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n
,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Edition Leifer
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Chapter 01: The Past, Present, and Future
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Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
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MULTIPLE CHOICE ki
1. A patient chooses to have the certified nurse-
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midwife (CNM) provide care during herpregnancy. What
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does the CNM‗s scope of practice include?
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a. Practice independent from medical supervision ki ki ki ki
b. Comprehensive prenatal care ki ki
c. Attendance at all deliveries ki ki ki
d. Cesarean sections ki
ANS: B k i
The CNM provides comprehensive prenatal and postnatal c
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are, attends uncomplicated deliveries, and ensures that a ba
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ckup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension ki ki
REF: p. 6 ki ki k
OBJ: 5
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TOP: k i Advance Practice Nursing Roles ki ki ki
KEY: Nursing Process Step: Implementation MS ki ki ki ki ki
C: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
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2. Which medical pioneer discovered the relationship between the incidence of puerperal fever
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and unwashed hands?
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a. Karl Credé ki
b. Ignaz Semmelweis ki
c. Louis Pasteur ki
d. Joseph Lister ki
ANS: B k i
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by t
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he unwashed hands of physicians and medical students.
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DIF: Cognitive Level: Knowledge REF: p. 2 ki ki k i ki
OBJ: 1 TOP: The Past ki ki k i ki
KEY: Nursing Process Step: N/A ki ki ki ki
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
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3. A pregnant woman who has recently immigrated to the United States comments to the nurse,
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―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best nursing
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response reflecting cultural sensitivity? ki ki ki
a. ―Maternal mortality in the United States is extremely low.‖ ki ki ki ki ki ki ki ki
b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ ki ki ki ki ki ki ki ki ki
c. ―Tell me why you are afraid of childbirth.‖ ki ki ki ki ki ki ki
d. ―Your condition will be monitored during labor and delivery.‖
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ANS: C ki
Asking the patient about her concerns helps promote understanding and individualizes patient car
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e.
DIF: Cognitive Level: Application ki ki REF: kiki pp. 6-8 ki OBJ: 8 ki
TOP: Cross-Cultural Care k i ki
KEY: Nursing Process Step: Implementation ki ki ki ki k
MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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,Test Bank For Introduction to Maternity and Pediatric Nursing 9th Editio
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n
4. An urban area has been reported to have a high perinatal mortality rate. What information
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does this provide? ki ki
a. Maternal and infant deaths per 100,000 live births per year ki ki ki ki ki ki ki ki ki
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
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c. Deaths of infants up to 1 year of age per 1000 live births per year
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d. Fetal and neonatal deaths per 1000 live births per year
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ANS: D ki
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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DIF: Cognitive Level: Comprehension ki ki
REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present- ki ki ki ki ki ki k i ki ki
Child Care ki
KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice?
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a. Hospital births for the majority of women ki ki ki ki ki ki
b. The traditional family unit ki ki ki
c. Separation of labor rooms from delivery rooms ki ki ki ki ki ki
d. A quality family experience for each patient
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ANS: D ki
Current maternity practice focuses on a high-
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quality family experience for all families, traditional or otherwise.
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DIF: Cognitive Level: Comprehension REF: p. 6 ki ki k i ki
OBJ: 5 TOP: The Present-Maternity Care ki ki k i ki ki
KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion a ki ki ki ki ki ki ki ki ki
nd Maintenance
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6. Who advocated the establishment of the Children‗s Bureau?
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a. Lillian Wald ki
b. Florence Nightingale ki
c. Florence Kelly ki
d. Clara Barton ki
ANS: A ki
Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
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DIF: Cognitive Level: Knowledge REF: p. 4 ki ki k i ki
OBJ: 1 | 2 TOP: The Past ki ki ki ki k i ki
KEY: Nursing Process Step: Implementation ki ki ki ki
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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7. What was the result of research done in the 1930s by the Children‗s Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists.
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b. The Child Abuse and Prevention Act was passed.
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c. Hot lunch programs were established in many schools.
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d. Children‗s asylums were founded. ki ki ki
ANS: C ki
School hot lunch programs were developed as a result of research by the Children‗s Bureau on th
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e effects of economic depression on children.
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DIF: Cognitive Level: Knowledge ki ki REF: k iki p. 4 ki OBJ: 2 | 3 ki ki ki
,