Updated/Latest Introduction to Maternity and Pediatric Nursing Test Bank Comprehensive Examination Questions and Answers Study Guide for Maternal Health Pregnancy Childbirth Newborn Care Pediatric Nursing Family Centered Care Clinical Practice Review and

TES BANK FOR
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Introduction to Maternity and Pediatric Nursing,
8th Edition by Gloria Leifer
UNI I: An Overview of Maternity and Pediatric Nursing
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Chapter 1: The Past, Present, and Future
UNI II: Maternal-Newborn Nursing and Women’s Health
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Chapter 2: Human Reproductive Anatomy and Physiology
Chapter 3: Fetal Development
Chapter 4: Prenatal Care and Adaptations to Pregnancy
Chapter 5: Nursing Care of Women with Complications during Pregnancy
Chapter 6: Nursing Care of Mother and Infan during Labor and Birth
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Chapter 7: Nursing Managemen of Pain during Labor and Birth
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Chapter 8: Nursing Care of Women with Complications during Labor and
Birth
Chapter 9: The Family after Birth
Chapter 10: Nursing Care of Women with Complications Following Birth
Chapter 11: The Nurse’s Role in Women’s Health Care
Chapter 12: The Term Newborn
Chapter 13: Preterm and Post-Term Newborns
Chapter 14: The Newborn with a Perinatal Injury or Congenital
Malformation
UNI III: The Growing Child and Family
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Chapter 15: An Overview of Growth, Development, and Nutrition
Chapter 16: The Infant
Chapter 17: The Toddler
Chapter 18: The Preschool Child
Chapter 19: The School-Age Child
Chapter 20: The Adolescent
UNI IV: Adapting Care to the Pediatric Patient
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Chapter 21: The Child’s Experience of Hospitalization
Chapter 22: Health Care Adaptations for the Child and Family
UNI V: The Child Needing Nursing Care
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Chapter 23: The Child with a Sensory or Neurological Condition
Chapter 24: The Child with a Musculoskeletal Condition
Chapter 25: The Child with a Respiratory Disorder
Chapter 26: The Child with a Cardiovascular Disorder
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
Chapter 28: The Child with a Gastrointestinal Condition
Chapter 29: The Child with a Genitourinary Condition
Chapter 30: The Child with a Skin Condition
Chapter 31: The Child with a Metabolic Condition
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child
Patient
Chapter 33: The Child with an Emotional or Behavioral Condition
UNI VI: The Changing Health Care Environment
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Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TES BANK J




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Chapter 01: The Past, Present, and Future
MULTIPLE CHOICE

1. A patient chooses to have the certified nurse midwife (CNM) provide care duringher pregnancy. What does the
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CNMs scope of practice include? J J J J




a. Practice independent from medical supervision J J J J




b. Comprehensive prenatal care J J




c. Attendanceat all deliveries J J J




d. Cesarean sections J




ANS: B J




TheCNM providescomprehensive prenatal andpostnatal care,attendsuncomplicated deliveries,and ensures that a
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backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: ComprehensionREF: Page 6
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TOP: Advance PracticeNursing Roles KEY: NursingProcess Step: Implementation
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MSC: NCLEX: Health Promotion and Maintenance: Prevention andEarlyDetection of Disease
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2. Whichmedical pioneer discoveredthe relationship betweenthe incidenceof puerperal fever and unwashed
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hands?
a. Karl Cred J




b. Ignaz Semmelweis J




c. Louis Pasteur J




d. Joseph Lister J




ANS: B J




Ignaz Semmelweis deducedthat puerperal fever was septic, contagious,and transmitted bythe unwashed hands of
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physicians and medical students. J J J




DIF: Cognitive Level: Knowledge REF: Page 2 TOP:
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ThePast KEY: NursingProcess Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Safetyand Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I am afraid of
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childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting cultural sensitivity?
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a. Maternal mortalityin the United States is extremely low. J J J J J J J J




b. Anesthesia is available torelieve pain duringlabor and childbirth. J J J J J J J J J




c. Tell me whyyou are afraid of childbirth.
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d. Your condition will be monitored during labor and delivery.
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ANS: C J




Askingthe patient about her concerns helps promoteunderstanding andindividualizes patient care.
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DIF: Cognitive Level: ApplicationREF: Page 7
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TOP:Cross-CulturalCareKEY:NursingProcessStep: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. Anurban area has beenreported to have a highperinatal mortalityrate. What information does this provide?
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a. Maternal andinfant deaths per 100,000 live births per year J J J J J J J J J




b. Deaths of fetuses weighing more than 500 gper 10,000 births per year
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c. Deaths of infants upto 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D J




