Chapter 1
1. The opening up of hospital visiting policies for children and families likely
resulted from the work of which individual?
A. Joseph
... [Show More] 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 to a 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 important studies 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 benefits that 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
Test Bank - Introductory Maternity and Pediatric Nursing, 5th Edition (Hatfield, 2022)
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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
Test Bank - Introductory Maternity and Pediatric Nursing, 5th Edition (Hatfield, 2022)
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Integrated Process: Teaching/Learning
Reference: p. 3
5. When preparing a client for surgery, the nurse explains that the use of an
antiseptic during the surgery has greatly improved client survival rates and was started by which physician?
A. Louis Pasteur B. Ignaz Philip Semmelweis C. Joseph Lister D. Alexander Gordon Answer: C
Rationale: Joseph Lister was a British surgeon who embraced Louis Pasteur's theory of microorganisms as the cause of infection. Lister used carbolic acid as an
antiseptic during surgery and improved the survival rates of his patients. Alexander Gordon proposed the theory of infection. Oliver Wendell Holmes and Ignaz Philip
Semmelweis confirmed his theory. Question format: Multiple Choice Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Apply
Client Needs: Safe, Effective Care Environment: Safety and Infection Control
Integrated Process: Nursing Process Reference: p. 4
6. A young couple are very excited to learn they are expecting their first child and
question the nurse about which test they need to discover its gender. Which
procedure will best provide this information to the couple?
A. Ultrasound
B. Amniocentesis C. Chorionic villus sampling
D. HGP
Answer: A
Rationale: Ultrasound is a visual method for assessing the fetus in the uterus and
will provide information about the gender. Amniocentesis and chorionic villus sampling provide the entire genetic code of the fetus. HGP refers to the Human Genome Project, which can provide information regarding gene mutations and
variations. Question format: Multiple Choice Chapter 1: The Nurse's Role in a Changing Maternal-Child Health Care Environment
Cognitive Level: Apply
Client Needs: Health Promotion and Maintenance
Integrated Process: Caring
Reference: p. 6
Test Bank - Introductory Maternity and Pediatric Nursing, 5th Edition (Hatfield, 2022)
Download All Chapters Here:
https://www.stuvia.com/doc/2650428/
5/31/24, 9:32 AM Test Bank - Introductory Maternity and Pediatric Nursing, 5th Edition (Hatfiel…
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