Introduction to
Maternity and
Pediatric Nursing
7th Edition Leifer
Test Bank
, Table of Contents
Table of Contents 1
Chapter 01: The Past, Present, and Future 2
Chapter 02: Human Reproductive Anatomy and Physiology 12
Chapter 03: Fetal Development 22
Chapter 04: Prenatal Care and Adaptations to Pregnancy 31
Chapter 05: Nursing Care of Women with Complications During Pregnancy 39
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth 50
Chapter 07: Nursing Management of Pain During Labor and Birth 62
Chapter 08: Nursing Care of Women with Complications During Labor and Birth 72
Chapter 09: The Family After Birth 81
Chapter 10: Nursing Care of Women with Complications After Birth 90
Chapter 11: The Nurses Role in Womens Health Care 99
Chapter 12: The Term Newborn 108
Chapter 13: Preterm and Postterm Newborns 118
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation 127
Chapter 15: An Overview of Growth, Development, and Nutrition 138
Chapter 16: The Infant 148
Chapter 17: The Toddler 159
Chapter 18: The Preschool Child 168
Chapter 19: The School-Age Child 178
Chapter 20: The Adolescent 187
Chapter 21: The Childs Experience of Hospitalization 198
Chapter 22: Health Care Adaptations for the Child and Family 207
Chapter 23: The Child with a Sensory or Neurological Condition 217
Chapter 24: The Child with a Musculoskeletal Condition 227
Chapter 25: The Child with a Respiratory Disorder 238
Chapter 26: The Child with a Cardiovascular Disorder 248
, 2
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic
System 257
Chapter 28: The Child with a Gastrointestinal Condition 267
Chapter 29: The Child with a Genitourinary Condition 277
Chapter 30: The Child with a Skin Condition 287
Chapter 31: The Child with a Metabolic Condition 297
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the
Maternal-Child Patient 307
Chapter 33: The Child with an Emotional or Behavioral Condition 316
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
315
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
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
Maternity and
Pediatric Nursing
7th Edition Leifer
Test Bank
, Table of Contents
Table of Contents 1
Chapter 01: The Past, Present, and Future 2
Chapter 02: Human Reproductive Anatomy and Physiology 12
Chapter 03: Fetal Development 22
Chapter 04: Prenatal Care and Adaptations to Pregnancy 31
Chapter 05: Nursing Care of Women with Complications During Pregnancy 39
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth 50
Chapter 07: Nursing Management of Pain During Labor and Birth 62
Chapter 08: Nursing Care of Women with Complications During Labor and Birth 72
Chapter 09: The Family After Birth 81
Chapter 10: Nursing Care of Women with Complications After Birth 90
Chapter 11: The Nurses Role in Womens Health Care 99
Chapter 12: The Term Newborn 108
Chapter 13: Preterm and Postterm Newborns 118
Chapter 14: The Newborn with a Perinatal Injury or Congenital Malformation 127
Chapter 15: An Overview of Growth, Development, and Nutrition 138
Chapter 16: The Infant 148
Chapter 17: The Toddler 159
Chapter 18: The Preschool Child 168
Chapter 19: The School-Age Child 178
Chapter 20: The Adolescent 187
Chapter 21: The Childs Experience of Hospitalization 198
Chapter 22: Health Care Adaptations for the Child and Family 207
Chapter 23: The Child with a Sensory or Neurological Condition 217
Chapter 24: The Child with a Musculoskeletal Condition 227
Chapter 25: The Child with a Respiratory Disorder 238
Chapter 26: The Child with a Cardiovascular Disorder 248
, 2
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic
System 257
Chapter 28: The Child with a Gastrointestinal Condition 267
Chapter 29: The Child with a Genitourinary Condition 277
Chapter 30: The Child with a Skin Condition 287
Chapter 31: The Child with a Metabolic Condition 297
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the
Maternal-Child Patient 307
Chapter 33: The Child with an Emotional or Behavioral Condition 316
Chapter 34: Complementary and Alternative Therapies in Maternity and Pediatric Nursing
315
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
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
