2
NURSINGTB.COM
,INTRODUCTION TO MATERNITY AND PEDIAT r r r r 3
RIC NURSING
r 8TH EDITION LEIFERr
Chapter 01: The Past, Present, and Future
r r r r
r
r r
r
MULTIPLEr CHOICE
1. Arpatientrchoosesrtorhaverthercertifiedrnursermidwifer(CNM)rprovidercarerduringrherrpregnancy.rWhatrdoesrtherC
NMsrscoperofrpracticerinclude?
a. Practicer independentr fromr medicalr supervision
b. Comprehensiver prenatalr care
c. Attendanceratrallr deliveries
d. Cesareanr sections
ANS:r B
TherCNMrprovidesrcomprehensiverprenatalrandrpostnatalrcare,rattendsruncomplicatedrdeliveries,randrensuresrthat
rarbackuprphysicianrisravailable rinrcaserofrunforeseenrproblems.
DIF:r Cognitiver Level:r Comprehensionr REF:r Pager 6
TOP:r Advancer Practicer Nursingr Rolesr KEY:r Nursingr Processr Step:r Implementation
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Preventionr andrEarlyr Detectionr ofr Disease
2. Whichrmedicalrpioneerrdiscoveredrtherrelationshiprbetweenrtherincidencerofrpuerperalrfeverrandrunwashedrhand
s?
a. KarlrCred
b. Ignazr Semmelweis
c. Louisr Pasteur
d. Josephr Lister
ANS:r B
IgnazrSemmelweisrdeducedrthatrpuerperalrfeverrwasrseptic,rcontagious,randrtransmittedrbyrtherunwashedrhandsro
frphysiciansrandrmedicalrstudents.
NURSINGTB.COM
DIF:rCognitiverLevel:rKnowledgerREF:rPager2rTO
P:r TherPastr KEY:r Nursingr Processr Step:r N/A
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Safetyr andr Infectionr Control
3. ArpregnantrwomanrwhorhasrrecentlyrimmigratedrtortherUnitedrStatesrcommentsrtorthernurse,rIramrafraidrofrchild
birth.rItrisrsordangerous.rIramrafraidrIrwillrdie.rWhatrisrtherbestrnursingrresponserreflectingrculturalrsensitivity?
a. Maternalr mortalityr inr ther Unitedr Statesr isr extremelyr low.
b. Anesthesiarisravailabler torreliever painrduringr laborr andrchildbirth.
c. Tellrmerwhyryourarerafraidr ofrchildbirth.
d. Yourrconditionrwillr ber monitoredr duringr laborr andr delivery.
ANS:r C
Askingr ther patientr aboutr herr concernsr helpsr promoter understandingr andr individualizesr patientr care.
DIF:r Cognitiver Level:r Applicationr REF:r Pager 7
TOP:rCross-
CulturalrCarerKEY:rNursingrProcessrStep:rImplementationrMSC:rNCLE
X:r PsychosocialrIntegrity:r Psychologicalr Adaptation
4. Anrurbanr arear hasr beenr reportedrtor haver arhighr perinatalr mortalityrrate.r Whatr informationr doesr thisr provide?
a. Maternalr andrinfantr deathsr perr 100,000r liver birthsr perr year
b. Deathsr ofrfetusesrweighingr morer thanr 500r gr perr 10,000r birthsr perr year
c. Deathsr ofr infantsruprtor1r yearrofr agerperr 1000rliver birthsr perr year
d. Fetalrandr neonatalr deathsr perr1000r liver birthsr perryear
ANS:r D
Therperinatalrmortalityrraterincludesrfetalrandrneonatalrdeathsrperr1000rliverbirthsrperryear.rDI
F:rCognitiverLevel:rComprehensionrREF:rPager12
NURSINGTB.COM
, INTRODUCTIONrTOrMATERNITYrANDrPEDIATRICrNURSINGr8THrEDITIONrLEIFERrTESTrBANK
TestrBankr-rIntroductionrtorMaternityrandrPediatricrNursingr8er(byrLeifer) 4
OBJ:r 9r TOP:r Ther Present-Childr Care
KEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Coordinatedr Care
5. Whatrisrtherfocusr ofr currentr maternityr practice?
a. Hospitalr birthsrforrther majorityr ofrwomen
b. Thertraditionalr familyr unit
c. Separationr ofr laborr roomsr fromr deliveryr rooms
d. Ar qualityrfamilyr experiencer forreachr patient
ANS:r D
Currentr maternityr practicer focusesr onr ar high-qualityr familyr experiencer forr allr families,r traditionalr orr otherwise.
