Foundations of Maternity,
J J J
Women’s Health, and Child
J J J J
Health Nursing | Complete T
J J J J
est Bank
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LATEST 2022
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,ChapterJ1:JFoundationsJofJMaternity,JWomen’sJHealth,JandJChildJHealthJNursingJTe
stJBank
MULTIPLEJCHOICE
1. WhichJfactorJsignificantlyJcontributedJtoJtheJshiftJfromJhomeJbirthsJtoJhospitalJbirthsJinJtheJ
earlyJ20thJcentury?
a. PuerperalJsepsisJwasJidentifiedJasJaJriskJfactorJinJlaborJandJdelivery.
b. ForcepsJwereJdevelopedJtoJfacilitateJdifficultJbirths.
c. TheJimportanceJofJearlyJparental-infantJcontactJwasJidentified.
d. TechnologicJdevelopmentsJbecameJavailableJtoJphysicians.
ANS:J D
Feedback
A PuerperalJsepsisJhasJbeenJaJknownJproblemJforJgenerations.JInJtheJlateJ19th
century,JSemmelweisJdiscoveredJhowJitJcouldJbeJpreventedJwithJimprovedJhygie
nicJpractices.
B TheJdevelopmentJofJforcepsJtoJhelpJphysiciansJfacilitateJdifficultJbirthsJwasJaJstro
ngJfactorJinJtheJdecreaseJofJhomeJbirthsJandJincreaseJofJhospitalJbirths.JOther
importantJdiscoveriesJincludedJchloroform,JdrugsJtoJinitiateJlabor,JandJtheJadvance
mentJofJoperativeJproceduresJsuchJaJcesareanJbirth.
C UnlikeJhome-births,JearlyJhospitalJbirthsJhinderedJbondingJbetweenJparentsJand
theirJinfants.
D TechnologicalJdevelopmentsJwereJavailableJtoJphysicians,JnotJlayJmidwives.
PTS:J 1 DIF: CognitiveJLevel:JKnowledge
REF:Jp.J2JOBJ:JNursingJProcess:JAssessment
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment
2. Family-centeredJmaternityJcareJdevelopedJinJresponseJto:
a. DemandsJbyJphysiciansJforJfamilyJinvolvementJinJchildbirth
b. TheJSheppard-TownerJActJofJ1921
c. ParentalJrequestsJthatJinfantsJbeJallowedJtoJremainJwithJthemJratherJthanJinJaJ
nursery
d. ChangesJinJpharmacologicJmanagementJofJlabor
ANS:J C
Feedback
A Family-centeredJcareJwasJaJrequestJbyJparents,JnotJphysicians.
B TheJSheppard-TownerJActJprovidedJfundsJforJstate-managedJprogramsJfor
mothersJandJchildren.
C AsJresearchJbeganJtoJidentifyJtheJbenefitsJofJearlyJextendedJparent-
infantJcontact,JparentsJbeganJtoJinsistJthatJtheJinfantJremainJwithJthem.JThisJgrad
uallyJdevelopedJintoJtheJpracticeJofJrooming-inJandJfinallyJtoJfamily-centered
maternityJcare.
D TheJchangesJinJpharmacologicJmanagementJofJlaborJwereJnotJaJfactorJinJfamily-
, centeredJmaternityJcare.
PTS:J J 1 DIF: CognitiveJLevel:JKnowledge REF:J p.J3
OBJ:J NursingJProcess:JAssessment MSC:J ClientJNeeds:JPsychosocialJIntegrity
3. WhichJsettingJforJchildbirthJallowsJtheJleastJamountJofJparent-infantJcontact?
a. Labor/delivery/recovery/postpartumroom
b. BirthJcenter
c. TraditionalJhospitalJbirth
d. HomeJbirth
ANS:J C
Feedback
A TheJlabor/delivery/recovery/postpartumJ roomJsettingJallowsJincreasedJparent-
infantJcontact.
B BirthJcentersJareJsetJupJtoJallowJanJincreaseJinJparent-infantJcontact.
C InJtheJtraditionalJhospitalJsetting,JtheJmotherJmayJseeJtheJinfantJforJonlyJshort
feedingJperiods,JandJtheJinfantJisJcaredJforJinJaJseparateJnursery.
D HomeJbirthsJallowJanJincreaseJinJparent-infantJcontact.
PTS:J J 1 DIF: CognitiveJLevel:JKnowledge REF:J p.J3
OBJ:J NursingJProcess:JPlanning MSC:J ClientJNeeds:JHealthJPromotionJandJMaintenance
4. AsJaJresultJofJchangesJinJhealthJcareJdeliveryJandJfunding,JaJcurrentJtrendJseenJinJtheJpediatricJ
settingJis:
a. IncreasedJhospitalizationJofJchildren
b. DecreasedJnumberJofJchildrenJlivingJinJpoverty
c. AnJincreaseJinJambulatoryJcare
d. DecreasedJuseJofJmanagedJcare
ANS:J C
Feedback
A HospitalizationJforJchildrenJhasJdecreased.
