Sp Sp Sp Sp Sp Sp
la la la la la la la
sh sh sh sh sh sh sh
ne ne ne ne ne ne ne
tz tz tz tz tz tz
COMPLETE 2024
t
Sp Sp Sp Sp Sp Sp
la la la la la la
sh sh sh sh sh sh
ne ne ne ne ne ne
tz tz tz tz tz tz
NURSING 6th EDITION CHAPTER 1-55
TEST BANK FOR MATERNAL -CHILD
, t
ne
tz
sh
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
ne
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
la
tz
sh
Sp
MULTIPLE CHOICE
ne
la
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
tz
sh
Sp
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
ne
b. Forceps were developed to facilitate difficult births.
la
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
tz
sh
Sp
ANS: D
ne
Technologic developments were available to physicians, not lay midwives. So in-hospital
la
births increased in order to take advantage of these advancements. Puerperal sepsis has been
tz
a known problem for generations. In the late 19th century, Semmelweis discovered how it
sh
Sp
could be prevented with improved hygienic practices. The development of forceps is an
ne
example of a technology advance made in the early 20th century but is not the only reason
la
birthplaces moved. Unlike home births, early hospital births hindered bonding between
parents and their
tz
sh
Sp
infants.
ne
PTS:1 DIF: Cognitive Level: Remembering la
tz
OBJ:Integrated Process: Teaching-Learning
sh
Sp
MSC:Client Needs: Safe and Effective Care Environment
ne
la
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
tz
sh
Sp
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
ne
la
nursery.
d. changes in pharmacologic management of labor.
tz
sh
Sp
ANS: C
ne
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
rooming-in and finally to family-centered maternity care. Family-centered care was a request
tz
sh
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 management of
ne
la
labor were not a factor in family-centered maternity care.
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering
OBJ:Integrated Process: Teaching-Learning MSC:Client
ne
Needs: Psychosocial Integrity
la
tz
3. Which setting for childbirth allows the least amount of parent-infant contact?
sh
Sp
a. Labor/delivery/recovery/postpartum room
ne
b. Birth center
la
c. Traditional hospital birth
sh
Sp
la
, t
ne
tz
sh
d. Home birth
ANS: C
ne
la
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. While this is slowly changing, to
tz
sh
Sp
more closely resemble other birthing models, the traditional hospital birth still offers the least
amount of parent-infant contact. The labor/delivery/recovery/postpartum room setting allows
ne
increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant
la
contact. Home births allow an increase in parent-infant contact.
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning MSC:Client Needs:
ne
Health Promotion and Maintenance
la
4. The maternity nurse should have a clear understanding of the correct use of a clinical
tz
sh
Sp
pathway. One characteristic of clinical pathways is that they a. are developed and
implemented by nurses.
ne
b. are used primarily in the pediatric setting.
la
c. set specific time lines for sequencing interventions.
tz
sh
Sp
d. are part of the nursing process.
ne
ANS: C
la
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular health problem. They are used to identify patient outcomes, specify timelines to
tz
sh
Sp
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
ne
comprehensive approach to care. They are developed by multiple health care professionals
la
and reflect interdisciplinary care. They can be used in multiple settings and for patients
tz
sh
Sp
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.
ne
la
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning MSC:Client Needs:
Safe and Effective Care Environment
tz
sh
Sp
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
ne
la
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
tz
sh
Sp
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
ne
d. Working as an intake counselor at a women‘s shelter.
la
ANS: C
tz
sh
Sp
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
ne
likely participate in community service providing prenatal care outreach activities in
la
community centers, particularly in low-income areas. Pamphlets in other languages, enrolling
in Medicaid, and working at a women‘s shelter all might impact infant mortality, but the
tz
sh
Sp
greatest effect would be from assisting women to get consistent prenatal care.
ne
PTS:1 DIF: Cognitive Level: Applying
la
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
tz
sh
Sp
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
ne
a. The report assures the legal department that no problem exists.
la
b. Reports are a permanent part of the patient‘s chart.
sh
Sp
la
, t
ne
tz
sh
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.
ne
ANS: D
la
An incident report is used when something occurs that might result in legal action, such as a
tz
sh
Sp
patient fall or medication error. It warns the legal department that there may be a problem in a
ne
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
la
notes should not contain any reference to them.
