1n|nP a g e
TEST BANK FOR MATERNAL CHILD NURSING 5TH EDITION
n n n n n n n n
BY MCKINNEY|| NUR 121 MATERNAL CHILD NURSING 5TH
n n n n n n n n
EDITION BY MCKINNEY EXAM ALL CHAPTERS INCLUDED
n n n n n n n
ALL QUESTIONS AND ANSWERS GRADED A+|| ASSURED P
n n n n n n n
ASS!!
CHAPTERn1:n
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnt
henearlyn20thncentury?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwerendevelopedntonfacilitatendifficultnbirths.
c. Thenimportancenofnearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailablentonphysicians.
ANS:nD
Technologicndevelopmentsnwerenavailablentonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedninnorderntontakenadvantagenofnthesenadvancements.nPuerperalnsepsisnhas
nbeennanknownnproblemnforngenerations.nInnthenlaten19thncentury,nSemmelweisndiscoverednhownitn
couldnbenpreventednwithnimprovednhygienicnpractices.nThendevelopmentnofnforcepsnisnannexampl
enofnantechnologynadvancenmadeninnthenearlyn20thncenturynbutnisnnotnthenonlynreasonnbirthplacesn
moved.nUnlikenhomenbirths,nearlynhospitalnbirthsnhinderednbondingnbetweennparentsnandntheirnin
fants.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n1 OBJ:n IntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
2. Family-centerednmaternityncarendevelopedninnresponsento
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. thenSheppard-TownernActnofn1921.
c. parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninna
nursery.
n
d. changesninnpharmacologicnmanagementnofnlabor.
ANS:nC
Asnresearchnbeganntonidentifynthenbenefitsnofnearlynextendednparent-
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevel
opednintonthenpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nFamily-
centeredncarenwasnanrequestnbynparents,nnotnphysicians.nThenSheppard-
TownernActnofn1921nprovidednfundsnfornstate-
managednprogramsnfornmothersnandnchildren.nThenchangesninnpharmacologicnmanagementno
fnlabornwerennotnanfactorninnfamily-centerednmaternityncare.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n2 OBJ:n IntegratednProcess:nTeaching-
LearningnMSC:n ClientnNeeds:nPsychosocialnIntegrity
,2n|nP a g e
3. Whichnsettingnfornchildbirthnallowsnthenleastnamountnofnparent-infantncontact?
a. Labor/delivery/recovery/postpartumnroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Homenbirth
ANS:nC
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,na
ndntheninfantnisncarednforninnanseparatennursery.nThenlabor/delivery/recovery/postpartumnroomnset
tingnallowsnincreasednparent-
infantncontact.nBirthncentersnarensetnupntonallownannincreaseninnparent-
infantncontact.nHomenbirthsnallownannincreaseninnparent-infantncontact.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n2 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
4. Asnanresultnofnchangesninnhealthncarendeliverynandnfunding,nancurrentntrendnseenninnthenp
ediatricnsettingnis
a. increasednhospitalizationnofnchildren.
b. decreasednnumbernofnchildrennlivingninnpoverty.
c. annincreaseninnambulatoryncare.
d. decreasednusenofnmanagedncare.
ANS:nC
Oneneffectnofnmanagedncarenhasnbeennthatnpediatricnhealthncarendeliverynhasnshiftedndramati
callynfromnthenacutencarensettingntonthenambulatorynsettingninnorderntonprovidenmorencost-
efficientncare.nThennumbernofnhospitalnbedsnbeingnusednhasndecreasednasnmorencarenisngivenni
nnoutpatientnsettingsnandninnthenhome.nThennumbernofnchildrennlivingninnpovertynhasnincrease
dnovernthenpastndecade.nOnenofnthenbiggestnchangesninnhealthncarenhasnbeennthengrowthnofnma
nagedncare.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n5 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment
5. ThenWomen,nInfants,nandnChildrenn(WIC)nprogramnprovides
a. well-childnexaminationsnforninfantsnandnchildrennlivingnatnthenpovertynlevel.
b. immunizationsnfornhigh-riskninfantsnandnchildren.
c. screeningnforninfantsnwithndevelopmentalndisorders.
d. supplementalnfoodnsuppliesntonlow-incomenpregnantnornbreastfeedingnwomen.
