MATERNAL CHILD NURSING
COMPLETE TESTBANK, MCKINNEY
CHAP 1-30 WITH ACCURATE ANSWERS
AND RATIONALES
Chapter 01: Foundations of Maternity, Women's Health,
and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing,
5th Edition MULTIPLE CHOICE Correct Answer
1. Which factor significantly contributed to the shift from
home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor
and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was
identified.
d. Technologic developments became available to
physicians. Correct Answer D
Technologic developments were available to physicians,
not lay midwives. So in-hospital
births increased in order to take advantage of these
advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century,
Semmelweis discovered how it could
be prevented with improved hygienic practices. The
development of forceps is an example of
,a technology advance made in the early 20th century but
is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered
bonding between parents and their
infants. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response
to
a. demands by physicians for family involvement in
childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with
them rather than in a
nursery.
d. changes in pharmacologic management of labor.
Correct Answer C
As research began to identify the benefits of early
extended parent-infant contact, parents
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
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 labor were not a factor in family-centered
maternity care. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of
parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth Correct Answer C
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. The
labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth
centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in
parent-infant contact. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and
funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care. Correct Answer C
, One effect of managed care has been that pediatric health
care delivery has shifted
dramatically from the acute care setting to the ambulatory
setting in order to provide more
cost-efficient care. The number of hospital beds being
used has decreased as more care is
given in outpatient settings and in the home. The number
of children living in poverty has
increased over the past decade. One of the biggest
changes in health care has been the growth
of managed care. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program
provides
a. well-child examinations for infants and children living at
the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or
breastfeeding women. Correct Answer D
WIC is a federal program that provides supplemental food
supplies to low-income women
who are pregnant or breastfeeding and to their children
until age 5 years. Medicaid's Early
and Periodic Screening, Diagnosis, and Treatment
Program provides for well-child
examinations and for treatment of any medical problems
diagnosed during such checkups.
COMPLETE TESTBANK, MCKINNEY
CHAP 1-30 WITH ACCURATE ANSWERS
AND RATIONALES
Chapter 01: Foundations of Maternity, Women's Health,
and Child Health Nursing
McKinney: Evolve Resources for Maternal-Child Nursing,
5th Edition MULTIPLE CHOICE Correct Answer
1. Which factor significantly contributed to the shift from
home births to hospital births in the
early 20th century?
a. Puerperal sepsis was identified as a risk factor in labor
and delivery.
b. Forceps were developed to facilitate difficult births.
c. The importance of early parental-infant contact was
identified.
d. Technologic developments became available to
physicians. Correct Answer D
Technologic developments were available to physicians,
not lay midwives. So in-hospital
births increased in order to take advantage of these
advancements. Puerperal sepsis has been a
known problem for generations. In the late 19th century,
Semmelweis discovered how it could
be prevented with improved hygienic practices. The
development of forceps is an example of
,a technology advance made in the early 20th century but
is not the only reason birthplaces
moved. Unlike home births, early hospital births hindered
bonding between parents and their
infants. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Safe and Effective Care Environment
2. Family-centered maternity care developed in response
to
a. demands by physicians for family involvement in
childbirth.
b. the Sheppard-Towner Act of 1921.
c. parental requests that infants be allowed to remain with
them rather than in a
nursery.
d. changes in pharmacologic management of labor.
Correct Answer C
As research began to identify the benefits of early
extended parent-infant contact, parents
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
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 labor were not a factor in family-centered
maternity care. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 2 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Psychosocial Integrity
3. Which setting for childbirth allows the least amount of
parent-infant contact?
a. Labor/delivery/recovery/postpartum room
b. Birth center
c. Traditional hospital birth
d. Home birth Correct Answer C
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. The
labor/delivery/recovery/postpartum room
setting allows increased parent-infant contact. Birth
centers are set up to allow an increase in
parent-infant contact. Home births allow an increase in
parent-infant contact. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 2 OBJ: Nursing Process: Planning
MSC: Client Needs: Health Promotion and Maintenance
4. As a result of changes in health care delivery and
funding, a current trend seen in the pediatric
setting is
a. increased hospitalization of children.
b. decreased number of children living in poverty.
c. an increase in ambulatory care.
d. decreased use of managed care. Correct Answer C
, One effect of managed care has been that pediatric health
care delivery has shifted
dramatically from the acute care setting to the ambulatory
setting in order to provide more
cost-efficient care. The number of hospital beds being
used has decreased as more care is
given in outpatient settings and in the home. The number
of children living in poverty has
increased over the past decade. One of the biggest
changes in health care has been the growth
of managed care. PTS: 1 DIF: Cognitive Level:
Knowledge/Remembering
REF: p. 5 OBJ: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment
5. The Women, Infants, and Children (WIC) program
provides
a. well-child examinations for infants and children living at
the poverty level.
b. immunizations for high-risk infants and children.
c. screening for infants with developmental disorders.
d. supplemental food supplies to low-income pregnant or
breastfeeding women. Correct Answer D
WIC is a federal program that provides supplemental food
supplies to low-income women
who are pregnant or breastfeeding and to their children
until age 5 years. Medicaid's Early
and Periodic Screening, Diagnosis, and Treatment
Program provides for well-child
examinations and for treatment of any medical problems
diagnosed during such checkups.
