Test Bank For Maternal & Child Nursing Care, 6th Edition by Marcia London, Patricia Ladewig, Michele Davidson, Jane W. Ball, Ruth C. Bindler, Kay Cowen Chapter 1-57

Test Bank For Maternal & Child Nursing Care, 6th Edition by Marcia London, Patricia Ladewig, Michele Davidson, Jane W. Ball, Ruth C. Bindler, Kay Cowen Chapter 1-57
Chapter 1: Foundations of Maternity, Women’s Health, and Child Health Nursing
Test Bank
MULTIPLE CHOICE
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.
ANS: D
Feedback
A 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.
B The development of forceps to help physicians facilitate difficult births was a
strong factor in the decrease of home births and increase of hospital births. Other
important discoveries included chloroform, drugs to initiate labor, and the
advancement of operative procedures such a cesarean birth.
C Unlike home-births, early hospital births hindered bonding between parents and
their infants.
D Technological developments were available to physicians, not lay midwives.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 2
OBJ: Nursing Process: Assessment
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
ANS: C
Feedback
A Family-centered care was a request by parents, not physicians.
B The Sheppard-Towner Act provided funds for state-managed programs for
mothers and children.
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.
D The changes in pharmacologic management of labor were not a factor in family-
centered maternity care.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
OBJ: Nursing Process: Assessment 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
ANS: C
Feedback
A The labor/delivery/recovery/postpartum room setting allows increased parentinfant contact.
B Birth centers are set up to allow an increase in parent-infant contact.
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.
D Home births allow an increase in parent-infant contact.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 3
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
ANS: C
Feedback
A Hospitalization for children has decreased.
B Health care delivery has not altered the number of children living in poverty.
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. One of
the biggest changes in health care has been the growth of managed 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 last decade.
D Managed care has increased in order to control cost.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 6
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 women who are pregnant or
breastfeeding
ANS: D

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