, ss s s
Introduction to Maternityand Pediatric ll ll l ll
Nursing,8th Edition by Gloria Leifer
l l ll ll l ll
UNIT I: An Overview ofMaternity andPediatric Nursing
ss ss ll ss s ss s ss
Chapter 1:ThePast, Present, andFuture
s s ss ss s
UNIT II: Maternal-Newborn Nursing and Women’s
ss ss ss ss ss
HealthChapter 2: Human Reproductive Anatomy and
ss ss ss ss ss ss
Physiology Chapter 3: Fetal Development
ss ss s s ss ss
Chapter 4: Prenatal Care and Adaptations to Pregnancy
ss ss ss ll ss ss s
Chapter 5: Nursing Care of Women with Complications during
ss ss ss ss ss ss ss ss ss
PregnancyChapter 6: Nursing Care of Mother and Infant during Labor and ss ss ss ss ss ss ss ss ss ss
Birth Chapter 7: NursingManagement of Pain duringLabor and Birth
ss ss s s ss s ss ss ss s ss s
Chapter 8:NursingCare of Women with Complications duringLabor
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and Birth
ss ll
Chapter 9:TheFamilyafter Birth
ss s s s
Chapter 10: Nursing Care of Women with Complications Following
ss ss ss ss ss ss ss ss
BirthChapter 11: TheNurse’s Role in Women’s Health Care
ss s s ss s ss ss ss ss ss
Chapter 12: TheTermNewborn
ss ss ss
Chapter 13: Preterm and Post-TermNewborns
s s ss ll ss
Chapter 14:TheNewbornwitha PerinatalInjuryor
ss ss s ss s s
Congenital Malformation
ss ll
UNIT III:TheGrowing Child andFamily
ss s ss ss s
Chapter 15:AnOverviewof Growth, Development, andNutrition Chapter
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16:TheInfant
ss s s
Chapter 17: The Toddler ss ss
Chapter 18:ThePreschool Child
ss ss ss
Chapter 19: TheSchool-Age
ss ss ss
Child Chapter 20:TheAdolescent
ss ll ss s
UNIT IV:Adapting Care to the Pediatric Patient
ss s ss s ss ss ss
Chapter 21: The Child’s Experience of Hospitalization
ss ss ss ss ss ss ss
Chapter 22: HealthCareAdaptations for theChildand
ss ss ss ss ss
FamilyUNIT V:The Child Needing Nursing Care
ss s s s ss ss ss ss
Chapter 23: The Child with a Sensory or Neurological
ss ss ss ss ss ss ss ss ss
Condition Chapter 24: TheChild with a Musculoskeletal
ss ll ss ss ss s ss
Condition Chapter 25:TheChild witha RespiratoryDisorder
ss s s s ss s s s
Chapter 26:TheChild witha Cardiovascular Disorder
ss ss ss ss ss
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System Chapter
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ll
28: The Child witha Gastrointestinal Condition
ss ss ss ss s s ss
Chapter 29:TheChild witha GenitourinaryCondition Chapter
ss s s s ss s ll
30: TheChild witha Skin Condition
ss ss ss s s ss
Chapter 31:TheChild witha Metabolic Condition
ss s ss s ss s
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
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Child Patient
ss ll
Chapter 33:TheChild withan Emotional or BehavioralCondition
ss s ss ll ss ss s
UNIT VI:The Changing Health Care Environment
ss s ss ss ll ss
Chapter 34:Complementaryand AlternativeTherapies inMaternityand Pediatric Nursing
ss s s ss ll ss
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK ss ss ss ss ss ss ss ss ss ss
2
Chapter01:The Past,Present,andFuture s s ss s s s
MULTIPLE CHOICE s s
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
ss s s s s s s ss ss s s s s ss s s s s s s s s
pregnancy. What does the CNMs scope of practice include?
s s s s ss ll ss ss ss ss ss
a. Practice independent from medical ss s s s s
supervision b. Comprehensive prenatal care
ss ll sll ll ll
c. Attendance at all deliveries ss ss ss
d. Cesarean sections ss
ANS: B ss
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
s s s s s s s s ss s s s s ss s s s s
and ensures that a backup physician is available in case of unforeseen problems.