DIF:r Cognitiver Level:r Comprehensionr REF:r Pager 6
TOP:rTherPresent-
MaternityrCarerKEY:rNursingrProcessrStep:rN/ArMSC:rNCLEX:rHealthr
PromotionrandrMaintenance
6. Whor advocatedr ther establishmentr ofr ther Childrensr Bureau?
a. Lillianr Wald
b. Florencer Nightingale
c. Florencer Kelly
d. Clarar Barton
ANS:r A
Lillianr Waldr isr creditedrwithrsuggestingr ther establishmentr ofr ar federalr Childrensr Bureau.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 4
TOP:rTherPastrKEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Growthr andr Development
NURSINGTB.COM
7. Whatrwasr therresultr ofrresearchr donerinrther 1930sr byrther ChildrensrBureau?
a. Childrenrwithrheartrproblemsr arernowrcaredrforr byrpediatricr cardiologists.
b. Ther ChildrAbuser andr Preventionr Actr wasr passed.
c. Hotrlunchr programsr werer establishedr inr manyr schools.
d. Childrensr asylumsr werer founded.
ANS:r C
SchoolrhotrlunchrprogramsrwererdevelopedrasrarresultrofrresearchrbyrtherChildrensrBureauronrthereffectsrofrecono
micrdepressionronrchildren.
DIF:rCognitiverLevel:rKnowledgerREF:rPager4rTO
P:r TherPastr KEY:r Nursingr Processr Step:r N/A
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Coordinatedr Care
8. Whatr governmentr programr wasr implementedr tor increaser ther educationalr exposurer ofr preschoolr children?
a. WIC
b. Titler XIXr ofr Medicaid
c. Ther Childrensr Charter
d. Headr Start
ANS:r D
Headr Startr programsr werer establishedr tor increaser educationalr exposurer ofr preschoolr children.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 3
TOP:rGovernmentrInfluencesrinrMaternityrandrPediatricrCarerKEY:rNursingrProcessrStep:rN/ArM
SC:rNCLEX:rHealthrPromotionrandrMaintenance:rGrowthrandrDevelopment
9. Whatrguidelinesrdefinermultidisciplinaryrpatientrcarerinrtermsrofrexpectedroutcomerandrtimeframerfromrdiffe
rentrareasrofrcarerprovision?
NURSINGTB.COM
, INTRODUCTIONrTOrMATERNITYrANDrPEDIATRICrNURSINGr8THrEDITIONrLEIFERrTESTrBANK
TestrBankr-rIntroductionrtorMaternityrandrPediatricrNursingr8er(byrLeifer) 5
a. Clinicalr pathways
b. Nursingr outcomer criteria
c. Standardsr ofr care
d. Nursingr carer plan
ANS:r A
Clinicalrpathways,ralsorknownrasrcriticalrpathwaysrorrcarermaps,rarercollaborativerguidelinesrthatrdefinerpatientrc
areracrossrdisciplines.rExpectedrprogressrwithinrarspecifiedrtimelinerisridentified.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 12
TOP:rHealthrCarerDeliveryrSystemsrKEY:rNursingrProcessrStep:rN/ArMS
C:rNCLEX:rSafe,rEffectiverCarerEnvironment:rCoordinatedrCare
10. Arnursingrstudentrhasrreviewedrarhospitalizedrpediatricrpatientrchart,rinterviewedrherrmother,randrcollectedradmi
ssionrdata.rWhatrisrthernextrsteprtherstudentrwillrtakertordeveloprarnursingrcarerplanrforrthisrchild?
a. Identifyr measurabler outcomesr withr ar timeline.
b. Chooser specificr nursingr interventionsr forr ther child.
c. Determiner appropriater nursingr diagnoses.
d. Staternursingractionsrrelatedr tor therchildsr medicalr diagnosis.
ANS:r C
ThernurserusesrassessmentrdatartorselectrappropriaternursingrdiagnosesrfromrtherNANDA-
Irlist.rOutcomesrandrinterventionsrarerthenrdevelopedrtoraddressrtherrelevantrnursingrdiagnoses.
