TEST BANK
,Table contents page
Chapter 1. Introduction to Maternity and Pediatric Nursing ..................................................... 3-18
Chapter 2. Culture ...................................................................................................................19-34
Chapter 3. Women’s Health Promotion Across the Life Span................................................... 34-46
Chapter 4. Human Reproduction and Fetal Development ........................................................46-59
Chapter 5. Physical and Psychological Changes of Pregnancy ................................................. 60-100
Chapter 7. Promoting a Healthy Pregnancy ............................................................................ 100-107
Chapter 8 & Chapter 9. Nursing Care of the Woman With Complications During Pregnancy…107-150
Chapter 10. Nursing Care of the Woman with Complications during Labor and Birth ............150-183
Chapter 11. Birth-Related Procedures ..................................................................................... 183-215
Chapter 12. Postpartum Nursing Care ......................................................................................215-229
Chapter 13. Postpartum Complications ................................................................................... 229-250
Chapter 14. Physiological and Behavioral Adaptations of the Newborn .................................. 250-262
Chapter 15. Nursing Care of the Newborn................................................................................ 262-276
Chapter 16. Newborn Nutrition .............................................................................................. 276-290
Chapter 17. Nursing Care of the Newborn at Risk .................................................................... 290-313
Chapter 18. Health Promotion of the Infant: Birth to One Year ................................................ 313-326
Chapter 19. Health Promotion of the Toddler .......................................................................... 326-339
Chapter 20. Health Promotion of the Preschooler.................................................................... 339-350
Chapter 21. Health Promotion of the School-Aged Child........................................................... 350-360
Chapter 22. Health Promotion of the Adolescent ...................................................................... 360-371
Chapter 23. Nursing Care of the Hospitalized Child....................................................................371-385
Chapter 24. Acutely Ill Children and Their Needs ...................................................................... 385-403
Chapter 25. Adapting to Chronic Illness and Supporting the Family ........................................... 403-411
Chapter 26. The Abused Child ................................................................................................... 411-425
Chapter 27. Child With a Neurological Condition ....................................................................... 425-438
Chapter 28. Child With a Sensory Impairment ............................................................................ 438-455
Chapter 29. Child With a Mental Health Condition ..................................................................... 455-470
Chapter 30. Child With a Respiratory Condition .........................................................................470-492
Chapter 31. Child With a Cardiac Condition ................................................................................492-510
Chapter 32. Child With a Metabolic Condition............................................................................. 510-522
Chapter 33. Child With a Musculoskeletal Condition .................................................................. 522-536
Chapter 34. Child With a Gastrointestinal Condition ................................................................. 536-556
Chapter 35. Child With a Genitourinary Condition ...................................................................... 556-572
Chapter 36. Child With a Skin Condition ..................................................................................... 572-591
Chapter 37. Child With a Communicable Disease ....................................................................... 591-603
Chapter 38. Child With an Oncological or Hematological............................................................. 603-620
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer Test Bank
Chapter 1. Introduction to Maternity and Pediatric Nursing
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy.
What does the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections 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: Preventionand Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
and unwashed hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medicalstudents.
DIF: Cognitive Level: Knowledge REF: Page 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.
d. Your condition will be monitored during labor and delivery. ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
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 ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live birth s per year.
DIF: Cognitive Level: Comprehension REF: Page 12, 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 ftraditional ffamily funit
c. Separation fof flabor frooms ffrom f delivery frooms
d. A fquality ffamily fexperience ffor feach fpatient f ANS: fD
Current fmaternity fpractice ffocuses fon fa fhigh-quality ffamily fexperience ffor fall f families,
ftraditional for fotherwise.
DIF: fCognitive fLevel: fComprehension fREF: fPage f6 fOBJ: f7
TOP: fThe fPresent-Maternity fCare fKEY: fNursing fProcess fStep: fN/A fMSC: fNCLEX: fHealth fPromotion fand
fMaintenance
6. Who f advocated fthe festablishment fof fthe fChildrens fBureau?
a. Lillian fWald
b. Florence f Nightingale
c. Florence fKelly
d. Clara fBarton fANS: fA
Lillian fWald fis fcredited fwith fsuggesting fthe festablishment fof fa ffederal fChildrens fBureau.
DIF: fCognitive fLevel: fKnowledge fREF: fPage f4 fOBJ: f1 f| f2 fTOP: fThe fPast fKEY: f Nursing fProcess fStep:
fImplementation
MSC: fNCLEX: fHealth f Promotion fand fMaintenance: fGrowth fand fDevelopment
7. What fwas fthe fresult fof fresearch fdone fin fthe f1930s f by fthe fChildrens fBureau?
a. Children fwith fheart fproblems fare fnow fcared ffor fby fpediatric fcardiologists.
b. The fChild fAbuse fand fPrevention fAct fwas fpassed.
c. Hot flunch fprograms f were festablished fin fmany fschools.
d. Childrens fasylums fwere ffounded. fANS: fC
Schoolhot flunch fprograms fwere fdeveloped fas fa fresult fof fresearch fby fthe fChildrens fBureau fon
fthe feffects fof feconomic fdepression fon fchildren.