B HealthJcareJdeliveryJhasJnotJalteredJtheJnumberJofJchildrenJlivingJinJpoverty.
C OneJeffectJofJmanagedJcareJhasJbeenJthatJpediatricJhealthJcareJdeliveryJhasJshift
edJdramaticallyJfromJtheJacuteJcareJsettingJtoJtheJambulatoryJsetting.JOneJofJtheJb
iggestJchangesJinJhealthJcareJhasJbeenJtheJgrowthJofJmanagedJcare.JTheJnumberJ
ofJhospitalJbedsJbeingJusedJhasJdecreasedJasJmoreJcareJisJgivenJinJoutpatientJsett
ingsJandJinJtheJhome.JTheJnumberJofJchildrenJlivingJinJpovertyJhasJincreasedJover
JtheJlastJdecade.
D ManagedJcareJhasJincreasedJinJorderJtoJcontrolJcost.
PTS:J 1 DIF: CognitiveJLevel:JKnowledge
REF:Jp.J6JOBJ:JNursingJProcess:JPlanning
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment
5. TheJWomen,JInfants,JandJChildrenJ(WIC)JprogramJprovides:
, a. Well-childJexaminationsJforJinfantsJandJchildrenJlivingJatJtheJpovertyJlevel
b. ImmunizationsJforJhigh-riskJinfantsJandJchildren
c. ScreeningJforJinfantsJwithJdevelopmentalJdisorders
d. SupplementalJfoodJsuppliesJtoJlow-
incomeJwomenJwhoJareJpregnantJorJbreastfeeding
ANS:J D
Feedback
A Medicaid’sJEarlyJandJPeriodicJScreening,JDiagnosis,JandJTreatmentJProgramJpro
videsJforJwell-childJexaminationsJandJforJtreatmentJofJanyJmedicalJproblems
diagnosedJduringJsuchJcheckups.
B ChildrenJinJtheJWICJprogramJareJoftenJlinkedJwithJimmunizations,JbutJthatJis
notJtheJprimaryJfocusJofJtheJprogram.
C PublicJLawJ99-457JprovidesJfinancialJincentivesJtoJstatesJtoJestablish
comprehensiveJearlyJinterventionJservicesJforJinfantsJandJtoddlersJwith,JorJatJriskJfo
r,JdevelopmentalJdisabilities.
D WICJisJaJfederalJprogramJthatJprovidesJsupplementalJfoodJsuppliesJtoJlow-
JincomeJwomenJwhoJareJpregnantJorJbreastfeedingJandJtoJtheirJchildrenJuntilJage
5Jyears.
PTS:J 1 DIF: CognitiveJLevel:JComprehension REF:Jp.J2J|JTablesJ1-1,J1-
9JOBJ:J NursingJProcess:JAssessment MSC:J ClientJNeeds:JPhysiologicJIntegrity
6. InJmostJstates,JadolescentsJwhoJareJnotJemancipatedJminorsJmustJhaveJtheJpermissionJofJtheirJ
parentsJbefore:
a. TreatmentJforJdrugJabuse
b. TreatmentJforJsexuallyJtransmittedJdiseasesJ(STDs)
c. AccessingJbirthJcontrol
d. Surgery
ANS:J D
Feedback
A MostJstatesJallowJminorsJtoJobtainJtreatmentJforJdrugJorJalcoholJabuseJwithout
parentalJconsent.
B MostJstatesJallowJminorsJtoJobtainJtreatmentJforJSTDsJwithoutJparentalJconsent.
C InJmostJstates,JminorsJareJallowedJaccessJtoJbirthJcontrolJwithoutJparental
consent.
D IfJaJminorJreceivesJsurgeryJwithoutJproperJinformedJconsent,JassaultJandJbatteryJch
argesJagainstJtheJcareJproviderJcanJresult.JThisJdoesJnotJapplyJtoJanJemancipatedJ
minorJ(aJminorJchildJwhoJhasJtheJlegalJcompetencyJofJanJadultJbecauseJofJcircums
tancesJinvolvingJmarriage,Jdivorce,JparentingJofJaJchild,
livingJindependentlyJwithoutJparents,JorJenlistmentJinJtheJarmedJservices).
