McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition
MULTIPLE CHOICE
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.
ANS:\ 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
A\ woman\ who\ delivered\ her\ baby\ 6\ hours\ ago\ complains\ of\ headache\ and\ dizziness.\ The\
nurse\ administers\ an\ analgesic\ but\ does\ not\ perform\ any\ assessments.\ The\ woman\ then\ has\
a\tonic-clonic\ seizure,\ falls\ out\ of\ bed,\ and\ fractures\ her\ femur.\ How\ would\ the\ actions\ of\
the\ nurse\ be\ interpreted\ in\ relation\ to\ standards\ of\ care?
a. Negligent:\ the\ nurse\ failed\ to\ assess\ the\ woman\ for\ possible\ complications
b. Negligent:\ because\ the\ nurse\ medicated\ the\ woman
c. Not\ negligent:\ the\ woman\ had\ signed\ a\ waiver\ concerning\ the\ use\ of\ side\ rails
d. Not\ negligent:\ the\ woman\ did\ not\ inform\ the\ nurse\ of\ her\ symptoms\ as\ soon\ as
they\ occurred
ANS:\ A
TestBankWorld.org
, There\ are\ four\ elements\ to\ malpractice,\ which\ is\ negligence\ in\ the\ performance\ of\
professional\ duties:\ duty,\ breach\ of\ duty,\ damage,\ and\ proximate\ cause.\ The\ nurse\ was\
negligent\ because\ she\ or\ he\ did\ not\ perform\ any\ assessments,\ which\ is\ the\ first\ step\ of\ the\
nursing\ process\ and\ is\ a\ standard\ of\ care.\ By\ not\ assessing\ the\ patient,\ the\ nurse\ did\ not\ meet\
established\ standards\ of\ care,\ and\ thus\ is\ guilty\ of\ professional\ negligence,\ or\ malpractice.
PTS:\ \ \ 1 DIF: Cognitive\ Level:\
Knowledge/Remembering\REF:\ \ \ p.\ 16 OBJ:\ Nursing\ Process:\
Evaluation
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
Which\ patient\ situation\ fails\ to\ meet\ the\ first\ requirement\ of\ informed\ consent?
a. The\ patient\ does\ not\ understand\ the\ physician’s\ explanations.
b. The\ physician\ gives\ the\ patient\ only\ a\ partial\ list\ of\ possible\ side\ effects\ and
complications.
c. The\ patient\ is\ confused\ and\ disoriented.
d. The\ patient\ signs\ a\ consent\ form\ because\ her\ husband\ tells\ her\ to.
ANS:\ C
The\ first\ requirement\ of\ informed\ consent\ is\ that\ the\ patient\ must\ be\ competent\ to\ make\
decisions\ about\ health\ care.\ Full\ disclosure\ of\ information\ is\ an\ important\ element\ of\ the\
consent,\ but\ first\ the\ patient\ has\ to\ be\ competent\ to\ sign.\ Understanding\ is\ an\ important\
element\ of\ the\ consent,\ but\ first\ the\ patient\ has\ to\ be\ competent\ to\ sign.\ Voluntary\ consent\ is\
an\ important\ element\ of\ the\ consent,\ but\ first\ the\ patient\ has\ to\ be\ competent\ to\ sign.
PTS:\ \ \ 1 DIF: Cognitive\ Level:\
Knowledge/Remembering\REF:\ \ \ p.\ 17 OBJ:\ Nursing\ Process:\
Assessment
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
Which\ situation\ reflects\ a\ potential\ ethical\ dilemma\ for\ the\ nurse?
a. A\ nurse\ administers\ analgesics\ to\ a\ patient\ with\ cancer\ as\ often\ as\ the\ provider’s
order\ allows.
b. A\ neonatal\ nurse\ provides\ nourishment \ and\ care\ to\ a\ newborn\ who\ has\ a\ defect
that\ is\ incompatible\ with\ life.
c. A\ labor\ nurse,\ whose\ religion\ opposes\ abortion,\ is\ asked\ to\ assist\ with\ an\ elective
abortion.
d. A\ postpartum\ nurse\ provides\ information\ about\ adoption\ to\ a\ new\ mother\ who
feels\ she\ cannot\ adequately\ care\ for\ her\ infant.
ANS:\ C
A\ dilemma\ exists\ in\ this\ situation\ because\ the\ nurse\ is\ being\ asked\ to\ assist\ with\ a\ procedure\
that\ she\ or\ he\ believes\ is\ morally\ wrong.\ The\ other\ situations\ do\ not\ contain\ elements\ of\
conflict\ for\ the\ nurse.
PTS:\ \ \ 1 DIF: Cognitive\ Level:\
Comprehension/Understanding\REF:\ \ \ p.\ 11 OBJ:\ Nursing\ Process:\
Assessment
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
When\ planning\ a\ parenting\ class,\ the\ nurse\ should\ explain\ that\ the\ leading\ cause\ of\ death\
in\children\ 1\ to\ 4\ years\ of\ age\ in\ the\ United\ States\ is
a. premature\ birth.
b. congenital\ anomalies.
TestBankWorld.org
c. accidental\ death.
,TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
d. respiratory\ tract\ illness.
ANS:\ C
Although\ the\ rates\ have\ dropped,\ unintentional\ injury\ (accidents)\ are\ still\ the\ leading\ cause\ of\
death\ for\ children\ aged\ 1\ to\ 19.\ The\ other\ options\ contribute\ to\ morbidity\ and\ mortality\ in\
children\ but\ are\ not\ the\ leading\ cause.
PTS:\ \ \ 1 DIF: Cognitive\ Level:\ Knowledge/Remembering
REF:\ \ \ p.\ 10\ |\ Table\ 1.3 OBJ:\ Integrated\ Process:\ Teaching-Learning\
MSC:\ Client\ Needs:\ Safe\ and\ Effective\ Care\ Environment
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.
ANS:\ 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
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
TestBankWorld.org
TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
, TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition
ANS:\ 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
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.
ANS:\ 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
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.
ANS:\ 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.\
Children\ in\ the\ WIC\ program\ are\ often\ referred\ for\ immunizations,\ but\ that\ is\ not\ the\ primary\
TEST BANK EXAM Foundations of Maternity, Women’s
Health, and Child Health Nursing McKinney: Evolve
Resources for Maternal-Child Nursing, 5th Edition