infant contact, parents
began to insist that the infant remain with them. This gradually developed into the practice of
rooming-in and finally to family-centered maternity care. Family-centered care was a request
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
management of labor were not a factor in family-centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth
TestBankWorld.org
, ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care.
ANS: C
One effect of managed care has been that pediatric health care delivery has shifted
dramatically from the acute care setting to the ambulatory setting in order to provide more
cost-efficient care. The number of hospital beds being used has decreased as more care is
given in outpatient settings and in the home. The number of children living in poverty has
increased over the past decade. One of the biggest changes in health care has been the growth
of managed care.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program provides
a. well-child examinations for infants and children living at the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or breastfeeding women.
ANS: D
WIC is a federal program that provides supplemental food supplies to low-income women
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
examinations and for treatment of any medical problems diagnosed during such checkups.
Children in the WIC program are often referred for immunizations, but that is not the primary
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities Education
Act that provides financial incentives to states to establish comprehensive early intervention
services for infants and toddlers with, or at risk for, developmental disabilities.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 8
OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance
6. In most states, adolescents who are not emancipated minors must have the permission of their
parents before
TestBankWorld.org
, a. treatment zfor zdrug zabuse.
b. treatment zfor zsexually ztransmitted zdiseases
z(STDs).
c. accessing zbirth zcontrol.
d. surgery.
ANS: z D
Minors zare znot zconsidered zcapable zof zgiving zinformed zconsent, zso za zsurgical zprocedure
zwould zrequire zconsent zof zthe zparent zor zguardian. zExceptions zexist zfor zobtaining ztreatment
zfor zdrug zabuse zor zSTDs zor zfor zgetting zbirth zcontrol zin zmost zstates.
PTS: z 1 DIF: Cognitive zLevel:
zKnowledge/Remembering zREF: z p. z17 OBJ: zNursing zProcess:
zPlanning
MSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment
7. The zmaternity znurse zshould zhave za zclear zunderstanding zof zthe zcorrect zuse zof za
zclinical zpathway. zOne zcharacteristic zof zclinical zpathways zis zthat zthey
a. are zdeveloped zand zimplemented zby znurses.
b. are zused zprimarily zin zthe zpediatric zsetting.
c. set zspecific ztime zlines zfor zsequencing
zinterventions.
d. are zpart zof zthe znursing zprocess.
ANS: z C
Clinical zpathways zare zstandardized, zinterdisciplinary zplans zof zcare zdevised zfor zpatients
zwith za zparticular zhealth zproblem. zThey zare zused zto zidentify zpatient zoutcomes, zspecify
ztime zlines zto zachieve zthose zoutcomes, zdirect zappropriate zinterventions zand zsequencing zof
zinterventions, zinclude zinterventions zfrom za zvariety zof zdisciplines, zpromote zcollaboration,
zand zinvolve za zcomprehensive zapproach zto zcare. zThey zare zdeveloped zby zmultiple zhealth
zcare zprofessionals zand zreflect zinterdisciplinary zcare. zThey zcan zbe zused zin zmultiple
zsettings zand zfor zpatients zthroughout zthe zlife zspan. zThey zare znot zpart zof zthe znursing
zprocess zbut zcan zbe zused zin zconjunction zwith zthe znursing zprocess zto zprovide zcare zto
zpatients.
PTS: z 1 DIF: Cognitive zLevel:
zKnowledge/Remembering zREF: z p. z7 OBJ: zNursing zProcess:
zPlanning
MSC: z Client zNeeds: zSafe zand zEffective zCare zEnvironment
8. The zfastest zgrowing zgroup zof zhomeless zpeople zis
a. men zand zwomen zpreparing zfor
zretirement.
b. migrant zworkers.
c. single zwomen zand ztheir zchildren.
d. intravenous z(IV) zsubstance zabusers.
ANS: z C
Pregnancy zand zbirth, zespecially zfor za zteenager, zare zimportant zcontributing zfactors zfor
zbecoming zhomeless. zPeople zpreparing zfor zretirement, zmigrant zworkers, zand zIV zsubstance
zabusers zare znot zamong zthe zfastest zgrowing zgroups zof zhomeless zpeople.
PTS: z 1 DIF: Cognitive zLevel:
zKnowledge/Remembering zREF: z p. z14 OBJ: zNursing zProcess:
zAssessment
MSC: z Client zNeeds: zPhysiologic zIntegrity
