(Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
Introduction to Maternity and Pediatric
Nursing 10th Edition Test Bank and Answer
Key – Gloria Leifer
Chapter 01: The Past, Present, and Future
This document provides a complete test bank and answer key for Introduction to Maternity and Pediatric Nursing,
10th Edition by Gloria Leifer. It includes exam-style questions and verified answers covering important topics in
maternity nursing, pediatric care, maternal health, newborn care, and child development. The material is designed
to help nursing students prepare for exams, review maternal-child nursing concepts, and practice assessment
questions commonly used in nursing programs.
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy. What
does the CNM‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
Correct Answers: 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: p. 6
OBJ: 5
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 Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Correct Answers: 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: p. 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.”
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
d. “Your condition will be monitored during labor and delivery.”
Correct Answers: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
Leifer's 10e. 2
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
Correct Answers: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | 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
Correct Answers: D
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children‘s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
Correct Answers: A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the 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.
Correct Answers: 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.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3
Leifer's 10e. 3
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children‘s Charter
d. Head Start
Correct Answers: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3
TOP: Government Influences in Maternity andPediatric Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health
Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
Correct Answers: 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.
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for this
child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
Correct Answers: C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
Leifer's 10e. 4
b. State‘s Board of Nursing
c. Joint Commission
d. Association of Women‘s Health, Obstetric and Neonatal Nurses
Correct Answers: B
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 2
TOP: Critical Thinking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
Correct Answers: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to reduce the
incidence of blindness.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minoritypopulations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
Correct Answers: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
14. How many hours of hospital stay does legislation currently allow for a postpartum patient who has
delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72
Correct Answers: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have
had a cesarean delivery usually stay 4 days.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5
TOP: Hospital Terms for PostpartumPatients
KEY: Nursing Process Step: Planning
Leifer's 10e. 5
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
15. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
Correct Answers: B
Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is
called a variance.
DIF: Cognitive Level: Comprehension REF: p. 13 OBJ: 10
TOP: Critical Pathway KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
16. A patient asks the nurse to explain what is meant by “gene therapy.” What is the nurse‘s best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parent‘s genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes.
Correct Answers: A
Gene therapy can replace missing or defective genes.
DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: 5
TOP: Gene Therapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
17. The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the
nurse‘s best response when the patient asks how DRGs reduce medical care costs? a. By determining
payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization
Correct Answers: A
DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 3
TOP: DRGs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
18. How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
a. Provides a uniform style of chart.
b. Requires certain responses before allowing the user to progress.
c. All documentation is reflective of the nursing care plan.
d. Requires a daily audit by the charge nurse.
Correct Answers: B
Leifer's 10e. 6
Comprehensive electronic documentation is ensured by requiring specific input in designated categories
before the user can progress through the system.
DIF: Cognitive Level: Comprehension REF: pp. 16-17 OBJ: 12
TOP: Computer Charting KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
19. The nurse reminds family members that the philosophy of family-centered care is to provide control to
the family over health care decisions. What is the appropriate term for this type of control?
a. Empowerment
b. Insight
c. Regulation
d. Organization
Correct Answers: A
The term empowerment refers to the control a family has over its own health care decisions.
DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 13
TOP: Empowerment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
20. A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse
instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without
pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family
member without loss of benefits or pay status?
a. 4
b. 6
c. 10
d. 12
Correct Answers: D
The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth or to care for an
ill family member without losing benefits or pay status.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 5
TOP: FMLA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
21. What term appropriately describes the nurse who is able to adapt health care practices to meet the
needs of various cultures?
a. Culturally aware
b. Culturally sensitive
c. Culturally competent
Introduction to Maternity and Pediatric
Nursing 10th Edition Test Bank and Answer
Key – Gloria Leifer
Chapter 01: The Past, Present, and Future
This document provides a complete test bank and answer key for Introduction to Maternity and Pediatric Nursing,
10th Edition by Gloria Leifer. It includes exam-style questions and verified answers covering important topics in
maternity nursing, pediatric care, maternal health, newborn care, and child development. The material is designed
to help nursing students prepare for exams, review maternal-child nursing concepts, and practice assessment
questions commonly used in nursing programs.
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse-midwife (CNM) provide care during her pregnancy. What
does the CNM‘s scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections
Correct Answers: 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: p. 6
OBJ: 5
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 Credé
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister
Correct Answers: 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: p. 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.”
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
d. “Your condition will be monitored during labor and delivery.”
Correct Answers: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: pp. 6-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
Leifer's 10e. 2
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
Correct Answers: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
DIF: Cognitive Level: Comprehension REF: p. 13 | 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
Correct Answers: D
Current maternity practice focuses on a high-quality family experience for all families,
traditional or otherwise.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance
6. Who advocated the establishment of the Children‘s Bureau?
a. Lillian Wald
b. Florence Nightingale
c. Florence Kelly
d. Clara Barton
Correct Answers: A
Lillian Wald is credited with suggesting the establishment of a federal Children‘s Bureau.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 1 | 2
TOP: The Past KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. What was the 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.
Correct Answers: 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.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2 | 3
Leifer's 10e. 3
TOP: The Past KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
8. What government program was implemented to increase the educational exposure of preschool children?
a. WIC
b. Title XIX of Medicaid
c. The Children‘s Charter
d. Head Start
Correct Answers: D
Head Start programs were established to increase educational exposure of preschool children.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 3
TOP: Government Influences in Maternity andPediatric Care KEY: Nursing Process Step: N/A MSC: NCLEX: Health
Promotion and Maintenance: Growth and Development
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe from
different areas of care provision?
a. Clinical pathways
b. Nursing outcome criteria
c. Standards of care
d. Nursing care plan
Correct Answers: 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.