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering
OBJ:Integrated Process: Communication and Documentation
ne
MSC:Client Needs: Safe and Effective Care Environment
la
tz
7. Which woman would be most likely to seek prenatal care?
sh
Sp
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
ne
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.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
tz
sh
Sp
ANS: B
ne
The patient who acknowledges the pregnancy early, has access to health care, and has no
la
reason to avoid health care is most likely to seek prenatal care. Being in denial about the
tz
pregnancy increases the risk of not seeking care. This patient is also 15, and other social
sh
Sp
factors may discourage her from seeking care as well. Women who abuse substances are less
ne
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care. la
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Understanding
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
ne
la
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
tz
sh
nurse administers an analgesic but does not perform any assessments. The woman then has a
Sp
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
ne
nurse be interpreted in relation to standards of care?
la
a. Negligent: the nurse failed to assess the woman for possible complications
tz
b. Negligent: because the nurse medicated the woman
sh
Sp
c. Not negligent: the woman had signed a waiver concerning the use of side rails
ne
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as they
la
occurred
tz
sh
Sp
ANS: A
There are four elements to malpractice, which is negligence in the performance of
ne
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
la
negligent because she or he did not perform any assessments, which is the first step of the
tz
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
sh
Sp
established standards of care, and thus is guilty of professional negligence, or malpractice.
ne
la
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Evaluation
MSC:Client Needs: Safe and Effective Care Environment
tz
sh
Sp
Which patient situation fails to meet the first requirement of informed consent?
ne
9.
la
a. The patient does not understand the physician‘s explanations.
sh
Sp
la
la la la la la la la
sh sh sh sh sh sh sh
ne ne ne ne ne ne ne
tz tz tz tz tz tz
COMPLETE 2024
t
Sp Sp Sp Sp Sp Sp
la la la la la la
sh sh sh sh sh sh
ne ne ne ne ne ne
tz tz tz tz tz tz
NURSING 6th EDITION CHAPTER 1-55
TEST BANK FOR MATERNAL -CHILD
, t
ne
tz
sh
Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
ne
McKinney: Evolve Resources for Maternal-Child Nursing, 6th Edition
la
tz
sh
Sp
MULTIPLE CHOICE
ne
la
1. Which factor significantly contributed to the shift from home births to hospital births in the
early 20th century?
tz
sh
Sp
a. Puerperal sepsis was identified as a risk factor in labor and delivery.
ne
b. Forceps were developed to facilitate difficult births.
la
c. The importance of early parental-infant contact was identified.
d. Technologic developments became available to physicians.
tz
sh
Sp
ANS: D
ne
Technologic developments were available to physicians, not lay midwives. So in-hospital
la
births increased in order to take advantage of these advancements. Puerperal sepsis has been
tz
a known problem for generations. In the late 19th century, Semmelweis discovered how it
sh
Sp
could be prevented with improved hygienic practices. The development of forceps is an
ne
example of a technology advance made in the early 20th century but is not the only reason
la
birthplaces moved. Unlike home births, early hospital births hindered bonding between
parents and their
tz
sh
Sp
infants.
ne
PTS:1 DIF: Cognitive Level: Remembering la
tz
OBJ:Integrated Process: Teaching-Learning
sh
Sp
MSC:Client Needs: Safe and Effective Care Environment
ne
la
2. Family-centered maternity care developed in response to
a. demands by physicians for family involvement in childbirth.
tz
sh
Sp
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with them rather than in a
ne
la
nursery.
d. changes in pharmacologic management of labor.
tz
sh
Sp
ANS: C
ne
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
rooming-in and finally to family-centered maternity care. Family-centered care was a request
tz
sh
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 management of
ne
la
labor were not a factor in family-centered maternity care.
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering
OBJ:Integrated Process: Teaching-Learning MSC:Client
ne
Needs: Psychosocial Integrity
la
tz
3. Which setting for childbirth allows the least amount of parent-infant contact?
sh
Sp
a. Labor/delivery/recovery/postpartum room
ne
b. Birth center
la
c. Traditional hospital birth
sh
Sp
la
, t
ne
tz
sh
d. Home birth
ANS: C
ne
la
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. While this is slowly changing, to
tz
sh
Sp
more closely resemble other birthing models, the traditional hospital birth still offers the least
amount of parent-infant contact. The labor/delivery/recovery/postpartum room setting allows
ne
increased parent-infant contact. Birth centers are set up to allow an increase in parent-infant
la
contact. Home births allow an increase in parent-infant contact.
