TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
TEST BANK FOR MATERNAL-
n n n
CHILD NURSING 5TH EDITION BY MCKI
n n n n n
NNEY
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
n n n n n n n n n n
MULTIPLEnCHOICE
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnthe
n early n 20thn century?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwere ndevelopedntonfacilitate ndifficultnbirths.
c. The nimportance nof nearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailable ntonphysicians.
n ANS:nD
Technologicndevelopmentsnwere navailable ntonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedn innorderntontakenadvantagenof nthese nadvancements.nPuerperalnsepsisnhasnbeenn
anknownnproblemnforn generations.nInnthe nlaten19thncentury,nSemmelweisndiscoverednhownitncouldnbe npre
ventednwithnimprovedn hygienicnpractices.nThendevelopmentnofnforcepsnisnannexamplenof nantechnologynad
vance nmadeninnthenearlyn 20thncenturynbutnisnnotnthe nonlynreasonnbirthplacesnmoved.nUnlike nhomenbirths,
n early n hospitaln birthsn hindered n bondingn between n parents n andn theirn infants.
PTS:nn 1n DIF:Cognitive nLevel:nKnowledge/RememberingnREF:np.n1
OBJ:nIntegratednProcess:n Teaching-
LearningnMSC:nClientnNeeds:nSafe nandnEffective nCare nEnvironment
2. Family-centerednmaternityncare ndevelopedninnresponse nto
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. the nSheppard-TownernActnof n1921.
c. parentalnrequestsnthatninfantsnbe nallowedntonremainnwithnthemnrathernthanninnannursery.
d. changesninnpharmacologicnmanagementnof nlabor.
n ANS:nC
Asnresearchnbeganntonidentifynthe nbenefitsnof nearlynextendednparent-
infantncontact,nparentsnbegannton insistnthatnthe ninfantnremainnwithnthem.nThisngraduallyndevelopedninton
the npractice nof nrooming-innandn finallyntonfamily-centerednmaternityncare.nFamily-
centeredncare nwasnanrequestnbynparents,nnotnphysicians.n The nSheppard-
TownernActnof n1921nprovidednfundsnfornstate-
managednprogramsnfornmothersnandn children.nThenchangesninnpharmacologicnmanagementnof nlabornwer
e nnotnanfactorninnfamily-centeredn maternityncare.
,TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
PTS:nn 1n DIF:Cognitive nLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nIntegratednProcess:n Teaching-
LearningnMSC:nClientnNeeds:nPsychosocialnIntegrity
3. Whichnsettingnfornchildbirthnallowsnthe nleastnamountnof nparent-infantncontact?
a. Labor/delivery/recovery/postpartum nroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Home nbirth
.
ANS:nC
Innthe ntraditionalnhospitalnsetting,nthe nmothernmaynseenthe ninfantnfornonlynshortnfeedingnperiods,nandnthe
n infantn isn caredn forninn anseparatennursery. nThen labor/delivery/recovery/postpartum nroomnsettingn allows
n increased n parent-infantn contact. n Birthn centers n are n setn upn ton allow n ann increase n inn parent-
infantncontact.n Home nbirthsnallownannincrease ninnparent-infantncontact.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Asnanresultnofnchangesninnhealthncare ndeliverynandnfunding,nancurrentntrendnseenninnthe npediatric
n settingn is
a. increasednhospitalizationnofnchildren.
b. decreasednnumbernofnchildrennlivingninnpoverty.
c. annincrease ninnambulatoryncare.
d. decreasednusenofnmanagedncare.
n ANS:nC
One neffectnof nmanagedncarenhasnbeennthatnpediatricnhealthncarendeliverynhasnshiftedndramaticallynfromn
the nacute ncare nsettingntonthe nambulatorynsettingninnorderntonprovide nmore ncost-
efficientncare.nThe n numbernofnhospitalnbedsnbeingnusednhasndecreasednasnmorencarenisngivenninnoutpatie
ntnsettingsnandninn thenhome.nThennumbernofnchildrennlivingninnpovertynhasnincreasednovernthenpastndeca
de.nOne nofnthe n biggestnchangesninnhealthncare nhasnbeennthe ngrowthnof nmanagedncare.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n5
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nSafenandnEffectivenCare nEnvironmen
t
5. The nWomen,nInfants,nandnChildrenn(WIC) nprogramnprovides
,TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
a. well-childnexaminationsnforninfantsnandnchildrennlivingnatnthe npovertynlevel.
b. immunizationsnfornhigh-riskninfantsnandnchildren.
c. screeningnforninfantsnwithndevelopmentalndisorders.
