Introduction to Maternity and Pediatric Nursing: Chapter 1: The
Past, Present, and Future, Leifer (Quizlet) with 100% Accurate
Answers-2023/2024.
1. The certified nurse-midwife (CNM) clarifies to the pregnant patient that the CNM's scope of
practice includes:
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 and attends uncomplicated
deliveries and ensures that a backup physician is available in case of unforeseen problems.
2. The medical pioneer who discovered the relationship between the incidence of puerperal
fever and unwashed hands was:
a. Karl Credé.
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.
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." A nursing response reflecting
cultural sensitivity would be:
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.
4. An urban area has been reported to have a high perinatal mortality rate. The nurse explains
that this statistic refers to:
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 both fetal and neonatal deaths per 1000 live births per year.
5. Current maternity practice focuses on:
a. hospital births for the majority of women.
Introduction to Maternity and Pediatric
, Introduction to Maternity and Pediatric Nursing
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.
6. The individual who advocated the establishment of the Children's Bureau was:
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 Children's Bureau.
7. As a result of research done in the 1930s by the Children's 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. children's asylums were founded.
ANS: C
School hot lunch programs were developed as a result of research by the Children's Bureau on
the effects of economic depression on children.
8. The government program implemented to increase the educational exposure of preschool
children is:
a. WIC.
b. Title XIX of Medicaid.
c. The Children's Charter.
d. Head Start.
ANS: D
Head Start programs were established to increase educational exposure of preschool children.
9. Guidelines that define multidisciplinary patient care in terms of expected outcome and
timeframe from different areas of care provision are known as:
a. clinical pathways.
b. nursing outcome criteria.
c. standards of care.
d. nursing care plan.
ANS: A
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines
that define patient care across disciplines. Expected progress within a specified timeline is
identified.
10. A nursing student has reviewed a hospitalized child's chart, interviewed her mother, and
collected admission data. The next step in developing a nursing care plan for this child is to:
Introduction to Maternity and Pediatric