PTS:J 1 DIF: CognitiveJLevel:JApplication
REF:Jp.J19JOBJ:JNursingJProcess:JPlanning
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment
J J J
Women’s Health, and Child
J J J J
Health Nursing | Complete T
J J J J
est Bank
J
LATEST 2022
J
,ChapterJ1:JFoundationsJofJMaternity,JWomen’sJHealth,JandJChildJHealthJNursingJTe
stJBank
MULTIPLEJCHOICE
1. WhichJfactorJsignificantlyJcontributedJtoJtheJshiftJfromJhomeJbirthsJtoJhospitalJbirthsJinJtheJ
earlyJ20thJcentury?
a. PuerperalJsepsisJwasJidentifiedJasJaJriskJfactorJinJlaborJandJdelivery.
b. ForcepsJwereJdevelopedJtoJfacilitateJdifficultJbirths.
c. TheJimportanceJofJearlyJparental-infantJcontactJwasJidentified.
d. TechnologicJdevelopmentsJbecameJavailableJtoJphysicians.
ANS:J D
Feedback
A PuerperalJsepsisJhasJbeenJaJknownJproblemJforJgenerations.JInJtheJlateJ19th
century,JSemmelweisJdiscoveredJhowJitJcouldJbeJpreventedJwithJimprovedJhygie
nicJpractices.
B TheJdevelopmentJofJforcepsJtoJhelpJphysiciansJfacilitateJdifficultJbirthsJwasJaJstro
ngJfactorJinJtheJdecreaseJofJhomeJbirthsJandJincreaseJofJhospitalJbirths.JOther
importantJdiscoveriesJincludedJchloroform,JdrugsJtoJinitiateJlabor,JandJtheJadvance
mentJofJoperativeJproceduresJsuchJaJcesareanJbirth.
C UnlikeJhome-births,JearlyJhospitalJbirthsJhinderedJbondingJbetweenJparentsJand
theirJinfants.
D TechnologicalJdevelopmentsJwereJavailableJtoJphysicians,JnotJlayJmidwives.
PTS:J 1 DIF: CognitiveJLevel:JKnowledge
REF:Jp.J2JOBJ:JNursingJProcess:JAssessment
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment
2. Family-centeredJmaternityJcareJdevelopedJinJresponseJto:
a. DemandsJbyJphysiciansJforJfamilyJinvolvementJinJchildbirth
b. TheJSheppard-TownerJActJofJ1921
c. ParentalJrequestsJthatJinfantsJbeJallowedJtoJremainJwithJthemJratherJthanJinJaJ
nursery
d. ChangesJinJpharmacologicJmanagementJofJlabor
ANS:J C
Feedback
A Family-centeredJcareJwasJaJrequestJbyJparents,JnotJphysicians.
B TheJSheppard-TownerJActJprovidedJfundsJforJstate-managedJprogramsJfor
mothersJandJchildren.
C AsJresearchJbeganJtoJidentifyJtheJbenefitsJofJearlyJextendedJparent-
infantJcontact,JparentsJbeganJtoJinsistJthatJtheJinfantJremainJwithJthem.JThisJgrad
uallyJdevelopedJintoJtheJpracticeJofJrooming-inJandJfinallyJtoJfamily-centered
maternityJcare.
D TheJchangesJinJpharmacologicJmanagementJofJlaborJwereJnotJaJfactorJinJfamily-
, centeredJmaternityJcare.
PTS:J J 1 DIF: CognitiveJLevel:JKnowledge REF:J p.J3
OBJ:J NursingJProcess:JAssessment MSC:J ClientJNeeds:JPsychosocialJIntegrity
3. WhichJsettingJforJchildbirthJallowsJtheJleastJamountJofJparent-infantJcontact?
a. Labor/delivery/recovery/postpartumroom
b. BirthJcenter
c. TraditionalJhospitalJbirth
d. HomeJbirth
ANS:J C
Feedback
A TheJlabor/delivery/recovery/postpartumJ roomJsettingJallowsJincreasedJparent-
infantJcontact.
B BirthJcentersJareJsetJupJtoJallowJanJincreaseJinJparent-infantJcontact.
C InJtheJtraditionalJhospitalJsetting,JtheJmotherJmayJseeJtheJinfantJforJonlyJshort
feedingJperiods,JandJtheJinfantJisJcaredJforJinJaJseparateJnursery.
D HomeJbirthsJallowJanJincreaseJinJparent-infantJcontact.
PTS:J J 1 DIF: CognitiveJLevel:JKnowledge REF:J p.J3
OBJ:J NursingJProcess:JPlanning MSC:J ClientJNeeds:JHealthJPromotionJandJMaintenance
4. AsJaJresultJofJchangesJinJhealthJcareJdeliveryJandJfunding,JaJcurrentJtrendJseenJinJtheJpediatricJ
settingJis:
a. IncreasedJhospitalizationJofJchildren
b. DecreasedJnumberJofJchildrenJlivingJinJpoverty
c. AnJincreaseJinJambulatoryJcare
d. DecreasedJuseJofJmanagedJcare
ANS:J C
Feedback
A HospitalizationJforJchildrenJhasJdecreased.
