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
Chapter9401:94Foundations94of94Maternity,94Women’s94Health,94and94Child94Health94
Nursing94McKinney:94Evolve94Resources94for94Maternal-
Child94Nursing,945th94Edition


MULTIPLE94CHOICE



1. As94a94result94of94changes94in94health94care94delivery94and94funding,94a94cu
rrent94trend94seen94in94the94pediatric94setting94is
a. increased94hospitalization94of94children.
b. decreased94number94of94children94living94in94poverty.
c. an94increase94in94ambulatory94care.
d. decreased94use94of94managed94care.

ANS:94C
One94effect94of94managed94care94has94been94that94pediatric94health94care94deliv
ery94has94shifted94dramatically94from94the94acute94care94setting94to94the94ambul
atory94setting94in94order94to94provide94more94cost-
efficient94care.94The94number94of94hospital94beds94being94used94has94decreased
94 as94more94care94is94given94in94outpatient94settings94and94in94the94home.94The94
number94of94children94living94in94poverty94has94increased94over94the94past94deca
de.94One94of94the94biggest94changes94in94health94care94has94been94the94growth94
NUR9420194CHPTR94(1-46)94Maternal-Child-Nursing-5th-
Edition-
Maternity,94Women’s94Health,94and94Child94Health94Nursing94McK
94

inney:94Evolve94Resources94for94Maternal-
Child94Nursing,945th94Edition94by94McKinney

, of94managed94care.

PTS:949494 1 DIF:
Cognitive94Level:94Knowledge/Rememb
ering94REF:9 4 p.945
OBJ:9 4 Nursing94Process:94Planning
MSC:9 4 Client94Needs:94Safe94and94Effective94Care94Environment


2. Elective94abortion94is94considered94an94ethical94issue94because
a. abortion94law94is94unclear94about94a94woman’s94constitutional94rights.
b. the94Supreme94Court94ruled94that94life94begins94at94conception.
c. a94conflict94exists94between94the94rights94of94the94woman94and94the94rights94of94th
e94fetus.
d. it94requires94third-party94consent.

ANS:94C
Elective94abortion94is94an94ethical94dilemma94because94two94opposing94courses94of
94 action94are94available.94The94belief94that94induced94abortion94is94a94private94choice
94 is94in94conflict94with94the94belief94that94elective94pregnancy94termination94is94taki
ng94a94life.94Abortion94laws94are94clear94concerning94a94woman’s94constitutional94r
ights.94The94Supreme94Court94has94not94ruled94on94when94life94begins.94Abortion94
does94not94require94third-party94consent.

PTS:949494 1 DIF:
Cognitive94Level:94Knowledge/Remembe
ring94REF:9 4 p.9411

NUR9420194CHPTR94(1-46)94Maternal-Child-Nursing-5th-
Edition-
Maternity,94Women’s94Health,94and94Child94Health94Nursing94McK
94

inney:94Evolve94Resources94for94Maternal-
Child94Nursing,945th94Edition94by94McKinney

, OBJ:9 4 Integrated94Process:94Teaching-
Learning94MSC:94Client94Needs:94Safe94and94Effective94
Care94Environment


3. Which94factor94significantly94contributed94to94the94shift94from94home94births
94 to94hospital94births94in94the94early9420th94century?
a. Puerperal94sepsis94was94identified94as94a94risk94factor94in94labor94and94delivery.
b. Forceps94were94developed94to94facilitate94difficult94births.
c. The94importance94of94early94parental-infant94contact94was94identified.
d. Technologic94developments94became94available94to94physicians.

ANS:94D
Technologic94developments94were94available94to94physicians,94not94lay94midwives
.94So94in-
hospital94births94increased94in94order94to94take94advantage94of94these94advancemen
ts.94Puerperal94sepsis94has94been94a94known94problem94for94generations.94In94the94lat
e9419th94century,94Semmelweis94discovered94how94it94could94be94prevented94with94i
mproved94hygienic94practices.94The94development94of94forceps94is94an94example94
of94a94technology94advance94made94in94the94early9420th94century94but94is94not94the9
4 only94reason94birthplaces94moved.94Unlike94home94births,94early94hospital94births
94 hindered94bonding94between94parents94and94their94infants.

PTS:949494 1 DIF:
Cognitive94Level:94Knowledge/Remembe
ring94REF:9 4 p.941OBJ:9 4 Integrated94Process:94Teaching-


NUR9420194CHPTR94(1-46)94Maternal-Child-Nursing-5th-
Edition-
Maternity,94Women’s94Health,94and94Child94Health94Nursing94McK
94

inney:94Evolve94Resources94for94Maternal-
Child94Nursing,945th94Edition94by94McKinney

, Learning94MSC:94Client94Needs:94Safe94and94Effective94
Care94Environment

4. Family-centered94maternity94care94developed94in94response94to
a. demands94by94physicians94for94family94involvement94in94childbirth.
b. the94Sheppard-Towner94Act94of941921.
c. parental94requests94that94infants94be94allowed94to94remain94with94t
hem94rather94than94in94a94nursery.
d. changes94in94pharmacologic94management94of94labor.

ANS:94C
As94research94began94to94identify94the94benefits94of94early94extended94parent-
infant94contact,94parents94began94to94insist94that94the94infant94remain94with94the
m.94This94gradually94developed94into94the94practice94of94rooming-
in94and94finally94to94family-centered94maternity94care.94Family-
centered94care94was94a94request94by94parents,94not94physicians.94The94Sheppard
-Towner94Act94of94192194provided94funds94for94state-
managed94programs94for94mothers94and94children.94The94changes94in94pharmac
ologic94management94of94labor94were94not94a94factor94in94family-
centered94maternity94care.

PTS:949494 1 DIF:
Cognitive94Level:94Knowledge/Remembe
ring94REF:9 4 p.942OBJ:9 4 Integrated94Process:94Teaching-
Learning94MSC:94Client94Needs:94Psychosocial94Integrit
y

NUR9420194CHPTR94(1-46)94Maternal-Child-Nursing-5th-
Edition-
Maternity,94Women’s94Health,94and94Child94Health94Nursing94McK
94

inney:94Evolve94Resources94for94Maternal-
Child94Nursing,945th94Edition94by94McKinney