,DIF: fCognitive fLevel: fKnowledge fREF: fPage f4 fOBJ: f2 f| f3 fTOP: fThe fPast fKEY: f Nursing fProcess
fStep: fN/A fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fCoordinated fCare
8. What fgovernment fprogram fwas fimplemented fto fincrease fthe feducational fexposure fof
fpreschool fchildren?
a. WIC
b. Title fXIX fof fMedicaid
c. The fChildrens fCharter
d. Head fStart ANS: D
Head fStart fprograms fwere festablished fto fincrease feducationalexposure fof fpreschool fchildren.
DIF: fCognitive fLevel: fKnowledge fREF: fPage f3 f OBJ: f5
TOP: fGovernment fInfluences fin fMaternity fand fPediatric fCare fKEY: f Nursing fProcess fStep: fN/A
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fGrowth fand fDevelopment
9. What fguidelines fdefine fmultidisciplinary fpatient fcare fin fterms fof fexpected
foutcome fand ftimeframe ffrom fdifferent fareas fof fcare fprovision?
a. Clinical fpathways
b. Nursing foutcome fcriteria
c. Standards fof fcare
d. Nursing fcare fplanANS: A
Clinical f pathways, falso fknown fas fcritical fpathways for fcare fmaps, fare fcollaborative fguidelines fthat
fdefine fpatient fcare facross fdisciplines. fExpected fprogress fwithin fa fspecified ftimeline fis fidentified.
DIF: fCognitive fLevel: fKnowledge fREF: fPage f12 f OBJ: f14
TOP: fHealth fCare fDelivery fSystems fKEY: fNursing fProcess fStep: fN/A fMSC: fNCLEX: fSafe, fEffective fCare
fEnvironment: fCoordinated fCare
10. A f nursing fstudent fhas freviewed fa fhospitalized fpediatric fpatient fchart, finterviewed fher
fmother, fand fcollected fadmission fdata. fWhat fis fthe fnext fstep fthe fstudent fwill ftake fto
fdevelop fa fnursing fcare fplan ffor fthis fchild?
, a. Identify fmeasurable foutcomes fwith fa ftimeline.
b. Choose fspecific fnursing finterventions ffor fthe fchild.
c. Determine fappropriate fnursing f diagnoses.
d. State fnursing factions frelated fto fthe fchilds fmedical fdiagnosis. f ANS: fC
The fnurse fuses fassessment fdata fto fselect fappropriate fnursing fdiagnoses ffrom fthe fNANDA-I
flist. fOutcomes fand finterventions fare fthen fdeveloped fto faddress fthe frelevant fnursing
fdiagnoses.
DIF: fCognitive fLevel: fApplication fREF: fPage f11 fOBJ: f13
TOP: fNursing fProcess fKEY: fNursing fProcess fStep: fNursing fDiagnosis fMSC: fNCLEX: fSafe, fEffective fCare
fEnvironment: fCoordinated fCare
11. A fnursing fstudent fon fan fobstetric frotation fquestions fthe ffloor fnurse fabout fthe
fdefinition fof fthe fLVN/LPN fscope fof fpractice. fWhat fresource fcan fthe f nurse fsuggest fto fthe
fstudent?
a. American fNurses fAssociation
b. States fboard fof fnursing
c. Joint fCommission
d. Association fof fWomens fHealth, fObstetric fand fNeonatal fNurses f ANS: fB
The fscope fof f practice fof f the fLVN/LPN fis fpublished fby fthe fstates fboard fof fnursing.
DIF: fCognitive fLevel: fComprehension fREF: fPage f3, fLegal fand fEthical fConsiderations fOBJ: f18 fTOP:
fCritical fThinking
KEY: fNursing fProcess fStep: fImplementation
MSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
12. What fwas frecommended fby fKarl fCred fin f1884?
a. All fwomen fshould fbe fdelivered fin fa fhospital fsetting.
b. Chemical fmeans fshould fbe fused fto fcombat finfection.
c. Podalic fversion fshould fbe fdone fon fall ffetuses.