d. supplementalnfoodnsuppliesntonlow-
income npregnantnornbreastfeedingnwomen.n ANS:nD
WICnisnanfederalnprogramnthatnprovidesnsupplementalnfoodnsuppliesntonlow-
income nwomennwhonare n pregnantnornbreastfeedingnandntontheirnchildrennuntilnagen5nyears.nMedicaid’snE
arlynandnPeriodicn Screening,nDiagnosis,nandnTreatmentnProgramnprovidesnfornwell-
childnexaminationsnandnforntreatmentnofn anynmedicalnproblemsndiagnosednduringnsuchncheckups.nChildre
nninnthe nWICnprogramnarenoftennreferredn fornimmunizations,nbutnthatnisnnotnthe nprimarynfocusnof nthenpro
gram.nPublicnLawn99-
457nisnpartnofnthe n IndividualsnwithnDisabilitiesnEducationnActnthatnprovidesnfinancialnincentivesntonstatesnt
onestablishn comprehensivenearlyninterventionnservicesnforninfantsnandntoddlersnwith,nornatnrisknfor,ndevel
opmentaln disabilities.
PTS:n1nnn DIF: Cognitive nLevel:nComprehensionnOBJ:nIntegratednProcess:nTeaching-
Learningn MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
REF:np.n8
6. Innmostnstates,nadolescentsnwhonarennotnemancipatednminorsnmustnhaventhenpermissionnofntheir
n parents n before
.
a. treatmentnforndrugnabuse.
b. treatmentnfornsexuallyntransmittedndiseasesn(STDs).
c. accessingnbirthncontrol.
d. surgery.
n ANS:nD
Minorsnare nnotnconsideredncapablenof ngivingninformednconsent,nsonansurgicalnprocedurenwouldnrequire n c
onsentnofnthenparentnornguardian.nExceptionsnexistnfornobtainingntreatmentnforndrugnabuse nornSTDsnornfor
n gettingn birthn controln inn mostn states.
, TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n17
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nSafenandnEffective nCarenEnvironmen
t
7. The nmaternitynnursenshouldnhavenanclearnunderstandingnofnthe ncorrectnuse nofnanclinicalnpathway.
One ncharacteristicnofnclinicalnpathwaysnisnthatnthey
a. are ndevelopednandnimplementednbynnurses.
b. are nusednprimarilyninnthe npediatricnsetting.
c. setnspecificntime nlinesnfornsequencingninterventions.
d. are npartnof nthennursingnprocess.
n ANS:nC
Clinicalnpathwaysnare nstandardized,ninterdisciplinarynplansnof ncarendevisednfornpatientsnwithnanparticularn
healthnproblem.nTheynare nusedntonidentifynpatientnoutcomes,nspecifyntime nlinesntonachieve nthose n outco
mes,ndirectnappropriateninterventionsnandnsequencingnofninterventions,nincludeninterventionsnfromn anva
rietynofndisciplines,npromotencollaboration,nandninvolvenancomprehensive napproachntoncare.nTheynaren de
velopednbynmultiple nhealthncarenprofessionalsnandnreflectninterdisciplinaryncare.nTheyncannbenusedninn mu
ltiple nsettingsnandnfornpatientsnthroughoutnthenlifenspan.nTheynarennotnpartnofnthennursingnprocessnbutn ca
nnbe nusedninnconjunctionnwithnthe nnursingnprocessntonprovide ncare ntonpatients.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n7
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironmen
t
8. The nfastestngrowingngroupnof nhomelessnpeople nis
a. mennandnwomennpreparingnfornretirement.
b. migrantnworkers.
c. single nwomennandntheirnchildren.
d. intravenousn(IV)nsubstancenabusers.
n ANS:nC
Pregnancynandnbirth,nespeciallynfornanteenager,nare nimportantncontributingnfactorsnfornbecomingn homel
ess.nPeoplenpreparingnfornretirement,nmigrantnworkers,nandnIV nsubstance nabusersnare nnotnamongn the nfa
stestngrowingngroupsnof nhomelessnpeople.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n14
OBJ:nNursingnProcess:n Assessment
MSC:nClientnNeeds:nPhysiologicnIntegrity
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
TEST BANK FOR MATERNAL-
n n n
CHILD NURSING 5TH EDITION BY MCKI
n n n n n
NNEY
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
n n n n n n n n n n
MULTIPLEnCHOICE
1. Whichnfactornsignificantlyncontributedntonthenshiftnfromnhomenbirthsntonhospitalnbirthsninnthe
n early n 20thn century?
a. Puerperalnsepsisnwasnidentifiednasnanrisknfactorninnlabornandndelivery.
