Introduction to Maternity and Pediatric Nursing 9th Edition
Gloria Leifer Test Bank Chapters 1–34
Exam
Unit I: An Overview of Maternity and Pediatric Nursing (Q1-15)
Q1. A nurse is reviewing the historical roots of maternity nursing. Which
physician is credited with introducing antiseptic techniques to reduce puerperal
fever?
A) Oliver Wendell Holmes
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Answer: B
Rationale: Ignaz Semmelweis demonstrated that handwashing with chlorinated
lime solution reduced puerperal fever mortality from 18% to less than 1%. Oliver
Wendell Holmes also wrote about puerperal fever, but Semmelweis implemented
antiseptic techniques .
Q2. A nursing student asks about the purpose of the Children's Bureau,
established in 1912. What is the correct response?
A) To provide direct medical care to children
B) To investigate and report on child welfare issues
C) To fund hospital construction for children
D) To train pediatric nurses
Answer: B
Rationale: The Children's Bureau was established to investigate and report on all
matters pertaining to child welfare, including infant mortality, maternal mortality,
and child labor. It did not provide direct medical care .
,Q3. Which federal program provides nutritional supplements to low-income
pregnant women, infants, and children up to age 5?
A) Medicaid
B) CHIP
C) WIC
D) Head Start
Answer: C
Rationale: WIC (Special Supplemental Nutrition Program for Women, Infants, and
Children) provides food supplements, nutrition education, and healthcare
referrals. Medicaid provides health insurance; CHIP covers uninsured children;
Head Start provides early childhood education .
Q4. A nurse is implementing family-centered care on a postpartum unit. Which
action best reflects this philosophy?
A) Restricting visiting hours to allow the mother to rest
B) Allowing the father to stay overnight in the mother's room
C) Keeping the newborn in the nursery during the night
D) Discouraging siblings from visiting
Answer: B
Rationale: Family-centered care encourages family participation, including
allowing fathers/partners to stay overnight, sibling visitation, and rooming-in. The
goal is to keep the family together and support bonding .
Q5. A patient asks about the role of a certified nurse-midwife (CNM). What is
the most accurate description?
A) A nurse who performs cesarean sections independently
B) A nurse who provides prenatal care and attends uncomplicated deliveries
C) A nurse who only cares for high-risk pregnancies
D) A nurse who replaces the need for a physician
Answer: B
Rationale: CNMs are advanced practice nurses who provide comprehensive
,prenatal, intrapartum, and postpartum care for low-risk women. They attend
uncomplicated deliveries and have a backup physician for complications .
Q6. The nurse is explaining evidence-based practice to a new graduate. Which
statement best defines EBP?
A) Following hospital policies without question
B) Using the same methods that have always been used
C) Integrating clinical expertise with current best research evidence
D) Relying solely on physician preferences
Answer: C
Rationale: Evidence-based practice integrates the best available research
evidence with clinical expertise and patient preferences to guide clinical decisions.
It is not based on tradition or authority alone .
Q7. A nurse is caring for a child with a chronic illness in the home setting. Which
activity represents tertiary prevention?
A) Teaching the parents to recognize early signs of infection
B) Administering scheduled immunizations
C) Providing rehabilitation services to maintain mobility
D) Educating about proper nutrition
Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further
disability or complications in established disease. Teaching infection signs is
secondary prevention; immunizations and nutrition education are primary
prevention .
Q8. Which organization publishes the Nursing Interventions Classification (NIC)
and Nursing Outcomes Classification (NOC) systems?
A) American Nurses Association (ANA)
B) The Joint Commission
, C) National League for Nursing (NLN)
D) University of Iowa College of Nursing
Answer: D
Rationale: NIC and NOC were developed by the University of Iowa College of
Nursing. The ANA develops standards of practice; The Joint Commission accredits
healthcare facilities; NLN focuses on nursing education .
Q9. A pregnant patient tells the nurse she wants to give birth at home. What
should the nurse do first?
A) Discourage the plan and explain the risks
B) Refer the patient to a certified nurse-midwife
C) Assess the patient's understanding of the risks and benefits
D) Inform the patient that home birth is illegal
Answer: C
Rationale: The nurse should first assess the patient's knowledge and
understanding of home birth risks and benefits. This respects patient autonomy
while providing education. Home birth with a qualified professional is legal in all
states .
Q10. Which initiative was a result of the White House Conference on Children
and Youth?
A) Creation of the Children's Bureau
B) Development of the Children's Charter
C) Passage of the Social Security Act
D) Establishment of Medicaid
Answer: B
Rationale: The Children's Charter was developed during the 1930 White House
Conference on Children and Youth. It outlined the rights of children to health,
education, and protection from harm .