ANS:nD
WICnisnanfederalnprogramnthatnprovidesnsupplementalnfoodnsuppliesntonlow-
incomenwomennwhonarenpregnantnornbreastfeedingnandntontheirnchildrennuntilnagen5nyears.nMedi
caid’snEarlynandnPeriodicnScreening,nDiagnosis,nandnTreatmentnProgramnprovidesnfornwell-
childnexaminationsnandnforntreatmentnofnanynmedicalnproblemsndiagnosednduringnsuchncheckup
s.nChildrenninnthenWICnprogramnarenoftennreferrednfornimmunizations,nbutnthatnisnnotnthenprimar
ynfocusnofnthenprogram.nPublicnLawn99-
457nisnpartnofnthenIndividualsnwithnDisabilitiesnEducationnActnthatnprovidesnfinancialnincentives
ntonstatesntonestablishncomprehensivenearlyninterventionnservicesnforninfantsnandntoddlersnwith,no
rnatnrisknfor,ndevelopmentalndisabilities.
,3n|nP a g e
PTS:n 1 DIF: CognitivenLevel:nComprehensionnOBJ:n IntegratednProcess:nTeaching-
Learning
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenanceREF:n p.n8
6. Innmostnstates,nadolescentsnwhonarennotnemancipatednminorsnmustnhaventhenpermissionnofnt
heirnparentsnbefore.
a. treatmentnforndrugnabuse.
b. treatmentnfornsexuallyntransmittedndiseasesn(STDs).
c. accessingnbirthncontrol.
d. surgery.
ANS:nD
Minorsnarennotnconsideredncapablenofngivingninformednconsent,nsonansurgicalnprocedurenwouldn
requirenconsentnofnthenparentnornguardian.nExceptionsnexistnfornobtainingntreatmentnforndrugnab
usenornSTDsnornforngettingnbirthncontrolninnmostnstates.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n17 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment
7. Thenmaternitynnursenshouldnhavenanclearnunderstandingnofnthencorrectnusenofnanc
linicalnpathway.nOnencharacteristicnofnclinicalnpathwaysnisnthatnthey
a. arendevelopednandnimplementednbynnurses.
b. arenusednprimarilyninnthenpediatricnsetting.
c. setnspecificntimenlinesnfornsequencingninterventions.
d. arenpartnofnthennursingnprocess.
ANS:nC
Clinicalnpathwaysnarenstandardized,ninterdisciplinarynplansnofncarendevisednfornpatientsnwithnan
particularnhealthnproblem.nTheynarenusedntonidentifynpatientnoutcomes,nspecifyntimenlinesntonac
hieventhosenoutcomes,ndirectnappropriateninterventionsnandnsequencingnofninterventions,ninclu
deninterventionsnfromnanvarietynofndisciplines,npromotencollaboration,nandninvolvenancomprehe
nsivenapproachntoncare.nTheynarendevelopednbynmultiplenhealthncarenprofessionalsnandnreflectni
nterdisciplinaryncare.nTheyncannbenusedninnmultiplensettingsnandnfornpatientsnthroughoutnthenlif
enspan.nTheynarennotnpartnofnthennursingnprocessnbutncannbenusedninnconjunctionnwithnthennursin
gnprocessntonprovidencarentonpatients.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n7 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment
8. Thenfastestngrowingngroupnofnhomelessnpeoplenis
a. mennandnwomennpreparingnfornretirement.
b. migrantnworkers.
c. singlenwomennandntheirnchildren.
d. intravenousn(IV)nsubstancenabusers.
ANS:nC
Pregnancynandnbirth,nespeciallynfornanteenager,narenimportantncontributingnfactorsn fornbecoming
nhomeless.nPeoplenpreparingnfornretirement,nmigrantnworkers,nandnIVnsubstancenabusersnarennotn
amongnthenfastestngrowingngroupsnofnhomelessnpeople.
, 4n|nP a g e
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n14 OBJ:n NursingnProcess:nAssessment
MSC:n ClientnNeeds:nPhysiologicnIntegrity
.
TEST BANK FOR MATERNAL CHILD NURSING 5TH EDITION
n n n n n n n n
BY MCKINNEY|| NUR 121 MATERNAL CHILD NURSING 5TH
n n n n n n n n
EDITION BY MCKINNEY EXAM ALL CHAPTERS INCLUDED
n n n n n n n
ALL QUESTIONS AND ANSWERS GRADED A+|| ASSURED P
n n n n n n n
ASS!!
