,Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing
jg jg jg jg jg jg jg jg jg jg
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
jg jg jg jg jg jg jg jg
MULTIPLE CHOICE jg
1. Which factor significantly contributed to the shift from home births to hospital births in
jg jg jg jg jg jg jg jg jg jg jg jg jg
jg the early 20th century?
jg jg jg
a. Puerperal sepsis was identified as a risk factor in labor and delivery.jg jg jg jg jg jg jg jg jg jg jg
b. Forceps were developed to facilitate difficult births. jg jg jg jg jg jg
c. The importance of early parental-infant contact was identified.
jg jg jg jg jg jg jg
d. Technologic developments became available to physicians. jg jg jg jg jg
ANS: D jg
Technologic developments were available to physicians, not lay midwives. So in-hospital
jg jg jg jg jg jg jg jg jg jg
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
known problem for generations. In the late 19th century, Semmelweis discovered how it could
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
be prevented with improved hygienic practices. The development of forceps is an example of
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
a technology advance made in the early 20th century but is not the only reason birthplaces
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
moved. Unlike home births, early hospital births hindered bonding between parents and their
jg jg jg jg jg jg jg jg jg jg jg jg jg
infants.
jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 1
jg OBJ: Integrated Process: Teaching-Learning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
jg jg jg jg jg jg jg jg
2. Family-centered maternity care developed in response to jg jg jg jg jg jg
a. demands by physicians for family involvement in childbirth. jg jg jg jg jg jg jg
b. the Sheppard-Towner Act of 1921. jg jg jg jg
c. parental requests that infants be allowed to remain with them rather than in
jg jg jg jg jg jg jg jg jg jg jg jg
jg a nursery.
jg
d. changes in pharmacologic management of labor. jg jg jg jg jg
ANS: C jg
As research began to identify the benefits of early extended parent-infant contact, parents
jg jg jg jg jg jg jg jg jg jg jg jg
began to insist that the infant remain with them. This gradually developed into the practice
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
of rooming-in and finally to family-centered maternity care. Family-centered care was a
jg jg jg jg jg jg jg jg jg jg jg jg
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
jg jg jg jg jg jg jg jg jg jg jg jg jg
state-managed programs for mothers and children. The changes in pharmacologic
jg jg jg jg jg jg jg jg jg jg
management of labor were not a factor in family-centered maternity care.
jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 2
jg OBJ: Integrated Process: Teaching-Learning
j g jg j g jg jg
MSC: Client Needs: Psychosocial Integrity
jg jg jg jg jg
3. Which setting for childbirth allows the least amount of parent-infant contact?
jg jg jg jg jg jg jg jg jg jg
a. Labor/delivery/recovery/postpartum room jg
b. Birth center jg
c. Traditional hospital birth jg jg
d. Home birth jg
.
, ANS: C jg
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
jg jg jg jg jg jg jg jg jg jg jg jg
room setting allows increased parent-infant contact. Birth centers are set up to allow an
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
increase in parent-infant contact. Home births allow an increase in parent-infant contact.
jg jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 2
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Health Promotion and Maintenance
j g jg jg jg jg jg
4. As a result of changes in health care delivery and funding, a current trend seen in the
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
pediatric setting is
jg jg jg
a. increased hospitalization of children. jg jg jg
b. decreased number of children living in poverty. jg jg jg jg jg jg
c. an increase in ambulatory care. jg jg jg jg
d. decreased use of managed care. jg jg jg jg
ANS: C jg
One effect of managed care has been that pediatric health care delivery has shifted
jg jg jg jg jg jg jg jg jg jg jg jg jg
dramatically from the acute care setting to the ambulatory setting in order to provide more
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
cost-efficient care. The number of hospital beds being used has decreased as more care is
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
given in outpatient settings and in the home. The number of children living in poverty has
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
increased over the past decade. One of the biggest changes in health care has been the
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
growth of managed care.
jg jg jg jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 5
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
j g jg jg jg jg jg jg
5. The Women, Infants, and Children (WIC) program provides
jg jg jg jg jg jg jg
a. well-child examinations for infants and children living at the poverty level. jg jg jg jg jg jg jg jg jg jg
b. immunizations for high-risk infants and children. jg jg jg jg jg
c. screening for infants with developmental disorders. jg jg jg jg jg
d. supplemental food supplies to low-income pregnant or breastfeeding women. jg jg jg jg jg jg jg jg
ANS: D jg
WIC is a federal program that provides supplemental food supplies to low-income women
jg jg jg jg jg jg jg jg jg jg jg jg
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
jg jg jg jg jg jg jg jg jg jg
examinations and for treatment of any medical problems diagnosed during such checkups.
