INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 2
, INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 2
Chapter 01: The Past, Present, and Future
h h h h h h
MULTIPLEh CHOICE
1. Ahpatienthchooseshtohhavehthehcertifiedhnursehmidwifeh(CNM)hprovidehcarehduringhherhpregnancy.hWhathdoeshth
ehCNMshscopehofhpracticehinclude?
a. Practiceh independenth fromh medicalh supervision
b. Comprehensiveh prenatalh care
c. Attendancehathallh deliveries
d. Cesareanh sections
ANS:h B
ThehCNMhprovideshcomprehensivehprenatalhandhpostnatalhcare,hattendshuncomplicatedhdeliveries,handhensuresht
hathahbackuphphysicianhishavailablehinhcasehofhunforeseenhproblems.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6
TOP:h Advanceh Practiceh Nursingh Rolesh KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
2. Whichhmedicalhpioneerhdiscoveredhthehrelationshiphbetweenhthehincidencehofhpuerperalhfeverhandhunwashedhha
nds?
a. Karlh Cred
b. Ignazh Semmelweis
c. Louish Pasteur
d. Josephh Lister
ANS:h B
IgnazhSemmelweishdeducedhthathpuerperalhfeverhwashseptic,hcontagious,handhtransmittedhbyhthehunwashedhhand
shofhphysicianshandhmedicalhstudents.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh2hT
OP:h Theh Pasth KEY:h Nursingh Processh Step:h N/A
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Safetyh andh Infectionh Control
3. AhpregnanthwomanhwhohhashrecentlyhimmigratedhtohthehUnitedhStateshcommentshtohthehnurse,hIhamhafraidhofhch
ildbirth.hIthishsohdangerous.hIhamhafraidhIhwillhdie.hWhathishthehbesthnursinghresponsehreflectinghculturalhsensit
ivity?
a. Maternalh mortalityh inh theh Unitedh Statesh ish extremelyh low.
b. Anesthesiah ish availableh toh relieveh painh duringh laborh andh childbirth.
c. Tellh mehwhyh youharehafraidh ofhchildbirth.
d. Yourhconditionh willh beh monitoredh duringh laborh andh delivery.
ANS:h C
Askingh theh patienth abouth herh concernsh helpsh promoteh understandingh andh individualizesh patienth care.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 7
TOP:hCross-
CulturalhCarehKEY:hNursinghProcesshStep:hImplementationhMSC:hNCLE
X:h PsychosocialhIntegrity:h PsychologicalhAdaptation
4. Anh urbanh areah hash beenh reportedh toh haveh ah highh perinatalh mortalityh rate.h Whath informationh doesh thish provide?
a. Maternalh andh infanth deathsh perh 100,000h liveh birthsh perh year
b. Deathsh ofh fetusesh weighingh moreh thanh 500h gh perh 10,000h birthsh perh year
c. Deathsh ofh infantshuph toh 1h yearh ofh ageh perh 1000h liveh birthsh perh year
d. Fetalh andh neonatalh deathsh perh 1000h liveh birthsh perh year
ANS:h D
Thehperinatalhmortalityhratehincludeshfetalhandhneonatalhdeathshperh1000hlivehbirthshperhyear.h
DIF:hCognitivehLevel:hComprehensionhREF:hPageh12
, INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 3
OBJ:h 9h TOP:h Theh Present-Childh Care
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
5. Whath ish thehfocush ofh currenth maternityh practice?
a. Hospitalh birthsh forh theh majorityh ofh women
b. Theh traditionalh familyh unit
c. Separationh ofh laborh roomsh fromh deliveryh rooms
d. Ahqualityh familyh experienceh forh eachh patient
ANS:h D
Currenth maternityh practiceh focusesh onh ah high-qualityh familyh experienceh forh allh families,h traditionalh orh otherwise.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6
TOP:hThehPresent-
MaternityhCarehKEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hHealt
hhPromotionhandhMaintenance
6. Whoh advocatedh theh establishmenth ofh theh Childrensh Bureau?
a. Lillianh Wald
b. Florenceh Nightingale
c. Florenceh Kelly
d. Clarah Barton
ANS:h A
Lillianh Waldh ish creditedh withh suggestingh theh establishmenth ofh ah federalh Childrensh Bureau.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 4
TOP:h ThehPasth KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Growthh andh Development
NURSINGTB.COM
7. Whath wash thehresulth ofhresearchh donehinhtheh 1930sh byhtheh Childrensh Bureau?
a. Childrenh withh hearth problemsh arehnowhcaredh forh byh pediatrich cardiologists.
b. Theh Childh Abuseh andh Preventionh Acth wash passed.
c. Hoth lunchh programsh wereh establishedh inh manyh schools.
d. Childrensh asylumsh wereh founded.