DIF:r Cognitiver Level:r Applicationr REF:r Pager 11
TOP:rNursingrProcessrKEY:rNursingrProcessrStep:rNursingrDiagnosisrM
SC:rNCLEX:rSafe,rEffectiverCarerEnvironment:rCoordinatedrCare
11. ArnursingrstudentronranrobstetricrrotationrquestionsrtherfloorrnurseraboutrtherdefinitionrofrtherLVN/LPNrscoper
ofr practice.r Whatr resourcer canr ther n urseNsUuRggS IeNstGtoT Bth. Ce OstM
ude nt?
a. Americanr Nursesr Association
b. Statesr boardrofr nursing
c. JointrCommission
d. Associationr ofr Womensr Health,r Obstetricr andrNeonatalr Nurses
ANS:r B
Ther scoper ofr practicer ofrtherLVN/LPNr isrpublishedr byr therstatesr boardr ofr nursing.
DIF:rCognitiverLevel:rComprehensionrREF:rPager3r
OBJ:r18rTOP:rCriticalrThinking
KEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Coordinatedr Care
12. Whatrwasr recommendedr byr KarlrCredr inr 1884?
a. Allrwomenr shouldr berdeliveredr inr ar hospitalr setting.
b. Chemicalrmeansrshouldr ber usedr tor combatr infection.
c. Podalicrversionr shouldr ber doner onr allr fetuses.
d. Silverr nitratershouldrber placedrinr ther eyesrofr newborns.
ANS:r D
Inr1884rKarlrCredrrecommendedrtheruserofr2%rsilverrnitraterinrthereyesrofrnewbornsrtorreducertherincidencerofrblind
ness.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 2
TOP:r User ofr Silverr Nitrater KEY:rNursingr Processr Step:r N/A
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Preventionr andrEarlyr Detectionr ofr Disease
13. Whatr isr ther purposer ofr ther Whiter Houser Conferencer onrChildrenr andrYouth?
a. Setrcriteriar forr normalr growthr patterns.
NURSINGTB.COM
NURSINGTB.COM
,INTRODUCTION TO MATERNITY AND PEDIAT r r r r 3
RIC NURSING
r 8TH EDITION LEIFERr
Chapter 01: The Past, Present, and Future
r r r r
r
r r
r
MULTIPLEr CHOICE
1. Arpatientrchoosesrtorhaverthercertifiedrnursermidwifer(CNM)rprovidercarerduringrherrpregnancy.rWhatrdoesrtherC
NMsrscoperofrpracticerinclude?
a. Practicer independentr fromr medicalr supervision
b. Comprehensiver prenatalr care
c. Attendanceratrallr deliveries
d. Cesareanr sections
ANS:r B
TherCNMrprovidesrcomprehensiverprenatalrandrpostnatalrcare,rattendsruncomplicatedrdeliveries,randrensuresrthat
rarbackuprphysicianrisravailable rinrcaserofrunforeseenrproblems.
DIF:r Cognitiver Level:r Comprehensionr REF:r Pager 6
TOP:r Advancer Practicer Nursingr Rolesr KEY:r Nursingr Processr Step:r Implementation
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Preventionr andrEarlyr Detectionr ofr Disease
2. Whichrmedicalrpioneerrdiscoveredrtherrelationshiprbetweenrtherincidencerofrpuerperalrfeverrandrunwashedrhand
s?
a. KarlrCred
b. Ignazr Semmelweis
c. Louisr Pasteur
d. Josephr Lister
ANS:r B
IgnazrSemmelweisrdeducedrthatrpuerperalrfeverrwasrseptic,rcontagious,randrtransmittedrbyrtherunwashedrhandsro
frphysiciansrandrmedicalrstudents.
NURSINGTB.COM
DIF:rCognitiverLevel:rKnowledgerREF:rPager2rTO
P:r TherPastr KEY:r Nursingr Processr Step:r N/A
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Safetyr andr Infectionr Control
3. ArpregnantrwomanrwhorhasrrecentlyrimmigratedrtortherUnitedrStatesrcommentsrtorthernurse,rIramrafraidrofrchild
birth.rItrisrsordangerous.rIramrafraidrIrwillrdie.rWhatrisrtherbestrnursingrresponserreflectingrculturalrsensitivity?
a. Maternalr mortalityr inr ther Unitedr Statesr isr extremelyr low.
b. Anesthesiarisravailabler torreliever painrduringr laborr andrchildbirth.
c. Tellrmerwhyryourarerafraidr ofrchildbirth.
d. Yourrconditionrwillr ber monitoredr duringr laborr andr delivery.