,Table contents page
Chapter 1. Introduction to Maternity and Pediatric Nursing ..................................................... 3-18
Chapter 2. Culture ...................................................................................................................19-34
Chapter 3. Women’s Health Promotion Across the Life Span................................................... 34-46
Chapter 4. Human Reproduction and Fetal Development ........................................................46-59
Chapter 5. Physical and Psychological Changes of Pregnancy ................................................. 60-100
Chapter 7. Promoting a Healthy Pregnancy ............................................................................ 100-107
Chapter 8 & Chapter 9. Nursing Care of the Woman With Complications During Pregnancy…107-150
Chapter 10. Nursing Care of the Woman with Complications during Labor and Birth ............150-183
Chapter 11. Birth-Related Procedures ..................................................................................... 183-215
Chapter 12. Postpartum Nursing Care ......................................................................................215-229
Chapter 13. Postpartum Complications ................................................................................... 229-250
Chapter 14. Physiological and Behavioral Adaptations of the Newborn .................................. 250-262
Chapter 15. Nursing Care of the Newborn................................................................................ 262-276
Chapter 16. Newborn Nutrition .............................................................................................. 276-290
Chapter 17. Nursing Care of the Newborn at Risk .................................................................... 290-313
Chapter 18. Health Promotion of the Infant: Birth to One Year ................................................ 313-326
Chapter 19. Health Promotion of the Toddler .......................................................................... 326-339
Chapter 20. Health Promotion of the Preschooler.................................................................... 339-350
Chapter 21. Health Promotion of the School-Aged Child........................................................... 350-360
Chapter 22. Health Promotion of the Adolescent ...................................................................... 360-371
Chapter 23. Nursing Care of the Hospitalized Child....................................................................371-385
Chapter 24. Acutely Ill Children and Their Needs ...................................................................... 385-403
Chapter 25. Adapting to Chronic Illness and Supporting the Family ........................................... 403-411
Chapter 26. The Abused Child ................................................................................................... 411-425
Chapter 27. Child With a Neurological Condition ....................................................................... 425-438
Chapter 28. Child With a Sensory Impairment ............................................................................ 438-455
Chapter 29. Child With a Mental Health Condition ..................................................................... 455-470
Chapter 30. Child With a Respiratory Condition .........................................................................470-492
Chapter 31. Child With a Cardiac Condition ................................................................................492-510
Chapter 32. Child With a Metabolic Condition............................................................................. 510-522
Chapter 33. Child With a Musculoskeletal Condition .................................................................. 522-536
Chapter 34. Child With a Gastrointestinal Condition ................................................................. 536-556
Chapter 35. Child With a Genitourinary Condition ...................................................................... 556-572
Chapter 36. Child With a Skin Condition ..................................................................................... 572-591
Chapter 37. Child With a Communicable Disease ....................................................................... 591-603
Chapter 38. Child With an Oncological or Hematological............................................................. 603-620
,Safe Maternity and Pediatric Nursing Care 2nd Edition Linnard-Palmer Test Bank
Chapter 1. Introduction to Maternity and Pediatric Nursing
MULTIPLE CHOICE
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her pregnancy.
What does the CNMs scope of practice include?
a. Practice independent from medical supervision
b. Comprehensive prenatal care
c. Attendance at all deliveries
d. Cesarean sections 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: Preventionand Early Detection of Disease
2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
and unwashed hands?
a. Karl Cred
b. Ignaz Semmelweis
c. Louis Pasteur
d. Joseph Lister ANS: B
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
unwashed hands of physicians and medicalstudents.
DIF: Cognitive Level: Knowledge REF: Page 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.
d. Your condition will be monitored during labor and delivery. ANS: C
Asking the patient about her concerns helps promote understanding and individualizes patient care.
DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity:
Psychological Adaptation
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 ANS: D
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live birth s per year.
DIF: Cognitive Level: Comprehension REF: Page 12, 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 ftraditional ffamily funit
c. Separation fof flabor frooms ffrom f delivery frooms
d. A fquality ffamily fexperience ffor feach fpatient f ANS: fD
Current fmaternity fpractice ffocuses fon fa fhigh-quality ffamily fexperience ffor fall f families,
ftraditional for fotherwise.
DIF: fCognitive fLevel: fComprehension fREF: fPage f6 fOBJ: f7
TOP: fThe fPresent-Maternity fCare fKEY: fNursing fProcess fStep: fN/A fMSC: fNCLEX: fHealth fPromotion fand
fMaintenance
6. Who f advocated fthe festablishment fof fthe fChildrens fBureau?
a. Lillian fWald
b. Florence f Nightingale
c. Florence fKelly
d. Clara fBarton fANS: fA
Lillian fWald fis fcredited fwith fsuggesting fthe festablishment fof fa ffederal fChildrens fBureau.