ANS:h C
SchoolhhothlunchhprogramshwerehdevelopedhashahresulthofhresearchhbyhthehChildrenshBureauhonhtheheffectshofheconom
ichdepressionhonhchildren.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh4hT
OP:h Theh Pasth KEY:h Nursingh Processh Step:h N/A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Coordinatedh Care
8. Whath governmenth programh wash implementedh toh increaseh theh educationalh exposureh ofh preschoolh children?
a. WIC
b. Titleh XIXh ofh Medicaid
c. Theh Childrensh Charter
d. Headh Start
ANS:h D
Headh Starth programsh wereh establishedh toh increaseh educationalh exposureh ofh preschoolh children.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 3
TOP:hGovernmenthInfluenceshinhMaternityhandhPediatrichCarehKEY:hNursinghProcesshStep:hN/Ah
MSC:hNCLEX:hHealthhPromotionhandhMaintenance:hGrowthhandhDevelopment
9. Whathguidelineshdefinehmultidisciplinaryhpatienthcarehinhtermshofhexpectedhoutcomehandhtimeframehfromhdi
fferenthareashofhcarehprovision?
, INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 4
a. Clinicalh pathways
b. Nursingh outcomeh criteria
c. Standardsh ofh care
d. Nursingh careh plan
ANS:h A
Clinicalhpathways,halsohknownhashcriticalhpathwayshorhcarehmaps,harehcollaborativehguidelineshthathdefinehpatie
nthcarehacrosshdisciplines.hExpectedhprogresshwithinhahspecifiedhtimelinehishidentified.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 12
TOP:hHealthhCarehDeliveryhSystemshKEY:hNursinghProcesshStep:hN/Ah
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare
10. Ahnursinghstudenthhashreviewedhahhospitalizedhpediatrichpatienthchart,hinterviewedhherhmother,handhcollectedha
dmissionhdata.hWhathishthehnexthstephthehstudenthwillhtakehtohdevelophahnursinghcarehplanhforhthishchild?
a. Identifyh measurableh outcomesh withh ah timeline.
b. Chooseh specifich nursingh interventionsh forh theh child.
c. Determineh appropriateh nursingh diagnoses.
d. Stateh nursingh actionsh relatedh toh theh childsh medicalh diagnosis.
ANS:h C
ThehnursehuseshassessmenthdatahtohselecthappropriatehnursinghdiagnoseshfromhthehNANDA-
Ihlist.hOutcomeshandhinterventionsharehthenhdevelopedhtohaddresshthehrelevanthnursinghdiagnoses.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 11
TOP:hNursinghProcesshKEY:hNursinghProcesshStep:hNursinghDiagnosish
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare
11. AhnursinghstudenthonhanhobstetrichrotationhquestionshthehfloorhnursehabouththehdefinitionhofhthehLVN/LPNhsc
opeh ofh practice.h Whath resourceh canh theh n urseNsUuRggSIeNstGtoT Bth. Ce OstM
ude nt?
a. Americanh Nursesh Association
b. Statesh boardh ofh nursing
c. JointhCommission
d. Associationh ofh Womensh Health,h Obstetrich andh Neonatalh Nurses
ANS:h B
Theh scopeh ofh practiceh ofh theh LVN/LPNh ish publishedh byh theh statesh boardh ofh nursing.
DIF:hCognitivehLevel:hComprehensionhREF:hPageh3h
OBJ:h18hTOP:hCriticalhThinking
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
12. Whath wash recommendedh byh Karlh Credh inh 1884?
a. Allh womenh shouldh behdeliveredh inh ah hospitalh setting.
b. Chemicalh meansh shouldh beh usedh toh combath infection.
c. Podalich versionh shouldh beh doneh onh allh fetuses.
d. Silverh nitrateh shouldhbeh placedh inh theh eyeshofh newborns.
ANS:h D
Inh1884hKarlhCredhrecommendedhthehusehofh2%hsilverhnitratehinhtheheyeshofhnewbornshtohreducehthehincidencehofhblin
dness.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 2
TOP:h Useh ofh Silverh Nitrateh KEY:h Nursingh Processh Step:h N/A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
13. Whath ish theh purposeh ofh theh Whiteh Househ Conferenceh onh Childrenh andh Youth?
a. Sethcriteriah forh normalh growthh patterns.