jg jg jg jg jg jg jg jg jg jg jg jg
Children in the WIC program are often referred for immunizations, but that is not the primary
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
Education Act that provides financial incentives to states to establish comprehensive early
jg jg jg jg jg jg jg jg jg jg jg jg
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
jg jg jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 DIF: Cognitive Level: Comprehension
j g jg jg REF: p. 8 j g jg
OBJ: Integrated Process: Teaching-Learning
jg j g jg jg
MSC: Client Needs: Health Promotion and Maintenance
jg jg jg jg jg jg
6. In most states, adolescents who are not emancipated minors must have the permission of
jg jg jg jg jg jg jg jg jg jg jg jg jg
jg their parents before jg jg
.
, a. treatment for drug abuse. jg jg jg
b. treatment for sexually transmitted diseases (STDs). jg jg jg jg jg
c. accessing birth control. jg jg
d. surgery.
ANS: D jg
Minors are not considered capable of giving informed consent, so a surgical procedure
jg jg jg jg jg jg jg jg jg jg jg jg
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
drug abuse or STDs or for getting birth control in most states.
jg jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 jDIF: Cognitive Level: Knowledge/Remembering
g jg jg
REF: p. 17
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
j g jg jg jg jg jg jg
7. The maternity nurse should have a clear understanding of the correct use of a
jg jg jg jg jg jg jg jg jg jg jg jg jg
jg clinical pathway. One characteristic of clinical pathways is that they
jg jg jg jg jg jg jg jg jg
a. are developed and implemented by nurses.
jg jg jg jg jg
b. are used primarily in the pediatric setting.
jg jg jg jg jg jg
c. set specific time lines for sequencing interventions.
jg jg jg jg jg jg
d. are part of the nursing process.
jg jg jg jg jg
ANS: C jg
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
jg jg jg jg jg jg jg jg jg jg jg
a particular health problem. They are used to identify patient outcomes, specify time lines to
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
jg jg jg jg jg jg jg jg jg jg
include interventions from a variety of disciplines, promote collaboration, and involve a
jg jg jg jg jg jg jg jg jg jg jg jg
comprehensive approach to care. They are developed by multiple health care professionals
jg jg jg jg jg jg jg jg jg jg jg jg
and reflect interdisciplinary care. They can be used in multiple settings and for patients
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
throughout the life span. They are not part of the nursing process but can be used in
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
conjunction with the nursing process to provide care to patients.
jg jg jg jg jg jg jg jg jg jg
PTS: 1 jDIF: Cognitive Level: Knowledge/Remembering
g jg jg
REF: p. 7
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
j g jg jg jg jg jg jg
8. The fastest growing group of homeless people is
jg jg jg jg jg jg jg
a. men and women preparing for retirement.
jg jg jg jg jg
b. migrant workers. jg
c. single women and their children. jg jg jg jg
d. intravenous (IV) substance abusers. jg jg jg
ANS: C jg
Pregnancy and birth, especially for a teenager, are important contributing factors for
jg jg jg jg jg jg jg jg jg jg j g
becoming homeless. People preparing for retirement, migrant workers, and IV substance
jg jg jg jg jg jg jg jg jg jg jg
abusers are not among the fastest growing groups of homeless people.
jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 jDIF: Cognitive Level: Knowledge/Remembering
g jg jg
REF: p. 14
jg OBJ: Nursing Process: Assessment
j g jg j g jg jg
MSC: Client Needs: Physiologic Integrity
j g jg jg jg
.
jg jg jg jg jg jg jg jg jg jg
McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
jg jg jg jg jg jg jg jg
MULTIPLE CHOICE jg
1. Which factor significantly contributed to the shift from home births to hospital births in
jg jg jg jg jg jg jg jg jg jg jg jg jg
jg the early 20th century?
jg jg jg
a. Puerperal sepsis was identified as a risk factor in labor and delivery.jg jg jg jg jg jg jg jg jg jg jg
b. Forceps were developed to facilitate difficult births. jg jg jg jg jg jg
c. The importance of early parental-infant contact was identified.
