Test bank introduction to maternity and pediatric nursing 7th edition

TestbBankb-bIntroductionbtobMaternitybandbPediatricbNursingb7eb(Leiferb2015) 1



Table of Contents
b b




Tableb ofb Contents 1
Chapterb 01:b ThebPast,bPresent,b andbFuture 2
Chapterb 02:b Humanb Reproductiveb Anatomyb andb Physiologyb 12
Chapterb03:bFetalbDevelopment 22
Chapterb 04:b Prenatalb Careb andb Adaptationsb tob Pregnancy 31
Chapterb 05:b Nursingb Careb ofbWomenb withb Complicationsb Duringb Pregnancyb 40
Chapterb06:bNursingbCarebofbMotherbandbInfantbDuringbLaborbandbBirthbChapt 50
erb07:bNursingbManagementbofbPainbDuringbLaborbandbBirth 60
Chapterb 08:b Nursingb Carebofb Womenb withb Complicationsb Duringb Laborb andb Birthb 70
Chapterb09:bThebFamilybAfterbBirth 79
Chapterb 10:b Nursingb Careb ofbWomenb withb Complicationsb Afterb Birthb 88
Chapterb11:bThebNursesbRolebinbWomensbHealthbCare 97
Chapterb 12:b ThebTermb Newborn 106
Chapterb 13:b Pretermb andb Posttermb Newborns 116
Chapterb 14:b Theb Newbornb withb abPerinatalb Injuryb orb Congenitalb MalformationbCha 125
pterb15:bAnbOverviewbofbGrowth,bDevelopment,bandbNutrition 135
Chapterb16:bThebInfantbC 145
hapterb17:bThebToddler 155
Chapterb18:bThebPreschoolbChildbChapter 164
b19:bThebSchool- 173
AgebChildChapterb20:bThebAdolescent 182
Chapterb21:bTheb Childsb ExperiencebbbofbbbHospitalizationbChapter 191
b 22:b Healthb Careb Adaptationsb forb theb Childb andb FamilybChapterb 2 200
3:b Theb Childb withbab Sensoryb orb Neurologicalb ConditionbChapterb2 209
4:bThebChildbwithbab Musculoskeletalb ConditionbChapterb25:bTheb 219
ChildbwithbabRespiratorybDisorder 229
Chapterb 26:b Theb Childb withbab Cardiovascularb Disorder 238
Chapterb 27:b ThebChildb withbabConditionb ofb theb Blood,b Blood-Formingb Organs,b orbLymphatic
System 246
Chapterb 28:b Theb Childb withb ab Gastrointestinalb Conditionb 256
Chapterb29:bThebChildb withbabGenitourinarybConditionbCh 267
apterb30:bThebChildbwithbabSkinbCondition 276
Chapterb31:b ThebChildb withbabMetabolicbCondition 286
Chapterb 32:b Childhoodb Communicableb Diseases,b Bioterrorism,b Naturalb Disastersb andb the
Maternal-Childb Patient 296
Chapterb 33:b ThebChildb withbanbEmotionalb orb Behavioralb Condition 305
Chapterb 34:b Complementaryb andb Alternativeb Therapiesb inb Maternityb andb Pediatricb Nursing
315

,TestbBankb-bIntroductionbtobMaternitybandbPediatricbNursingb7eb(Leiferb2015) 2



Chapter 01: The Past, Present, and Future
b b b b b b



MULTIPLEb CHOICE

1. Abpatientbchoosesbtobhavebthebcertifiedbnursebmidwifeb(CNM)bprovidebcarebduringbherbpregnancy.bWhatbdoesbt
hebCNMsbscopebofbpracticebinclude?
a. Practiceb independentb fromb medicalb supervision
b. Comprehensivebprenatalbcare
c. Attendancebatballbdeliveries
d. Cesareanbsections

ANS:bB
ThebCNMbprovidesbcomprehensivebprenatalbandbpostnatalbcare,battendsbuncomplicatedbdeliveries,bandbensuresbth
atbabbackupbphysicianbisbavailablebinbcasebofbunforeseenbproblems.

DIF:bCognitivebLevel:bComprehensionbREF:bPageb6bOBJ:b12
TOP:bAdvancebPracticebNursingbRolesbKEY:bNursingbProcessbStep:bImplementation
MSC:bNCLEX:bHealthbPromotionbandbMaintenance:bPreventionbandbEarlybDetectionbofbDisease

2. Whichbmedicalbpioneerbdiscoveredbthebrelationshipbbetweenbthebincidencebofbpuerperalbfeverbandbunwashedb
hands?
a. KarlbCred
b. Ignazb Semmelweis
c. Louisb Pasteur
d. Josephb Lister

ANS:bB
IgnazbSemmelweisbdeducedbthatbpuerperalbfeverbwasbseptic,bcontagious,bandbtransmittedbbybthebunwashedihandsbof
bphysicians band bmedicalbstudents.



