1 2
Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
Ruggiero Test Bank patient care.
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum • An urban area has been reported to have a high perinatal mortality rate. What
MULTIPLE CHOICE information does this provide?
A patient chooses to have the certified nurse midwife (CNM) provide care • Maternal and infant deaths per 100,000 live births per year
during her pregnancy. What does the CNMs scope of practice include? • Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Practice independent from medical supervision • Deaths of infants up to 1 year of age per 1000 live births per year
• Comprehensive prenatal care • Fetal and neonatal deaths per 1000 live births per year
• Attendance at all deliveries ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
• Cesarean sections • What is the focus of current maternity practice?
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated • Hospital births for the majority of women
deliveries, and ensures that a backup physician is available in case of unforeseen • The traditional family unit
problems. • Separation of labor rooms from delivery rooms
REF: Page 6 • A quality family experience for each patient
Which medical pioneer discovered the relationship between the incidence of ANS: D - Current maternity practice focuses on a high-quality family experience for all
puerperal fever and unwashed hands? families, traditional or otherwise.
• Karl Cred : REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
• Ignaz Semmelweis • Who advocated the establishment of the Childrens Bureau?
• Louis Pasteur • Lillian Wald
• Joseph List • Florence Nightingale
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the • Florence Kelly
unwashed hands of physicians and medical students. •Clara Barton
A pregnant woman who has recently immigrated to the United States comments to the ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best • What was the result of research done in the 1930s by the Childrens Bureau?
nursing response reflecting cultural sensitivity? • Children with heart problems are now cared for by pediatric cardiologists.
• Maternal mortality in the United States is extremely low. • The Child Abuse and Prevention Act was passed.
• Anesthesia is available to relieve pain during labor and childbirth. • Hot lunch programs were established in many schools.
• Tell me why you are afraid of childbirth. • Childrens asylums were founded.
• Your condition will be monitored during labor and delivery. ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
, 3 4
The effects of economic depression on children. • American Nurses Association
• What government program was implemented to increase the educational • States board of nursing
exposure of preschool children? • Joint Commission
• WIC • Association of Womens Health, Obstetric and Neonatal Nurses
• Title XIX of Medicaid ANS: B - The scope of practice of the LVN/LPN is published by the states board of nursing.
• The Childrens Charter • What was recommended by Karl Cred in 1884?
•Head Start • All women should be delivered in a hospital setting.
ANS:D - Head Start programs were established to increase educational exposure of preschool children. • Chemical means should be used to combat infection.
• What guidelines define multidisciplinary patient care in terms of expected • Podalic version should be done on all fetuses.
outcome and timeframe from different areas of care provision? • Silver nitrate should be placed in the eyes of newborns.
• Clinical pathways ANS: D - In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns
• Nursing outcome criteria to reduce the incidence of blindness.
• Standards of care • What is the purpose of the White House Conference on Children and Youth?
• Nursing care plan • Set criteria for normal growth patterns.
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative • Examine the number of live births in minority populations.
guidelines that define patient care across disciplines. Expected progress within a • Raise money to support well-child clinics in rural areas.
specified timeline is identified. • Promote comprehensive child welfare.
• A nursing student has reviewed a hospitalized pediatric patient chart, interviewed ANS: D -
her mother, and collected admission data. What is the next step the student will take White House Conferences on Children and Youth are held every 10 years to promote
to develop a nursing care plan for this child? comprehensive child welfare.
• Identify measurable outcomes with a timeline. • How many hours of hospital stay does legislation currently allow for a postpartum patient
• Choose specific nursing interventions for the child. who has delivered vaginally without complications?
• Determine appropriate nursing diagnoses. • 24
• State nursing actions related to the childs medical diagnosis. • 48
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I • 36
list. Outcomes and interventions are then developed to address the relevant nursing diagnoses. • 72
• A nursing student on an obstetric rotation questions the floor nurse about the ANS: B - Postpartum patients who deliver vaginally stay in the hospital for an average of 48
definition of the LVN/LPN scope of practice. What resource can the nurse suggest hours; patients who have had a cesarean delivery usually stay 4 days.
to the student? • How does the clinical pathway or critical pathway improve quality of care?
, 5 6
• Lists diagnosis-specific implementations • Patient will express pain relief
• Outlines expected progress with stated timelines after massage. ANS: C
• Prioritizes effective nursing diagnoses NIC is a guide to nursing actions.
• Describes common complications : REF: Page 12
ANS: B - Critical pathways outline expected progress with stated timelines. Any deviation from | Page 14 15 : NICs
those timelines is called a variance. N/A
• A patient asks the nurse to explain what is meant by gene therapy. What is the :
nurses best response? • How does electronic charting ensure comprehensive charting more
• Gene therapy can replace missing genes. effectively than handwritten charting?
