Test Bank for Leifer's Introduction to Maternity and
Pediatric Nursing, 10th Edition| Exam Prep with Answers
and Rationales
Chapter 1: The Past, Present, and Future
Question 1
Who is considered the founder of modern nursing and significantly improved sanitation
during the Crimean War?
A. Clara Barton
B. Florence Nightingale
C. Lillian Wald
D. Margaret Sanger
Answer: B. Florence Nightingale
,Rationale: Florence Nightingale established sanitary nursing practices and wrote "Notes
on Nursing." Her work during the Crimean War dramatically reduced mortality rates and
established nursing as a respected profession .
Question 2
The first American trained nurse was:
A. Linda Richards
B. Mary Breckinridge
C. Dorothea Dix
D. Isabel Hampton Robb
Answer: A. Linda Richards
Rationale: Linda Richards graduated from the New England Hospital for Women and
Children in 1873, becoming the first trained nurse in the United States .
Question 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."
Answer: C. "Tell me why you are afraid of childbirth."
Rationale: Asking the patient about her concerns helps promote understanding and
individualizes patient care. This open-ended approach demonstrates cultural sensitivity
and allows the nurse to address specific fears .
Question 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
Answer: D. Fetal and neonatal deaths per 1000 live births per year
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year. This measure combines late fetal deaths and early neonatal deaths to
assess the quality of obstetric and neonatal care .
, Question 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
Answer: D. A quality family experience for each patient
Rationale: Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise. This patient-centered approach emphasizes
individualized care, family involvement, and positive birth experiences .
Chapter 3: Human Reproductive Anatomy and Physiology
Question 6
Fertilization of the ovum typically occurs in the:
A. Ovary
B. Uterus
Pediatric Nursing, 10th Edition| Exam Prep with Answers
and Rationales
Chapter 1: The Past, Present, and Future
Question 1
Who is considered the founder of modern nursing and significantly improved sanitation
during the Crimean War?
A. Clara Barton
B. Florence Nightingale
C. Lillian Wald
D. Margaret Sanger
Answer: B. Florence Nightingale
,Rationale: Florence Nightingale established sanitary nursing practices and wrote "Notes
on Nursing." Her work during the Crimean War dramatically reduced mortality rates and
established nursing as a respected profession .
Question 2
The first American trained nurse was:
A. Linda Richards
B. Mary Breckinridge
C. Dorothea Dix
D. Isabel Hampton Robb
Answer: A. Linda Richards
Rationale: Linda Richards graduated from the New England Hospital for Women and
Children in 1873, becoming the first trained nurse in the United States .
Question 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."
Answer: C. "Tell me why you are afraid of childbirth."
Rationale: Asking the patient about her concerns helps promote understanding and
individualizes patient care. This open-ended approach demonstrates cultural sensitivity
and allows the nurse to address specific fears .
Question 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
Answer: D. Fetal and neonatal deaths per 1000 live births per year
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live
births per year. This measure combines late fetal deaths and early neonatal deaths to
assess the quality of obstetric and neonatal care .
, Question 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
Answer: D. A quality family experience for each patient
Rationale: Current maternity practice focuses on a high-quality family experience for all
families, traditional or otherwise. This patient-centered approach emphasizes
individualized care, family involvement, and positive birth experiences .
Chapter 3: Human Reproductive Anatomy and Physiology
Question 6
Fertilization of the ovum typically occurs in the:
A. Ovary
B. Uterus
