,Chapter 01: The Past, Present, and Future
ss ss ss ss ss ss
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
ss ss ss ss ss ss ss ss
MULTIPLE s s CHOICE
1. A sspatient sschooses ssto sshave ssthe sscertified ssnurse-midwife ss(CNM) ssprovide sscare
during ssher sspregnancy. ssWhat ssdoes ssthe ssCNM‗s ssscope ssof sspractice ssinclude?
ss
a. Practice ssindependent ss from ssmedical s s supervision
b. Comprehensive ssprenatal s s care
c. Attendance s s at s s all ss deliveries
d. Cesarean sssections
ANS: B
The ssCNM ssprovides sscomprehensive ssprenatal ssand sspostnatal sscare, ssattends
ssuncomplicated ssdeliveries, ssand ssensures ssthat ssa ssbackup ssphysician ssis ssavailable ssin sscase
ssof ssunforeseen ssproblems.
DIF: Cognitive ssLevel: ss Comprehension REF: p. ss 6 OBJ: s s 5
TOP: Advance ssPractice ssNursing ssRoles KEY: ssNursing ssProcess ssStep:
ssImplementation ssMSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssPrevention
ssand ssEarly ssDetection ssofDisease
2. Which ssmedical sspioneer ssdiscovered ssthe ssrelationship ssbetween ssthe ssincidence ssof
sspuerperal ssfever ssand ssunwashed sshands?
a. Karl ssCredé
b. Ignaz ssSemmelweis
c. Louis ssPasteur
d. Joseph s s Lister
ANS: B
Ignaz ssSemmelweis ssdeduced ssthat sspuerperal ssfever sswas ssseptic, sscontagious, ssand sstransmitted
ssby ssthe ssunwashed sshands ssof ssphysicians ssand ssmedical ssstudents.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss2 OBJ:ss1
ssTOP: The ssPast KEY: ssNursing ssProcess ssStep: ssN/A
MSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssSafety ssand ssInfection ssControl
3. A sspregnant sswoman sswho sshas ssrecently ssimmigrated ssto ssthe ssUnited ssStates sscomments ssto
ssthe ssnurse, ss―I ssam ssafraid ssof sschildbirth. ssIt ssis ssso ssdangerous. ssIssam ssafraid ssI sswill ssdie.‖
ssWhat ssis ssthe ssbest ssnursing ssresponse ssreflecting sscultural sssensitivity?
a. ―Maternal ssmortalitysin ssthe ssUnited ssStates ssis ssextremelysslow.‖
b. ―Anesthesia is ssavailable ssto ssrelieve sspain s s during sslabor ssand s s childbirth.‖
pp
c. ―Tellssme sswhyyou ssaressafraidssofsschildbirth.‖
d. ―Yoursscondition will ssbesmonitoredssduringsslaborssand ssdelivery.‖
pp
ANS: ssC
Asking ssthe sspatient ssabout ssher ssconcerns sshelps sspromote ssunderstanding ssand ssindividualizes
sspatient sscare.
DIF: Cognitive ssLevel: ssApplication REF: pp. s s 6-8 OBJ: s s 8
TOP: Cross-Cultural ssCare KEY: ssNursing ssProcess ssStep:
ssImplementation ssMSC: ssNCLEX: ssPsychosocial ssIntegrity: ssPsychological ssAdaptation
,4. An ssurban ssarea sshas ssbeen ssreported ssto sshave ssa sshigh ssperinatal ssmortality ssrate.
What ssinformation ssdoes ssthis ssprovide?
ss
a. Maternal s s and s s infant s s deaths s s per s s 100,000 s s live ssbirths s s per s s year
b. Deaths s s of s s fetuses s s weighing ssmore ssthan s s 500 s s g ssper s s 10,000 s s births s s per s s year
c. Deaths s s of ss infants s s up s s to s s 1 s s year s s of s s age ssper s s 1000 s s live s s births s s per s s year
d. Fetal s s and s s neonatal s s deaths s s per s s 1000 s s live ssbirths ss per s s year
ANS: ssD
The ssperinatal s s mortality ssrate s s includes s s fetal s s and s s neonatal s s deaths s s per s s 1000 s s live s s births s s per
s s year.
