SAFE MATERNITY
vgvu AND PEDIATRIC NURSING CARE 2ND EDITION
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Chapter 1. Introduction to Maternity and Pediatric Nursing
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MULTIPLE CHOICE
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1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
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vg vu pregnancy. What does the CNMs scope of practice include? vgvu vgvu vgvu vgvu vgvu v gv u v gv u vg vu
a. Practice independent from medical supervision v g v u v g v u v g v u v g v u
b. Comprehensive prenatal care v g v u v g v u
c. Attendance at all deliveries v g v u v g v u v g v u
d. Cesarean sections vgvu
vg vu ANS: B vgvu
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
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vg vu and ensures that a backup physician is available in case of unforeseen problems.
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DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 12
v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u
MSC: 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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vg vu and unwashed hands?
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a. Karl Cred v g v u
b. Ignaz Semmelweis v g v u
c. Louis Pasteur vg vu
d. JosephLister vgu
vg vu ANS: B vgvu
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the
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vg vu unwashed hands of physicians and medical students. vgvu vgvu vgvu vgvu vgvu vg vu
DIF: Cognitive Level: Knowledge REF: Page 2 OBJ: 1
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TOP: The Past KEY: Nursing Process Step: N/A
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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, I
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,am afraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response
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vg vu reflecting cultural sensitivity? vgvu vgvu
a. Maternal mortality in the United States is extremely low. v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u
b. Anesthesia is available to relieve pain during labor and childbirth. v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u
c. Tell me why you are afraid of childbirth. vgv u vg vu vg vu v gv u vg vu v gv u v gv u
d. Your condition will be monitored during labor and delivery. vgvu vgvu vgvu vgvu vgvu vg vu v gvu vg vu
vg vu ANS: C vgvu
Asking the patient about her concerns helps promote understanding and individualizes patient care.
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DIF: Cognitive Level: Application REF: Page 7-8 OBJ: 8
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TOP: Cross-Cultural Care KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
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4. An urban area has been reported to have a high perinatal mortality rate. What information does this
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vg vu provide?
a. Maternal and infant deaths per 100,000 live births per year v gv u v g v u v g v u v g v u v g v u v g v u v g v u v g vu v g v u
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year v gv u v g vu vg vu v g v u v g vu v gv u v g v u v gv u v gv u v g v u v gv u v gv u
c. Deaths of infants up to 1 year of age per 1000 live births per year vgvu vgvu vg vu vgvu vg vu vgv u vgvu vgvu vg vu vgvu vgvu v gvu v gvu vgv u
d. Fetal and neonatal deaths per 1000 live births per year vgvu vgvu vgvu vgvu vg vu vgvu vg vu v gv u vg vu
vg vu ANS: D vgvu
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u
DIF: Cognitive Level: Comprehension REF: Page 12, Box 1-6
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vg vu OBJ: 9 TOP: The Present-Child Care
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KEY: Nursing Process Step: Implementation v g v u v g v u v g v u v g v u
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. What is the focus of current maternity practice? v gv u v g v u v g v u v g v u v g vu v g v u v g v u
a. Hospital births for the majority of women v g vu v g v u v g v u v g v u v g v u v g v u
b. The traditional family unit v g v u v g v u v g v u
c. Separation of labor rooms from delivery rooms v g v u v g v u v g v u v g v u v g v u v g v u
d. A quality family experience for each patient
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vg vu ANS: D vgvu
Current maternity practice focuses on a high-quality family experience for all families, traditional
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vg vu or otherwise.
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,DIF: Cognitive Level: Comprehension REF: Page 6 OBJ: 7
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TOP: The Present-Maternity Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance
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6. Who advocated the establishment of the Childrens Bureau?
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a. Lillian Wald v g v u
b. Florence Nightingale v g v u
c. Florence Kelly v g v u
d. ClaraBarton vgu
vg vu ANS: A vgvu
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 1 | 2 TOP:
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The Past KEY: Nursing Process Step: Implementation
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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 Childrens Bureau?
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a. Children with heart problems are now cared for by pediatric cardiologists. v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u v g v u
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. Childrens asylums were founded. vgvu vgvu vgvu
vg vu ANS: C vgvu
School hot lunch programs were developed as a result of research by the Childrens Bureau on the
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vg vu effects of economic depression on children.
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DIF: Cognitive Level: Knowledge REF: Page 4 OBJ: 2 | 3
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TOP: The Past KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
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8. What government program was implemented to increase the educational exposure of
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vg vu preschool children? vgvu
a. WIC
b. Title XIX of Medicaid vgv u vg vu vgv u
c. The Childrens Charter v g v u v g v u
d. HeadStart vgu
vg vu ANS: D vgvu
Head Start programs were established to increase educational exposure of preschool children.
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, DIF: Cognitive Level: Knowledge REF: Page 3 OBJ: 5
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TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process Step: N/A
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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
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9. What guidelines define multidisciplinary patient care in terms of expected outcome and
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vg vu timeframe from different areas of care provision? vgv u vgvu vgvu vgvu vgvu vgvu
a. Clinical pathways v g v u
b. Nursing outcome criteria v g v u v g v u
c. Standards of care vg vu v gv u
d. Nursing care plan vgvu vgvu
vg vu ANS: A vgvu
Clinical pathways, also known as critical pathways or care maps, are collaborative guidelines that
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vg vu define patient care across disciplines. Expected progress within a specified timeline is identified.
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DIF: Cognitive Level: Knowledge REF: Page 12 OBJ: 14
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TOP: Health Care Delivery Systems KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. A nursing student has reviewed a hospitalized pediatric patient chart, interviewed her mother,
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vg vu and collected admission data. What is the next step the student will take to develop
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v g v u a nursing care plan for this child?
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a. Identify measurable outcomes with a timeline. v g v u v g v u v g v u v g v u v g v u
b. Choose specific nursing interventions for the child. v g v u v g v u v g v u v g v u v g v u v g v u
c. Determine appropriate nursing diagnoses. v g v u v g v u v g v u
d. State nursing actions related to the childs medical diagnosis. vgvu vgvu vgvu vgvu vgvu vgvu v gv u v gv u
vg vu ANS: C vgvu
The nurse uses assessment data to select appropriate nursing diagnoses from the NANDA-I list.
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vg vu Outcomes and interventions are then developed to address the relevant nursing diagnoses.
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DIF: Cognitive Level: Application REF: Page 11 OBJ: 13
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TOP: Nursing Process KEY: Nursing Process Step: Nursing Diagnosis
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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11. A nursing student on an obstetric rotation questions the floor nurse about the definition of the
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vg vu LVN/LPN scope of practice. What resource can the nurse suggest to the student? vg vu vgvu vgvu vgvu vgvu v gv u vg vu v gv u vg vu vg vu vgvu v gv u
a. American Nurses Association v g v u v g v u