2023-2024 2023-2024
Davis Advantage for Maternal-Child Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
Nursing Care 3rd Edition Test Bank by Ruggiero Test Bank
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the
Scannell Ruggiero Continuum
MULTIPLE CHOICE
• A patient chooses to have the certified nurse midwife (CNM) provide care
during her pregnancy. What does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
•
Cesar
ean
sectio
ns
ANS:
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: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
•
J
o
s
e
p
h
L
i
s
t
.
,2023-2024 2023-2024
e MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
r
A • What is the focus of current maternity practice?
N
S • Hospital births for the majority of women
: • The traditional family unit
B • Separation of labor rooms from delivery rooms
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students. • A quality family
experience for each
DIF: Cognitive Level: Knowledge REF: Page 2 patient ANS: D
OBJ: 1 TOP: The Past KEY: Nursing Process Current maternity practice focuses on a high-quality family experience for all
Step: N/A families, traditional or otherwise.
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
• A pregnant woman who has recently immigrated to the United States comments to the
TOP: The Present-Maternity Care KEY: Nursing Process Step:
nurse, I
N/A MSC: NCLEX: Health Promotion and Maintenance
am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best • Who advocated the establishment of the Childrens Bureau?
nursing response reflecting cultural sensitivity? • Lillian Wald
• Maternal mortality in the United States is extremely low.
• Florence Nightingale
• Anesthesia is available to relieve pain during labor and childbirth.
• Florence Kelly
• Tell me why you are afraid of childbirth.
• Your condition will be monitored during •
labor and delivery. ANS: C
Asking the patient about her concerns helps promote understanding and individualizes C
patient care. l
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8 a
r
TOP: Cross-Cultural Care KEY: Nursing Process Step: a
Implementation MSC: NCLEX: Psychosocial Integrity: B
Psychological Adaptation a
r
• An urban area has been reported to have a high perinatal mortality rate. What
t
information does this provide?
o
• Maternal and infant deaths per 100,000 live births per year
n
• Deaths of fetuses weighing more than 500 g per 10,000 births per year A
• Deaths of infants up to 1 year of age per 1000 live births per year N
S
• Fetal and neonatal deaths per 1000 live
:
births per year ANS: D
A
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Comprehension REF: Page 12, DIF: Cognitive Level: Knowledge REF: Page 4 OBJ:
Box 1-6 OBJ: 9 TOP: The Present-Child Care 1 | 2 TOP: The Past KEY: Nursing Process Step:
KEY: Nursing Process Step: Implementation
. .
,2023-2024 2023-2024
Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
• What guidelines define multidisciplinary patient care in terms of expected
• What was the result of research done in the 1930s by the Childrens Bureau? outcome and timeframe from different areas of care provision?
• Clinical pathways
• Children with heart problems are now cared for by pediatric cardiologists.
• Nursing outcome criteria
• The Child Abuse and Prevention Act was passed.
• Standards of care
• Hot lunch programs were established in many schools.
•
• Childrens Nursi
asylums were
ng
founded. care
ANS: C plan
School hot lunch programs were developed as a result of research by the Childrens Bureau on the ANS:
effects of economic depression on children. A
DIF: Cognitive Level: Knowledge REF: Page 4 Clinical pathways, also known as critical pathways or care maps, are collaborative
OBJ: 2 | 3 TOP: The Past KEY: Nursing Process guidelines that define patient care across disciplines. Expected progress within a
Step: N/A specified timeline is identified.
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
• What government program was implemented to increase the educational TOP: Health Care Delivery Systems KEY: Nursing Process
exposure of preschool children? Step: N/A MSC: NCLEX: Safe, Effective Care Environment:
• WIC Coordinated Care
• Title XIX of Medicaid • A nursing student has reviewed a hospitalized pediatric patient chart, interviewed
• The Childrens Charter her mother, and collected admission data. What is the next step the student will take
to develop a nursing care plan for this child?
•
• Identify measurable outcomes with a timeline.
H • Choose specific nursing interventions for the child.
e • Determine appropriate nursing diagnoses.
a
• State nursing actions related to the childs
d
medical diagnosis. ANS: C
S
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
t
Outcomes and interventions are then developed to address the relevant nursing diagnoses.
a
r DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
t
A TOP: Nursing Process KEY: Nursing Process Step: Nursing
N Diagnosis MSC: NCLEX: Safe, Effective Care Environment:
S Coordinated Care
:
• A nursing student on an obstetric rotation questions the floor nurse about the
D
definition of the LVN/LPN scope of practice. What resource can the nurse suggest
Head Start programs were established to increase educational exposure of preschool children.
to the student?
• American Nurses Association
DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A • States board of nursing
. .
, 2023-2024 2023-2024
• Joint Commission • 36
• Association of Womens Health, Obstetric and
Neonatal Nurses ANS: B •
The scope of practice of the LVN/LPN is published by the states board of nursing.