Gloria Leifer Test Bank Chapters 1–34
Exam
Unit I: An Overview of Maternity and Pediatric Nursing (Q1-15)
Q1. A nurse is reviewing the historical roots of maternity nursing. Which
physician is credited with introducing antiseptic techniques to reduce puerperal
fever?
A) Oliver Wendell Holmes
B) Ignaz Semmelweis
C) Louis Pasteur
D) Joseph Lister
Answer: B
Rationale: Ignaz Semmelweis demonstrated that handwashing with chlorinated
lime solution reduced puerperal fever mortality from 18% to less than 1%. Oliver
Wendell Holmes also wrote about puerperal fever, but Semmelweis implemented
antiseptic techniques .
Q2. A nursing student asks about the purpose of the Children's Bureau,
established in 1912. What is the correct response?
A) To provide direct medical care to children
B) To investigate and report on child welfare issues
C) To fund hospital construction for children
D) To train pediatric nurses
Answer: B
Rationale: The Children's Bureau was established to investigate and report on all
matters pertaining to child welfare, including infant mortality, maternal mortality,
and child labor. It did not provide direct medical care .
,Q3. Which federal program provides nutritional supplements to low-income
pregnant women, infants, and children up to age 5?
A) Medicaid
B) CHIP
C) WIC
D) Head Start
Answer: C
Rationale: WIC (Special Supplemental Nutrition Program for Women, Infants, and
Children) provides food supplements, nutrition education, and healthcare
referrals. Medicaid provides health insurance; CHIP covers uninsured children;
Head Start provides early childhood education .
Q4. A nurse is implementing family-centered care on a postpartum unit. Which
action best reflects this philosophy?
A) Restricting visiting hours to allow the mother to rest
B) Allowing the father to stay overnight in the mother's room
C) Keeping the newborn in the nursery during the night
D) Discouraging siblings from visiting
Answer: B
Rationale: Family-centered care encourages family participation, including
allowing fathers/partners to stay overnight, sibling visitation, and rooming-in. The
goal is to keep the family together and support bonding .
Q5. A patient asks about the role of a certified nurse-midwife (CNM). What is
the most accurate description?
A) A nurse who performs cesarean sections independently
B) A nurse who provides prenatal care and attends uncomplicated deliveries
C) A nurse who only cares for high-risk pregnancies
D) A nurse who replaces the need for a physician
Answer: B
Rationale: CNMs are advanced practice nurses who provide comprehensive
,prenatal, intrapartum, and postpartum care for low-risk women. They attend
uncomplicated deliveries and have a backup physician for complications .
Q6. The nurse is explaining evidence-based practice to a new graduate. Which
statement best defines EBP?
A) Following hospital policies without question
B) Using the same methods that have always been used
C) Integrating clinical expertise with current best research evidence
D) Relying solely on physician preferences
Answer: C
Rationale: Evidence-based practice integrates the best available research
evidence with clinical expertise and patient preferences to guide clinical decisions.
It is not based on tradition or authority alone .
Q7. A nurse is caring for a child with a chronic illness in the home setting. Which
activity represents tertiary prevention?
A) Teaching the parents to recognize early signs of infection
B) Administering scheduled immunizations
C) Providing rehabilitation services to maintain mobility
D) Educating about proper nutrition
Answer: C
Rationale: Tertiary prevention focuses on rehabilitation and preventing further
disability or complications in established disease. Teaching infection signs is
secondary prevention; immunizations and nutrition education are primary
prevention .
Q8. Which organization publishes the Nursing Interventions Classification (NIC)
and Nursing Outcomes Classification (NOC) systems?
A) American Nurses Association (ANA)
B) The Joint Commission
, C) National League for Nursing (NLN)
D) University of Iowa College of Nursing
Answer: D
Rationale: NIC and NOC were developed by the University of Iowa College of
Nursing. The ANA develops standards of practice; The Joint Commission accredits
healthcare facilities; NLN focuses on nursing education .
Q9. A pregnant patient tells the nurse she wants to give birth at home. What
should the nurse do first?
A) Discourage the plan and explain the risks
B) Refer the patient to a certified nurse-midwife
C) Assess the patient's understanding of the risks and benefits
D) Inform the patient that home birth is illegal
Answer: C
Rationale: The nurse should first assess the patient's knowledge and
understanding of home birth risks and benefits. This respects patient autonomy
while providing education. Home birth with a qualified professional is legal in all
states .
Q10. Which initiative was a result of the White House Conference on Children
and Youth?
A) Creation of the Children's Bureau
B) Development of the Children's Charter
C) Passage of the Social Security Act
D) Establishment of Medicaid
Answer: B
Rationale: The Children's Charter was developed during the 1930 White House
Conference on Children and Youth. It outlined the rights of children to health,
education, and protection from harm .
