Maternal-Child-Nursing-5th-Edition-by-McKinney Test – Bank(complete)

Chapter 01: Foundations of Maternity, Women’s Health, and Child Health Nursing

McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

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

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

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

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

3. Which setting for childbirth allows the least amount of parent-infant contact?

a. Labor/delivery/recovery/postpartum room

b. Birth center