DIF:bCognitivebLevel:bKnowledgebREF:bPageb2bOBJ:b1bT
OP:bThebPastbKEY:bNursingbProcessbStep:bN/A
MSC:bNCLEX:bSafe,bEffectivebCarebEnvironment:bSafetybandbInfectionbControl

3. AbpregnantbwomanbwhobhasbrecentlybimmigratedbtobthebUnitedbStatesbcommentsbtobthebnurse,bIbambafraidbofb
childbirth.bItbisbsobdangerous.bIbambafraidbIbwillbdie.bWhatbisbthebbestbnursingbresponsebreflectingbculturalb
sensitivity?
a. MaternalbmortalitybinbthebUnitedbStatesbisbextremelyblow.
b. Anesthesiabisbavailablebtobrelievebpainbduringblaborbandbchildbirth.
c. Tellbmebwhybyoubarebafraidbofbchildbirth.
d. Yourbconditionbwillbbebmonitoredbduringblaborbandbdelivery.

ANS:bC
Askingbthebpatientbaboutbherbconcernsbhelpsbpromotebunderstandingbandbindividualizesbpatientbcare.

DIF:bCognitivebLevel:bApplicationbREF:bPageb7-
8bOBJ:b8bTOP:b Cross-
Culturalb Careb KEY:b Nursingb Processb Step:
ImplementationiMSC:bNCLEX:bPsychosocialbIntegrity:bPsychologicalb
Adaptation

4. Anburbanbareabhasbbeenbreportedbtobhavebabhighbperinatalbmortalitybrate.bWhatbinformationbdoesbthisbprovide?
a. Maternalbandbinfantbdeathsbperb100,000blivebbirthsbperbyear
b. Deathsbofbfetusesbweighingbmorebthanb500bgbperb10,000bbirthsbperbyear
c. Deathsbofbinfantsbupbtob1byearbofbagebperb1000blivebbirthsbperbyear
d. Fetalbandbneonatalbdeathsbperb1000blivebbirthsbperbyear

ANS:bD
Thebperinatalbmortalitybratebincludesbfetalbandbneonatalbdeathsbperb1000blivebbirthsbperbyear.b

DIF:bCognitivebLevel:bComprehensionbREF:bPageb12,bBoxb1-6

,TestbBankb-bIntroductionbtobMaternitybandbPediatricbNursingb7eb(Leiferb2015) 3


OBJ:b9bTOP:bThebPresent-ChildbCare
KEY:bNursingbProcessbStep:bImplementation
MSC:bNCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

5. Whatbisbthebfocusbofbcurrentbmaternitybpractice?
a. Hospitalbbirthsbforbthebmajoritybofbwomen
b. Thebtraditionalbfamilybunit
c. Separationbofblaborbroomsbfrombdeliverybrooms
d. Abqualitybfamilybexperiencebforbeachbpatient

ANS:bD
Currentbmaternitybpracticebfocusesbonbabhigh-qualitybfamilybexperiencebforballbfamilies,btraditionalborbotherwise.

DIF:bCognitivebLevel:bComprehensionbREF:bPageb6bOBJ:b7
TOP:bThebPresent-
MaternitybCarebKEY:bNursingbProcessbStep:bN/AbMSC:bNCLEX:bHealth
bPromotion band bMaintenance



6. WhobadvocatedbthebestablishmentbofbthebChildrensbBureau?
a. LillianbWald
b. Florenceb Nightingale
c. FlorencebKelly
d. ClarabBarton

ANS:bA
LillianbWaldbisbcreditedbwithbsuggestingbthebestablishmentbofbabfederalbChildrensbBureau.

DIF:bCognitivebLevel:bKnowledgebREF:bPageb4bOBJ:b1b|b2b
TOP:bThebPastbKEY:bNursingbProcessbStep:bImplementation
MSC:bNCLEX:bHealthb Promotionbandb Maintenance:bGrowthbandbDevelopment

7. Whatbwasbthebresultbofbresearchbdonebinbtheb1930sbbybthebChildrensbBureau?
a. Childrenbwithbheartbproblemsbarebnowbcaredbforbbybpediatricbcardiologists.
b. ThebChildbAbusebandbPreventionbActbwasbpassed.
c. Hotblunchbprogramsbwerebestablishedbinbmanybschools.
d. Childrensbasylumsbwerebfounded.

ANS:bC
SchoolbhotblunchbprogramsbwerebdevelopedbasbabresultbofbresearchbbybthebChildrensbBureaubonbthebeffectsbofb
economicbdepressionbonbchildren.