jg jg jg jg jg jg jg
d. Technologic developments became available to physicians. jg jg jg jg jg
ANS: D jg
Technologic developments were available to physicians, not lay midwives. So in-hospital
jg jg jg jg jg jg jg jg jg jg
births increased in order to take advantage of these advancements. Puerperal sepsis has been a
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
known problem for generations. In the late 19th century, Semmelweis discovered how it could
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
be prevented with improved hygienic practices. The development of forceps is an example of
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
a technology advance made in the early 20th century but is not the only reason birthplaces
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
moved. Unlike home births, early hospital births hindered bonding between parents and their
jg jg jg jg jg jg jg jg jg jg jg jg jg
infants.
jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 1
jg OBJ: Integrated Process: Teaching-Learning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
jg jg jg jg jg jg jg jg
2. Family-centered maternity care developed in response to jg jg jg jg jg jg
a. demands by physicians for family involvement in childbirth. jg jg jg jg jg jg jg
b. the Sheppard-Towner Act of 1921. jg jg jg jg
c. parental requests that infants be allowed to remain with them rather than in
jg jg jg jg jg jg jg jg jg jg jg jg
jg a nursery.
jg
d. changes in pharmacologic management of labor. jg jg jg jg jg
ANS: C jg
As research began to identify the benefits of early extended parent-infant contact, parents
jg jg jg jg jg jg jg jg jg jg jg jg
began to insist that the infant remain with them. This gradually developed into the practice
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
of rooming-in and finally to family-centered maternity care. Family-centered care was a
jg jg jg jg jg jg jg jg jg jg jg jg
request by parents, not physicians. The Sheppard-Towner Act of 1921 provided funds for
jg jg jg jg jg jg jg jg jg jg jg jg jg
state-managed programs for mothers and children. The changes in pharmacologic
jg jg jg jg jg jg jg jg jg jg
management of labor were not a factor in family-centered maternity care.
jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 2
jg OBJ: Integrated Process: Teaching-Learning
j g jg j g jg jg
MSC: Client Needs: Psychosocial Integrity
jg jg jg jg jg
3. Which setting for childbirth allows the least amount of parent-infant contact?
jg jg jg jg jg jg jg jg jg jg
a. Labor/delivery/recovery/postpartum room jg
b. Birth center jg
c. Traditional hospital birth jg jg
d. Home birth jg
.
, ANS: C jg
In the traditional hospital setting, the mother may see the infant for only short feeding periods,
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
and the infant is cared for in a separate nursery. The labor/delivery/recovery/postpartum
jg jg jg jg jg jg jg jg jg jg jg jg
room setting allows increased parent-infant contact. Birth centers are set up to allow an
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
increase in parent-infant contact. Home births allow an increase in parent-infant contact.
jg jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 2
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Health Promotion and Maintenance
j g jg jg jg jg jg
4. As a result of changes in health care delivery and funding, a current trend seen in the
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
pediatric setting is
jg jg jg
a. increased hospitalization of children. jg jg jg
b. decreased number of children living in poverty. jg jg jg jg jg jg
c. an increase in ambulatory care. jg jg jg jg
d. decreased use of managed care. jg jg jg jg
ANS: C jg
One effect of managed care has been that pediatric health care delivery has shifted
jg jg jg jg jg jg jg jg jg jg jg jg jg
dramatically from the acute care setting to the ambulatory setting in order to provide more
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
cost-efficient care. The number of hospital beds being used has decreased as more care is
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
given in outpatient settings and in the home. The number of children living in poverty has
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
increased over the past decade. One of the biggest changes in health care has been the
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
growth of managed care.
jg jg jg jg
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
j g jg jg
REF: p. 5
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
j g jg jg jg jg jg jg
5. The Women, Infants, and Children (WIC) program provides
jg jg jg jg jg jg jg
a. well-child examinations for infants and children living at the poverty level. jg jg jg jg jg jg jg jg jg jg
b. immunizations for high-risk infants and children. jg jg jg jg jg
c. screening for infants with developmental disorders. jg jg jg jg jg
d. supplemental food supplies to low-income pregnant or breastfeeding women. jg jg jg jg jg jg jg jg
ANS: D jg
WIC is a federal program that provides supplemental food supplies to low-income women
jg jg jg jg jg jg jg jg jg jg jg jg
who are pregnant or breastfeeding and to their children until age 5 years. Medicaid‘s Early
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
and Periodic Screening, Diagnosis, and Treatment Program provides for well-child
jg jg jg jg jg jg jg jg jg jg
examinations and for treatment of any medical problems diagnosed during such checkups.