b. Forcepsnwere ndevelopedntonfacilitate ndifficultnbirths.
c. The nimportance nof nearlynparental-infantncontactnwasnidentified.
d. Technologicndevelopmentsnbecamenavailable ntonphysicians.
n ANS:nD
Technologicndevelopmentsnwere navailable ntonphysicians,nnotnlaynmidwives.nSonin-
hospitalnbirthsnincreasedn innorderntontakenadvantagenof nthese nadvancements.nPuerperalnsepsisnhasnbeenn
anknownnproblemnforn generations.nInnthe nlaten19thncentury,nSemmelweisndiscoverednhownitncouldnbe npre
ventednwithnimprovedn hygienicnpractices.nThendevelopmentnofnforcepsnisnannexamplenof nantechnologynad
vance nmadeninnthenearlyn 20thncenturynbutnisnnotnthe nonlynreasonnbirthplacesnmoved.nUnlike nhomenbirths,
n early n hospitaln birthsn hindered n bondingn between n parents n andn theirn infants.
PTS:nn 1n DIF:Cognitive nLevel:nKnowledge/RememberingnREF:np.n1
OBJ:nIntegratednProcess:n Teaching-
LearningnMSC:nClientnNeeds:nSafe nandnEffective nCare nEnvironment
2. Family-centerednmaternityncare ndevelopedninnresponse nto
a. demandsnbynphysiciansnfornfamilyninvolvementninnchildbirth.
b. the nSheppard-TownernActnof n1921.
c. parentalnrequestsnthatninfantsnbe nallowedntonremainnwithnthemnrathernthanninnannursery.
d. changesninnpharmacologicnmanagementnof nlabor.
n ANS:nC
Asnresearchnbeganntonidentifynthe nbenefitsnof nearlynextendednparent-
infantncontact,nparentsnbegannton insistnthatnthe ninfantnremainnwithnthem.nThisngraduallyndevelopedninton
the npractice nof nrooming-innandn finallyntonfamily-centerednmaternityncare.nFamily-
centeredncare nwasnanrequestnbynparents,nnotnphysicians.n The nSheppard-
TownernActnof n1921nprovidednfundsnfornstate-
managednprogramsnfornmothersnandn children.nThenchangesninnpharmacologicnmanagementnof nlabornwer
e nnotnanfactorninnfamily-centeredn maternityncare.
,TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
PTS:nn 1n DIF:Cognitive nLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nIntegratednProcess:n Teaching-
LearningnMSC:nClientnNeeds:nPsychosocialnIntegrity
3. Whichnsettingnfornchildbirthnallowsnthe nleastnamountnof nparent-infantncontact?
a. Labor/delivery/recovery/postpartum nroom
b. Birthncenter
c. Traditionalnhospitalnbirth
d. Home nbirth
.
ANS:nC
Innthe ntraditionalnhospitalnsetting,nthe nmothernmaynseenthe ninfantnfornonlynshortnfeedingnperiods,nandnthe
n infantn isn caredn forninn anseparatennursery. nThen labor/delivery/recovery/postpartum nroomnsettingn allows
n increased n parent-infantn contact. n Birthn centers n are n setn upn ton allow n ann increase n inn parent-
infantncontact.n Home nbirthsnallownannincrease ninnparent-infantncontact.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n2
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
4. Asnanresultnofnchangesninnhealthncare ndeliverynandnfunding,nancurrentntrendnseenninnthe npediatric
n settingn is
a. increasednhospitalizationnofnchildren.
b. decreasednnumbernofnchildrennlivingninnpoverty.
c. annincrease ninnambulatoryncare.
d. decreasednusenofnmanagedncare.
n ANS:nC
One neffectnof nmanagedncarenhasnbeennthatnpediatricnhealthncarendeliverynhasnshiftedndramaticallynfromn
the nacute ncare nsettingntonthe nambulatorynsettingninnorderntonprovide nmore ncost-
efficientncare.nThe n numbernofnhospitalnbedsnbeingnusednhasndecreasednasnmorencarenisngivenninnoutpatie
ntnsettingsnandninn thenhome.nThennumbernofnchildrennlivingninnpovertynhasnincreasednovernthenpastndeca
de.nOne nofnthe n biggestnchangesninnhealthncare nhasnbeennthe ngrowthnof nmanagedncare.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n5
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nSafenandnEffectivenCare nEnvironmen
t
5. The nWomen,nInfants,nandnChildrenn(WIC) nprogramnprovides
,TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
a. well-childnexaminationsnforninfantsnandnchildrennlivingnatnthe npovertynlevel.
b. immunizationsnfornhigh-riskninfantsnandnchildren.
