,Nursedocs ©2023
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B 昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住ん
でいました。彼は毎朝、朝霧に包まれた森へ入り、木々の間
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
から差し込む光をキャンバスに描いていました。ある秋の日
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance、太郎は森の奥で古い祠を見つけました。中には埃をかぶっ
Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
た小さな鏡が置かれていました。鏡を手に取ると、突然、自
分の姿が年老いた老人に変わっているのが映りました。驚い
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
た太郎は鏡を元に戻しましたが、その日から彼の絵は不思議
b. Ignaz Semmelweis
な力を帯び始めました。描いた花は本当に香り、描いた川は
c. Louis Pasteur
d. Joseph Lister
本当に流れ、描いた鳥は本当に飛び立つようになったのです
。村人たちは太郎の絵を「命を吹き込む絵」と呼び、遠くか
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
ら多くの人が見に来るようになりました。しかし太郎は次第
hands of physicians and medical students.
に疲れ、鏡の呪いだと気づきました。ある晩、彼は最後の絵
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: を描きました。それは自分自身が若く笑っている姿でした。
Safe, Effective Care Environment: Safety and Infection Control
絵が完成した瞬間、鏡の中の老人は消え、太郎は再び若返り
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
sensitivity?ました。それ以来、彼はただ自分の心のままに絵を描き続け
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
、村は静かな幸福に包まれました。
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12
,Nursedocs ©2023
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Childrens Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Childrens asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
, a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
patient care across disciplines. Expected progress within a specified timeline is identified.
DIF: Cognitive Level: Knowledge REF: Page 12
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
admission data. What is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the childs medical diagnosis.
ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
scope of practice. What resource can the nurseNsUuR
gSgeIN
stGtoT Bth.C
eOstM
udent?
a. American Nurses Association
b. States board of nursing
c. Joint Commission
d. Association of Womens Health, Obstetric and Neonatal Nurses
ANS: B
The scope of practice of the LVN/LPN is published by the states board of nursing.
DIF: Cognitive Level: Comprehension REF: Page 3
OBJ: 18 TOP: Critical Thinking
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by Karl Cred in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
ANS: D
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
blindness.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy. What does
the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B 昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住ん
でいました。彼は毎朝、朝霧に包まれた森へ入り、木々の間
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
から差し込む光をキャンバスに描いていました。ある秋の日
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: Advance、太郎は森の奥で古い祠を見つけました。中には埃をかぶっ
Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
た小さな鏡が置かれていました。鏡を手に取ると、突然、自
分の姿が年老いた老人に変わっているのが映りました。驚い
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
た太郎は鏡を元に戻しましたが、その日から彼の絵は不思議
b. Ignaz Semmelweis
な力を帯び始めました。描いた花は本当に香り、描いた川は
c. Louis Pasteur
d. Joseph Lister
本当に流れ、描いた鳥は本当に飛び立つようになったのです
。村人たちは太郎の絵を「命を吹き込む絵」と呼び、遠くか
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
ら多くの人が見に来るようになりました。しかし太郎は次第
hands of physicians and medical students.
に疲れ、鏡の呪いだと気づきました。ある晩、彼は最後の絵
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: を描きました。それは自分自身が若く笑っている姿でした。
Safe, Effective Care Environment: Safety and Infection Control
絵が完成した瞬間、鏡の中の老人は消え、太郎は再び若返り
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
sensitivity?ました。それ以来、彼はただ自分の心のままに絵を描き続け
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
、村は静かな幸福に包まれました。
a. Maternal mortality in the United States is extremely low.
b. Anesthesia is available to relieve pain during labor and childbirth.
c. Tell me why you are afraid of childbirth.
d. Your condition will be monitored during labor and delivery.
ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
a. Maternal and infant deaths per 100,000 live births per year
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
c. Deaths of infants up to 1 year of age per 1000 live births per year
d. Fetal and neonatal deaths per 1000 live births per year
ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12
,Nursedocs ©2023
OBJ: 9 TOP: The Present-Child Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. What is the focus of current maternity practice?
a. Hospital births for the majority of women
b. The traditional family unit
c. Separation of labor rooms from delivery rooms
d. A quality family experience for each patient
ANS: D
Current maternity practice focuses on a high-quality family experience for all families, traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: Page 6
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Childrens Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
ANS: A
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the result of research done in the 1930s by the Childrens Bureau?
a. Children with heart problems are now cared for by pediatric cardiologists.
b. The Child Abuse and Prevention Act was passed.
c. Hot lunch programs were established in many schools.
d. Childrens asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
, a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that define
patient care across disciplines. Expected progress within a specified timeline is identified.
DIF: Cognitive Level: Knowledge REF: Page 12
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and collected
admission data. What is the next step the student will take to develop a nursing care plan for this child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the childs medical diagnosis.
ANS: C
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: Page 11
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
scope of practice. What resource can the nurseNsUuR
gSgeIN
stGtoT Bth.C
eOstM
udent?
a. American Nurses Association
b. States board of nursing
c. Joint Commission
d. Association of Womens Health, Obstetric and Neonatal Nurses
ANS: B
The scope of practice of the LVN/LPN is published by the states board of nursing.
DIF: Cognitive Level: Comprehension REF: Page 3
OBJ: 18 TOP: Critical Thinking
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by Karl Cred in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
ANS: D
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns to reduce the incidence of
blindness.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
