test bank for Introductory Maternity & Pediatric Nursing, 5th Edition.all 42 chapters complete

TESTBANK n




INTRODUCTORYnMATERNITYn&nPEDIATRICnNURSING

NANCYnHATFIELDn&nCYNTHIAnKINCHELOE

5th Edition
n




TEST BANK n

,Chaptern1:nThenNurse'snRoleninnanChangingnMaternal–
ChildnHealthnCarenEnvironmentnHatfield:nIntroductorynMaternitynandnPediatricnNursing,n
5thnEdition

1. nThenopeningnupnofnhospitalnvisitingnpoliciesnfornchildrennandnfamiliesn
likelynresultedfromnthenworknofnwhichnindividual?
A. Josephn Brennaman
B. JohnnBowlby
C. MarshalnKlaus
D. JohnnKennell

n Answer:nB

Rationale:n Inn 1951,n Johnn Bowlbyn receivedn worldwiden attentionn withn his
studynthatnrevealednthennegativenresultsnofnthenseparationnofnchildnandnmothernbecausenofnhospitali
zation.nHisnworknledntoanre-
evaluationnandnliberalizationnofnhospitalnvisitingnpoliciesnfornchildren.nJosephnBrennamannsuggest
ednthatnanlacknofnstimulationnforninfantsncontributed ntonhighninfantnmortalitynratesnatnthentime.nInnth
en1970snandn1980s,nphysiciansn Marshalln KlausnandnJohnn Kennellncarriednoutnimportantstudiesnonn
theneffectnofnthenseparationnofnnewbornsnandnparents.
Theynestablishednthatnearlynseparationnmaynhavenlong-
termneffectsnonnfamilynrelationshipsnandnthatnofferingnthennewnfamilynannopportunityntonbentoget
hernatnbirthnandnfornansignificantnperiodnafternbirthnmaynprovidenbenefitsthatnlastnwellnintonearlyn
childhood.
Questionn format:n Multiplen Choice
Chaptern1:nThenNurse'snRoleninnanChangingnMaternal-
ChildnHealthnCarenEnvironmentnCognitiven Level:nRemember
ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrat
ednProcess:n NursingnProcess
Reference:np.n4

2. Annexpectantnmothernstatesnthatnshenreadnthatnmorenblacknmothersndieninnchildbirthnthanndon
whiten mothers.n Whennrespondingntonhernquestionsnaboutnthenreasonsnfornthis,nthennursenaccurat
elynstatesnthatn whichnisnthenmajornreasonnfornthenhighnmaternalnmortalitynrate?
A. Havingnformalneducation.
B. Beingn unmarried.
C. Income.
D. Lacknofnprenatalncare.

Answer:n D

Rationale:nResearchnshowsnthatn maternalnmortalitynratenisndirectlynrelatedntonlacknofnprenatalncarens
econdaryntonlacknofnaccessntonservicesnorninsurance.nIncomenasn wellnasneducationalnlevelnmaynplay
n an roleninnthenavailability n ofn healthn care,n butn they naren notn directly nresponsible.n Beingn unmarried n ha

snnonbearingnonninfantnmortality.
Questionnformat:nMultiplenChoice
Chaptern1:nThenNurse'snRoleninnanChangingnMaternal-
ChildnHealthnCarenEnvironmentnCognitiven Level:nUnderstand

,ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrat
ednProcess:n NursingnProcess
Reference:np.n9

3. Whichnstatementncorrectlyndefinesnthentermn"infantndeathnrate"?
A. numbernofndeathsninnuteronofnfetusesn500n gnorn morenpern1,000nlivenbirths
B. numbernofndeathsnoccurringninnthenfirstn28ndaysnofnlifenpern1,000nlivenbirths
C. numbernofndeathsnoccurringnatnbirthnorninnthenfirstn12nmonthsnofnlifenpern1,000nlivenbirths
D. deathnofnanlive-bornnchildnbeforenhisnornhernfirstnbirthday.

