Test Bank for Introductory Maternity & Pediatric Nursing, 5th
Edition — by Nancy Hatfield and Cynthia A. Kincheloe
Unit 1: Overview of Maternal & Pediatric Health Care
Chapter 1: The Nurse’s Role in a Changing Maternal–Child Health Care Environment
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Unit 2: Foundations of Maternity Nursing
Chapter 3: Structure and Function of the Reproductive System
Chapter 4: Special Issues of Women's Health Care and Reproduction Unit 3: Pregnancy
Chapter 5: Fetal Development
Chapter 6: Maternal Adaptation During Pregnancy
Chapter 7: Prenatal Care
Unit 4: Labor and Birth
Chapter 8: The Labor Process
Chapter 9: Pain Management During Labor and Birth
Chapter 10: Nursing Care During Labor and Birth
Chapter 11: Assisted Delivery and Cesarean Birth
Unit 5: Postpartum and Newborn
Chapter 12: The Postpartum Woman
Chapter 13: Nursing Care During Newborn Transition
Chapter 14: Nursing Care of the Normal Newborn
Chapter 15: Newborn Nutrition
Unit 6: Childbearing at Risk
Chapter 16: Pregnancy at Risk: Conditions That Complicate Pregnancy
Chapter 17: Pregnancy at Risk: Pregnancy-Related Complications
Chapter 18: Labor at Risk
Chapter 19: Postpartum Woman at Risk
Chapter 20: The Newborn at Risk: Gestational and Acquired Disorders
Chapter 21: The Newborn at Risk: Congenital Disorders
Unit 7: Health Promotion for Growth & Development
Chapter 22: Principles of Growth and Development
Chapter 23: Growth and Development of the Infant: 28 Days to 1 Year
Chapter 24: Growth and Development of the Toddler: 1 to 3 Years
Chapter 25: Growth and Development of the Preschool Child: 3 to 6 Years
Chapter 26: Growth and Development of the School-Aged Child: 6 to 10 Years
Chapter 27: Growth and Development of the Adolescent: 11 to 18 Years
Unit 8: Foundations of Pediatric Nursing
Chapter 28: Data Collection (Assessment) for the Child
Chapter 29: Care of the Hospitalized Child
Chapter 30: Procedures and Treatments
,Unit 9: Special Concerns in Pediatric Nursing
Chapter 31: Medication Administration and Intravenous Therapy
Chapter 32: The Child with a Chronic Health Problem
Chapter 33: Abuse in the Family and Community
Chapter 34: The Dying Child
Unit 10: The Child with a Health Disorder
Chapter 35: The Child with a Sensory/Neurologic Disorder
Chapter 36: The Child with a Respiratory Disorder
Chapter 37: The Child with a Cardiovascular/Hematologic Disorder
Chapter 38: The Child with a Gastrointestinal/Endocrine Disorder
Chapter 39: The Child with a Genitourinary Disorder
Chapter 40: The Child with a Musculoskeletal Disorder
Chapter 41: The Child with an Integumentary Disorder/Communicable Disease
Chapter 42: The Child with a Cognitive, Behavioral, or Mental Health Disorder
Unit 1: Overview of Maternal & Pediatric Health Care
1. The opening up of hospital visiting policies for children and families
likely resultedfrom the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse
accurately states that which is the major reason for the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
,Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
secondary to lack of access to services or insurance. Income as well as educational level may
play a role in the availability of health care, but they are not directly responsible. Being
unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he or she
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history of maternity
care. What major development will the instructor emphasize as greatly influencing the practice
of maternity care in the United States over the past century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
the progress of general health care and decreased infections in laboring women. Pediatrics as a
specialty is an important step forward but is not the greatest development, and midwives are
still in practice. Maternity care continues to evolve, and birthing centers are still under
development. Forceps are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Analyze
Client Needs: Health Promotion and Maintenance
Edition — by Nancy Hatfield and Cynthia A. Kincheloe
Unit 1: Overview of Maternal & Pediatric Health Care
Chapter 1: The Nurse’s Role in a Changing Maternal–Child Health Care Environment
Chapter 2: Family-Centered and Community-Based Maternal and Pediatric Nursing
Unit 2: Foundations of Maternity Nursing
Chapter 3: Structure and Function of the Reproductive System
Chapter 4: Special Issues of Women's Health Care and Reproduction Unit 3: Pregnancy
Chapter 5: Fetal Development
Chapter 6: Maternal Adaptation During Pregnancy
Chapter 7: Prenatal Care
Unit 4: Labor and Birth
Chapter 8: The Labor Process
Chapter 9: Pain Management During Labor and Birth
Chapter 10: Nursing Care During Labor and Birth
Chapter 11: Assisted Delivery and Cesarean Birth
Unit 5: Postpartum and Newborn
Chapter 12: The Postpartum Woman
Chapter 13: Nursing Care During Newborn Transition
Chapter 14: Nursing Care of the Normal Newborn
Chapter 15: Newborn Nutrition
Unit 6: Childbearing at Risk
Chapter 16: Pregnancy at Risk: Conditions That Complicate Pregnancy
Chapter 17: Pregnancy at Risk: Pregnancy-Related Complications
Chapter 18: Labor at Risk
Chapter 19: Postpartum Woman at Risk
Chapter 20: The Newborn at Risk: Gestational and Acquired Disorders
Chapter 21: The Newborn at Risk: Congenital Disorders
Unit 7: Health Promotion for Growth & Development
Chapter 22: Principles of Growth and Development