• Gene therapy evaluates the parents genes. • Provides a uniform style of chart
• Gene therapy can change the sex of the fetus. • Requires certain responses before allowing the user to progress
• Gene therapy supports the regeneration of defective genes. • All documentation is reflective of the nursing care plan
ANS: A - Gene therapy can replace missing or defective genes. • Requires a daily audit by the
• The nurse is clarifying information to a patient regarding diagnosis-related groups charge nurse ANS: B
(DRGs). What is the nurses best response when the patient asks how DRGs Comprehensive electronic documentation is ensured by requiring specific input in designated
reduce medical care costs? categories before the user can progress through the system.
• By determining payment based on diagnosis : REF: Page 15-16
• By requiring two medical opinions to confirm a diagnosis 22 : Computer Charting
• By organizing HMOs : Safe, Effective Care
• By defining a person who will require Environment: Coordinated Care
hospitalization ANS: A • The nurse reminds family members that the philosophy of family-centered care is
DRGs determine the amount of payment and length of hospital stay based on the diagnosis. to provide control to the family over health care decisions. What is the appropriate
: REF: Page 8 term for this type of control?
11 : DRGs • Empowerment
: • Insight
• What is the best example of a Nursing Interventions Classification (NIC) intervention? • Regulation
• Patient will ambulate in the hall independently for 10 minutes three times a day. •
• Nurse will report temperature elevations to the charge nurse. O
• Nurse will offer extra liquids at all meals. r
, 7 8
g 2
a A
n N
i S
z :
a D
t The FMLA allows for employees to leave work for up to 12 weeks to recover from
i childbirth or to care for an ill family member without losing benefits or pay status.
o REF: Page 3
n 5 : FMLA
A ::
N • What term appropriately describes the nurse who is able to adapt health care
S practices to meet the needs of various cultures?
: • Culturally aware
A • Culturally sensitive
The term empowerment refers to the control a family has over its own health care decisions. • Culturally competent
REF: Page 2 7 •
: Empowerment Cultur
: ally
• A patient in the prenatal clinic is concerned about losing her job because of her adaptiv
pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) e ANS:
allows an employee to be absent from work without pay. How many weeks does C
the FMLA allow a woman to recover from childbirth or care for a sick family The nurse who is able to adapt health care to meet the needs of various cultures is said to be
member without loss of benefits or pay status? culturally competent.
•4 REF: Page 7 8
•6 : Cultural Competency
• 10 N/A
• • What is one major advantage to the application of critical thinking?
1 • Problem-free care
Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell ANS: C - Asking the patient about her concerns helps promote understanding and individualizes
Ruggiero Test Bank patient care.
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the Continuum • An urban area has been reported to have a high perinatal mortality rate. What
MULTIPLE CHOICE information does this provide?
A patient chooses to have the certified nurse midwife (CNM) provide care • Maternal and infant deaths per 100,000 live births per year
during her pregnancy. What does the CNMs scope of practice include? • Deaths of fetuses weighing more than 500 g per 10,000 births per year
• Practice independent from medical supervision • Deaths of infants up to 1 year of age per 1000 live births per year
• Comprehensive prenatal care • Fetal and neonatal deaths per 1000 live births per year
• Attendance at all deliveries ANS: D - The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
• Cesarean sections • What is the focus of current maternity practice?
ANS:B - The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated • Hospital births for the majority of women
deliveries, and ensures that a backup physician is available in case of unforeseen • The traditional family unit
problems. • Separation of labor rooms from delivery rooms
REF: Page 6 • A quality family experience for each patient
Which medical pioneer discovered the relationship between the incidence of ANS: D - Current maternity practice focuses on a high-quality family experience for all
puerperal fever and unwashed hands? families, traditional or otherwise.
• Karl Cred : REF: Page 6 7 : The Present-Maternity Care N/A : Health Promotion and Maintenance
• Ignaz Semmelweis • Who advocated the establishment of the Childrens Bureau?
• Louis Pasteur • Lillian Wald
• Joseph List • Florence Nightingale
ANS: B - Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the • Florence Kelly
unwashed hands of physicians and medical students. •Clara Barton
A pregnant woman who has recently immigrated to the United States comments to the ANS:A - Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
nurse, I Am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best • What was the result of research done in the 1930s by the Childrens Bureau?
nursing response reflecting cultural sensitivity? • Children with heart problems are now cared for by pediatric cardiologists.
• Maternal mortality in the United States is extremely low. • The Child Abuse and Prevention Act was passed.
• Anesthesia is available to relieve pain during labor and childbirth. • Hot lunch programs were established in many schools.
• Tell me why you are afraid of childbirth. • Childrens asylums were founded.
• Your condition will be monitored during labor and delivery. ANS: C - School hot lunch programs were developed as a result of research by the Childrens Bureau on
, 3 4
The effects of economic depression on children. • American Nurses Association
• What government program was implemented to increase the educational • States board of nursing
exposure of preschool children? • Joint Commission
• WIC • Association of Womens Health, Obstetric and Neonatal Nurses
• Title XIX of Medicaid ANS: B - The scope of practice of the LVN/LPN is published by the states board of nursing.
• The Childrens Charter • What was recommended by Karl Cred in 1884?
•Head Start • All women should be delivered in a hospital setting.