DIF: Cognitive Level: Knowledge REF: p. 13 OBJ: 10
TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother, and
collected admission data. What is the next step the student will take to develop a nursing care plan for this
child?
a. Identify measurable outcomes with a timeline.
b. Choose specific nursing interventions for the child.
c. Determine appropriate nursing diagnoses.
d. State nursing actions related to the child‘s medical diagnosis.
Correct Answers: C
The nurse uses assessment data to select appropriate nursing diagnoses. Outcomes and
interventions are then developed to address the relevant nursing diagnoses.
DIF: Cognitive Level: Application REF: p. 12 OBJ: 7
TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN
scope of practice. What resource can the nurse suggest to the student?
a. American Nurses Association
Leifer's 10e. 4
b. State‘s Board of Nursing
c. Joint Commission
d. Association of Women‘s Health, Obstetric and Neonatal Nurses
Correct Answers: B
The scope of practice of the LVN/LPN is published by the state‘s board of nursing.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 2
TOP: Critical Thinking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. What was recommended by Karl Credé in 1884?
a. All women should be delivered in a hospital setting.
b. Chemical means should be used to combat infection.
c. Podalic version should be done on all fetuses.
d. Silver nitrate should be placed in the eyes of newborns.
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
Correct Answers: D
In 1884 Karl Credé recommended the use of 2% silver nitrate in the eyes of newborns to reduce the
incidence of blindness.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1
TOP: Use of Silver Nitrate KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
13. What is the purpose of the White House Conference on Children and Youth?
a. Set criteria for normal growth patterns.
b. Examine the number of live births in minoritypopulations.
c. Raise money to support well-child clinics in rural areas.
d. Promote comprehensive child welfare.
Correct Answers: D
White House Conferences on Children and Youth are held every 10 years to promote
comprehensive child welfare.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 2
TOP: White House Conferences KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
14. How many hours of hospital stay does legislation currently allow for a postpartum patient who has
delivered vaginally without complications?
a. 24
b. 48
c. 36
d. 72
Correct Answers: B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have
had a cesarean delivery usually stay 4 days.
DIF: Cognitive Level: Knowledge REF: p. 6 OBJ: 5
TOP: Hospital Terms for PostpartumPatients
KEY: Nursing Process Step: Planning
Leifer's 10e. 5
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
15. How does the clinical pathway or critical pathway improve quality of care?
a. Lists diagnosis-specific implementations
b. Outlines expected progress with stated timelines
c. Prioritizes effective nursing diagnoses
d. Describes common complications
Correct Answers: B
Critical pathways outline expected progress with stated timelines. Any deviation from those timelines is
called a variance.
DIF: Cognitive Level: Comprehension REF: p. 13 OBJ: 10
TOP: Critical Pathway KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
16. A patient asks the nurse to explain what is meant by “gene therapy.” What is the nurse‘s best response?
a. Gene therapy can replace missing genes.
b. Gene therapy evaluates the parent‘s genes.
c. Gene therapy can change the sex of the fetus.
d. Gene therapy supports the regeneration of defective genes.
Correct Answers: A
Gene therapy can replace missing or defective genes.
DIF: Cognitive Level: Knowledge REF: p. 8 OBJ: 5
TOP: Gene Therapy KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
, (Leifer’s Introduction to Maternity and Pediatric Nursing, 10th Edition by Kim Cooper)
17. The nurse is clarifying information to a patient regarding diagnosis-related groups (DRGs). What is the
nurse‘s best response when the patient asks how DRGs reduce medical care costs? a. By determining
payment based on diagnosis
b. By requiring two medical opinions to confirm a diagnosis
c. By organizing HMOs
d. By defining a person who will require hospitalization
Correct Answers: A
DRGs determine the amount of payment and length of hospital stay based on the diagnosis.
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 3
TOP: DRGs KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
18. How does electronic charting ensure comprehensive charting more effectively than
handwritten charting?
a. Provides a uniform style of chart.
b. Requires certain responses before allowing the user to progress.
c. All documentation is reflective of the nursing care plan.
d. Requires a daily audit by the charge nurse.
Correct Answers: B
Leifer's 10e. 6
Comprehensive electronic documentation is ensured by requiring specific input in designated categories
before the user can progress through the system.
DIF: Cognitive Level: Comprehension REF: pp. 16-17 OBJ: 12
TOP: Computer Charting KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
19. The nurse reminds family members that the philosophy of family-centered care is to provide control to
the family over health care decisions. What is the appropriate term for this type of control?
a. Empowerment
b. Insight
c. Regulation
d. Organization
Correct Answers: A
The term empowerment refers to the control a family has over its own health care decisions.
DIF: Cognitive Level: Knowledge REF: p. 1 OBJ: 13
TOP: Empowerment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
20. A patient in the prenatal clinic is concerned about losing her job because of her pregnancy. The nurse
instructs her that the Family Medical Leave Act (FMLA) allows an employee to be absent from work without
pay. How many weeks does the FMLA allow a woman to recover from childbirth or care for a sick family
member without loss of benefits or pay status?
a. 4
b. 6
c. 10
d. 12
Correct Answers: D
The FMLA allows for employees to leave work for up to 12 weeks to recover from childbirth or to care for an
ill family member without losing benefits or pay status.
DIF: Cognitive Level: Knowledge REF: p. 3 OBJ: 5
TOP: FMLA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
21. What term appropriately describes the nurse who is able to adapt health care practices to meet the
needs of various cultures?
a. Culturally aware
b. Culturally sensitive
c. Culturally competent