DIF:bCognitivebLevel:bKnowledgebREF:bPageb4bOBJ:b2b|b3b
TOP:bThebPastbKEY:bNursingbProcessbStep:bN/A
MSC:bNCLEX:bHealthbPromotionbandbMaintenance:bCoordinatedbCare

8. Whatbgovernmentbprogrambwasbimplementedbtobincreasebthebeducationalbexposurebofbpreschoolbchildren?
a. WIC
b. Titleb XIXb ofb Medicaid
c. Theb Childrensb Charter
d. HeadbStart

ANS:bD
HeadbStartbprogramsbwerebestablishedbtobincreasebeducationalbexposurebofbpreschoolbchildren.

DIF:bCognitivebLevel:bKnowledgebREF:bPageb3bOBJ:b5
TOP:bGovernmentbInfluencesbinbMaternitybandbPediatricbCarebKEY:bNursingbProcessbStep:bN/Ab
MSC:bNCLEX:bHealthbPromotionbandbMaintenance:bGrowthbandbDevelopment

9. Whatbguidelinesbdefinebmultidisciplinarybpatientbcarebinbtermsbofbexpectedboutcomebandbtimeframebfromb
differentbareasbofbcarebprovision?

, TestbBankb-bIntroductionbtobMaternitybandbPediatricbNursingb7eb(Leiferb2015) 4


a. Clinicalbpathways
b. Nursingboutcomebcriteria
c. Standardsbofbcare
d. Nursingbcarebplan

ANS:bA
Clinicalbpathways,balsobknownbasbcriticalbpathwaysborbcarebmaps,barebcollaborativebguidelinesbthatbdefineipatientb
carebacrossbdisciplines.bExpectedbprogressbwithinbabspecifiedbtimelinebisbidentified.

DIF:bCognitivebLevel:bKnowledgebREF:bPageb12bOBJ:b14
TOP:bHealthbCarebDeliverybSystemsbKEY:bNursingbProcessbStep:bN/AbM
SC:bNCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

10. Abnursingbstudentbhasbreviewedbabhospitalizedbpediatricbpatientbchart,binterviewedbherbmother,bandbcollectedb
admissionbdata.bWhatbisbthebnextbstepbthebstudentbwillbtakebtobdevelopbabnursingbcarebplanbforbthisbchild?
a. Identifybmeasurableboutcomesbwithbabtimeline.
b. Choosebspecificbnursingbinterventionsbforbthebchild.
c. Determineb appropriateb nursingb diagnoses.
d. Statebnursingbactionsbrelatedbtobthebchildsbmedicalbdiagnosis.

ANS:bC
ThebnursebusesbassessmentbdatabtobselectbappropriatebnursingbdiagnosesbfrombthebNANDA-
Iblist.bOutcomesbandbinterventionsbarebthenbdevelopedbtobaddressbthebrelevantbnursingbdiagnoses.

DIF:bCognitivebLevel:bApplicationbREF:bPageb11bOBJ:b13
TOP:bNursingbProcessbKEY:bNursingbProcessbStep:bNursingbDiagnosisbM
SC:bNCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

11. AbnursingbstudentbonbanbobstetricbrotationbquestionsbthebfloorbnursebaboutbthebdefinitionbofbthebLVN/LPNb
scopebofbpractice.bWhatbresourcebcanbthebnursebsuggestbtobthebstudent?
a. Americanb Nursesb Association
b. Statesbboardbofbnursing
c. JointbCommission
d. AssociationbofbWomensbHealth,bObstetricbandbNeonatalbNurses

ANS:bB
ThebscopebofbpracticebofbthebLVN/LPNbisbpublishedbbybthebstatesbboardbofbnursing.

DIF:bCognitivebLevel:bComprehensionbREF:bPageb3,bLegalbandbEthicalbConsiderationsbOBJ
:b18bTOP:bCriticalbThinking
KEY:bNursingbProcessbStep:bImplementation
MSC:bNCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

12. WhatbwasbrecommendedbbybKarlbCredbinb1884?
a. Allbwomenbshouldbbebdeliveredbinbabhospitalbsetting.
b. Chemicalbmeansbshouldbbebusedbtobcombatbinfection.
c. Podalicbversionbshouldbbebdonebonballbfetuses.
d. Silverbnitratebshouldbbebplacedbinbthebeyesbofbnewborns.

ANS:bD
Inb1884bKarlbCredbrecommendedbthebusebofb2%bsilverbnitratebinbthebeyesbofbnewbornsbtobreducebthebincidencebofb
blindness.

DIF:bCognitivebLevel:bKnowledgebREF:bPageb2bOBJ:b1bTO
P:bUsebofbSilverbNitratebKEY:bNursingbProcessbStep:bN/A
MSC:bNCLEX:bHealthbPromotionbandbMaintenance:bPreventionbandbEarlybDetectionbofbDisease

13. WhatbisbthebpurposebofbthebWhitebHousebConferencebonbChildrenbandbYouth?
a. Setbcriteriabforbnormalbgrowthbpatterns.