ANS:D - Head Start programs were established to increase educational exposure of preschool children. • Chemical means should be used to combat infection.
• What guidelines define multidisciplinary patient care in terms of expected • Podalic version should be done on all fetuses.
outcome and timeframe from different areas of care provision? • Silver nitrate should be placed in the eyes of newborns.
• Clinical pathways ANS: D - In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns
• Nursing outcome criteria to reduce the incidence of blindness.
• Standards of care • What is the purpose of the White House Conference on Children and Youth?
• Nursing care plan • Set criteria for normal growth patterns.
ANS:A - Clinical pathways, also known as critical pathways or care maps, are collaborative • Examine the number of live births in minority populations.
guidelines that define patient care across disciplines. Expected progress within a • Raise money to support well-child clinics in rural areas.
specified timeline is identified. • Promote comprehensive child welfare.
• A nursing student has reviewed a hospitalized pediatric patient chart, interviewed ANS: D -
her mother, and collected admission data. What is the next step the student will take White House Conferences on Children and Youth are held every 10 years to promote
to develop a nursing care plan for this child? comprehensive child welfare.
• Identify measurable outcomes with a timeline. • How many hours of hospital stay does legislation currently allow for a postpartum patient
• Choose specific nursing interventions for the child. who has delivered vaginally without complications?
• Determine appropriate nursing diagnoses. • 24
• State nursing actions related to the childs medical diagnosis. • 48
ANS: C - The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I • 36
list. Outcomes and interventions are then developed to address the relevant nursing diagnoses. • 72
• A nursing student on an obstetric rotation questions the floor nurse about the ANS: B - Postpartum patients who deliver vaginally stay in the hospital for an average of 48
definition of the LVN/LPN scope of practice. What resource can the nurse suggest hours; patients who have had a cesarean delivery usually stay 4 days.
to the student? • How does the clinical pathway or critical pathway improve quality of care?
, 5 6
• Lists diagnosis-specific implementations • Patient will express pain relief
• Outlines expected progress with stated timelines after massage. ANS: C
• Prioritizes effective nursing diagnoses NIC is a guide to nursing actions.
• Describes common complications : REF: Page 12
ANS: B - Critical pathways outline expected progress with stated timelines. Any deviation from | Page 14 15 : NICs
those timelines is called a variance. N/A
• A patient asks the nurse to explain what is meant by gene therapy. What is the :
nurses best response? • How does electronic charting ensure comprehensive charting more
• Gene therapy can replace missing genes. effectively than handwritten charting?
• Gene therapy evaluates the parents genes. • Provides a uniform style of chart
• Gene therapy can change the sex of the fetus. • Requires certain responses before allowing the user to progress
• Gene therapy supports the regeneration of defective genes. • All documentation is reflective of the nursing care plan
ANS: A - Gene therapy can replace missing or defective genes. • Requires a daily audit by the
• The nurse is clarifying information to a patient regarding diagnosis-related groups charge nurse ANS: B
(DRGs). What is the nurses best response when the patient asks how DRGs Comprehensive electronic documentation is ensured by requiring specific input in designated
reduce medical care costs? categories before the user can progress through the system.
• By determining payment based on diagnosis : REF: Page 15-16
• By requiring two medical opinions to confirm a diagnosis 22 : Computer Charting
• By organizing HMOs : Safe, Effective Care
• By defining a person who will require Environment: Coordinated Care
hospitalization ANS: A • The nurse reminds family members that the philosophy of family-centered care is
DRGs determine the amount of payment and length of hospital stay based on the diagnosis. to provide control to the family over health care decisions. What is the appropriate
: REF: Page 8 term for this type of control?
11 : DRGs • Empowerment
: • Insight
• What is the best example of a Nursing Interventions Classification (NIC) intervention? • Regulation
• Patient will ambulate in the hall independently for 10 minutes three times a day. •
• Nurse will report temperature elevations to the charge nurse. O
• Nurse will offer extra liquids at all meals. r
, 7 8
g 2
a A
n N
i S
z :
a D
t The FMLA allows for employees to leave work for up to 12 weeks to recover from
i childbirth or to care for an ill family member without losing benefits or pay status.
o REF: Page 3
n 5 : FMLA
A ::
N • What term appropriately describes the nurse who is able to adapt health care
S practices to meet the needs of various cultures?
: • Culturally aware
A • Culturally sensitive
The term empowerment refers to the control a family has over its own health care decisions. • Culturally competent
REF: Page 2 7 •
: Empowerment Cultur
: ally
• A patient in the prenatal clinic is concerned about losing her job because of her adaptiv
pregnancy. The nurse instructs her that the Family Medical Leave Act (FMLA) e ANS:
allows an employee to be absent from work without pay. How many weeks does C
the FMLA allow a woman to recover from childbirth or care for a sick family The nurse who is able to adapt health care to meet the needs of various cultures is said to be
member without loss of benefits or pay status? culturally competent.
•4 REF: Page 7 8
•6 : Cultural Competency
• 10 N/A
• • What is one major advantage to the application of critical thinking?
1 • Problem-free care
