79 79
Introduction to Maternity and Pediatric Nursing,
79 79 79 79 79 7
8th Edition by Gloria Leifer
9 79 79 79 79
UNIT79I:79An79Overview79of79Maternity79and79Pediatric79Nursing
Chapter791:79The79Past,79Present,79and79Future
UNIT79II:79Maternal-
Newborn79Nursing79and79Women’s79Health79Chapter792:79Huma
n79Reproductive79Anatomy79and79Physiology79Chapter793:79Fetal7
9Development
Chapter794:79Prenatal79Care79and79Adaptations79to79Pregnancy
Chapter795:79Nursing79Care79of79Women79with79Complications79during79Pregn
ancy79Chapter796:79Nursing79Care79of79Mother79and79Infant79during79Labor79
and79Birth79Chapter797:79Nursing79Management79of79Pain79during79Labor79an
d79Birth
Chapter798:79Nursing79Care79of79Women79with79Complications79during79Labor
79and79Birth
Chapter799:79The79Family79after79 Birth
Chapter7910:79Nursing79Care79of79Women79with79Complications79Following79
Birth79Chapter7911:79The79Nurse’s79Role79in79Women’s79Health79Care
Chapter79 12:79The79Term79Newborn
Chapter7913:79Preterm79and79Post-Term79Newborns
Chapter7914:79The79Newborn79with79a79Perinatal79Injury79or79Conge
nital79Malformation
UNIT79III:79The79Growing79Child79and79Family
Chapter7915:79An79Overview79of79Growth,79Development,79and79N
utrition79Chapter7916:79The79Infant
Chapter7917:79The79Toddler79Ch
apter7918:79The79Preschool79Child
Chapter7919:79The79School-
Age79Child79Chapter7920:79The79Adolesce
nt
UNIT79IV:79Adapting79Care79to79the79Pediatric79Patient
Chapter7921:79The79Child’s79Experience79of79Hospitalization79
Chapter7922:79Health79Care79Adaptations79for79the79Child79and79
Family79UNIT79V:79The79Child79Needing79Nursing79Care
Chapter7923:79The79Child79with79a79Sensory79or79Neurological79C
ondition79Chapter7924:79The79Child79with79a79Musculoskeletal79
Condition79Chapter7925:79The79Child79with79a79Respiratory79Dis
order
Chapter7926:79The79Child79with79a79Cardiovascular79Disorder
Chapter7927:79The79Child79with79a79Condition79of79the79Blood,79Blood-
Forming79Organs79or79Lymphatic79System79Chapter7928:79The79Child79with79a79Gastrointestinal79Conditio
n
Chapter7929:79The79Child79with79a79Genitourinary79Condition79
Chapter7930:79The79Child79with79a79Skin79Condition
Chapter7931:79The79Child79with79a79Metabolic79Condition
Chapter7932:79Childhood79Communicable79Diseases,79Bioterrorism,79Natural79Disasters79and79the79Materna
l-Child79Patient
Chapter7933:79The79Child79with79an79Emotional79or79Behavioral79Condition
UNIT79VI:79The79Changing79Health79Care79Environment
Chapter7934:79Complementary79and79Alternative79Therapies79in79Maternity79and79Pediatric79Nursing
, INTRODUCTION79TO79MATERNITY79AND79PEDIATRIC79NURSING798TH79EDITION79LEIFER79TES
T79BANK
2
Chapter79 01:79The79 Past,79 Present,79 and79 Future
MULTIPLE79 CHOICE
1. A79patient79chooses79to79have79the79certified79nurse79midwife79(CNM)79provide79care79during79her79pregnanc
y.79What79does79the79CNMs79scope79of79practice79include?
a. Practice79 independent79 from79 medical79 supervision
b. Comprehensive7 9 prenatal7 9 care
c. Attendance79at79all79deliveries
d. Cesarean79 sections
ANS:79 B
The79CNM79provides79comprehensive79prenatal79and79postnatal79care,79attends79uncomplicated79deliveries,79an
d79ensures79that79a7 9 backup7 9 physician7 9 is7 9 available79in7 9 case7 9 of7 9 unforeseen7 9 problems.
DIF:79 Cognitive7 9 Level:7 9 Comprehension79 REF:7 9 Page79 6
TOP:79 Advance79 Practice79Nursing79 Roles79 KEY:79 Nursing79Process7 9 Step:79 Implementation
MSC:79 NCLEX:79 Health79 Promotion79 and79 Maintenance:79 Prevention79 and79 Early79 Detection79 of79 Disease
2. Which79medical79pioneer79discovered79the79relationship79between79the79incidence79of79puerperal79fever79and
79unwashed79hands?
a. Karl79 Cred
b. Ignaz79 Semmelweis
c. Louis7 9 Pasteur
d. Joseph7 9 Lister
ANS:79 B
Ignaz79Semmelweis79deduced79that79puerperal79fever79was79septic,79contagious,79and79transmitted79by79the79u
nwashed79hands79of79physicians79and79medical79students.