Theperinatal mortalityrate includes fetal andneonatal deaths per 1000 live births per year. DIF:
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Cognitive Level: Comprehension REF: Page 12 J J J J J

, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TES BANK J




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OBJ: 9 TOP: The Present-Child Care
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KEY: NursingProcess Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice? J J J J J J J




a. Hospital births for the majorityof women J J J J J J




b. Thetraditional familyunit J J J




c. Separation of labor rooms from deliveryrooms J J J J J J




d. A qualityfamily experience for each patient
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ANS: D J




Current maternity practice focuses on a high-qualityfamily experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: Page 6
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TOP: ThePresent-MaternityCare KEY:NursingProcess Step: N/A MSC:
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NCLEX: Health Promotion and Maintenance J J J J




6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald J




b. FlorenceNightingale J




c. FlorenceKelly J




d. ClaraBarton J




ANS: A J




Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4
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TOP: The Past KEY: Nursing Process Step: Implementation
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MSC: NCLEX: HealthPromotion and Maintenance: Growth andDevelopment
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7. What was the result of research done in the 1930s bythe Childrens Bureau?
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a. Children with heart problems are nowcaredfor bypediatric cardiologists. J J J J J J J J J J




b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in manyschools.
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d. Childrens asylums were founded. J J J




ANS: C J




School hot lunch programs were developed as a result of research bythe Childrens Bureau on the effects of
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economic depression on children. J J J




DIF: Cognitive Level: Knowledge REF: Page 4 TOP:
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ThePast KEY: NursingProcess Step: N/A
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MSC: NCLEX: HealthPromotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of preschool children?
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a. WIC
b. Title XIX of Medicaid J J J




c. The Childrens Charter J J




d. HeadStart J




ANS: D J




Head Start programs were established to increase educational exposure of preschool children.
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DIF: Cognitive Level: Knowledge REF: Page 3
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TOP:Government Influences in MaternityandPediatric CareKEY: NursingProcess Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinarypatient care in terms of expected outcome and timeframe from
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different areas of care provision? J J J J

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a. Clinicalpathways J




b. Nursing outcome criteria J J




c. Standards of care J J




d. Nursingcare plan J J




ANS: A J




Clinical pathways, also knownas critical pathways or caremaps,arecollaborative guidelines that define patient
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care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12
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TOP:Health CareDeliverySystems KEY: NursingProcess Step: N/A MSC:
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NCLEX: Safe, Effective Care Environment: Coordinated CareJ J J J J J




10. Anursingstudent has reviewedahospitalized pediatric patient chart, interviewed her mother, and collected
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admission data. What is the next step the student will take to develop a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. J J J J J




b. Choose specific nursing interventions for the child. J J J J J J




c. Determine appropriate nursing diagnoses. J J J




d. State nursing actionsrelatedto the childs medical diagnosis.
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ANS: C J




Thenurseuses assessment data to select appropriate nursing diagnoses fromthe NANDA-Ilist. Outcomes and
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interventions are then developed to address the relevant nursing diagnoses. J J J J J J J J J




DIF: Cognitive Level: Application REF: Page11
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TOP:NursingProcessKEY: NursingProcess Step: NursingDiagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on anobstetric rotation questions the floor nurse about the definition of the LVN/LPN scope
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ofpractice.WhatresourcecanthenurseNsUu RgSgIe Ns tGtoTBth.CeOstMu dent?
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a. American Nurses Association J J




b. States board of nursing J J J




c. Joint Commission J




d. Associationof Womens Health, Obstetric andNeonatal Nurses J J J J J J J




ANS: B J




Thescope of practice of the LVN/LPN is published by the states board of nursing.
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DIF:Cognitive Level:ComprehensionREF:Page3
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OBJ: 18 TOP: Critical Thinking
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KEY: NursingProcess Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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12. What was recommended byKarl Cred in 1884? J J J J J J J




a. All women should be deliveredin a hospital setting.
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b. Chemical means should be usedto combat infection. J J J J J J J




c. Podalic version should be done onall fetuses. J J J J J J J




d. Silver nitrate should be placed in the eyes of newborns.
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ANS: D J




In 1884 Karl Credrecommended the use of 2% silver nitrate inthe eyes of newborns to reduce the incidence of
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blindness.

DIF: Cognitive Level: Knowledge REF: Page 2
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TOP: Use of Silver Nitrate KEY: NursingProcess Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Prevention andEarlyDetection of Disease
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13. What is the purpose of the White House Conference on Children and Youth?
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a. Set criteria for normal growthpatterns.
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