Chapter 01: Maternity and Women's Health Care Today

Chapter 01: Maternity and Women’s Health Care Today

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is teaching a parenting class to new parents. Which statement should the nurse include in the teaching session about the characteristics of a healthy family?

a.	Adults agree on the majority of basic parenting principles.
b.	The parents and children have rigid assignments for all the family tasks.
c.	Young families assume total responsibility for the parenting tasks, refusing any assistance.
d.	The family is overwhelmed by the significant changes that occur as a result of childbirth.

 

 

ANS:  A

Adults in a healthy family communicate with each other, so there is minimal discord in areas such as discipline and sleep schedules. Healthy families remain flexible in their role assignments. Members of a healthy family accept assistance without feeling guilty. Healthy families can tolerate irregular sleep and meal schedules, which are common during the months after childbirth.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   9

OBJ:   Nursing Process Step: Implementation

MSC:  Client Needs: Health Promotion and Maintenance

 

2. Which factor significantly contributed to the shift from home births to hospital births in the early twentieth century?

a.	The number of hospital births decreased.
b.	Forceps were developed to facilitate difficult births.
c.	The importance of early parent-infant contact was identified.
d.	Puerperal sepsis was identified as a risk factor in labor and birth.

 

 

ANS:  B

The development of forceps to facilitate difficult births by physicians was a strong factor in the decrease of home births and increase of hospital births. With the shift toward hospital births, the numbers increased. The shift to hospital births decreased the amount of parental-infant contact. Puerperal sepsis has been a known problem for generations. In the late nineteenth century, Semmelweis discovered how it could be prevented.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   1

OBJ:   Nursing Process Step: Assessment

MSC:  Client Needs: Safe and Effective Care Environment

 

3. A nurse is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?

a.	The Sheppard-Towner Act of 1921 promoted family-centered care.
b.	Changes in pharmacologic management of labor prompted family-centered care.
c.	Demands by physicians for family involvement in childbirth increased the practice of family-centered care.
d.	Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.

 

 

ANS:  D

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. The Sheppard-Towner Act provided funds for state-managed programs for mothers and children but did not promote family-centered care. The changes in pharmacologic management of labor were not a factor in family-centered maternity care. Family-centered care was a request by parents, not physicians.

 

PTS:   1                    DIF:    Cognitive Level: Application           REF:   2, 3

OBJ:   Nursing Process Step: Planning        MSC:  Client Needs: Health Promotion and Maintenance

 

4. Which statement explains why below poverty level African-Americans have the highest infant mortality rate in the United States?

a.	Their diets are deficient in protein.
b.	Infectious diseases are more prevalent.
c.	More African-American infants are born with congenital anomalies.
d.	Inadequate prenatal care is associated with low-birth-weight infants.

 

 

ANS:  D

Inadequate prenatal care is the major factor associated with low-birth-weight infants, who are less likely to survive. A deficiency in protein is not a risk factor associated with infant mortality. Infectious disease is not more prevalent in the African-American population. There is not a higher incidence of congenital anomalies in the African-American population.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   2

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance

 

5. Which situation is most representative of an extended family?

a.	It includes adoptive children.
b.	It is headed by a single parent.
c.	It contains children from previous marriages.
d.	It is composed of children, parents, and grandparents living in the same house.

 

 

ANS:  D

An extended family is defined as a family having members from three generations living under the same roof. A family with adoptive children is a nuclear family. A single-parent family is headed by a single parent. A blended family is one that contains children from previous marriages.

 

PTS:   1                    DIF:    Cognitive Level: Understanding       REF:   9

OBJ:   Nursing Process Step: Assessment   MSC:  Client Needs: Health Promotion and Maintenance