Test Bank: Introduction to Maternity and Pediatric Nursing, 9th Edition by Gloria Leifer - Chapters 1-34, 9780323826808 | Rationals Included

,Chapteri01:iTheiPast,iPresent,iandiFuture
Leifer:iIntroductionitoiMaternityiandiPediatriciNursing,i9thiEdition


MULTIPLEiCHOICE

1. Aipatientichoosesitoihaveitheicertifiedinurse-
midwifei(CNM)iprovideicareiduringiheripregnancy.iWhatidoesitheiCNM‘siscopeiofipr
acticeiinclude?
a. Practiceiindependentifromimedicalisupervision
b. Comprehensiveiprenatalicare
c. Attendanceiatiallideliveries
d. Cesareanisections

ANS:i B
TheiCNMiprovidesicomprehensiveiprenataliandipostnatalicare,iattendsiuncomplicatedideliveries,i
andiensuresithatiaibackupiphysicianiisiavailableiinicaseiofiunforeseeniproblems.

DIF: CognitiveiLevel:iComprehension REF:i i p.i6 OBJ:i i 5
TOP:i AdvanceiPracticeiNursingiRoles
KEY:i NursingiProcessiStep:iImplementationi MSC
:i NCLEX:iHealthiPromotioniandiMaintenance:iPreventioniandiEarlyiDetectioniofiDisease

2. Whichimedicalipioneeridiscovereditheirelationshipibetweenitheiincidenceiofipuerperalifeveria
ndiunwashedihands?
a. KarliCredé
b. IgnaziSemmelweis
c. LouisiPasteur
d. JosephiLister
ANS:i B
IgnaziSemmelweisideducedithatipuerperalifeveriwasiseptic,icontagious,ianditransmittedibyithei
unwashedihandsiofiphysiciansiandimedicalistudents.

DIF: CognitiveiLevel:iKnowledge REF:i p.i2
OBJ:i 1iTOP:i TheiPast
KEY:i NursingiProcessiStep:iN/A
MSC:i NCLEX:iSafe,iEffectiveiCareiEnvironment:iSafetyiandiInfectioniControl

3. AipregnantiwomaniwhoihasirecentlyiimmigrateditoitheiUnitediStatesicommentsitoitheinurse,
―Iiamiafraidiofichildbirth.iItiisisoidangerous.iIiamiafraidiIiwillidie.‖iWhatiisitheibestinursingirespon
seireflectingiculturalisensitivity?
a. ―MaternalimortalityiinitheiUnitediStatesiisiextremelyilow.‖
b. ―Anesthesiaiisiavailableitoirelieveipainiduringilaboriandichildbirth.‖
c. ―Tellimeiwhyiyouiareiafraidiofichildbirth.‖
d. ―Youriconditioniwillibeimonitorediduringilaboriandidelivery.‖
ANS:i C
Askingitheipatientiaboutihericoncernsihelpsipromoteiunderstandingiandiindividualizesipatientic
are.

DIF: CognitiveiLevel:iApplication REF:i i pp.i6-8 OBJ:i i 8
TOP:i Cross-CulturaliCare
KEY:i NursingiProcessiStep:iImplementationi

, MSC:i NCLEX:iPsychosocialiIntegrity:iPsychologicaliAdaptation
4. Aniurbaniareaihasibeenireporteditoihaveiaihighiperinatalimortalityirate.iWhatiinformationid
oesithisiprovide?
a. Maternaliandiinfantideathsiperi100,000iliveibirthsiperiyear
b. Deathsiofifetusesiweighingimoreithani500igiperi10,000ibirthsiperiyear
c. Deathsiofiinfantsiupitoi1iyeariofiageiperi1000iliveibirthsiperiyear
d. Fetaliandineonatalideathsiperi1000iliveibirthsiperiyear
ANS:i D
Theiperinatalimortalityirateiincludesifetaliandineonatalideathsiperi1000iliveibirthsiperiyear.

DIF: CognitiveiLevel:iComprehension
REF:i p.i13i|iBoxi1.6iOBJ:i 9 TOP:i TheiPresent-
ChildiCare
KEY:i NursingiProcessiStep:iImplementation
MSC:i NCLEX:iSafe,iEffectiveiCareiEnvironment:iCoordinatediCare

5. Whatiisitheifocusioficurrentimaternityipractice?
a. Hospitalibirthsiforitheimajorityiofiwomen
b. Theitraditionalifamilyiunit
c. Separationiofilaboriroomsifromideliveryirooms
d. Aiqualityifamilyiexperienceiforieachipatient
ANS:i D
Currentimaternityipracticeifocusesioniaihigh-
qualityifamilyiexperienceiforiallifamilies,itraditionalioriotherwise.

