Test Bank For Introduction to Maternity and Pediatric Nursing, 10th Edition, By Gloria Leifer, All Chapters 1-34. Latest 2025

1

,xxxx
2




Chapter 01: The Past, Present, and Future
xx xx xx xx xx xx


Leifer: Introduction to Maternity and Pediatric Nursing, 10th Edition
xx xx xx xx xx xx xx xx




MULTIPLE CHOICE xx




1. A patient chooses to have the certified nurse-
xx xx xx xx xx xx xx


midwife (CNM) provide care during herpregnancy. Wha
xx xx xx xx xx xx


t does the CNM‗s scope of practice include?
xx xx xx xx xx xx xx

, 1
a. Practice independent from medical supervision
xx xx xx xx


b. Comprehensive prenatal care xx xx


c. Attendance at all deliveries xx xx xx


d. Cesarean sections xx




ANS: B x x


The CNM provides comprehensive prenatal and postnatal
xx xx xx xx xx xx xx


care, attends uncomplicated deliveries, and ensures that a
xx xx xx xx xx xx xx x


backup physician is available in case of unforeseen probl
x xx xx xx xx xx xx xx xx


ems.

DIF: Cognitive Level: Comprehension xx xx


REF: p. 6 xx xx


xx OBJ: 5 xx


TOP: x x Advance Practice Nursing Roles xx xx xx


KEY: Nursing Process Step: Implementation M xx xx xx xx xx


SC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
xx xx xx xx xx xx xx xx xx xx xx




2. Which medical pioneer discovered the relationship between the incidence of puerperal fev
xx xx xx xx xx xx xx xx xx xx xx


er and unwashed hands?
xx xx xx


a. Karl Credé xx


b. Ignaz Semmelweis xx


c. Louis Pasteur xx


d. Joseph Lister xx




ANS: B x x


Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted b
xx xx xx xx xx xx xx xx xx xx xx


y the unwashed hands of physicians and medical students.
xx xx xx xx xx xx xx xx




DIF: Cognitive Level: Knowledge REF: p. 2 xx xx x x xx


OBJ: 1 TOP: The Past xx xx x x xx


KEY: Nursing Process Step: N/A xx xx xx xx


MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
xx xx xx xx xx xx xx xx xx




3. A pregnant woman who has recently immigrated to the United States comments to the nurs
xx xx xx xx xx xx xx xx xx xx xx xx xx xx


e, ―I am afraid of childbirth. It is so dangerous. I am afraid I will die.‖ What is the best n
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx


ursing response reflecting cultural sensitivity?
xx xx xx xx


a. ―Maternal mortality in the United States is extremely low.‖ xx xx xx xx xx xx xx xx


b. ―Anesthesia is available to relieve pain during labor and childbirth.‖ xx xx xx xx xx xx xx xx xx


c. ―Tell me why you are afraid of childbirth.‖
xx xx xx xx xx xx xx


d. ―Your condition will be monitored during labor and delivery.‖
xx xx xx xx xx xx xx xx




ANS: C xx


Asking the patient about her concerns helps promote understanding and individualizes patient
xx xx xx xx xx xx xx xx xx xx xx xx


care.

DIF: Cognitive Level: Application xx xx REF: xxxx pp. 6-8 xx OBJ: 8 xx


TOP: Cross-Cultural Care
x x xx


KEY: Nursing Process Step: Implementatio xx xx xx xx


n MSC: NCLEX: Psychosocial Integrity: Psychological Adaptation
xx xx xx xx xx xx

, xxxx
4


4. An urban area has been reported to have a high perinatal mortality rate. What informati
xx xx xx xx xx xx xx xx xx xx xx xx xx xx


on does this provide?
xx xx xx


a. Maternal and infant deaths per 100,000 live births per year
xx xx xx xx xx xx xx xx xx


b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
xx xx xx xx xx xx xx xx xx xx xx xx


c. Deaths of infants up to 1 year of age per 1000 live births per year
xx xx xx xx xx xx xx xx xx xx xx xx xx xx


d. Fetal and neonatal deaths per 1000 live births per year
xx xx xx xx xx xx xx xx xx




ANS: D xx


The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx




DIF: Cognitive Level: Comprehension xx xx


REF: p. 13 | Box 1.6 OBJ: 9 TOP: The Present-
xx xx xx xx xx xx x x xx xx


Child Care xx


KEY: Nursing Process Step: Implementation
xx xx xx xx


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
xx xx xx xx xx xx xx




5. What is the focus of current maternity practice?
xx xx xx xx xx xx xx


a. Hospital births for the majority of women xx xx xx xx xx xx


b. The traditional family unit
xx xx xx


c. Separation of labor rooms from delivery rooms xx xx xx xx xx xx


d. A quality family experience for each patient
xx xx xx xx xx xx




ANS: D xx


Current maternity practice focuses on a high-
xx xx xx xx xx xx


quality family experience for all families, traditional or otherwise.
xx xx xx xx xx xx xx xx




DIF: Cognitive Level: Comprehension REF: p. 6 xx xx x x xx


OBJ: 5 TOP: The Present-Maternity Care xx xx x x xx xx


KEY: Nursing Process Step: N/A MSC: NCLEX: Health Promotion
xx xx xx xx xx xx xx xx xx


and Maintenance
xx




6. Who advocated the establishment of the Children‗s Bureau?
xx xx xx xx xx xx xx


a. Lillian Wald xx


b. Florence Nightingale xx


c. Florence Kelly xx


d. Clara Barton xx




ANS: A xx


Lillian Wald is credited with suggesting the establishment of a federal Children‗s Bureau.
xx xx xx xx xx xx xx xx xx xx xx xx




DIF: Cognitive Level: Knowledge REF: p. 4 xx xx x x xx


OBJ: 1 | 2 TOP: The Past xx xx xx xx x x xx


KEY: Nursing Process Step: Implementation
xx xx xx xx


MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
xx xx xx xx xx xx xx xx




7. What was the result of research done in the 1930s by the Children‗s Bureau?
xx xx xx xx xx xx xx xx xx xx xx xx xx


a. Children with heart problems are now cared for by pediatric cardiologists.
xx xx xx xx xx xx xx xx xx xx


b. The Child Abuse and Prevention Act was passed.
xx xx xx xx xx xx xx


c. Hot lunch programs were established in many schools.
xx xx xx xx xx xx xx


d. Children‗s asylums were founded. xx xx xx




ANS: C xx


School hot lunch programs were developed as a result of research by the Children‗s Bureau on
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx


the effects of economic depression on children.
xx xx xx xx xx xx xx




DIF: Cognitive Level: Knowledge xx xx REF: xxxx p. 4 xx OBJ: 2 | 3 xx xx xx