jg jg jg jg jg jg jg jg jg jg jg jg
Children in the WIC program are often referred for immunizations, but that is not the primary
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
focus of the program. Public Law 99-457 is part of the Individuals with Disabilities
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
Education Act that provides financial incentives to states to establish comprehensive early
jg jg jg jg jg jg jg jg jg jg jg jg
intervention services for infants and toddlers with, or at risk for, developmental disabilities.
jg jg jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 DIF: Cognitive Level: Comprehension
j g jg jg REF: p. 8 j g jg
OBJ: Integrated Process: Teaching-Learning
jg j g jg jg
MSC: Client Needs: Health Promotion and Maintenance
jg jg jg jg jg jg
6. In most states, adolescents who are not emancipated minors must have the permission of
jg jg jg jg jg jg jg jg jg jg jg jg jg
jg their parents before jg jg
.
, a. treatment for drug abuse. jg jg jg
b. treatment for sexually transmitted diseases (STDs). jg jg jg jg jg
c. accessing birth control. jg jg
d. surgery.
ANS: D jg
Minors are not considered capable of giving informed consent, so a surgical procedure
jg jg jg jg jg jg jg jg jg jg jg jg
would require consent of the parent or guardian. Exceptions exist for obtaining treatment for
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
drug abuse or STDs or for getting birth control in most states.
jg jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 jDIF: Cognitive Level: Knowledge/Remembering
g jg jg
REF: p. 17
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
j g jg jg jg jg jg jg
7. The maternity nurse should have a clear understanding of the correct use of a
jg jg jg jg jg jg jg jg jg jg jg jg jg
jg clinical pathway. One characteristic of clinical pathways is that they
jg jg jg jg jg jg jg jg jg
a. are developed and implemented by nurses.
jg jg jg jg jg
b. are used primarily in the pediatric setting.
jg jg jg jg jg jg
c. set specific time lines for sequencing interventions.
jg jg jg jg jg jg
d. are part of the nursing process.
jg jg jg jg jg
ANS: C jg
Clinical pathways are standardized, interdisciplinary plans of care devised for patients with
jg jg jg jg jg jg jg jg jg jg jg
a particular health problem. They are used to identify patient outcomes, specify time lines to
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
achieve those outcomes, direct appropriate interventions and sequencing of interventions,
jg jg jg jg jg jg jg jg jg jg
include interventions from a variety of disciplines, promote collaboration, and involve a
jg jg jg jg jg jg jg jg jg jg jg jg
comprehensive approach to care. They are developed by multiple health care professionals
jg jg jg jg jg jg jg jg jg jg jg jg
and reflect interdisciplinary care. They can be used in multiple settings and for patients
jg jg jg jg jg jg jg jg jg jg jg jg jg jg
throughout the life span. They are not part of the nursing process but can be used in
jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg jg
conjunction with the nursing process to provide care to patients.
jg jg jg jg jg jg jg jg jg jg
PTS: 1 jDIF: Cognitive Level: Knowledge/Remembering
g jg jg
REF: p. 7
jg OBJ: Nursing Process: Planning
j g jg j g jg jg
MSC: Client Needs: Safe and Effective Care Environment
j g jg jg jg jg jg jg
8. The fastest growing group of homeless people is
jg jg jg jg jg jg jg
a. men and women preparing for retirement.
jg jg jg jg jg
b. migrant workers. jg
c. single women and their children. jg jg jg jg
d. intravenous (IV) substance abusers. jg jg jg
ANS: C jg
Pregnancy and birth, especially for a teenager, are important contributing factors for
jg jg jg jg jg jg jg jg jg jg j g
becoming homeless. People preparing for retirement, migrant workers, and IV substance
jg jg jg jg jg jg jg jg jg jg jg
abusers are not among the fastest growing groups of homeless people.
jg jg jg jg jg jg jg jg jg jg jg
PTS: 1 jDIF: Cognitive Level: Knowledge/Remembering
g jg jg
REF: p. 14
jg OBJ: Nursing Process: Assessment
j g jg j g jg jg
MSC: Client Needs: Physiologic Integrity
j g jg jg jg
.