DIF: CognitiveiLevel:iComprehension REF:i p.i6
OBJ:i 5iTOP:i TheiPresent-MaternityiCare
KEY:i NursingiProcessiStep:iN/AiMSC:i NCLEX:iHealthiPromotionian
diMaintenance

6. WhoiadvocateditheiestablishmentiofitheiChildren‘siBureau?
a. LillianiWald
b. FlorenceiNightingale
c. FlorenceiKelly
d. ClaraiBarton

ANS:i A
LillianiWaldiisicreditediwithisuggestingitheiestablishmentiofiaifederaliChildren‘siBureau.

DIF: CognitiveiLevel:iKnowledge REF:i p.i4
OBJ:i 1i|i2iTOP:i TheiPast
KEY:i NursingiProcessiStep:iImplementation
MSC:i NCLEX:iHealthiPromotioniandiMaintenance:iGrowthiandiDevelopment

7. Whatiwasitheiresultiofiresearchidoneiinithei1930sibyitheiChildren‘siBureau?
a. Childreniwithiheartiproblemsiareinowicarediforibyipediatricicardiologists.
b. TheiChildiAbuseiandiPreventioniActiwasipassed.
c. Hotilunchiprogramsiwereiestablishediinimanyischools.
d. Children‘siasylumsiwereifounded.

ANS:i C
SchoolihotilunchiprogramsiwereidevelopediasiairesultiofiresearchibyitheiChildren‘siBureauionithei
effectsiofieconomicidepressionionichildren.

, DIF: CognitiveiLevel:iKnowledge REF:i i p.i4 OBJ:i i 2i|i3
TOP:i TheiPast KEY:i NursingiProcessiStep:iN/A
MSC:i NCLEX:iHealthiPromotioniandiMaintenance:iCoordinatediCare

8. Whatigovernmentiprogramiwasiimplementeditoiincreaseitheieducationaliexposureiofip
reschoolichildren?
a. WIC
b. TitleiXIXiofiMedicaid
c. TheiChildren‘siCharter
d. HeadiStart
ANS:i D
HeadiStartiprogramsiwereiestablisheditoiincreaseieducationaliexposureiofipreschoolichildren.

DIF: CognitiveiLevel:iKnowledge REF:i i p.i3 OBJ:i i 3
TOP:i GovernmentiInfluencesiiniMaternityiandiPediatriciCare
KEY:i NursingiProcessiStep:iN/Ai
MSC:i NCLEX:iHealthiPromotioniandiMaintenance:iGrowthiandiDevelopment

9. Whatiguidelinesidefineimultidisciplinaryipatienticareiinitermsiofiexpectedioutcomeianditi
meframeifromidifferentiareasioficareiprovision?
a. Clinicalipathways
b. Nursingioutcomeicriteria
c. Standardsioficare
d. Nursingicareiplan

ANS:i A
Clinicalipathways,ialsoiknowniasicriticalipathwaysioricareimaps,iareicollaborativeiguidelinesithati
defineipatienticareiacrossidisciplines.iExpectediprogressiwithiniaispecifieditimelineiisiidentified.

DIF: CognitiveiLevel:iKnowledge REF:i p.i13
OBJ:i 10iTOP:i HealthiCareiDeliveryiSystems
KEY:i NursingiProcessiStep:iN/AiMSC:i NCLEX:iSafe,iEffectiveiCarei
Environment:iCoordinatediCare

10. Ainursingistudentihasireviewediaihospitalizedipediatricipatientichart,iinterviewediherimother,ia
ndicollectediadmissionidata.iWhatiisitheinextistepitheistudentiwillitakeitoidevelopiainursingicar
eiplaniforithisichild?
a. Identifyimeasurableioutcomesiwithiaitimeline.
b. Chooseispecificinursingiinterventionsiforitheichild.
c. Determineiappropriateinursingidiagnoses.
d. Stateinursingiactionsirelateditoitheichild‘simedicalidiagnosis.

ANS:i C
Theinurseiusesiassessmentidataitoiselectiappropriateinursingidiagnoses.iOutcomesiandiintervent
ionsiareithenidevelopeditoiaddressitheirelevantinursingidiagnoses.

DIF: CognitiveiLevel:iApplication REF:i i p.i12 OBJ:i i 7
TOP:i NursingiProcess
KEY:i NursingiProcessiStep:iNursingiDiagnosisi
MSC:i NCLEX:iSafe,iEffectiveiCareiEnvironment:iCoordinatediCare

11. AinursingistudentionianiobstetricirotationiquestionsitheifloorinurseiaboutitheidefinitioniofitheiL
VN/LPNiscopeiofipractice.iWhatiresourceicanitheinurseisuggestitoitheistudent?
a. AmericaniNursesiAssociation