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Test Bank For Maternal-Child Nursing
6th Edition Chapter 1-55 Complete
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e
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hn
2024: UPDATED 2025 WITH
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Sp
VERIFIED QUESTIONS AND
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la
ANSWERS
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Sp
e
la
hn
tz
Test Bank Complete For
Sp
Maternal Child Nursing 6th Edition
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ne
la
sh
Sp
e
la
hn
tz
Sp
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ne
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e
la
hn
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Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
e
la
hn
MULTIPLE CHOICE
tz
Sp
1. Which factor significantly contributed to the shift from home births to hospital births in the
s
early 20th century? ne
la
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
sh
c. The importance of early parental-infant contact was identified.
Sp
d. Technologic developments became available to physicians.
e
ANS: D
la
hn
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
tz
Sp
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
s
ne
a technology advance made in the early 20th century but is not the only reason birthplaces
la
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering
e
OBJ:Integrated Process: Teaching-Learning
la
MSC:Client Needs: Safe and Effective Care Environment
hn
tz
2. Family-centered maternity care developed in response to
Sp
a. demands by physicians for family involvement in childbirth.
s
ne
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.
la
sh
Sp
ANS: C
e
As research began to identify the benefits of early extended parent-infant contact, parents
la
began to insist that the infant remain with them. This gradually developed into the practice of
hn
rooming-in and finally to family-centered maternity care. Family-centered care was a request
tz
Sp
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
as
ne
management of labor were not a factor in family-centered maternity care.
PTS:1 DIF: Cognitive Level: Remembering
l
sh
OBJ:Integrated Process: Teaching-Learning
Sp
MSC:Client Needs: Psychosocial Integrity
e
3. Which setting for childbirth allows the least amount of parent-infant contact?
la
hn
a. Labor/delivery/recovery/postpartum room
tz
b. Birth center
Sp
c. Traditional hospital birth
as
d. Home birth
ne
l
sh
Sp
la
, t
ne
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
sh
and the infant is cared for in a separate nursery. While this is slowly changing, to more closely
resemble other birthing models, the traditional hospital birth still offers the least amount of
e
parent-infant contact. The labor/delivery/recovery/postpartum room setting allows increased
la
parent-infant contact. Birth centers are set up to allow an increase in parent-infant contact.
hn
Home births allow an increase in parent-infant contact.
tz
Sp
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning
s
MSC:Client Needs: Health Promotion and Maintenance
ne
la
4. The maternity nurse should have a clear understanding of the correct use of a clinical
pathway. One characteristic of clinical pathways is that they
sh
Sp
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
e
c. set specific time lines for sequencing interventions.
la
hn
d. are part of the nursing process.
tz
ANS: C
Sp
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
s
ne
particular health problem. They are used to identify patient outcomes, specify timelines to
la
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
comprehensive approach to care. They are developed by multiple health care professionals
sh
Sp
and reflect interdisciplinary care. They can be used in multiple settings and for patients
e
throughout the life span. They are not part of the nursing process but can be used in
conjunction with the nursing process to provide care to patients.
la
hn
tz
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning
Sp
MSC:Client Needs: Safe and Effective Care Environment
s
ne
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter. la
sh
Sp
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
e
d. Working as an intake counselor at a women‘s shelter.
la
ANS: C
hn
tz
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
Sp
likely participate in community service providing prenatal care outreach activities in
as
community centers, particularly in low-income areas. Pamphlets in other languages, enrolling
ne
in Medicaid, and working at a women‘s shelter all might impact infant mortality, but the
greatest effect would be from assisting women to get consistent prenatal care.
l
sh
Sp
PTS:1 DIF: Cognitive Level: Applying
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
e
la
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
hn
a. The report assures the legal department that no problem exists.
tz
Sp
b. Reports are a permanent part of the patient‘s chart.
as
ne
l
sh
Sp
la
, t
ne
c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
d. This report is a form of documentation of an event that may result in legal action.
sh
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
e
patient fall or medication error. It warns the legal department that there may be a problem in a
la
hn
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
notes should not contain any reference to them.