DIF:79Cognitive79Level:79Knowledge79REF:79Page7
9279TOP:79 The79 Past79 KEY:79 Nursing79Process79 St
ep:79 N/A
MSC:79 NCLEX:79 Safe,79 Effective79 Care79 Environment:7 9 Safety79 and79Infection79 Control
3. A79pregnant79woman79who79has79recently79immigrated79to79the79United79States79comments79to79the79nurse,79
I79am79afraid79of79childbirth.7 9 It7 9 is7 9 so7 9 dangerous.7 9 I7 9 am7 9 afraid7 9 I7 9 will7 9 die.7 9 What7 9 is7 9 the7 9 best7
9 nursing79response7 9 reflecting7 9 cultural79sensitivity?
a. Maternal79 mortality79in79the79 United79 States79 is79 extremely79low.
b. Anesthesia79 is79available79 to79relieve79 pain79 during79labor79and79childbirth.
c. Tell79 me79why79you79are79afraid79of79childbirth.
d. Your79 condition79 will79 be79 monitored79 during79labor79 and79delivery.
ANS:79 C
Asking79the79 patient79about7 9 her79 concerns79 helps7 9 promote79 understanding79 and79individualizes7 9 patient79 care.
DIF:79 Cognitive7 9 Level:79 Application79 REF:79 Page79 7
TOP:79Cross-
Cultural79Care79KEY:79Nursing79Process79Step:79Implementation79MS
C:79NCLEX:79Psychosocial79Integrity:7 9 Psychological79Adaptation
4. An79urban79area79 has79 been79reported79to79 have79a79 high79perinatal79 mortality79rate.79 What79 information79 does79 t
his79 provide?
a. Maternal79and79infant79 deaths7 9 per79 100,00079 live79births79 per79 year
b. Deaths79of79fetuses7 9 weighing79 more79 than7950079 g79per79 10,00079births79 per79 year
c. Deaths79 of79infants79 up79to79179 year79 of79age79 per79 100079live79births79 per79 year
d. Fetal79and79 neonatal79 deaths79 per79 100079 live79births7 9 per79 year
ANS:79 D
The79perinatal79mortality79rate79includes79fetal79and79neonatal79deaths79per79100079live79bir
ths79per79year.79DIF:79Cognitive79Level:79Comprehension79REF:79Page7912
, INTRODUCTION79TO79MATERNITY79AND79PEDIATRIC79NURSING798TH79EDITION79LEIFER79TES
T79BANK
3
OBJ:79 979 TOP:79 The79Present-Child79 Care
KEY:79 Nursing79Process79 Step:79 Implementation
MSC:79 NCLEX:79 Safe,79 Effective79 Care79 Environment:7 9 Coordinated79 Care
5. What79 is79the79focus79 of79current79 maternity79 practice?
a. Hospital79births79 for79 the7 9 majority79of79 women
b. The79traditional79 family79 unit
c. Separation79 of79 labor79 rooms79 from79 delivery79rooms
d. A79quality79family79 experience79 for79 each79 patient
ANS:79 D
Current79 maternity79practice79 focuses79 on79a79high-
quality79family79experience79 for79 all79families,79 traditional79 or79 otherwise.
DIF:79 Cognitive7 9 Level:79 Comprehension79 REF:79 Page79 6
TOP:79The79Present-
Maternity79Care79KEY:79Nursing79Process79Step:79N/A79MSC:79NCLE
X:79Health79Promotion79and79Maintenance
6. Who79advocated79 the79 establishment79 of79 the79 Childrens7 9 Bureau?
a. Lillian79Wald
b. Florence79 Nightingale
c. Florence79 Kelly
d. Clara79Barton
ANS:7 9 A
Lillian79Wald79is79 credited79with79suggesting79the79 establishment79 of79a79 federal79 Childrens79 Bureau.
DIF:79 Cognitive7 9 Level:79 Knowledge79 REF:79 Page79 4
TOP:79The79Past79KEY:79Nursing79 Process79 Step:79 Implementation
MSC:79 NCLEX:79 Health79 Promotion79 and79 Maintenance:79 Growth79 and79Development
7. What79was79 the79result79 of79research79 done79in79the791930s79 by79the79 Childrens79 Bureau?
a. Children79 with79heart79problems79are79now79cared79for79 by79 pediatric79 cardiologists.
b. The79 Child79 Abuse79and79Prevention79 Act79 was79 passed.
c. Hot79 lunch79 programs7 9 were79established79in7 9 many79schools.
d. Childrens79 asylums79 were79 founded.
ANS:79 C
School79hot79lunch79programs79were79developed79as79a79result79of79research79by79the79Childrens7 9 Bureau79on7
9the79effects7 9 of79economic79depression79on79children.
DIF:79Cognitive79Level:79Knowledge79REF:79Page7
9479TOP:79 The79 Past79 KEY:79 Nursing79Process79 St
ep:79 N/A
MSC:7 9 NCLEX:7 9 Health79 Promotion79 and79 Maintenance:7 9 Coordinated79 Care
8. What79government79 program79 was79 implemented79 to79increase7 9 the79 educational79 exposure79 of79 preschool7 9 child
ren?
a. WIC
b. Title79 XIX79 of79 Medicaid
c. The7 9 Childrens7 9 Charter
d. Head79Start
ANS:79 D
Head79Start79programs7 9 were79 established79 to79increase79 educational79 exposure7 9 of79 preschool79 children.