B HealthJcareJdeliveryJhasJnotJalteredJtheJnumberJofJchildrenJlivingJinJpoverty.
C OneJeffectJofJmanagedJcareJhasJbeenJthatJpediatricJhealthJcareJdeliveryJhasJshift
edJdramaticallyJfromJtheJacuteJcareJsettingJtoJtheJambulatoryJsetting.JOneJofJtheJb
iggestJchangesJinJhealthJcareJhasJbeenJtheJgrowthJofJmanagedJcare.JTheJnumberJ
ofJhospitalJbedsJbeingJusedJhasJdecreasedJasJmoreJcareJisJgivenJinJoutpatientJsett
ingsJandJinJtheJhome.JTheJnumberJofJchildrenJlivingJinJpovertyJhasJincreasedJover
JtheJlastJdecade.
D ManagedJcareJhasJincreasedJinJorderJtoJcontrolJcost.
PTS:J 1 DIF: CognitiveJLevel:JKnowledge
REF:Jp.J6JOBJ:JNursingJProcess:JPlanning
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment
5. TheJWomen,JInfants,JandJChildrenJ(WIC)JprogramJprovides:
, a. Well-childJexaminationsJforJinfantsJandJchildrenJlivingJatJtheJpovertyJlevel
b. ImmunizationsJforJhigh-riskJinfantsJandJchildren
c. ScreeningJforJinfantsJwithJdevelopmentalJdisorders
d. SupplementalJfoodJsuppliesJtoJlow-
incomeJwomenJwhoJareJpregnantJorJbreastfeeding
ANS:J D
Feedback
A Medicaid’sJEarlyJandJPeriodicJScreening,JDiagnosis,JandJTreatmentJProgramJpro
videsJforJwell-childJexaminationsJandJforJtreatmentJofJanyJmedicalJproblems
diagnosedJduringJsuchJcheckups.
B ChildrenJinJtheJWICJprogramJareJoftenJlinkedJwithJimmunizations,JbutJthatJis
notJtheJprimaryJfocusJofJtheJprogram.
C PublicJLawJ99-457JprovidesJfinancialJincentivesJtoJstatesJtoJestablish
comprehensiveJearlyJinterventionJservicesJforJinfantsJandJtoddlersJwith,JorJatJriskJfo
r,JdevelopmentalJdisabilities.
D WICJisJaJfederalJprogramJthatJprovidesJsupplementalJfoodJsuppliesJtoJlow-
JincomeJwomenJwhoJareJpregnantJorJbreastfeedingJandJtoJtheirJchildrenJuntilJage
5Jyears.
PTS:J 1 DIF: CognitiveJLevel:JComprehension REF:Jp.J2J|JTablesJ1-1,J1-
9JOBJ:J NursingJProcess:JAssessment MSC:J ClientJNeeds:JPhysiologicJIntegrity
6. InJmostJstates,JadolescentsJwhoJareJnotJemancipatedJminorsJmustJhaveJtheJpermissionJofJtheirJ
parentsJbefore:
a. TreatmentJforJdrugJabuse
b. TreatmentJforJsexuallyJtransmittedJdiseasesJ(STDs)
c. AccessingJbirthJcontrol
d. Surgery
ANS:J D
Feedback
A MostJstatesJallowJminorsJtoJobtainJtreatmentJforJdrugJorJalcoholJabuseJwithout
parentalJconsent.
B MostJstatesJallowJminorsJtoJobtainJtreatmentJforJSTDsJwithoutJparentalJconsent.
C InJmostJstates,JminorsJareJallowedJaccessJtoJbirthJcontrolJwithoutJparental
consent.
D IfJaJminorJreceivesJsurgeryJwithoutJproperJinformedJconsent,JassaultJandJbatteryJch
argesJagainstJtheJcareJproviderJcanJresult.JThisJdoesJnotJapplyJtoJanJemancipatedJ
minorJ(aJminorJchildJwhoJhasJtheJlegalJcompetencyJofJanJadultJbecauseJofJcircums
tancesJinvolvingJmarriage,Jdivorce,JparentingJofJaJchild,
livingJindependentlyJwithoutJparents,JorJenlistmentJinJtheJarmedJservices).
PTS:J 1 DIF: CognitiveJLevel:JApplication
REF:Jp.J19JOBJ:JNursingJProcess:JPlanning
MSC:J ClientJNeeds:JSafeJandJEffectiveJCareJEnvironment