CHAPTERn1:n
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnt
henearlyn20thncentury?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwerendevelopedntonfacilitatendifficultnbirths.
c. Thenimportancenofnearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailablentonphysicians.
ANS:nD
Technologicndevelopmentsnwerenavailablentonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedninnorderntontakenadvantagenofnthesenadvancements.nPuerperalnsepsisnhas
nbeennanknownnproblemnforngenerations.nInnthenlaten19thncentury,nSemmelweisndiscoverednhownitn
couldnbenpreventednwithnimprovednhygienicnpractices.nThendevelopmentnofnforcepsnisnannexampl
enofnantechnologynadvancenmadeninnthenearlyn20thncenturynbutnisnnotnthenonlynreasonnbirthplacesn
moved.nUnlikenhomenbirths,nearlynhospitalnbirthsnhinderednbondingnbetweennparentsnandntheirnin
fants.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n1 OBJ:n IntegratednProcess:nTeaching-
LearningnMSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironment
2. Family-centerednmaternityncarendevelopedninnresponsento
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. thenSheppard-TownernActnofn1921.
c. parentalnrequestsnthatninfantsnbenallowedntonremainnwithnthemnrathernthanninna
nursery.
n
d. changesninnpharmacologicnmanagementnofnlabor.
ANS:nC
Asnresearchnbeganntonidentifynthenbenefitsnofnearlynextendednparent-
infantncontact,nparentsnbeganntoninsistnthatntheninfantnremainnwithnthem.nThisngraduallyndevel
opednintonthenpracticenofnrooming-innandnfinallyntonfamily-centerednmaternityncare.nFamily-
centeredncarenwasnanrequestnbynparents,nnotnphysicians.nThenSheppard-
TownernActnofn1921nprovidednfundsnfornstate-
managednprogramsnfornmothersnandnchildren.nThenchangesninnpharmacologicnmanagementno
fnlabornwerennotnanfactorninnfamily-centerednmaternityncare.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n2 OBJ:n IntegratednProcess:nTeaching-
LearningnMSC:n ClientnNeeds:nPsychosocialnIntegrity
,2n|nP a g e
3. Whichnsettingnfornchildbirthnallowsnthenleastnamountnofnparent-infantncontact?
a. Labor/delivery/recovery/postpartumnroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Homenbirth
ANS:nC
Innthentraditionalnhospitalnsetting,nthenmothernmaynseentheninfantnfornonlynshortnfeedingnperiods,na
ndntheninfantnisncarednforninnanseparatennursery.nThenlabor/delivery/recovery/postpartumnroomnset
tingnallowsnincreasednparent-
infantncontact.nBirthncentersnarensetnupntonallownannincreaseninnparent-
infantncontact.nHomenbirthsnallownannincreaseninnparent-infantncontact.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n2 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
4. Asnanresultnofnchangesninnhealthncarendeliverynandnfunding,nancurrentntrendnseenninnthenp
ediatricnsettingnis
a. increasednhospitalizationnofnchildren.
b. decreasednnumbernofnchildrennlivingninnpoverty.
c. annincreaseninnambulatoryncare.
d. decreasednusenofnmanagedncare.
ANS:nC
Oneneffectnofnmanagedncarenhasnbeennthatnpediatricnhealthncarendeliverynhasnshiftedndramati
callynfromnthenacutencarensettingntonthenambulatorynsettingninnorderntonprovidenmorencost-
efficientncare.nThennumbernofnhospitalnbedsnbeingnusednhasndecreasednasnmorencarenisngivenni
nnoutpatientnsettingsnandninnthenhome.nThennumbernofnchildrennlivingninnpovertynhasnincrease
dnovernthenpastndecade.nOnenofnthenbiggestnchangesninnhealthncarenhasnbeennthengrowthnofnma
nagedncare.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n5 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment
5. ThenWomen,nInfants,nandnChildrenn(WIC)nprogramnprovides
a. well-childnexaminationsnforninfantsnandnchildrennlivingnatnthenpovertynlevel.
b. immunizationsnfornhigh-riskninfantsnandnchildren.
c. screeningnforninfantsnwithndevelopmentalndisorders.
d. supplementalnfoodnsuppliesntonlow-incomenpregnantnornbreastfeedingnwomen.