tz
Sp
PTS:1 DIF: Cognitive Level: Remembering
s
ne
OBJ:Integrated Process: Communication and Documentation
la
MSC:Client Needs: Safe and Effective Care Environment
sh
7. Which woman would be most likely to seek prenatal care?
Sp
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
e
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
la
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
hn
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
tz
Sp
ANS: B
The patient who acknowledges the pregnancy early, has access to health care, and has no
s
ne
reason to avoid health care is most likely to seek prenatal care. Being in denial about the
la
pregnancy increases the risk of not seeking care. This patient is also 15, and other social
factors may discourage her from seeking care as well. Women who abuse substances are less
sh
Sp
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care.
e
la
PTS:1 DIF: Cognitive Level: Understanding
hn
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
tz
Sp
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
s
ne
nurse administers an analgesic but does not perform any assessments. The woman then has a
nurse be interpreted in relation to standards of care? la
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
a. Negligent: the nurse failed to assess the woman for possible complications
sh
Sp
b. Negligent: because the nurse medicated the woman
e
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
la
they occurred
hn
tz
Sp
ANS: A
There are four elements to malpractice, which is negligence in the performance of
as
ne
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
negligent because she or he did not perform any assessments, which is the first step of the
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
l
sh
Sp
established standards of care, and thus is guilty of professional negligence, or malpractice.
e
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Evaluation
la
MSC:Client Needs: Safe and Effective Care Environment
hn
tz
9. Which patient situation fails to meet the first requirement of informed consent?
Sp
a. The patient does not understand the physician‘s explanations.
as
ne
l
sh
Sp
la
ne
Test Bank For Maternal-Child Nursing
6th Edition Chapter 1-55 Complete
sh
e
la
hn
2024: UPDATED 2025 WITH
tz
Sp
VERIFIED QUESTIONS AND
s
ne
la
ANSWERS
sh
Sp
e
la
hn
tz
Test Bank Complete For
Sp
Maternal Child Nursing 6th Edition
s
ne
la
sh
Sp
e
la
hn
tz
Sp
s
ne
la
sh
Sp
e
la
hn
tz
Sp
as
ne
l
sh
Sp
e
la
hn
tz
Sp
as
ne
l
sh
Sp
la
, t
ne
sh
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
e
la
hn
MULTIPLE CHOICE
tz
Sp
1. Which factor significantly contributed to the shift from home births to hospital births in the
s
early 20th century? ne
la
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
b. Forceps were developed to facilitate difficult births.
sh
c. The importance of early parental-infant contact was identified.
Sp
d. Technologic developments became available to physicians.
e
ANS: D
la
hn
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
tz
Sp
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
s
ne
a technology advance made in the early 20th century but is not the only reason birthplaces
la
moved. Unlike home births, early hospital births hindered bonding between parents and their
infants.
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering
e
OBJ:Integrated Process: Teaching-Learning
la
MSC:Client Needs: Safe and Effective Care Environment
hn
tz
2. Family-centered maternity care developed in response to
Sp
a. demands by physicians for family involvement in childbirth.
s
ne
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.
la
sh
Sp
ANS: C
e
As research began to identify the benefits of early extended parent-infant contact, parents
la
began to insist that the infant remain with them. This gradually developed into the practice of
hn
rooming-in and finally to family-centered maternity care. Family-centered care was a request
tz
Sp
by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
state-managed programs for mothers and children. The changes in pharmacologic
as
ne
management of labor were not a factor in family-centered maternity care.