ANS:r C
Askingr ther patientr aboutr herr concernsr helpsr promoter understandingr andr individualizesr patientr care.
DIF:r Cognitiver Level:r Applicationr REF:r Pager 7
TOP:rCross-
CulturalrCarerKEY:rNursingrProcessrStep:rImplementationrMSC:rNCLE
X:r PsychosocialrIntegrity:r Psychologicalr Adaptation
4. Anrurbanr arear hasr beenr reportedrtor haver arhighr perinatalr mortalityrrate.r Whatr informationr doesr thisr provide?
a. Maternalr andrinfantr deathsr perr 100,000r liver birthsr perr year
b. Deathsr ofrfetusesrweighingr morer thanr 500r gr perr 10,000r birthsr perr year
c. Deathsr ofr infantsruprtor1r yearrofr agerperr 1000rliver birthsr perr year
d. Fetalrandr neonatalr deathsr perr1000r liver birthsr perryear
ANS:r D
Therperinatalrmortalityrraterincludesrfetalrandrneonatalrdeathsrperr1000rliverbirthsrperryear.rDI
F:rCognitiverLevel:rComprehensionrREF:rPager12
NURSINGTB.COM
, INTRODUCTIONrTOrMATERNITYrANDrPEDIATRICrNURSINGr8THrEDITIONrLEIFERrTESTrBANK
TestrBankr-rIntroductionrtorMaternityrandrPediatricrNursingr8er(byrLeifer) 4
OBJ:r 9r TOP:r Ther Present-Childr Care
KEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Coordinatedr Care
5. Whatrisrtherfocusr ofr currentr maternityr practice?
a. Hospitalr birthsrforrther majorityr ofrwomen
b. Thertraditionalr familyr unit
c. Separationr ofr laborr roomsr fromr deliveryr rooms
d. Ar qualityrfamilyr experiencer forreachr patient
ANS:r D
Currentr maternityr practicer focusesr onr ar high-qualityr familyr experiencer forr allr families,r traditionalr orr otherwise.
DIF:r Cognitiver Level:r Comprehensionr REF:r Pager 6
TOP:rTherPresent-
MaternityrCarerKEY:rNursingrProcessrStep:rN/ArMSC:rNCLEX:rHealthr
PromotionrandrMaintenance
6. Whor advocatedr ther establishmentr ofr ther Childrensr Bureau?
a. Lillianr Wald
b. Florencer Nightingale
c. Florencer Kelly
d. Clarar Barton
ANS:r A
Lillianr Waldr isr creditedrwithrsuggestingr ther establishmentr ofr ar federalr Childrensr Bureau.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 4
TOP:rTherPastrKEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Growthr andr Development
NURSINGTB.COM
7. Whatrwasr therresultr ofrresearchr donerinrther 1930sr byrther ChildrensrBureau?
a. Childrenrwithrheartrproblemsr arernowrcaredrforr byrpediatricr cardiologists.
b. Ther ChildrAbuser andr Preventionr Actr wasr passed.
c. Hotrlunchr programsr werer establishedr inr manyr schools.
d. Childrensr asylumsr werer founded.
ANS:r C
SchoolrhotrlunchrprogramsrwererdevelopedrasrarresultrofrresearchrbyrtherChildrensrBureauronrthereffectsrofrecono
micrdepressionronrchildren.
DIF:rCognitiverLevel:rKnowledgerREF:rPager4rTO
P:r TherPastr KEY:r Nursingr Processr Step:r N/A
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Coordinatedr Care
8. Whatr governmentr programr wasr implementedr tor increaser ther educationalr exposurer ofr preschoolr children?
a. WIC
b. Titler XIXr ofr Medicaid
c. Ther Childrensr Charter
d. Headr Start
ANS:r D
Headr Startr programsr werer establishedr tor increaser educationalr exposurer ofr preschoolr children.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 3
TOP:rGovernmentrInfluencesrinrMaternityrandrPediatricrCarerKEY:rNursingrProcessrStep:rN/ArM
SC:rNCLEX:rHealthrPromotionrandrMaintenance:rGrowthrandrDevelopment
9. Whatrguidelinesrdefinermultidisciplinaryrpatientrcarerinrtermsrofrexpectedroutcomerandrtimeframerfromrdiffe
rentrareasrofrcarerprovision?