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning MSC:Client Needs:
ne
Health Promotion and Maintenance
la
4. The maternity nurse should have a clear understanding of the correct use of a clinical
tz
sh
Sp
pathway. One characteristic of clinical pathways is that they a. are developed and
implemented by nurses.
ne
b. are used primarily in the pediatric setting.
la
c. set specific time lines for sequencing interventions.
tz
sh
Sp
d. are part of the nursing process.
ne
ANS: C
la
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with a
particular health problem. They are used to identify patient outcomes, specify timelines to
tz
sh
Sp
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
include interventions from a variety of disciplines, promote collaboration, and involve a
ne
comprehensive approach to care. They are developed by multiple health care professionals
la
and reflect interdisciplinary care. They can be used in multiple settings and for patients
tz
sh
Sp
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.
ne
la
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Planning MSC:Client Needs:
Safe and Effective Care Environment
tz
sh
Sp
5. A nurse wishes to work to reduce infant mortality in the United States. Which activity would
ne
la
this nurse most likely participate in?
a. Creating pamphlets in several different languages using an interpreter.
tz
sh
Sp
b. Assisting women to enroll in Medicaid by their third trimester.
c. Volunteering to provide prenatal care at community centers.
ne
d. Working as an intake counselor at a women‘s shelter.
la
ANS: C
tz
sh
Sp
Prenatal care is vital to reducing infant mortality and medical costs. This nurse would most
ne
likely participate in community service providing prenatal care outreach activities in
la
community centers, particularly in low-income areas. Pamphlets in other languages, enrolling
in Medicaid, and working at a women‘s shelter all might impact infant mortality, but the
tz
sh
Sp
greatest effect would be from assisting women to get consistent prenatal care.
ne
PTS:1 DIF: Cognitive Level: Applying
la
OBJ:Nursing Process: Implementation MSC:Client Needs: Health Promotion and Maintenance
tz
sh
Sp
6. Which statement is true regarding the ―quality assurance‖ or ―incident‖ report?
ne
a. The report assures the legal department that no problem exists.
la
b. Reports are a permanent part of the patient‘s chart.
sh
Sp
la
, t
ne
tz
sh
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.
ne
ANS: D
la
An incident report is used when something occurs that might result in legal action, such as a
tz
sh
Sp
patient fall or medication error. It warns the legal department that there may be a problem in a
ne
particular patient‘s care. Incident reports are not part of the patient‘s chart; thus the nurses‘
la
notes should not contain any reference to them.
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Remembering
OBJ:Integrated Process: Communication and Documentation
ne
MSC:Client Needs: Safe and Effective Care Environment
la
tz
7. Which woman would be most likely to seek prenatal care?
sh
Sp
a. A 15-year-old who tells her friends, ―I don‘t believe I‘m pregnant.‖
ne
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.
d. A 30-year-old who is in her fifth pregnancy and delivered her last infant at home.
tz
sh
Sp
ANS: B
ne
The patient who acknowledges the pregnancy early, has access to health care, and has no
la
reason to avoid health care is most likely to seek prenatal care. Being in denial about the
tz
pregnancy increases the risk of not seeking care. This patient is also 15, and other social
sh
Sp
factors may discourage her from seeking care as well. Women who abuse substances are less
ne
likely to receive prenatal care. Some women see pregnancy and delivery as a natural
occurrence and do not seek health care. la
tz
sh
Sp
PTS:1 DIF: Cognitive Level: Understanding
OBJ:Nursing Process: Assessment MSC:Client Needs: Health Promotion and Maintenance
ne
la
8. A woman who delivered her baby 6 hours ago complains of headache and dizziness. The
tz
sh
nurse administers an analgesic but does not perform any assessments. The woman then has a
Sp
tonic-clonic seizure, falls out of bed, and fractures her femur. How would the actions of the
ne
nurse be interpreted in relation to standards of care?
la
a. Negligent: the nurse failed to assess the woman for possible complications
tz
b. Negligent: because the nurse medicated the woman
sh
Sp
c. Not negligent: the woman had signed a waiver concerning the use of side rails
ne
d. Not negligent: the woman did not inform the nurse of her symptoms as soon as they
la
occurred
tz
sh
Sp
ANS: A
There are four elements to malpractice, which is negligence in the performance of
ne
professional duties: duty, breach of duty, damage, and proximate cause. The nurse was
la
negligent because she or he did not perform any assessments, which is the first step of the
tz
nursing process and is a standard of care. By not assessing the patient, the nurse did not meet
sh
Sp
established standards of care, and thus is guilty of professional negligence, or malpractice.
ne
la
PTS:1 DIF: Cognitive Level: Remembering OBJ:Nursing Process: Evaluation
MSC:Client Needs: Safe and Effective Care Environment
tz
sh
Sp
Which patient situation fails to meet the first requirement of informed consent?
ne
9.
la
a. The patient does not understand the physician‘s explanations.
sh
Sp
la