Answer:n D

Rationale:n Thentermninfantndeathnrefersntonthendeathnofnanlive-
bornnchildnbeforenhenornshenreachesnagen1nyear.nItnalsonincludesnneonatalnmortalitynrate.n Neonata
lnmortalitynratenisnthennumbernofninfantndeathsnduringnthenfirstn28ndaysnofnlifenforneveryn1,000nliv
enbirths.nInfantn mortalitynratenisnthennumbernofndeathsnduringnthenfirstn12nmonthsnofnlifenpern1,000
nlivenbirths.n Question n format:n Multiplen Choice

Chaptern1:nThenNurse'snRoleninnanChangingnMaternal-
ChildnHealthnCarenEnvironmentnCognitiven Level:nRemember
ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrat
ednProcess:n NursingnProcess
Reference:np.n9

4. Thennursingninstructornisnpreparingntonteachnangroupnofnstudentsnaboutnthenhistorynofnmaternitync
are.nWhatnmajorndevelopmentn willntheninstructornemphasizenasngreatlyninfluencingnthenpracticeno
fn maternityncareninnthen UnitednStatesnovernthenpastncentury?
A. technologicnadvancesnandnthenusenofnforcepsnbynprimaryncarenproviders
B. developmentnofnanesthesianandnacceptancenofnthengermntheory
C. adventnofnbirthingncentersnandnthendevelopmentnofnfamily-centeredncare
D. developmentnofnpediatricnspecialtynandnreplacementnofnmidwivesnasnprimarynbirthnattendantsn

Answer:nB

Rationale:nThenemphasisnshouldnbenplacednonnanesthesianandnthengermntheory.nThendevelopmentno
fnanesthesianallowednwomennanchoicenfornpainnmanagementninnbirth;nthengermntheorynadvancednthe
nprogress nofngeneral n healthn carenandn decreased n infections ninn laboring n women.n Pediatrics nasnan spec

ialtynisnannimportantnstepnforwardnbutnisnnotnthengreatestndevelopment,nandnmidwivesnarenstillninnp
ractice.n Maternityncarencontinuesntonevolve,nandnbirthingncentersnarenstillnunderndevelopment.nFor
cepsnarennotnconsiderednannadvanceninnmaternityncare.
Questionn format:n Multiplen Choice
Chaptern1:nThenNurse'snRoleninnanChangingnMaternal-
ChildnHealthnCarenEnvironmentnCognitiven Level:nAnalyze
ClientnNeeds:nHealthnPromotionnandnMaintenance

, IntegratednProcess:nTeaching/Learningn
Reference:np.n3

5. Whennpreparingnanclientnfornsurgery,nthennursenexplainsnthatnthenusenofnannantisepticn
duringnthensurgerynhasngreatlynimprovednclientnsurvivalnratesnandn wasnstartednbynwhichn
physician?
A. Louisn Pasteur
B. IgnaznPhilipnSemmelweis
C. Josephn Lister
D. AlexandernGordonn

Answer:nC

Rationale:nJosephnListernwasnanBritishnsurgeonn whonembracednLouisnPasteur'sntheorynofn microo
rganismsnasnthencausenofninfection.nListernusedncarbolicnacidnasnannantisepticnduringnsurgerynandn
improvednthensurvivalnratesnofnhisnpatients.nAlexandernGordonnproposednthentheorynofninfection.n
Olivern WendellnHolmesnandnIgnaznPhilipnSemmelweisnconfirmednhisntheory.
Questionnformat:nMultiplenChoice
Chaptern1:nThenNurse'snRoleninnanChangingnMaternal-
ChildnHealthnCarenEnvironmentnCognitiven Level:nApply
ClientnNeeds:nSafe,nEffectivenCarenEnvironment:nSafetynandnInfectionnControlnIntegratednProcess
:nNursingnProcess
Reference:np.n4

6. Anyoungncouplenarenverynexcitedntonlearnntheynarenexpectingntheirnfirstnchildnandnquestionnthe
nnursenaboutnwhichntestntheynneedntondiscovernitsngender.nWhich nprocedurenwillnbest nproviden thisn

informationntonthencouple?
A. Ultrasound
B. Amniocentesis
C. Chorionicnvillusnsampling
D. HGP

Answer:n A

Rationale:n Ultrasoundnisnanvisualnmethodnfornassessingnthenfetusninnthenuterusnandn willnprovideninf
ormationnaboutnthengender.nAmniocentesisnandnchorionicnvillusnsamplingnprovidenthenentirengenet
icncodenofnthenfetus.n HGPnrefersntonthenHumann GenomenProject,n whichncannprovideninformationnr
egardingngenenmutationsnandnvariations.
Questionnformat:nMultiplenChoice
Chaptern1:nThenNurse'snRoleninnanChangingnMaternal-
ChildnHealthnCarenEnvironmentnCognitiven Level:nApply
ClientnNeeds:nHealthnPromotionnandnMaintenancenIntegrat
ednProcess:nCaring
Reference:np.n6