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 2
, INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 2
Chapter 01: The Past, Present, and Future
h h h h h h
MULTIPLEh CHOICE
1. Ahpatienthchooseshtohhavehthehcertifiedhnursehmidwifeh(CNM)hprovidehcarehduringhherhpregnancy.hWhathdoeshth
ehCNMshscopehofhpracticehinclude?
a. Practiceh independenth fromh medicalh supervision
b. Comprehensiveh prenatalh care
c. Attendancehathallh deliveries
d. Cesareanh sections
ANS:h B
ThehCNMhprovideshcomprehensivehprenatalhandhpostnatalhcare,hattendshuncomplicatedhdeliveries,handhensuresht
hathahbackuphphysicianhishavailablehinhcasehofhunforeseenhproblems.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6
TOP:h Advanceh Practiceh Nursingh Rolesh KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
2. Whichhmedicalhpioneerhdiscoveredhthehrelationshiphbetweenhthehincidencehofhpuerperalhfeverhandhunwashedhha
nds?
a. Karlh Cred
b. Ignazh Semmelweis
c. Louish Pasteur
d. Josephh Lister
ANS:h B
IgnazhSemmelweishdeducedhthathpuerperalhfeverhwashseptic,hcontagious,handhtransmittedhbyhthehunwashedhhand
shofhphysicianshandhmedicalhstudents.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh2hT
OP:h Theh Pasth KEY:h Nursingh Processh Step:h N/A
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Safetyh andh Infectionh Control
3. AhpregnanthwomanhwhohhashrecentlyhimmigratedhtohthehUnitedhStateshcommentshtohthehnurse,hIhamhafraidhofhch
ildbirth.hIthishsohdangerous.hIhamhafraidhIhwillhdie.hWhathishthehbesthnursinghresponsehreflectinghculturalhsensit
ivity?
a. Maternalh mortalityh inh theh Unitedh Statesh ish extremelyh low.
b. Anesthesiah ish availableh toh relieveh painh duringh laborh andh childbirth.
c. Tellh mehwhyh youharehafraidh ofhchildbirth.
d. Yourhconditionh willh beh monitoredh duringh laborh andh delivery.
ANS:h C
Askingh theh patienth abouth herh concernsh helpsh promoteh understandingh andh individualizesh patienth care.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 7
TOP:hCross-
CulturalhCarehKEY:hNursinghProcesshStep:hImplementationhMSC:hNCLE
X:h PsychosocialhIntegrity:h PsychologicalhAdaptation
4. Anh urbanh areah hash beenh reportedh toh haveh ah highh perinatalh mortalityh rate.h Whath informationh doesh thish provide?
a. Maternalh andh infanth deathsh perh 100,000h liveh birthsh perh year
b. Deathsh ofh fetusesh weighingh moreh thanh 500h gh perh 10,000h birthsh perh year
c. Deathsh ofh infantshuph toh 1h yearh ofh ageh perh 1000h liveh birthsh perh year
d. Fetalh andh neonatalh deathsh perh 1000h liveh birthsh perh year
ANS:h D
Thehperinatalhmortalityhratehincludeshfetalhandhneonatalhdeathshperh1000hlivehbirthshperhyear.h
DIF:hCognitivehLevel:hComprehensionhREF:hPageh12
, INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 3
OBJ:h 9h TOP:h Theh Present-Childh Care
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
5. Whath ish thehfocush ofh currenth maternityh practice?
a. Hospitalh birthsh forh theh majorityh ofh women
b. Theh traditionalh familyh unit
c. Separationh ofh laborh roomsh fromh deliveryh rooms
d. Ahqualityh familyh experienceh forh eachh patient
ANS:h D
Currenth maternityh practiceh focusesh onh ah high-qualityh familyh experienceh forh allh families,h traditionalh orh otherwise.
DIF:h Cognitiveh Level:h Comprehensionh REF:h Pageh 6
TOP:hThehPresent-
MaternityhCarehKEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hHealt
hhPromotionhandhMaintenance
6. Whoh advocatedh theh establishmenth ofh theh Childrensh Bureau?
a. Lillianh Wald
b. Florenceh Nightingale
c. Florenceh Kelly
d. Clarah Barton
ANS:h A
Lillianh Waldh ish creditedh withh suggestingh theh establishmenth ofh ah federalh Childrensh Bureau.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 4
TOP:h ThehPasth KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Growthh andh Development
NURSINGTB.COM
7. Whath wash thehresulth ofhresearchh donehinhtheh 1930sh byhtheh Childrensh Bureau?
a. Childrenh withh hearth problemsh arehnowhcaredh forh byh pediatrich cardiologists.
b. Theh Childh Abuseh andh Preventionh Acth wash passed.
c. Hoth lunchh programsh wereh establishedh inh manyh schools.
d. Childrensh asylumsh wereh founded.
ANS:h C
SchoolhhothlunchhprogramshwerehdevelopedhashahresulthofhresearchhbyhthehChildrenshBureauhonhtheheffectshofheconom
ichdepressionhonhchildren.