DIF:79 Cognitive7 9 Level:79 Knowledge79 REF:79 Page79 3
TOP:79Government79Influences79in79Maternity79and79Pediatric79Care79KEY:79Nursing79Process7
9Step:79N/A79MSC:7 9 NCLEX:7 9 Health7 9 Promotion7 9 and7 9 Maintenance:7 9 Growth79and7 9 D
evelopment
9. What79guidelines79define79multidisciplinary79patient79care79in79terms79of79expected79outcome79and79timef
rame79from79different79areas79of79care79provision?
, INTRODUCTION79TO79MATERNITY79AND79PEDIATRIC79NURSING798TH79EDITION79LEIFER79TES
T79BANK
4
a. Clinical79 pathways
b. Nursing79 outcome79 criteria
c. Standards79 of79 care
d. Nursing79 care79 plan
ANS:7 9 A
Clinical79pathways,79also79known79as79critical79pathways79or79care79maps,79are79collaborative79guidelines79tha
t79define79patient7 9 care7 9 across7 9 disciplines.7 9 Expected7 9 progress7 9 within79a7 9 specified7 9 timeline7 9 is7 9
identified.
DIF:79 Cognitive7 9 Level:79 Knowledge79 REF:79 Page79 12
TOP:79Health79Care79Delivery79Systems79KEY:79Nursing79Process79Ste
p:79N/A79MSC:79NCLEX:79Safe,79Effective79Care79Environment:79Coo
rdinated79Care
10. A79nursing79student79has79reviewed79a79hospitalized79pediatric79patient79chart,79interviewed79her79mother,79a
nd79collected79admission7 9 data.7 9 What7 9 is7 9 the7 9 next7 9 step79the7 9 student7 9 will7 9 take7 9 to7 9 develop79a7 9 nursin
g7 9 care79plan79for7 9 this7 9 child?
a. Identify79 measurable79outcomes79 with79a79timeline.
b. Choose79 specific79 nursing79 interventions7 9 for7 9 the79 child.
c. Determine79 appropriate7 9 nursing79 diagnoses.
d. State79nursing79actions79related79to79the79 childs7 9 medical79 diagnosis.
ANS:79 C
The79nurse79uses79assessment79data79to79select79appropriate79nursing79diagnoses79from79the79NANDA-
I79list.79Outcomes79and79interventions7 9 are7 9 then7 9 developed7 9 to7 9 address7 9 the7 9 relevant7 9 nursing7 9 diagnoses.
DIF:79 Cognitive7 9 Level:79 Application7 9 REF:79 Page79 11
TOP:79Nursing79Process79KEY:79Nursing79Process79Step:79Nursing79Di
agnosis79MSC:79NCLEX:79Safe,79Effective79Care79Environment:79Coor
dinated79Care
11. A79nursing79student79on79an79obstetric79rotation79questions79the79floor79nurse79about79the79definition79of79t
he79LVN/LPN79scope79 of7 9 practice.79What79resource79 can79the7 9 nurseNsUuRg Sg IeNstGt oT Bt h. Ce Os tM
ude nt?
a. American79 Nurses79 Association
b. States79board79 of79 nursing
c. Joint79Commission
d. Association79 of79 Womens79 Health,7 9 Obstetric79 and79Neonatal79 Nurses
ANS:79 B
The79scope79 of79 practice79of79 the79 LVN/LPN79 is79published79by79 the79states79 board79 of79 nursing.
DIF:79Cognitive79Level:79Comprehension79REF:79P
age79379OBJ:791879TOP:79Critical79Thinking
KEY:79 Nursing79Process79 Step:79 Implementation
MSC:79 NCLEX:79 Safe,79 Effective79 Care79 Environment:7 9 Coordinated79 Care
12. What79 was79 recommended79 by79Karl79 Cred79in791884?
a. All79 women79should79be79 delivered79in79a79 hospital79 setting.
b. Chemical7 9 means79 should79be79 used79to79combat79infection.
c. Podalic79 version79should79be79 done79 on79all79 fetuses.
d. Silver79 nitrate79should79be79placed79in79the79eyes7 9 of79 newborns.
ANS:79 D
In79188479Karl79Cred79recommended79the79use79of792%7 9 silver79nitrate79in79the79eyes79of79newborns79to79reduce79the7
9incidence79of79blindness.
DIF:79 Cognitive7 9 Level:79 Knowledge79 REF:79 Page79 2
TOP:79Use79 of79Silver79 Nitrate79 KEY:79 Nursing79Process7 9 Step:79 N/A
MSC:79 NCLEX:79 Health79 Promotion79 and79 Maintenance:79 Prevention79 and79 Early79 Detection79 of79 Disease
13. What79is79 the79 purpose79 of79the79 White79 House79Conference79 on79 Children79and79Youth?
a. Set79criteria79 for79 normal79 growth79patterns.