DIF: Cognitive ssLevel: ssComprehension REF: ssp. ss13 ss|
ssBox 1.6 ssOBJ:
pp 9 TOP: ssThe
ssPresent-Child ssCare
KEY: ssNursing ssProcess ssStep: s s Implementation
MSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
5. What ss is s s the s s focus s s of s s current s s maternitysspractice?
a. Hospital s s births s s for s s the ss majority ssof sswomen
b. The sstraditional s s familyunit
c. Separation s s of ss labor ss rooms s s from s s deliveryssrooms
d. A s s quality ssfamily ssexperience s s for s s eachpatient
ANS: ssD
Current ssmaternity sspractice ssfocuses sson ssa sshigh-quality ssfamily ssexperience ssfor ssall
ssfamilies, sstraditional ssor ssotherwise.
DIF: Cognitive ssLevel: ssComprehension REF: p. ss6 OBJ: ss5
ssTOP: The ssPresent-Maternity ssCare KEY: ssNursing ssProcess ssStep:
ssN/A ssMSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance
6. Who ssadvocated ss the ssestablishment ssof ssthe ssChildren‗s ssBureau?
a. Lillian ssWald
b. Florence ssNightingale
c. Florence ssKelly
d. Clara ssBarton
ANS: ssA
Lillian ssWald ss is sscredited s s with sssuggesting ssthe ss establishment ssof ssa ssfederal ss Children‗s s s Bureau.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss4 OBJ: ss1 ss|
ss2 ssTOP: The ssPast KEY: ssNursing ssProcess ssStep:
ssImplementation
MSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssGrowth ssand ssDevelopment
7. What sswas ssthe ss result s s of ssresearch s s done ssin ssthe ss1930s s s by ssthe s s Children‗s ssBureau?
a. Children sswith s s heart s s problems s s are s s now s s cared s s for s s by sspediatric sscardiologists.
b. The ssChild ss Abuse ssand s s Prevention s s Act s s was sspassed.
c. Hot ss lunch s s programs s s were s s established s s in s s manyssschools.
d. Children‗s ssasylums sswere ssfounded.
ANS: ssC
School sshot sslunch ssprograms sswere ssdeveloped ssas ssa ssresult ssof ssresearch ssby ssthe ssChildren‗s
ssBureau sson ssthe sseffects ssof sseconomic ssdepression sson sschildren.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss 4 OBJ: s s 2 s s | s s 3
, TOP: The s s Past KEY: ssNursing ssProcess ssStep: s s N/A
MSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssCoordinated ssCare
8. What ssgovernment ssprogram sswas ssimplemented ssto ssincrease ssthe sseducational
exposure ssof sspreschool sschildren?
ss
a. WIC
b. Title ssXIX s s of ssMedicaid
c. The ssChildren‗s ssCharter
d. Head ssStart
ANS: ssD
Head ssStart s s programs s s were ssestablished ss to ss increase s s educational ss exposure ssof s s preschool s s children.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss 3 OBJ: s s 3
TOP: Government ssInfluences ssin ssMaternity ssandsPediatric s s Care s s KEY: ssNursingssProcess ssStep:
ssN/A ssMSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssGrowth ssand ssDevelopment
9. What ssguidelines ssdefine ssmultidisciplinarysspatient sscare ssin ssterms ssof ssexpected
outcome ssand sstimeframe ssfrom ssdifferent ssareas ssof sscare ssprovision?
