, 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
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
In einer ruhigen Level:
DIF: Cognitive Kleinstadt lebte eine
Comprehension REF:junge
PageFrau
6 namens Lea, die alte Fahrräder reparierte. Ihre kleine
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Werkstatt lag direkt neben einem Park, in dem Kinder spielten und ältere Menschen spazieren gingen.
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Lea liebte es, rostige Ketten zu reinigen, verbogene Räder zu richten und alten Fahrrädern neues Leben
einzuhauchen.
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
Eines Tages
a. Karl Credbrachte ein kleiner Junge ein kaputtes Fahrrad vorbei. Es war stark beschädigt, und seine
Familie konnte
b. Ignaz sich kein neues leisten. Lea versprach, ihr Bestes zu tun. Sie arbeitete bis spät in die
Semmelweis
c. Louis Pasteur
Nacht, ersetzte Teile und lackierte den Rahmen in einem leuchtenden Blau.
d. Joseph Lister
Als ANS:
der Junge
B sein Fahrrad zurückbekam, strahlte er vor Freude. Er fuhr sofort durch den Park, lachend
undIgnaz
voller Energie.deduced
Semmelweis Lea sahthatihm nach fever
puerperal und was
spürte eine
septic, tiefe Zufriedenheit.
contagious, Sietheverstand,
and transmitted by unwashed dass ihre Arbeit
mehr warofals
hands nur Reparaturen.
physicians Sie schenkte Menschen Bewegungsfreiheit, Unabhängigkeit und
and medical students.
manchmal sogar ein Stück Glück.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
VonMSC:
diesem TagSafe,
NCLEX: an stellte sieCare
Effective einmal im Monat
Environment: kostenlose
Safety Reparaturen
and Infection Control für Kinder aus der
Nachbarschaft zur Verfügung. Ihre kleine Werkstatt wurde zu einem Ort der Gemeinschaft und
Hoffnung.
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
sensitivity?
a. Maternal mortality in the United States is extremely low.
Dans une ville is
b. Anesthesia animée
availableprès de lapain
to relieve mer, vivait
during Antoine,
labor un jeune homme passionné par la cuisine
and childbirth.
traditionnelle.
c. Tell me why Il travaillait dans
you are afraid le restaurant familial, où les recettes se transmettaient depuis trois
of childbirth.
générations. Pourtant,
d. Your condition will beAntoine
monitored rêvait
duringd’apporter une touche moderne aux plats classiques.
labor and delivery.
Un ANS:
soir, ilC décida de proposer un nouveau menu spécial. Il conserva les saveurs authentiques, mais
Asking the patient about her concerns helps promote understanding and individualizes patient care.
ajouta des ingrédients inattendus et une présentation élégante. Au début, ses parents étaient hésitants,
craignant que lesLevel:
DIF: Cognitive clients n’apprécient
Application pas7 le changement.
REF: Page
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
Cependant, lorsque
MSC: NCLEX: les premiers
Psychosocial visiteurs
Integrity: goûtèrent
Psychological les nouveaux plats, leurs visages s’illuminèrent. Les
Adaptation
compliments affluèrent, et le restaurant attira bientôt de nouveaux clients curieux de découvrir cette
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
fusion entre tradition et innovation.
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
Antoine comprit
c. Deaths queuprespecter
of infants to 1 year ofleage
passé n’empêche
per 1000 pasyear
live births per de créer l’avenir. En combinant héritage et
créativité, il réussit
d. Fetal and neonatalàdeaths
donnerper une
1000 nouvelle énergie
live births per year au restaurant tout en honorant l’histoire de sa famille.
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
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
In einer ruhigen Level:
DIF: Cognitive Kleinstadt lebte eine
Comprehension REF:junge
PageFrau
6 namens Lea, die alte Fahrräder reparierte. Ihre kleine
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Werkstatt lag direkt neben einem Park, in dem Kinder spielten und ältere Menschen spazieren gingen.
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
Lea liebte es, rostige Ketten zu reinigen, verbogene Räder zu richten und alten Fahrrädern neues Leben
einzuhauchen.
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
Eines Tages
a. Karl Credbrachte ein kleiner Junge ein kaputtes Fahrrad vorbei. Es war stark beschädigt, und seine
Familie konnte
b. Ignaz sich kein neues leisten. Lea versprach, ihr Bestes zu tun. Sie arbeitete bis spät in die
Semmelweis
c. Louis Pasteur
Nacht, ersetzte Teile und lackierte den Rahmen in einem leuchtenden Blau.
d. Joseph Lister
Als ANS:
der Junge
B sein Fahrrad zurückbekam, strahlte er vor Freude. Er fuhr sofort durch den Park, lachend
undIgnaz
voller Energie.deduced
Semmelweis Lea sahthatihm nach fever
puerperal und was
spürte eine
septic, tiefe Zufriedenheit.
contagious, Sietheverstand,
and transmitted by unwashed dass ihre Arbeit
mehr warofals
hands nur Reparaturen.
physicians Sie schenkte Menschen Bewegungsfreiheit, Unabhängigkeit und
and medical students.
manchmal sogar ein Stück Glück.
DIF: Cognitive Level: Knowledge REF: Page 2
TOP: The Past KEY: Nursing Process Step: N/A
VonMSC:
diesem TagSafe,
NCLEX: an stellte sieCare
Effective einmal im Monat
Environment: kostenlose
Safety Reparaturen
and Infection Control für Kinder aus der
Nachbarschaft zur Verfügung. Ihre kleine Werkstatt wurde zu einem Ort der Gemeinschaft und
Hoffnung.
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural
sensitivity?
a. Maternal mortality in the United States is extremely low.
Dans une ville is
b. Anesthesia animée
availableprès de lapain
to relieve mer, vivait
during Antoine,
labor un jeune homme passionné par la cuisine
and childbirth.
traditionnelle.
c. Tell me why Il travaillait dans
you are afraid le restaurant familial, où les recettes se transmettaient depuis trois
of childbirth.
générations. Pourtant,
d. Your condition will beAntoine
monitored rêvait
duringd’apporter une touche moderne aux plats classiques.
labor and delivery.
Un ANS:
soir, ilC décida de proposer un nouveau menu spécial. Il conserva les saveurs authentiques, mais
Asking the patient about her concerns helps promote understanding and individualizes patient care.
ajouta des ingrédients inattendus et une présentation élégante. Au début, ses parents étaient hésitants,
craignant que lesLevel:
DIF: Cognitive clients n’apprécient
Application pas7 le changement.
REF: Page
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
Cependant, lorsque
MSC: NCLEX: les premiers
Psychosocial visiteurs
Integrity: goûtèrent
Psychological les nouveaux plats, leurs visages s’illuminèrent. Les
Adaptation
compliments affluèrent, et le restaurant attira bientôt de nouveaux clients curieux de découvrir cette
4. An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
fusion entre tradition et innovation.
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
Antoine comprit
c. Deaths queuprespecter
of infants to 1 year ofleage
passé n’empêche
per 1000 pasyear
live births per de créer l’avenir. En combinant héritage et
créativité, il réussit
d. Fetal and neonatalàdeaths
donnerper une
1000 nouvelle énergie
live births per year au restaurant tout en honorant l’histoire de sa famille.
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.