s s ss ll ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension REF: Page 6
ss s s s s s s s s s s
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
s s s s ss s s s s s s ss s s s s
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
s s s s ss ss s s s s ss ss ss s s ss
2. Which medical pioneer discovered the relationship between the incidence of puerperal
s s s s s s ss s s ss ss s s s s s s
fever and unwashed hands?
s s s s ss ll
a. Karl Cred ss
b. Ignaz Semmelweis
ss sll ss
c. Louis Pasteur s s
d. Joseph Lister s s
ANS: B ss
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands
ss ss ss ss ss ss ss ss ss ss ss ss ss ll
ofphysicians and medicalstudents.
ss s ss
DIF: Cognitive Level: Knowledge REF:
s s s s s s s s
Page 2 TOP: The Past KEY: Nursing Process
s s ss ll ss ss s s ss ss
Step: N/A
s s ss
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
s s s s s s s s s s s s ss ss ss
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
s s s s s s s s ss ss ss ss s s ss s s s s ss ss s s
amafraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
cultural sensitivity?
ss ss
a. Maternal mortality in the United States is extremely low. s s ss ss s s s s ss ss ss
b. Anesthesia is available to relieve pain during labor and childbirth. c. ss ss ss ss ss ss ss ss ss ll
Tell me why you are afraid of childbirth.
ll ss sll ss ll ll ll ll ll ll
d. Your condition will be monitored during labor and delivery.
s s ss ss ss ss s s ss s s ss
ANS: C ss
Asking the patient about her concerns helps
ss ss ss s s s s s s s s promote understanding and individualizes patient care. ss ss ss s s s s
DIF: Cognitive Level: Application REF: Page 7
ss s s ss ss ss ss
TOP: Cross-Cultural Care KEY: Nursing Process Step:
s s s s s s s s s s s s
Implementation MSC: NCLEX: Psychosocial Integrity: ll ss ss ss
Psychological Adaptation
s s ss
4. An urban area has been reported to have a high perinatal mortality rate. What information does this
ss ss s s ss ss ss ss ss s s ss s s ss s s ss s s ss
provide?s s
a. Maternal and infant deaths per 100,000 live births per year ss ss ss s s ss s s ss ss s s
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
ss ss s s s s ss ss s s ss s s ss s s ss
c. Deaths of infants up to 1 year of age per 1000 live births per
ss ss ss ss ss ss s s ss s s s s ss ss ss
year d. Fetal and neonatal deaths per 1000 live births per year
ll sll ss ll ll ll sll ll ll ll sll ll
ANS: D ss
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
ss s s ss ss s s ss ss s s s s s s ss ss ss
ss year.DIF: Cognitive Level: Comprehension REF: Page 12 ss ss ss ss s s ss
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK ss ss ss ss ss ss ss ss ss ss
3
OBJ: 9 TOP: The Present-Child Care
s s ss ss ss s s
KEY: Nursing Process Step: Implementation
s s ss s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s s s s s s ss
5. What is the focus of current maternity practice?
ss ss ss ss ss s s s s
a. Hospital births for the majority of women ss ss s s s s ss s s
b. The traditional family unit ss ss ss
c. Separation of labor rooms from s s ss ss s s
delivery rooms d.
s s ss ll ssl ssl
A quality family experience for each
ss ll ll sll ll ll
patient
ll
ANS: D ss
Current maternity practice focuses on a high-quality family experience for all families, traditional or
s s ss s s s s ss ss ss ss ss s s ss s s s s
otherwise.
s s
DIF: Cognitive Level: Comprehension REF: Page 6
ss s s ss ss ss ss
TOP: The Present-Maternity Care KEY: Nursing Process Step:
ss ss ss s s s s s s s s
N/A MSC: NCLEX: Health Promotion and Maintenance
ss ll ss ss ss ss ss
6. Who advocated the establishment of the Childrens Bureau? a.
ss ss ss ss ss ss ss ll
Lillian Wald
ll ll
b. Florence Nightingale ss
c. Florence Kelly ss
d. Clara Barton ss
ANS: A ss
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
ss ss s s ss ss ss ss s s ss s s ss s s
DIF: Cognitive Level: Knowledge REF: Page 4
ss s s ss ss s s ss
TOP: The Past KEY: Nursing Process Step: Implementation
ss ss s s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s s s ss s s s s s s ss ss
7. What was the result of research done in the 1930s by the Childrens Bureau?
ss ss ss ss ss s s ss ss ss ss ss s s ss
a. Children with heart problems are now cared for by pediatric cardiologists.