DIF: fCognitive fLevel: fKnowledge fREF: fPage f4 fOBJ: f1 f| f2 fTOP: fThe fPast fKEY: f Nursing fProcess fStep:
fImplementation
MSC: fNCLEX: fHealth f Promotion fand fMaintenance: fGrowth fand fDevelopment
7. What fwas fthe fresult fof fresearch fdone fin fthe f1930s f by fthe fChildrens fBureau?
a. Children fwith fheart fproblems fare fnow fcared ffor fby fpediatric fcardiologists.
b. The fChild fAbuse fand fPrevention fAct fwas fpassed.
c. Hot flunch fprograms f were festablished fin fmany fschools.
d. Childrens fasylums fwere ffounded. fANS: fC
Schoolhot flunch fprograms fwere fdeveloped fas fa fresult fof fresearch fby fthe fChildrens fBureau fon
fthe feffects fof feconomic fdepression fon fchildren.
,DIF: fCognitive fLevel: fKnowledge fREF: fPage f4 fOBJ: f2 f| f3 fTOP: fThe fPast fKEY: f Nursing fProcess
fStep: fN/A fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fCoordinated fCare
8. What fgovernment fprogram fwas fimplemented fto fincrease fthe feducational fexposure fof
fpreschool fchildren?
a. WIC
b. Title fXIX fof fMedicaid
c. The fChildrens fCharter
d. Head fStart ANS: D
Head fStart fprograms fwere festablished fto fincrease feducationalexposure fof fpreschool fchildren.
DIF: fCognitive fLevel: fKnowledge fREF: fPage f3 f OBJ: f5
TOP: fGovernment fInfluences fin fMaternity fand fPediatric fCare fKEY: f Nursing fProcess fStep: fN/A
fMSC: fNCLEX: fHealth fPromotion fand fMaintenance: fGrowth fand fDevelopment
9. What fguidelines fdefine fmultidisciplinary fpatient fcare fin fterms fof fexpected
foutcome fand ftimeframe ffrom fdifferent fareas fof fcare fprovision?
a. Clinical fpathways
b. Nursing foutcome fcriteria
c. Standards fof fcare
d. Nursing fcare fplanANS: A
Clinical f pathways, falso fknown fas fcritical fpathways for fcare fmaps, fare fcollaborative fguidelines fthat
fdefine fpatient fcare facross fdisciplines. fExpected fprogress fwithin fa fspecified ftimeline fis fidentified.
DIF: fCognitive fLevel: fKnowledge fREF: fPage f12 f OBJ: f14
TOP: fHealth fCare fDelivery fSystems fKEY: fNursing fProcess fStep: fN/A fMSC: fNCLEX: fSafe, fEffective fCare
fEnvironment: fCoordinated fCare
10. A f nursing fstudent fhas freviewed fa fhospitalized fpediatric fpatient fchart, finterviewed fher
fmother, fand fcollected fadmission fdata. fWhat fis fthe fnext fstep fthe fstudent fwill ftake fto
fdevelop fa fnursing fcare fplan ffor fthis fchild?
, a. Identify fmeasurable foutcomes fwith fa ftimeline.
b. Choose fspecific fnursing finterventions ffor fthe fchild.
c. Determine fappropriate fnursing f diagnoses.
d. State fnursing factions frelated fto fthe fchilds fmedical fdiagnosis. f ANS: fC
The fnurse fuses fassessment fdata fto fselect fappropriate fnursing fdiagnoses ffrom fthe fNANDA-I
flist. fOutcomes fand finterventions fare fthen fdeveloped fto faddress fthe frelevant fnursing
fdiagnoses.
DIF: fCognitive fLevel: fApplication fREF: fPage f11 fOBJ: f13
TOP: fNursing fProcess fKEY: fNursing fProcess fStep: fNursing fDiagnosis fMSC: fNCLEX: fSafe, fEffective fCare
fEnvironment: fCoordinated fCare
11. A fnursing fstudent fon fan fobstetric frotation fquestions fthe ffloor fnurse fabout fthe
fdefinition fof fthe fLVN/LPN fscope fof fpractice. fWhat fresource fcan fthe f nurse fsuggest fto fthe
fstudent?
a. American fNurses fAssociation
b. States fboard fof fnursing
c. Joint fCommission
d. Association fof fWomens fHealth, fObstetric fand fNeonatal fNurses f ANS: fB
The fscope fof f practice fof f the fLVN/LPN fis fpublished fby fthe fstates fboard fof fnursing.
DIF: fCognitive fLevel: fComprehension fREF: fPage f3, fLegal fand fEthical fConsiderations fOBJ: f18 fTOP:
fCritical fThinking
KEY: fNursing fProcess fStep: fImplementation
MSC: fNCLEX: fSafe, fEffective fCare fEnvironment: fCoordinated fCare
12. What fwas frecommended fby fKarl fCred fin f1884?
a. All fwomen fshould fbe fdelivered fin fa fhospital fsetting.
b. Chemical fmeans fshould fbe fused fto fcombat finfection.
c. Podalic fversion fshould fbe fdone fon fall ffetuses.