Chapter 23: Growth and Development of the Infant: 28 Days to 1 Year
Chapter 24: Growth and Development of the Toddler: 1 to 3 Years
Chapter 25: Growth and Development of the Preschool Child: 3 to 6 Years
Chapter 26: Growth and Development of the School-Aged Child: 6 to 10 Years
Chapter 27: Growth and Development of the Adolescent: 11 to 18 Years
Unit 8: Foundations of Pediatric Nursing
Chapter 28: Data Collection (Assessment) for the Child
Chapter 29: Care of the Hospitalized Child
Chapter 30: Procedures and Treatments
,Unit 9: Special Concerns in Pediatric Nursing
Chapter 31: Medication Administration and Intravenous Therapy
Chapter 32: The Child with a Chronic Health Problem
Chapter 33: Abuse in the Family and Community
Chapter 34: The Dying Child
Unit 10: The Child with a Health Disorder
Chapter 35: The Child with a Sensory/Neurologic Disorder
Chapter 36: The Child with a Respiratory Disorder
Chapter 37: The Child with a Cardiovascular/Hematologic Disorder
Chapter 38: The Child with a Gastrointestinal/Endocrine Disorder
Chapter 39: The Child with a Genitourinary Disorder
Chapter 40: The Child with a Musculoskeletal Disorder
Chapter 41: The Child with an Integumentary Disorder/Communicable Disease
Chapter 42: The Child with a Cognitive, Behavioral, or Mental Health Disorder
Unit 1: Overview of Maternal & Pediatric Health Care
1. The opening up of hospital visiting policies for children and families
likely resultedfrom the work of which individual?
A. Joseph Brennaman
B. John Bowlby
C. Marshal Klaus
D. John Kennell
Answer: B
Rationale: In 1951, John Bowlby received worldwide attention with his
study that revealed the negative results of the separation of child and mother because of
hospitalization. His work led toa re-evaluation and liberalization of hospital visiting policies for
children. Joseph Brennaman suggested that a lack of stimulation for infants contributed to high
infant mortality rates at the time. In the 1970s and 1980s, physicians Marshall Klaus and John
Kennell carried out importantstudies on the effect of the separation of newborns and parents.
They established that early separation may have long-term effects on family relationships and
that offering the new family an opportunity to be together at birth and for a significant period
after birth may provide benefitsthat last well into early childhood.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 4
2. An expectant mother states that she read that more black mothers die in childbirth than do
white mothers. When responding to her questions about the reasons for this, the nurse
accurately states that which is the major reason for the high maternal mortality rate?
A. Having formal education.
B. Being unmarried.
C. Income.
D. Lack of prenatal care.
,Answer: D
Rationale: Research shows that maternal mortality rate is directly related to lack of prenatal care
secondary to lack of access to services or insurance. Income as well as educational level may
play a role in the availability of health care, but they are not directly responsible. Being
unmarried has no bearing on infant mortality.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Understand
, Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
3. Which statement correctly defines the term "infant death rate"?
A. number of deaths in utero of fetuses 500 g or more per 1,000 live births
B. number of deaths occurring in the first 28 days of life per 1,000 live births
C. number of deaths occurring at birth or in the first 12 months of life per 1,000 live births
D. death of a live-born child before his or her first birthday.
Answer: D
Rationale: The term infant death refers to the death of a live-born child before he or she
reaches age 1 year. It also includes neonatal mortality rate. Neonatal mortality rate is the
number of infant deaths during the first 28 days of life for every 1,000 live births. Infant
mortality rate is the number of deaths during the first 12 months of life per 1,000 live births.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Remember
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process
Reference: p. 9
4. The nursing instructor is preparing to teach a group of students about the history of maternity
care. What major development will the instructor emphasize as greatly influencing the practice
of maternity care in the United States over the past century?
A. technologic advances and the use of forceps by primary care providers
B. development of anesthesia and acceptance of the germ theory
C. advent of birthing centers and the development of family-centered care
D. development of pediatric specialty and replacement of midwives as primary birth attendants
Answer: B
Rationale: The emphasis should be placed on anesthesia and the germ theory. The development
of anesthesia allowed women a choice for pain management in birth; the germ theory advanced
the progress of general health care and decreased infections in laboring women. Pediatrics as a
specialty is an important step forward but is not the greatest development, and midwives are
still in practice. Maternity care continues to evolve, and birthing centers are still under
development. Forceps are not considered an advance in maternity care.
Question format: Multiple Choice
Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment Cognitive
Level: Analyze
Client Needs: Health Promotion and Maintenance