ss
a. Clinical ss pathways
b. Nursing ssoutcome sscriteria
c. Standards ssof sscare
d. Nursing sscare ssplan
ANS: ssA
Clinical sspathways, ssalso ssknown ssas sscritical sspathways ssor sscare ssmaps, ssare sscollaborative
ssguidelines ssthat ssdefine sspatient sscare ssacross ssdisciplines. ssExpected ssprogress sswithin ssa
ssspecified sstimeline ssis ssidentified.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss13 OBJ: ss10
ssTOP: Health ssCare ssDelivery ssSystems KEY: ssNursing ssProcess ssStep:
ssN/A ssMSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated
ssCare
10. A ssnursing ssstudent sshas ssreviewed ssa sshospitalized sspediatric sspatient sschart, ssinterviewed ssher
mother, s s and s s collected s s admission s s data. s s What s s is s s the s s next s s step s s the s s student
s s
will s s take s s to ssdevelop ssa ssnursing sscare ssplan ssfor ssthis sschild?
ss
a. Identify ssmeasurable s s outcomes s s with s s asstimeline.
b. Choose ssspecific s s nursing ssinterventions s s for ssthe sschild.
c. Determine ssappropriate ssnursing ssdiagnoses.
d. State ssnursing ssactions ssrelated ssto ssthe sschild‗s ssmedical ssdiagnosis.
ANS: ssC
The ssnurse ssuses ssassessment ssdata ssto ssselect ssappropriate ssnursing ssdiagnoses. ssOutcomes
ssand ssinterventions ssare ssthen ssdeveloped ssto ssaddress ssthe ssrelevant ssnursing ssdiagnoses.
DIF: Cognitive ssLevel: ssApplication REF: p. s s 12 OBJ: s s 7
TOP: Nursing ssProcess KEY: ssNursing ssProcess ssStep: ssNursing
ssDiagnosis ssMSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
11. A ssnursing ssstudent sson ssan s s obstetric ssrotation ssquestions ssthe ssfloor ssnurse ssabout ssthe
ssdefinition ssof s s the ssLVN/LPN ssscope ssof sspractice. s s What ssresource sscan ssthe ssnurse sssuggest
ssto ssthe ssstudent?
a. American ssNurses ssAssociation
ss ss ss ss ss ss
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
ss ss ss ss ss ss ss ss
MULTIPLE s s CHOICE
1. A sspatient sschooses ssto sshave ssthe sscertified ssnurse-midwife ss(CNM) ssprovide sscare
during ssher sspregnancy. ssWhat ssdoes ssthe ssCNM‗s ssscope ssof sspractice ssinclude?
ss
a. Practice ssindependent ss from ssmedical s s supervision
b. Comprehensive ssprenatal s s care
c. Attendance s s at s s all ss deliveries
d. Cesarean sssections
ANS: B
The ssCNM ssprovides sscomprehensive ssprenatal ssand sspostnatal sscare, ssattends
ssuncomplicated ssdeliveries, ssand ssensures ssthat ssa ssbackup ssphysician ssis ssavailable ssin sscase
ssof ssunforeseen ssproblems.
DIF: Cognitive ssLevel: ss Comprehension REF: p. ss 6 OBJ: s s 5
TOP: Advance ssPractice ssNursing ssRoles KEY: ssNursing ssProcess ssStep:
ssImplementation ssMSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssPrevention
ssand ssEarly ssDetection ssofDisease
2. Which ssmedical sspioneer ssdiscovered ssthe ssrelationship ssbetween ssthe ssincidence ssof
sspuerperal ssfever ssand ssunwashed sshands?
a. Karl ssCredé
b. Ignaz ssSemmelweis
c. Louis ssPasteur
d. Joseph s s Lister
ANS: B
Ignaz ssSemmelweis ssdeduced ssthat sspuerperal ssfever sswas ssseptic, sscontagious, ssand sstransmitted
ssby ssthe ssunwashed sshands ssof ssphysicians ssand ssmedical ssstudents.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss2 OBJ:ss1
ssTOP: The ssPast KEY: ssNursing ssProcess ssStep: ssN/A
MSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssSafety ssand ssInfection ssControl
3. A sspregnant sswoman sswho sshas ssrecently ssimmigrated ssto ssthe ssUnited ssStates sscomments ssto
ssthe ssnurse, ss―I ssam ssafraid ssof sschildbirth. ssIt ssis ssso ssdangerous. ssIssam ssafraid ssI sswill ssdie.‖
ssWhat ssis ssthe ssbest ssnursing ssresponse ssreflecting sscultural sssensitivity?