s s ss s s s s ss ss ss s s ss s s
b. The Child Abuse and Prevention Act was passed.
ss ss ss ss ss s s ss
c.Hot lunch programs were established in
s s sll sll ss ssl ssl ss sll sll ssl ssl
many schools.
d. Childrensss asylums were founded. s s s s ss
ANS: C ss
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects
ss ss s s s s ss ss ss ss s s ss ss ss s s s s ss ss s s
of economic depression on children.
ss ll ss ss ss
DIF: Cognitive Level: Knowledge REF:
s s s s s s s s
Page 4 TOP: The Past KEY: Nursing Process
s s ss ll ss ss s s ss ss
Step: N/A
s s ss
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
s s s s ss s s ss s s ss
8. What government program was implemented to increase the educational exposure of preschool
ss s s s s s s ss ss s s ss s s s s s s
children?s s
a. WIC
b. Title XIX of Medicaid ss s s s s
c. The Childrens s s
Charter d.
ss ll sll
Head Start
ss ll
ANS: D ss
Head Start programs ss ss s s were established to increase educational exposure of preschool children.
s s ss ss s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 3
ss s s ss ss s s ss
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
s s s s s s s s ss ss s s s s s s ss
Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s ss ll ss ss ss ss ss s s ss ss
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe
ss ss ss ss ss ss ss ss ss ss ss ss
Introduction to Maternityand Pediatric ll ll l ll
Nursing,8th Edition by Gloria Leifer
l l ll ll l ll
UNIT I: An Overview ofMaternity andPediatric Nursing
ss ss ll ss s ss s ss
Chapter 1:ThePast, Present, andFuture
s s ss ss s
UNIT II: Maternal-Newborn Nursing and Women’s
ss ss ss ss ss
HealthChapter 2: Human Reproductive Anatomy and
ss ss ss ss ss ss
Physiology Chapter 3: Fetal Development
ss ss s s ss ss
Chapter 4: Prenatal Care and Adaptations to Pregnancy
ss ss ss ll ss ss s
Chapter 5: Nursing Care of Women with Complications during
ss ss ss ss ss ss ss ss ss
PregnancyChapter 6: Nursing Care of Mother and Infant during Labor and ss ss ss ss ss ss ss ss ss ss
Birth Chapter 7: NursingManagement of Pain duringLabor and Birth
ss ss s s ss s ss ss ss s ss s
Chapter 8:NursingCare of Women with Complications duringLabor
ss ss s s ll ss ss ll ss s
and Birth
ss ll
Chapter 9:TheFamilyafter Birth
ss s s s
Chapter 10: Nursing Care of Women with Complications Following
ss ss ss ss ss ss ss ss
BirthChapter 11: TheNurse’s Role in Women’s Health Care
ss s s ss s ss ss ss ss ss
Chapter 12: TheTermNewborn
ss ss ss
Chapter 13: Preterm and Post-TermNewborns
s s ss ll ss
Chapter 14:TheNewbornwitha PerinatalInjuryor
ss ss s ss s s
Congenital Malformation
ss ll
UNIT III:TheGrowing Child andFamily
ss s ss ss s
Chapter 15:AnOverviewof Growth, Development, andNutrition Chapter
ss s s ss ss ss s ll
16:TheInfant
ss s s
Chapter 17: The Toddler ss ss
Chapter 18:ThePreschool Child
ss ss ss
Chapter 19: TheSchool-Age
ss ss ss
Child Chapter 20:TheAdolescent
ss ll ss s
UNIT IV:Adapting Care to the Pediatric Patient
ss s ss s ss ss ss
Chapter 21: The Child’s Experience of Hospitalization
ss ss ss ss ss ss ss
Chapter 22: HealthCareAdaptations for theChildand
ss ss ss ss ss
FamilyUNIT V:The Child Needing Nursing Care
ss s s s ss ss ss ss
Chapter 23: The Child with a Sensory or Neurological
ss ss ss ss ss ss ss ss ss
Condition Chapter 24: TheChild with a Musculoskeletal
ss ll ss ss ss s ss
Condition Chapter 25:TheChild witha RespiratoryDisorder
ss s s s ss s s s
Chapter 26:TheChild witha Cardiovascular Disorder
ss ss ss ss ss
Chapter 27: The Child with a Condition of the Blood, Blood-Forming Organs or Lymphatic System Chapter
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ll
28: The Child witha Gastrointestinal Condition
