Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
Table of Contents
UNIT I: An Overview of Maternity and Pediatric Nursing
1. The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
2. Human Reproductive Anatomy and Physiology
3. Fetal Development
4. Prenatal Care and Adaptations to Pregnancy
5. Nursing Care of Women with Complications during Pregnancy
6. Nursing Care of Mother and Infant during Labor and Birth
7. Nursing Management of Pain during Labor and Birth
8. Nursing Care of Women with Complications during Labor and Birth
9. The Family after Birth
10. Nursing Care of Women with Complications Following Birth
11. The Nurse’s Role in Women’s Health Care
12. The Term Newborn
13. Preterm and Post-Term Newborns
14. The Newborn with a Perinatal Injury or Congenital Malformation
UNIT III: The Growing Child and Family
15. An Overview of Growth, Development, and Nutrition
16. The Infant
17. The Toddler
18. The Preschool Child
19. The School-Age Child
20. The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
21. The Child’s Experience of Hospitalization
22. Health Care Adaptations for the Child and Family
UNIT V: The Child Needing Nursing Care
23. The Child with a Sensory or Neurological Condition
24. The Child with a Musculoskeletal Condition
25. The Child with a Respiratory Disorder
26. The Child with a Cardiovascular Disorder
, Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
27. The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
28. The Child with a Gastrointestinal Condition
29. The Child with a Genitourinary Condition
30. The Child with a Skin Condition
31. The Child with a Metabolic Condition
32. Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
Child Patient
33. The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
34. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
, Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
Chapter 01: The Past, Present, and Future
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. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: 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 understanding and 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 perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6
, Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
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
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
8th Edition
Author: Gloria Leifer
Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
Table of Contents
UNIT I: An Overview of Maternity and Pediatric Nursing
1. The Past, Present, and Future
UNIT II: Maternal-Newborn Nursing and Women’s Health
2. Human Reproductive Anatomy and Physiology
3. Fetal Development
4. Prenatal Care and Adaptations to Pregnancy
5. Nursing Care of Women with Complications during Pregnancy
6. Nursing Care of Mother and Infant during Labor and Birth
7. Nursing Management of Pain during Labor and Birth
8. Nursing Care of Women with Complications during Labor and Birth
9. The Family after Birth
10. Nursing Care of Women with Complications Following Birth
11. The Nurse’s Role in Women’s Health Care
12. The Term Newborn
13. Preterm and Post-Term Newborns
14. The Newborn with a Perinatal Injury or Congenital Malformation
UNIT III: The Growing Child and Family
15. An Overview of Growth, Development, and Nutrition
16. The Infant
17. The Toddler
18. The Preschool Child
19. The School-Age Child
20. The Adolescent
UNIT IV: Adapting Care to the Pediatric Patient
21. The Child’s Experience of Hospitalization
22. Health Care Adaptations for the Child and Family
UNIT V: The Child Needing Nursing Care
23. The Child with a Sensory or Neurological Condition
24. The Child with a Musculoskeletal Condition
25. The Child with a Respiratory Disorder
26. The Child with a Cardiovascular Disorder
, Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
27. The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System
28. The Child with a Gastrointestinal Condition
29. The Child with a Genitourinary Condition
30. The Child with a Skin Condition
31. The Child with a Metabolic Condition
32. Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
Child Patient
33. The Child with an Emotional or Behavioral Condition
UNIT VI: The Changing Health Care Environment
34. Complementary and Alternative Therapies in Maternity and Pediatric Nursing
, Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
Chapter 01: The Past, Present, and Future
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. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
ANS: B
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries, and ensures
that a backup physician is available in case of unforeseen problems.
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever and unwashed
hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed
hands of physicians and medical students.
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
TOP: The Past KEY: Nursing Process Step: N/A
MSC: 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 understanding and 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 perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6
, Introduction to Maternity and Pediatric Nursing
8th Edition
Author: Gloria Leifer
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
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects of
economic depression on children.
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Childrens Charter
d. Head Start
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