a. ―Maternal ssmortalitysin ssthe ssUnited ssStates ssis ssextremelysslow.‖
b. ―Anesthesia is ssavailable ssto ssrelieve sspain s s during sslabor ssand s s childbirth.‖
pp
c. ―Tellssme sswhyyou ssaressafraidssofsschildbirth.‖
d. ―Yoursscondition will ssbesmonitoredssduringsslaborssand ssdelivery.‖
pp
ANS: ssC
Asking ssthe sspatient ssabout ssher ssconcerns sshelps sspromote ssunderstanding ssand ssindividualizes
sspatient sscare.
DIF: Cognitive ssLevel: ssApplication REF: pp. s s 6-8 OBJ: s s 8
TOP: Cross-Cultural ssCare KEY: ssNursing ssProcess ssStep:
ssImplementation ssMSC: ssNCLEX: ssPsychosocial ssIntegrity: ssPsychological ssAdaptation
,4. An ssurban ssarea sshas ssbeen ssreported ssto sshave ssa sshigh ssperinatal ssmortality ssrate.
What ssinformation ssdoes ssthis ssprovide?
ss
a. Maternal s s and s s infant s s deaths s s per s s 100,000 s s live ssbirths s s per s s year
b. Deaths s s of s s fetuses s s weighing ssmore ssthan s s 500 s s g ssper s s 10,000 s s births s s per s s year
c. Deaths s s of ss infants s s up s s to s s 1 s s year s s of s s age ssper s s 1000 s s live s s births s s per s s year
d. Fetal s s and s s neonatal s s deaths s s per s s 1000 s s live ssbirths ss per s s year
ANS: ssD
The ssperinatal s s mortality ssrate s s includes s s fetal s s and s s neonatal s s deaths s s per s s 1000 s s live s s births s s per
s s year.
DIF: Cognitive ssLevel: ssComprehension REF: ssp. ss13 ss|
ssBox 1.6 ssOBJ:
pp 9 TOP: ssThe
ssPresent-Child ssCare
KEY: ssNursing ssProcess ssStep: s s Implementation
MSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
5. What ss is s s the s s focus s s of s s current s s maternitysspractice?
a. Hospital s s births s s for s s the ss majority ssof sswomen
b. The sstraditional s s familyunit
c. Separation s s of ss labor ss rooms s s from s s deliveryssrooms
d. A s s quality ssfamily ssexperience s s for s s eachpatient
ANS: ssD
Current ssmaternity sspractice ssfocuses sson ssa sshigh-quality ssfamily ssexperience ssfor ssall
ssfamilies, sstraditional ssor ssotherwise.
DIF: Cognitive ssLevel: ssComprehension REF: p. ss6 OBJ: ss5
ssTOP: The ssPresent-Maternity ssCare KEY: ssNursing ssProcess ssStep:
ssN/A ssMSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance
6. Who ssadvocated ss the ssestablishment ssof ssthe ssChildren‗s ssBureau?
a. Lillian ssWald
b. Florence ssNightingale
c. Florence ssKelly
d. Clara ssBarton
ANS: ssA
Lillian ssWald ss is sscredited s s with sssuggesting ssthe ss establishment ssof ssa ssfederal ss Children‗s s s Bureau.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss4 OBJ: ss1 ss|
ss2 ssTOP: The ssPast KEY: ssNursing ssProcess ssStep:
ssImplementation
MSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssGrowth ssand ssDevelopment
7. What sswas ssthe ss result s s of ssresearch s s done ssin ssthe ss1930s s s by ssthe s s Children‗s ssBureau?
a. Children sswith s s heart s s problems s s are s s now s s cared s s for s s by sspediatric sscardiologists.
b. The ssChild ss Abuse ssand s s Prevention s s Act s s was sspassed.
c. Hot ss lunch s s programs s s were s s established s s in s s manyssschools.
d. Children‗s ssasylums sswere ssfounded.
