Chapter 1. Introduction to Maternity and Pediatric Nursing
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.
Mewn tref fach ar lan y môr roedd Siân yn byw, a oedd yn hoff iawn o baentio golygfeydd
Comprehensive prenatal care
o’r arfordir. Roedd ei stiwdio fach yn llawn lliwiau llachar a chanfasau mawr yn sychu wrth y
c. ffenestr.
Attendance at all deliveries
d. Un diwrnod,
Cesarean gofynnodd
sections ANS: B y cyngor lleol iddi greu paentiad ar gyfer y neuadd gymunedol
newydd. Dewisodd Siân beintio’r harbwr ar adeg machlud haul, gyda’r cychod yn siglo’n
The CNM provides comprehensive prenataland postnatal care, attends uncomplicated deliveries, and
dawel ar y dŵr.
ensures that a backup physician is available in case of unforeseen problems.
Pan
DIF: Cognitive gafodd
Level: y paentiadREF:
Comprehension ei ddatgelu, safodd
Page 6 OBJ: 12 pobl y dref o’i flaen mewn distawrwydd balch.
Roeddent yn gweld eu cartref mewn ffordd newydd.
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
Sylweddolodd Siân nad oedd hi ond yn paentio tirweddau, ond yn adlewyrchu ysbryd ei
MSC: NCLEX: Health Promotion and Maintenance: Preventionand Early Detection of Disease
chymuned.
2. Katika
Which kijiji
medical kidogo
pioneer kilicho karibu
discovered na msitu
the relationship mkubwa,
between aliishi Juma
the incidence ambaye
of puerperal feveralipenda
kutengeneza vikapu vya mianzi. Kila asubuhi alikusanya mianzi safi na kuifuma kwa ustadi
and unwashed hands?
mkubwa.
a. Karl Cred
b. Siku
Ignaz moja, soko la kijiji lilimwomba atengeneze vikapu maalum kwa ajili ya tamasha la
Semmelweis
mavuno. Juma alitengeneza vikapu vyenye michoro ya kipekee iliyowakilisha mazao ya
c. Louiseneo hilo.
Pasteur
d. Joseph Lister ANS: B
Wakati wa tamasha, vikapu vyake vilijaa matunda na nafaka. Watu walivutiwa na uzuri na
uimara
Ignaz Semmelweis wake.that puerperal fever was septic, contagious, and transmitted by the
deduced
unwashed hands of physicians and medicalstudents.
Juma alitambua kuwa kazi yake haikuwa tu biashara, bali pia njia ya kuhifadhi mila na
kuleta
DIF: Cognitive watu
Level: pamojaREF:
Knowledge katika
Pagesherehe
2 OBJ: 1 ya pamoja.
TOP: The Past KEY: Nursing Process
Step: N/AMSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
,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.
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 understandingand individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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 perinatalmortality rate includes fetal and neonataldeaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6 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 OBJ: 7
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 OBJ: 1 | 2 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
Schoolhot lunch programs were developed as a result of research by the Childrens Bureau on the effects
of economic depression on children.