PTS:1 DIF: Cognitive Level: Remembering
l
sh
OBJ:Integrated Process: Teaching-Learning
Sp
MSC:Client Needs: Psychosocial Integrity
e
3. Which setting for childbirth allows the least amount of parent-infant contact?
la
hn
a. Labor/delivery/recovery/postpartum room
tz
b. Birth center
Sp
c. Traditional hospital birth
as
d. Home birth
ne
l
sh
Sp
la
, t
ne
ANS: C
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
sh
and the infant is cared for in a separate nursery. While this is slowly changing, to more closely
resemble other birthing models, the traditional hospital birth still offers the least amount of
e
parent-infant contact. The labor/delivery/recovery/postpartum room setting allows increased
la
parent-infant contact. Birth centers are set up to allow an increase in parent-infant contact.
hn
Home births allow an increase in parent-infant contact.
tz
Sp
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning
s
MSC:Client Needs: Health Promotion and Maintenance
ne
la
4. The maternity nurse should have a clear understanding of the correct use of a clinical
pathway. One characteristic of clinical pathways is that they
sh
Sp
a. are developed and implemented by nurses.
b. are used primarily in the pediatric setting.
e
c. set specific time lines for sequencing interventions.
la
hn
d. are part of the nursing process.
tz
ANS: C
Sp
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
s
ne
particular health problem. They are used to identify patient outcomes, specify timelines to
la
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
comprehensive approach to care. They are developed by multiple health care professionals
sh
Sp
and reflect interdisciplinary care. They can be used in multiple settings and for patients
e
throughout the life span. They are not part of the nursing process but can be used in
conjunction with the nursing process to provide care to patients.
la
hn
tz
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning
Sp
MSC:Client Needs: Safe and Effective Care Environment
s
ne
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter. la
sh
Sp
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
e
d. Working as an intake counselor at a women‘s shelter.
la
ANS: C
hn
tz
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
Sp
likely participate in community service providing prenatal care outreach activities in
as
community centers, particularly in low-income areas. Pamphlets in other languages, enrolling
ne
in Medicaid, and working at a women‘s shelter all might impact infant mortality, but the
greatest effect would be from assisting women to get consistent prenatal care.
l
sh
Sp
PTS:1 DIF: Cognitive Level: Applying
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
e
la
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
hn
a. The report assures the legal department that no problem exists.
tz
Sp
b. Reports are a permanent part of the patient‘s chart.
as
ne
l
sh
Sp
la
, t
ne
c. The nurse‘s notes should contain, ―Incident report filed, and copy placed in chart.‖
d. This report is a form of documentation of an event that may result in legal action.
sh
ANS: D
An incident report is used when something occurs that might result in legal action, such as a
e
patient fall or medication error. It warns the legal department that there may be a problem in a
la
hn
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
notes should not contain any reference to them.
tz
Sp
PTS:1 DIF: Cognitive Level: Remembering
s
ne
OBJ:Integrated Process: Communication and Documentation
la
MSC:Client Needs: Safe and Effective Care Environment
sh
7. Which woman would be most likely to seek prenatal care?
Sp
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
e
b. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic.
la
c. A 28-year-old who is in her second pregnancy and abuses drugs and alcohol.
hn
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
tz
Sp
ANS: B
The patient who acknowledges the pregnancy early, has access to health care, and has no
s
ne
reason to avoid health care is most likely to seek prenatal care. Being in denial about the
la
pregnancy increases the risk of not seeking care. This patient is also 15, and other social
factors may discourage her from seeking care as well. Women who abuse substances are less
sh
Sp
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care.
e
la
PTS:1 DIF: Cognitive Level: Understanding
hn
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
tz
Sp
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
s
ne
nurse administers an analgesic but does not perform any assessments. The woman then has a
nurse be interpreted in relation to standards of care? la
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
a. Negligent: the nurse failed to assess the woman for possible complications
sh
Sp
b. Negligent: because the nurse medicated the woman
e
c. Not negligent: the woman had signed a waiver concerning the use of side rails
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as
la
they occurred
hn
tz
Sp
ANS: A
There are four elements to malpractice, which is negligence in the performance of
as
ne
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
negligent because she or he did not perform any assessments, which is the first step of the
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
l
sh
Sp
established standards of care, and thus is guilty of professional negligence, or malpractice.
e
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Evaluation
la
MSC:Client Needs: Safe and Effective Care Environment
hn
tz
9. Which patient situation fails to meet the first requirement of informed consent?
Sp
a. The patient does not understand the physician‘s explanations.
as
ne
l
sh
Sp
la