7
DIF: Cognitive Level: Comprehension REF: Page 3, Legal and Ethical 2
Considerations OBJ: 18 TOP: Critical Thinking A
KEY: Nursing Process Step: Implementation N
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care S
:
• What was recommended by Karl Cred in 1884? B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48
• All women should be delivered in a hospital setting. hours; patients who have had a cesarean delivery usually stay 4 days.
• Chemical means should be used to combat infection.
DIF: Cognitive Level: Knowledge REF: Page 6
• Podalic version should be done on all fetuses. OBJ: 7 TOP: Hospital Terms for Postpartum
• Silver nitrate should be placed in the eyes Patients
of newborns. ANS: D KEY: Nursing Process Step: Planning
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
to reduce the incidence of blindness.
• How does the clinical pathway or critical pathway improve quality of care?
DIF: Cognitive Level: Knowledge REF: Page 2
OBJ: 1 TOP: Use of Silver Nitrate KEY: Nursing • Lists diagnosis-specific implementations
Process Step: N/A • Outlines expected progress with stated timelines
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Prioritizes effective nursing diagnoses
• What is the purpose of the White House Conference on Children and Youth? • Describes common
• Set criteria for normal growth patterns. complications ANS:
B
• Examine the number of live births in minority populations. Critical pathways outline expected progress with stated timelines. Any deviation from
• Raise money to support well-child clinics in rural areas. those timelines is called a variance.
• Promote comprehensive DIF: Cognitive Level: Comprehension REF: Page 12 OBJ: 14
child welfare. ANS: D
White House Conferences on Children and Youth are held every 10 years to promote TOP: Critical Pathway KEY: Nursing Process Step:
comprehensive child welfare. Implementation MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 3
• A patient asks the nurse to explain what is meant by gene therapy. What is the
TOP: White House Conferences KEY: Nursing Process Step: N/A nurses best response?
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease • Gene therapy can replace missing genes.
• Gene therapy evaluates the parents genes.
• How many hours of hospital stay does legislation currently allow for a postpartum patient
• Gene therapy can change the sex of the fetus.
who has delivered vaginally without complications? • Gene therapy supports the regeneration of
defective genes. ANS: A
• 24
Gene therapy can replace missing or defective
• 48 genes. DIF: Cognitive Level: Knowledge REF:
. .
Davis Advantage for Maternal-Child Davis Advantage for Maternal-Child Nursing Care 3rd Edition Scannell
Nursing Care 3rd Edition Test Bank by Ruggiero Test Bank
Chapter 1.Core Concepts of Maternal and Pediatric Healthcare Across the
Scannell Ruggiero Continuum
MULTIPLE CHOICE
• A patient chooses to have the certified nurse midwife (CNM) provide care
during her pregnancy. What does the CNMs scope of practice include?
• Practice independent from medical supervision
• Comprehensive prenatal care
• Attendance at all deliveries
•
Cesar
ean
sectio
ns
ANS:
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: Page 6 OBJ: 12
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Which medical pioneer discovered the relationship between the incidence of
puerperal fever and unwashed hands?
• Karl Cred
• Ignaz Semmelweis
• Louis Pasteur
•
J
o
s
e
p
h
L
i
s
t
.
,2023-2024 2023-2024
e MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
r
A • What is the focus of current maternity practice?
N
S • Hospital births for the majority of women
: • The traditional family unit
B • Separation of labor rooms from delivery rooms
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medical students. • A quality family
experience for each
DIF: Cognitive Level: Knowledge REF: Page 2 patient ANS: D
OBJ: 1 TOP: The Past KEY: Nursing Process Current maternity practice focuses on a high-quality family experience for all
Step: N/A families, traditional or otherwise.
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
• A pregnant woman who has recently immigrated to the United States comments to the
TOP: The Present-Maternity Care KEY: Nursing Process Step:
nurse, I
N/A MSC: NCLEX: Health Promotion and Maintenance
am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best • Who advocated the establishment of the Childrens Bureau?
nursing response reflecting cultural sensitivity? • Lillian Wald
• Maternal mortality in the United States is extremely low.
• Florence Nightingale
• Anesthesia is available to relieve pain during labor and childbirth.
• Florence Kelly
• Tell me why you are afraid of childbirth.
• Your condition will be monitored during •
labor and delivery. ANS: C
Asking the patient about her concerns helps promote understanding and individualizes C
patient care. l
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8 a
r
TOP: Cross-Cultural Care KEY: Nursing Process Step: a
Implementation MSC: NCLEX: Psychosocial Integrity: B
Psychological Adaptation a
r
• An urban area has been reported to have a high perinatal mortality rate. What
t
information does this provide?
o
• Maternal and infant deaths per 100,000 live births per year
n
• Deaths of fetuses weighing more than 500 g per 10,000 births per year A
• Deaths of infants up to 1 year of age per 1000 live births per year N
S
• Fetal and neonatal deaths per 1000 live
:
births per year ANS: D
A
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year. Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
DIF: Cognitive Level: Comprehension REF: Page 12, DIF: Cognitive Level: Knowledge REF: Page 4 OBJ:
Box 1-6 OBJ: 9 TOP: The Present-Child Care 1 | 2 TOP: The Past KEY: Nursing Process Step:
KEY: Nursing Process Step: Implementation
. .