ANS: ssC
School sshot sslunch ssprograms sswere ssdeveloped ssas ssa ssresult ssof ssresearch ssby ssthe ssChildren‗s
ssBureau sson ssthe sseffects ssof sseconomic ssdepression sson sschildren.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss 4 OBJ: s s 2 s s | s s 3
, TOP: The s s Past KEY: ssNursing ssProcess ssStep: s s N/A
MSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssCoordinated ssCare
8. What ssgovernment ssprogram sswas ssimplemented ssto ssincrease ssthe sseducational
exposure ssof sspreschool sschildren?
ss
a. WIC
b. Title ssXIX s s of ssMedicaid
c. The ssChildren‗s ssCharter
d. Head ssStart
ANS: ssD
Head ssStart s s programs s s were ssestablished ss to ss increase s s educational ss exposure ssof s s preschool s s children.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss 3 OBJ: s s 3
TOP: Government ssInfluences ssin ssMaternity ssandsPediatric s s Care s s KEY: ssNursingssProcess ssStep:
ssN/A ssMSC: ssNCLEX: ssHealth ssPromotion ssand ssMaintenance: ssGrowth ssand ssDevelopment
9. What ssguidelines ssdefine ssmultidisciplinarysspatient sscare ssin ssterms ssof ssexpected
outcome ssand sstimeframe ssfrom ssdifferent ssareas ssof sscare ssprovision?
ss
a. Clinical ss pathways
b. Nursing ssoutcome sscriteria
c. Standards ssof sscare
d. Nursing sscare ssplan
ANS: ssA
Clinical sspathways, ssalso ssknown ssas sscritical sspathways ssor sscare ssmaps, ssare sscollaborative
ssguidelines ssthat ssdefine sspatient sscare ssacross ssdisciplines. ssExpected ssprogress sswithin ssa
ssspecified sstimeline ssis ssidentified.
DIF: Cognitive ssLevel: ssKnowledge REF: p. ss13 OBJ: ss10
ssTOP: Health ssCare ssDelivery ssSystems KEY: ssNursing ssProcess ssStep:
ssN/A ssMSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated
ssCare
10. A ssnursing ssstudent sshas ssreviewed ssa sshospitalized sspediatric sspatient sschart, ssinterviewed ssher
mother, s s and s s collected s s admission s s data. s s What s s is s s the s s next s s step s s the s s student
s s
will s s take s s to ssdevelop ssa ssnursing sscare ssplan ssfor ssthis sschild?
ss
a. Identify ssmeasurable s s outcomes s s with s s asstimeline.
b. Choose ssspecific s s nursing ssinterventions s s for ssthe sschild.
c. Determine ssappropriate ssnursing ssdiagnoses.
d. State ssnursing ssactions ssrelated ssto ssthe sschild‗s ssmedical ssdiagnosis.
ANS: ssC
The ssnurse ssuses ssassessment ssdata ssto ssselect ssappropriate ssnursing ssdiagnoses. ssOutcomes
ssand ssinterventions ssare ssthen ssdeveloped ssto ssaddress ssthe ssrelevant ssnursing ssdiagnoses.
DIF: Cognitive ssLevel: ssApplication REF: p. s s 12 OBJ: s s 7
TOP: Nursing ssProcess KEY: ssNursing ssProcess ssStep: ssNursing
ssDiagnosis ssMSC: ssNCLEX: ssSafe, ssEffective ssCare ssEnvironment: ssCoordinated ssCare
11. A ssnursing ssstudent sson ssan s s obstetric ssrotation ssquestions ssthe ssfloor ssnurse ssabout ssthe
ssdefinition ssof s s the ssLVN/LPN ssscope ssof sspractice. s s What ssresource sscan ssthe ssnurse sssuggest
ssto ssthe ssstudent?
a. American ssNurses ssAssociation
