Test Bank -
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Introductory Maternity and Pediatric Nursing, 5th E
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dition by Hatfield, Chapter 1-
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42 | All Chapters Graded A+
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Chapter 1: The Nurse's Role in a Changing Maternal–Child Health Care Environment
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1. The opening up of hospital visiting policies for children and families likely resultedfrom the
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work of which individual? ft ft ft
A. Joseph Brennaman ft
B. John Bowlby ft
C. Marshal Klaus ft
D. John Kennell Answer: B ft ft ft
Rationale: In 1951, John Bowlby received worldwide attention with his
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study that revealed the negative results of the separation of child and mother because of hospitalizat
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ion. His work led toa re-
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evaluation and liberalization of hospital visiting policies for children. Joseph Brennaman suggested
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that a lack of stimulation for infants contributed to high infant mortality rates at the time. In the 1970
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s and 1980s, physicians Marshall Klaus and John Kennell carried out importantstudies on the effect
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of the separation of newborns and parents.
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They established that early separation may have long-
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term effects on family relationships and that offering the new family an opportunity to be togethe
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r at birth and for a significant period after birth may provide benefitsthat last well into early child
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hood.
Question format: Multiple Choice ft ft ft
Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p
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.4
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2. An expectant mother states that she read that more black mothers die in childbirth than do whi
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te mothers. When responding to her questions about the reasons for this, the nurse accurately states t
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hat which is the major reason for the high maternal mortality rate?
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A. Having formal education. ft ft
B. Being unmarried. ft
C. Income.
D. Lack of prenatal care. ft ft ft
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Answer: D
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Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care sec
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ondary to lack of access to services or insurance. Income as well as educational level may play a role
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ft in the availability of health care, but they are not directly responsible. Being unmarried has no beari
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ng on infant mortality.
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Question format: Multiple Choice ft ft ft
Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Understand
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p
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3. Which statement correctly defines the term "infant death rate"?
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A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
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B. number of deaths occurring in the first 28 days of life per 1,000 live births
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C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
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D. death of a live-born child before his or her first birthday.
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Answer: D ft
Rationale: The term infant death refers to the death of a live-
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born child before he or she reaches age 1 year. It also includes neonatal mortality rate. Neonatal mort
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ality rate is the number of infant deaths during the first 28 days of life for every 1,000 live births. Infa
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nt mortality rate is the number of deaths during the first 12 months of life per 1,000 live births. Questi
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on format: Multiple Choice
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Chapter 1: The Nurse's Role in a Changing Maternal-
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Child Health Care Environment Cognitive Level: Remember
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Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process Reference: p
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.9 ft
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