,2023-2024 2023-2024
Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
• What guidelines define multidisciplinary patient care in terms of expected
• What was the result of research done in the 1930s by the Childrens Bureau? outcome and timeframe from different areas of care provision?
• Clinical pathways
• Children with heart problems are now cared for by pediatric cardiologists.
• Nursing outcome criteria
• The Child Abuse and Prevention Act was passed.
• Standards of care
• Hot lunch programs were established in many schools.
•
• Childrens Nursi
asylums were
ng
founded. care
ANS: C plan
School hot lunch programs were developed as a result of research by the Childrens Bureau on the ANS:
effects of economic depression on children. A
DIF: Cognitive Level: Knowledge REF: Page 4 Clinical pathways, also known as critical pathways or care maps, are collaborative
OBJ: 2 | 3 TOP: The Past KEY: Nursing Process guidelines that define patient care across disciplines. Expected progress within a
Step: N/A specified timeline is identified.
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
• What government program was implemented to increase the educational TOP: Health Care Delivery Systems KEY: Nursing Process
exposure of preschool children? Step: N/A MSC: NCLEX: Safe, Effective Care Environment:
• WIC Coordinated Care
• Title XIX of Medicaid • A nursing student has reviewed a hospitalized pediatric patient chart, interviewed
• The Childrens Charter her mother, and collected admission data. What is the next step the student will take
to develop a nursing care plan for this child?
•
• Identify measurable outcomes with a timeline.
H • Choose specific nursing interventions for the child.
e • Determine appropriate nursing diagnoses.
a
• State nursing actions related to the childs
d
medical diagnosis. ANS: C
S
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
t
Outcomes and interventions are then developed to address the relevant nursing diagnoses.
a
r DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
t
A TOP: Nursing Process KEY: Nursing Process Step: Nursing
N Diagnosis MSC: NCLEX: Safe, Effective Care Environment:
S Coordinated Care
:
• A nursing student on an obstetric rotation questions the floor nurse about the
D
definition of the LVN/LPN scope of practice. What resource can the nurse suggest
Head Start programs were established to increase educational exposure of preschool children.
to the student?
• American Nurses Association
DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A • States board of nursing
. .
, 2023-2024 2023-2024
• Joint Commission • 36
• Association of Womens Health, Obstetric and
Neonatal Nurses ANS: B •
The scope of practice of the LVN/LPN is published by the states board of nursing.
7
DIF: Cognitive Level: Comprehension REF: Page 3, Legal and Ethical 2
Considerations OBJ: 18 TOP: Critical Thinking A
KEY: Nursing Process Step: Implementation N
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care S
:
• What was recommended by Karl Cred in 1884? B
Postpartum patients who deliver vaginally stay in the hospital for an average of 48
• All women should be delivered in a hospital setting. hours; patients who have had a cesarean delivery usually stay 4 days.
• Chemical means should be used to combat infection.
DIF: Cognitive Level: Knowledge REF: Page 6
• Podalic version should be done on all fetuses. OBJ: 7 TOP: Hospital Terms for Postpartum
• Silver nitrate should be placed in the eyes Patients
of newborns. ANS: D KEY: Nursing Process Step: Planning
In 1884 Karl Cred recommended the use of 2% silver nitrate in the eyes of newborns MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
to reduce the incidence of blindness.
• How does the clinical pathway or critical pathway improve quality of care?
DIF: Cognitive Level: Knowledge REF: Page 2
OBJ: 1 TOP: Use of Silver Nitrate KEY: Nursing • Lists diagnosis-specific implementations
Process Step: N/A • Outlines expected progress with stated timelines
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
• Prioritizes effective nursing diagnoses
• What is the purpose of the White House Conference on Children and Youth? • Describes common
• Set criteria for normal growth patterns. complications ANS:
B
• Examine the number of live births in minority populations. Critical pathways outline expected progress with stated timelines. Any deviation from
• Raise money to support well-child clinics in rural areas. those timelines is called a variance.
• Promote comprehensive DIF: Cognitive Level: Comprehension REF: Page 12 OBJ: 14
child welfare. ANS: D
White House Conferences on Children and Youth are held every 10 years to promote TOP: Critical Pathway KEY: Nursing Process Step:
comprehensive child welfare. Implementation MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 3
• A patient asks the nurse to explain what is meant by gene therapy. What is the
TOP: White House Conferences KEY: Nursing Process Step: N/A nurses best response?
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease • Gene therapy can replace missing genes.
• Gene therapy evaluates the parents genes.
• How many hours of hospital stay does legislation currently allow for a postpartum patient
• Gene therapy can change the sex of the fetus.
who has delivered vaginally without complications? • Gene therapy supports the regeneration of
defective genes. ANS: A
• 24
Gene therapy can replace missing or defective
• 48 genes. DIF: Cognitive Level: Knowledge REF:
. .