DIF:hCognitivehLevel:hKnowledgehREF:hPageh4hT
OP:h Theh Pasth KEY:h Nursingh Processh Step:h N/A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Coordinatedh Care
8. Whath governmenth programh wash implementedh toh increaseh theh educationalh exposureh ofh preschoolh children?
a. WIC
b. Titleh XIXh ofh Medicaid
c. Theh Childrensh Charter
d. Headh Start
ANS:h D
Headh Starth programsh wereh establishedh toh increaseh educationalh exposureh ofh preschoolh children.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 3
TOP:hGovernmenthInfluenceshinhMaternityhandhPediatrichCarehKEY:hNursinghProcesshStep:hN/Ah
MSC:hNCLEX:hHealthhPromotionhandhMaintenance:hGrowthhandhDevelopment
9. Whathguidelineshdefinehmultidisciplinaryhpatienthcarehinhtermshofhexpectedhoutcomehandhtimeframehfromhdi
fferenthareashofhcarehprovision?
, INTRODUCTIONhTOhMATERNITYhANDhPEDIATRIChNURSINGh8THhEDITIONhLEIFERhTESThBANK
TesthBankh-hIntroductionhtohMaternityhandhPediatrichNursingh8eh(byhLeifer) 4
a. Clinicalh pathways
b. Nursingh outcomeh criteria
c. Standardsh ofh care
d. Nursingh careh plan
ANS:h A
Clinicalhpathways,halsohknownhashcriticalhpathwayshorhcarehmaps,harehcollaborativehguidelineshthathdefinehpatie
nthcarehacrosshdisciplines.hExpectedhprogresshwithinhahspecifiedhtimelinehishidentified.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 12
TOP:hHealthhCarehDeliveryhSystemshKEY:hNursinghProcesshStep:hN/Ah
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare
10. Ahnursinghstudenthhashreviewedhahhospitalizedhpediatrichpatienthchart,hinterviewedhherhmother,handhcollectedha
dmissionhdata.hWhathishthehnexthstephthehstudenthwillhtakehtohdevelophahnursinghcarehplanhforhthishchild?
a. Identifyh measurableh outcomesh withh ah timeline.
b. Chooseh specifich nursingh interventionsh forh theh child.
c. Determineh appropriateh nursingh diagnoses.
d. Stateh nursingh actionsh relatedh toh theh childsh medicalh diagnosis.
ANS:h C
ThehnursehuseshassessmenthdatahtohselecthappropriatehnursinghdiagnoseshfromhthehNANDA-
Ihlist.hOutcomeshandhinterventionsharehthenhdevelopedhtohaddresshthehrelevanthnursinghdiagnoses.
DIF:h Cognitiveh Level:h Applicationh REF:h Pageh 11
TOP:hNursinghProcesshKEY:hNursinghProcesshStep:hNursinghDiagnosish
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare
11. AhnursinghstudenthonhanhobstetrichrotationhquestionshthehfloorhnursehabouththehdefinitionhofhthehLVN/LPNhsc
opeh ofh practice.h Whath resourceh canh theh n urseNsUuRggSIeNstGtoT Bth. Ce OstM
ude nt?
a. Americanh Nursesh Association
b. Statesh boardh ofh nursing
c. JointhCommission
d. Associationh ofh Womensh Health,h Obstetrich andh Neonatalh Nurses
ANS:h B
Theh scopeh ofh practiceh ofh theh LVN/LPNh ish publishedh byh theh statesh boardh ofh nursing.
DIF:hCognitivehLevel:hComprehensionhREF:hPageh3h
OBJ:h18hTOP:hCriticalhThinking
KEY:h Nursingh Processh Step:h Implementation
MSC:h NCLEX:h Safe,h Effectiveh Careh Environment:h Coordinatedh Care
12. Whath wash recommendedh byh Karlh Credh inh 1884?
a. Allh womenh shouldh behdeliveredh inh ah hospitalh setting.
b. Chemicalh meansh shouldh beh usedh toh combath infection.
c. Podalich versionh shouldh beh doneh onh allh fetuses.
d. Silverh nitrateh shouldhbeh placedh inh theh eyeshofh newborns.
ANS:h D
Inh1884hKarlhCredhrecommendedhthehusehofh2%hsilverhnitratehinhtheheyeshofhnewbornshtohreducehthehincidencehofhblin
dness.
DIF:h Cognitiveh Level:h Knowledgeh REF:h Pageh 2
TOP:h Useh ofh Silverh Nitrateh KEY:h Nursingh Processh Step:h N/A
MSC:h NCLEX:h Healthh Promotionh andh Maintenance:h Preventionh andh Earlyh Detectionh ofh Disease
13. Whath ish theh purposeh ofh theh Whiteh Househ Conferenceh onh Childrenh andh Youth?
a. Sethcriteriah forh normalh growthh patterns.