c. screeningnforninfantsnwithndevelopmentalndisorders.
d. supplementalnfoodnsuppliesntonlow-
income npregnantnornbreastfeedingnwomen.n ANS:nD
WICnisnanfederalnprogramnthatnprovidesnsupplementalnfoodnsuppliesntonlow-
income nwomennwhonare n pregnantnornbreastfeedingnandntontheirnchildrennuntilnagen5nyears.nMedicaid’snE
arlynandnPeriodicn Screening,nDiagnosis,nandnTreatmentnProgramnprovidesnfornwell-
childnexaminationsnandnforntreatmentnofn anynmedicalnproblemsndiagnosednduringnsuchncheckups.nChildre
nninnthe nWICnprogramnarenoftennreferredn fornimmunizations,nbutnthatnisnnotnthe nprimarynfocusnof nthenpro
gram.nPublicnLawn99-
457nisnpartnofnthe n IndividualsnwithnDisabilitiesnEducationnActnthatnprovidesnfinancialnincentivesntonstatesnt
onestablishn comprehensivenearlyninterventionnservicesnforninfantsnandntoddlersnwith,nornatnrisknfor,ndevel
opmentaln disabilities.
PTS:n1nnn DIF: Cognitive nLevel:nComprehensionnOBJ:nIntegratednProcess:nTeaching-
Learningn MSC:nClientnNeeds:nHealthnPromotionnandnMaintenance
REF:np.n8
6. Innmostnstates,nadolescentsnwhonarennotnemancipatednminorsnmustnhaventhenpermissionnofntheir
n parents n before
.
a. treatmentnforndrugnabuse.
b. treatmentnfornsexuallyntransmittedndiseasesn(STDs).
c. accessingnbirthncontrol.
d. surgery.
n ANS:nD
Minorsnare nnotnconsideredncapablenof ngivingninformednconsent,nsonansurgicalnprocedurenwouldnrequire n c
onsentnofnthenparentnornguardian.nExceptionsnexistnfornobtainingntreatmentnforndrugnabuse nornSTDsnornfor
n gettingn birthn controln inn mostn states.
, TESTnBANK nFORnMATERNAL-
CHILD nNURSING n5TH nEDITIONnBYnMCKINNEY
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n17
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nSafenandnEffective nCarenEnvironmen
t
7. The nmaternitynnursenshouldnhavenanclearnunderstandingnofnthe ncorrectnuse nofnanclinicalnpathway.
One ncharacteristicnofnclinicalnpathwaysnisnthatnthey
a. are ndevelopednandnimplementednbynnurses.
b. are nusednprimarilyninnthe npediatricnsetting.
c. setnspecificntime nlinesnfornsequencingninterventions.
d. are npartnof nthennursingnprocess.
n ANS:nC
Clinicalnpathwaysnare nstandardized,ninterdisciplinarynplansnof ncarendevisednfornpatientsnwithnanparticularn
healthnproblem.nTheynare nusedntonidentifynpatientnoutcomes,nspecifyntime nlinesntonachieve nthose n outco
mes,ndirectnappropriateninterventionsnandnsequencingnofninterventions,nincludeninterventionsnfromn anva
rietynofndisciplines,npromotencollaboration,nandninvolvenancomprehensive napproachntoncare.nTheynaren de
velopednbynmultiple nhealthncarenprofessionalsnandnreflectninterdisciplinaryncare.nTheyncannbenusedninn mu
ltiple nsettingsnandnfornpatientsnthroughoutnthenlifenspan.nTheynarennotnpartnofnthennursingnprocessnbutn ca
nnbe nusedninnconjunctionnwithnthe nnursingnprocessntonprovide ncare ntonpatients.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n7
OBJ:nNursingnProcess:nPlanningn MSC:nClientnNeeds:nSafenandnEffectivenCarenEnvironmen
t
8. The nfastestngrowingngroupnof nhomelessnpeople nis
a. mennandnwomennpreparingnfornretirement.
b. migrantnworkers.
c. single nwomennandntheirnchildren.
d. intravenousn(IV)nsubstancenabusers.
n ANS:nC
Pregnancynandnbirth,nespeciallynfornanteenager,nare nimportantncontributingnfactorsnfornbecomingn homel
ess.nPeoplenpreparingnfornretirement,nmigrantnworkers,nandnIV nsubstance nabusersnare nnotnamongn the nfa
stestngrowingngroupsnof nhomelessnpeople.
PTS:nn 1n DIF: Cognitive nLevel:nKnowledge/RememberingnREF:np.n14
OBJ:nNursingnProcess:n Assessment
MSC:nClientnNeeds:nPhysiologicnIntegrity