NURSINGTB.COM
, INTRODUCTIONrTOrMATERNITYrANDrPEDIATRICrNURSINGr8THrEDITIONrLEIFERrTESTrBANK
TestrBankr-rIntroductionrtorMaternityrandrPediatricrNursingr8er(byrLeifer) 5
a. Clinicalr pathways
b. Nursingr outcomer criteria
c. Standardsr ofr care
d. Nursingr carer plan
ANS:r A
Clinicalrpathways,ralsorknownrasrcriticalrpathwaysrorrcarermaps,rarercollaborativerguidelinesrthatrdefinerpatientrc
areracrossrdisciplines.rExpectedrprogressrwithinrarspecifiedrtimelinerisridentified.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 12
TOP:rHealthrCarerDeliveryrSystemsrKEY:rNursingrProcessrStep:rN/ArMS
C:rNCLEX:rSafe,rEffectiverCarerEnvironment:rCoordinatedrCare
10. Arnursingrstudentrhasrreviewedrarhospitalizedrpediatricrpatientrchart,rinterviewedrherrmother,randrcollectedradmi
ssionrdata.rWhatrisrthernextrsteprtherstudentrwillrtakertordeveloprarnursingrcarerplanrforrthisrchild?
a. Identifyr measurabler outcomesr withr ar timeline.
b. Chooser specificr nursingr interventionsr forr ther child.
c. Determiner appropriater nursingr diagnoses.
d. Staternursingractionsrrelatedr tor therchildsr medicalr diagnosis.
ANS:r C
ThernurserusesrassessmentrdatartorselectrappropriaternursingrdiagnosesrfromrtherNANDA-
Irlist.rOutcomesrandrinterventionsrarerthenrdevelopedrtoraddressrtherrelevantrnursingrdiagnoses.
DIF:r Cognitiver Level:r Applicationr REF:r Pager 11
TOP:rNursingrProcessrKEY:rNursingrProcessrStep:rNursingrDiagnosisrM
SC:rNCLEX:rSafe,rEffectiverCarerEnvironment:rCoordinatedrCare
11. ArnursingrstudentronranrobstetricrrotationrquestionsrtherfloorrnurseraboutrtherdefinitionrofrtherLVN/LPNrscoper
ofr practice.r Whatr resourcer canr ther n urseNsUuRggS IeNstGtoT Bth. Ce OstM
ude nt?
a. Americanr Nursesr Association
b. Statesr boardrofr nursing
c. JointrCommission
d. Associationr ofr Womensr Health,r Obstetricr andrNeonatalr Nurses
ANS:r B
Ther scoper ofr practicer ofrtherLVN/LPNr isrpublishedr byr therstatesr boardr ofr nursing.
DIF:rCognitiverLevel:rComprehensionrREF:rPager3r
OBJ:r18rTOP:rCriticalrThinking
KEY:rNursingr Processr Step:r Implementation
MSC:r NCLEX:r Safe,r Effectiver Carer Environment:r Coordinatedr Care
12. Whatrwasr recommendedr byr KarlrCredr inr 1884?
a. Allrwomenr shouldr berdeliveredr inr ar hospitalr setting.
b. Chemicalrmeansrshouldr ber usedr tor combatr infection.
c. Podalicrversionr shouldr ber doner onr allr fetuses.
d. Silverr nitratershouldrber placedrinr ther eyesrofr newborns.
ANS:r D
Inr1884rKarlrCredrrecommendedrtheruserofr2%rsilverrnitraterinrthereyesrofrnewbornsrtorreducertherincidencerofrblind
ness.
DIF:r Cognitiver Level:r Knowledger REF:r Pager 2
TOP:r User ofr Silverr Nitrater KEY:rNursingr Processr Step:r N/A
MSC:r NCLEX:r Healthr Promotionr andr Maintenance:r Preventionr andrEarlyr Detectionr ofr Disease
13. Whatr isr ther purposer ofr ther Whiter Houser Conferencer onrChildrenr andrYouth?
a. Setrcriteriar forr normalr growthr patterns.
NURSINGTB.COM
