,Chapter’01:’Foundations’of’Maternity,’Women’s’Health,’and’Child’Health’Nursing’McKi
nney:’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‘t
he‘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‘exampl
e‘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‘in
fants.
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‘devel
oped‘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‘o
f‘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
.
, ANS:‘C
In‘the‘traditional‘hospital‘setting,‘the‘mother‘may‘see‘the‘infant‘for‘only‘short‘feeding‘periods,‘a
nd‘the‘infant‘is‘cared‘for‘in‘a‘separate‘nursery.‘The‘labor/delivery/recovery/postpartum‘room‘se
tting‘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‘p
ediatric‘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‘dramatic
ally‘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‘i
n‘outpatient‘settings‘and‘in‘the‘home.‘The‘number‘of‘children‘living‘in‘poverty‘has‘increase
d‘over‘the‘past‘decade.‘One‘of‘the‘biggest‘changes‘in‘health‘care‘has‘been‘the‘growth‘of‘ma
naged‘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.‘Medi
caid‘s‘Early‘and‘Periodic‘Screening,‘Diagnosis,‘and‘Treatment‘Program‘provides‘for‘well-
child‘examinations‘and‘for‘treatment‘of‘any‘medical‘problems‘diagnosed‘during‘such‘checkup
s.‘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: REF:‘ p.‘8
Cognitive‘Level:‘Comprehension‘OBJ:‘ I
ntegrated‘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‘t
heir‘parents‘before
, .
nney:’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‘t
he‘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‘exampl
e‘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‘in
fants.
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‘devel
oped‘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‘o
f‘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
.
, ANS:‘C
In‘the‘traditional‘hospital‘setting,‘the‘mother‘may‘see‘the‘infant‘for‘only‘short‘feeding‘periods,‘a
nd‘the‘infant‘is‘cared‘for‘in‘a‘separate‘nursery.‘The‘labor/delivery/recovery/postpartum‘room‘se
tting‘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‘p
ediatric‘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‘dramatic
ally‘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‘i
n‘outpatient‘settings‘and‘in‘the‘home.‘The‘number‘of‘children‘living‘in‘poverty‘has‘increase
d‘over‘the‘past‘decade.‘One‘of‘the‘biggest‘changes‘in‘health‘care‘has‘been‘the‘growth‘of‘ma
naged‘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.‘Medi
caid‘s‘Early‘and‘Periodic‘Screening,‘Diagnosis,‘and‘Treatment‘Program‘provides‘for‘well-
child‘examinations‘and‘for‘treatment‘of‘any‘medical‘problems‘diagnosed‘during‘such‘checkup
s.‘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: REF:‘ p.‘8
Cognitive‘Level:‘Comprehension‘OBJ:‘ I
ntegrated‘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‘t
heir‘parents‘before
, .
