NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-Edition- Maternity, Women’s Health, and Child Health Nursing McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition by McKinney

NUR 201 CHPTR (1-46) Maternal-Child-Nursing-5th-
Edition- Maternity, Women’s Health, and Child Health
Nursing McKinney: Evolve Resources for Maternal-Child
Nursing, 5th Edition by McKinney
Chapter4801:48Foundations48of48Maternity,48Women’s48Health,48and48Child48Health48
Nursing48McKinney:48Evolve48Resources48for48Maternal-
Child48Nursing,485th48Edition


MULTIPLE48CHOICE



1. As48a48result48of48changes48in48health48care48delivery48and48funding,48a48cu
rrent48trend48seen48in48the48pediatric48setting48is
a. increased48hospitalization48of48children.
b. decreased48number48of48children48living48in48poverty.
c. an48increase48in48ambulatory48care.
d. decreased48use48of48managed48care.

ANS:48C
One48effect48of48managed48care48has48been48that48pediatric48health48care48deliv
ery48has48shifted48dramatically48from48the48acute48care48setting48to48the48ambul
atory48setting48in48order48to48provide48more48cost-
efficient48care.48The48number48of48hospital48beds48being48used48has48decreased
48 as48more48care48is48given48in48outpatient48settings48and48in48the48home.48The48
number48of48children48living48in48poverty48has48increased48over48the48past48deca
de.48One48of48the48biggest48changes48in48health48care48has48been48the48growth48
NUR4820148CHPTR48(1-46)48Maternal-Child-Nursing-5th-
Edition-
Maternity,48Women’s48Health,48and48Child48Health48Nursing48McK
48

inney:48Evolve48Resources48for48Maternal-
Child48Nursing,485th48Edition48by48McKinney

, of48managed48care.

PTS:484848 1 DIF:
Cognitive48Level:48Knowledge/Rememb
ering48REF:4 8 p.485
OBJ:4 8 Nursing48Process:48Planning
MSC:4 8 Client48Needs:48Safe48and48Effective48Care48Environment


2. Elective48abortion48is48considered48an48ethical48issue48because
a. abortion48law48is48unclear48about48a48woman’s48constitutional48rights.
b. the48Supreme48Court48ruled48that48life48begins48at48conception.
c. a48conflict48exists48between48the48rights48of48the48woman48and48the48rights48of48th
e48fetus.
d. it48requires48third-party48consent.

ANS:48C
Elective48abortion48is48an48ethical48dilemma48because48two48opposing48courses48of
48 action48are48available.48The48belief48that48induced48abortion48is48a48private48choice
48 is48in48conflict48with48the48belief48that48elective48pregnancy48termination48is48taki
ng48a48life.48Abortion48laws48are48clear48concerning48a48woman’s48constitutional48r
ights.48The48Supreme48Court48has48not48ruled48on48when48life48begins.48Abortion48
does48not48require48third-party48consent.

PTS:484848 1 DIF:
Cognitive48Level:48Knowledge/Remembe
ring48REF:4 8 p.4811

NUR4820148CHPTR48(1-46)48Maternal-Child-Nursing-5th-
Edition-
Maternity,48Women’s48Health,48and48Child48Health48Nursing48McK
48

inney:48Evolve48Resources48for48Maternal-
Child48Nursing,485th48Edition48by48McKinney

, OBJ:4 8 Integrated48Process:48Teaching-
Learning48MSC:48Client48Needs:48Safe48and48Effective48
Care48Environment


3. Which48factor48significantly48contributed48to48the48shift48from48home48births
48 to48hospital48births48in48the48early4820th48century?
a. Puerperal48sepsis48was48identified48as48a48risk48factor48in48labor48and48delivery.
b. Forceps48were48developed48to48facilitate48difficult48births.
c. The48importance48of48early48parental-infant48contact48was48identified.
d. Technologic48developments48became48available48to48physicians.

ANS:48D
Technologic48developments48were48available48to48physicians,48not48lay48midwives
.48So48in-
hospital48births48increased48in48order48to48take48advantage48of48these48advancemen
ts.48Puerperal48sepsis48has48been48a48known48problem48for48generations.48In48the48lat
e4819th48century,48Semmelweis48discovered48how48it48could48be48prevented48with48i
mproved48hygienic48practices.48The48development48of48forceps48is48an48example48
of48a48technology48advance48made48in48the48early4820th48century48but48is48not48the4
8 only48reason48birthplaces48moved.48Unlike48home48births,48early48hospital48births
48 hindered48bonding48between48parents48and48their48infants.

PTS:484848 1 DIF:
Cognitive48Level:48Knowledge/Remembe
ring48REF:4 8 p.481OBJ:4 8 Integrated48Process:48Teaching-


NUR4820148CHPTR48(1-46)48Maternal-Child-Nursing-5th-
Edition-
Maternity,48Women’s48Health,48and48Child48Health48Nursing48McK
48

inney:48Evolve48Resources48for48Maternal-
Child48Nursing,485th48Edition48by48McKinney

, Learning48MSC:48Client48Needs:48Safe48and48Effective48
Care48Environment

4. Family-centered48maternity48care48developed48in48response48to
a. demands48by48physicians48for48family48involvement48in48childbirth.
b. the48Sheppard-Towner48Act48of481921.
c. parental48requests48that48infants48be48allowed48to48remain48with48t
hem48rather48than48in48a48nursery.
d. changes48in48pharmacologic48management48of48labor.

ANS:48C
As48research48began48to48identify48the48benefits48of48early48extended48parent-
infant48contact,48parents48began48to48insist48that48the48infant48remain48with48the
m.48This48gradually48developed48into48the48practice48of48rooming-
in48and48finally48to48family-centered48maternity48care.48Family-
centered48care48was48a48request48by48parents,48not48physicians.48The48Sheppard
-Towner48Act48of48192148provided48funds48for48state-
managed48programs48for48mothers48and48children.48The48changes48in48pharmac
ologic48management48of48labor48were48not48a48factor48in48family-
centered48maternity48care.

PTS:484848 1 DIF:
Cognitive48Level:48Knowledge/Remembe
ring48REF:4 8 p.482OBJ:4 8 Integrated48Process:48Teaching-
Learning48MSC:48Client48Needs:48Psychosocial48Integrit
y

NUR4820148CHPTR48(1-46)48Maternal-Child-Nursing-5th-
Edition-
Maternity,48Women’s48Health,48and48Child48Health48Nursing48McK
48

inney:48Evolve48Resources48for48Maternal-
Child48Nursing,485th48Edition48by48McKinney