ANS:nD
WICnisnanfederalnprogramnthatnprovidesnsupplementalnfoodnsuppliesntonlow-
incomenwomennwhonarenpregnantnornbreastfeedingnandntontheirnchildrennuntilnagen5nyears.nMedi
caid’snEarlynandnPeriodicnScreening,nDiagnosis,nandnTreatmentnProgramnprovidesnfornwell-
childnexaminationsnandnforntreatmentnofnanynmedicalnproblemsndiagnosednduringnsuchncheckup
s.nChildrenninnthenWICnprogramnarenoftennreferrednfornimmunizations,nbutnthatnisnnotnthenprimar
ynfocusnofnthenprogram.nPublicnLawn99-
457nisnpartnofnthenIndividualsnwithnDisabilitiesnEducationnActnthatnprovidesnfinancialnincentives
ntonstatesntonestablishncomprehensivenearlyninterventionnservicesnforninfantsnandntoddlersnwith,no
rnatnrisknfor,ndevelopmentalndisabilities.
,3n|nP a g e
PTS:n 1 DIF: CognitivenLevel:nComprehensionnOBJ:n IntegratednProcess:nTeaching-
Learning
MSC:nClientnNeeds:nHealthnPromotionnandnMaintenanceREF:n p.n8
6. Innmostnstates,nadolescentsnwhonarennotnemancipatednminorsnmustnhaventhenpermissionnofnt
heirnparentsnbefore.
a. treatmentnforndrugnabuse.
b. treatmentnfornsexuallyntransmittedndiseasesn(STDs).
c. accessingnbirthncontrol.
d. surgery.
ANS:nD
Minorsnarennotnconsideredncapablenofngivingninformednconsent,nsonansurgicalnprocedurenwouldn
requirenconsentnofnthenparentnornguardian.nExceptionsnexistnfornobtainingntreatmentnforndrugnab
usenornSTDsnornforngettingnbirthncontrolninnmostnstates.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n17 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment
7. Thenmaternitynnursenshouldnhavenanclearnunderstandingnofnthencorrectnusenofnanc
linicalnpathway.nOnencharacteristicnofnclinicalnpathwaysnisnthatnthey
a. arendevelopednandnimplementednbynnurses.
b. arenusednprimarilyninnthenpediatricnsetting.
c. setnspecificntimenlinesnfornsequencingninterventions.
d. arenpartnofnthennursingnprocess.
ANS:nC
Clinicalnpathwaysnarenstandardized,ninterdisciplinarynplansnofncarendevisednfornpatientsnwithnan
particularnhealthnproblem.nTheynarenusedntonidentifynpatientnoutcomes,nspecifyntimenlinesntonac
hieventhosenoutcomes,ndirectnappropriateninterventionsnandnsequencingnofninterventions,ninclu
deninterventionsnfromnanvarietynofndisciplines,npromotencollaboration,nandninvolvenancomprehe
nsivenapproachntoncare.nTheynarendevelopednbynmultiplenhealthncarenprofessionalsnandnreflectni
nterdisciplinaryncare.nTheyncannbenusedninnmultiplensettingsnandnfornpatientsnthroughoutnthenlif
enspan.nTheynarennotnpartnofnthennursingnprocessnbutncannbenusedninnconjunctionnwithnthennursin
gnprocessntonprovidencarentonpatients.
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n7 OBJ:n NursingnProcess:nPlanning
MSC:n ClientnNeeds:nSafenandnEffectivenCarenEnvironment
8. Thenfastestngrowingngroupnofnhomelessnpeoplenis
a. mennandnwomennpreparingnfornretirement.
b. migrantnworkers.
c. singlenwomennandntheirnchildren.
d. intravenousn(IV)nsubstancenabusers.
ANS:nC
Pregnancynandnbirth,nespeciallynfornanteenager,narenimportantncontributingnfactorsn fornbecoming
nhomeless.nPeoplenpreparingnfornretirement,nmigrantnworkers,nandnIVnsubstancenabusersnarennotn
amongnthenfastestngrowingngroupsnofnhomelessnpeople.
, 4n|nP a g e
PTS:nnn 1 DIF:
CognitivenLevel:nKnowledge/RememberingnREF:n p
.n14 OBJ:n NursingnProcess:nAssessment
MSC:n ClientnNeeds:nPhysiologicnIntegrity
.