ss ss ss ss s s ss
Chapter 29:TheChild witha GenitourinaryCondition Chapter
ss s s s ss s ll
30: TheChild witha Skin Condition
ss ss ss s s ss
Chapter 31:TheChild witha Metabolic Condition
ss s ss s ss s
Chapter 32: Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-
ss ss ss ss ss ss ss ss ss ss
Child Patient
ss ll
Chapter 33:TheChild withan Emotional or BehavioralCondition
ss s ss ll ss ss s
UNIT VI:The Changing Health Care Environment
ss s ss ss ll ss
Chapter 34:Complementaryand AlternativeTherapies inMaternityand Pediatric Nursing
ss s s ss ll ss
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK ss ss ss ss ss ss ss ss ss ss
2
Chapter01:The Past,Present,andFuture s s ss s s s
MULTIPLE CHOICE s s
1. A patient chooses to have the certified nurse midwife (CNM) provide care during her
ss s s s s s s ss ss s s s s ss s s s s s s s s
pregnancy. What does the CNMs scope of practice include?
s s s s ss ll ss ss ss ss ss
a. Practice independent from medical ss s s s s
supervision b. Comprehensive prenatal care
ss ll sll ll ll
c. Attendance at all deliveries ss ss ss
d. Cesarean sections ss
ANS: B ss
The CNM provides comprehensive prenatal and postnatal care, attends uncomplicated deliveries,
s s s s s s s s ss s s s s ss s s s s
and ensures that a backup physician is available in case of unforeseen problems.
s s ss ll ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Comprehension REF: Page 6
ss s s s s s s s s s s
TOP: Advance Practice Nursing Roles KEY: Nursing Process Step: Implementation
s s s s ss s s s s s s ss s s s s
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
s s s s ss ss s s s s ss ss ss s s ss
2. Which medical pioneer discovered the relationship between the incidence of puerperal
s s s s s s ss s s ss ss s s s s s s
fever and unwashed hands?
s s s s ss ll
a. Karl Cred ss
b. Ignaz Semmelweis
ss sll ss
c. Louis Pasteur s s
d. Joseph Lister s s
ANS: B ss
Ignaz Semmelweis deduced that puerperal fever was septic, contagious, and transmitted by the unwashed hands
ss ss ss ss ss ss ss ss ss ss ss ss ss ll
ofphysicians and medicalstudents.
ss s ss
DIF: Cognitive Level: Knowledge REF:
s s s s s s s s
Page 2 TOP: The Past KEY: Nursing Process
s s ss ll ss ss s s ss ss
Step: N/A
s s ss
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
s s s s s s s s s s s s ss ss ss
3. A pregnant woman who has recently immigrated to the United States comments to the nurse, I
s s s s s s s s ss ss ss ss s s ss s s s s ss ss s s
amafraid of childbirth. It is so dangerous. I am afraid I will die. What is the best nursing response reflecting
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
cultural sensitivity?
ss ss
a. Maternal mortality in the United States is extremely low. s s ss ss s s s s ss ss ss
b. Anesthesia is available to relieve pain during labor and childbirth. c. ss ss ss ss ss ss ss ss ss ll
Tell me why you are afraid of childbirth.
ll ss sll ss ll ll ll ll ll ll
d. Your condition will be monitored during labor and delivery.
s s ss ss ss ss s s ss s s ss
ANS: C ss
Asking the patient about her concerns helps
ss ss ss s s s s s s s s promote understanding and individualizes patient care. ss ss ss s s s s
DIF: Cognitive Level: Application REF: Page 7
ss s s ss ss ss ss
TOP: Cross-Cultural Care KEY: Nursing Process Step:
s s s s s s s s s s s s
Implementation MSC: NCLEX: Psychosocial Integrity: ll ss ss ss
Psychological Adaptation
s s ss
4. An urban area has been reported to have a high perinatal mortality rate. What information does this
ss ss s s ss ss ss ss ss s s ss s s ss s s ss s s ss
provide?s s
a. Maternal and infant deaths per 100,000 live births per year ss ss ss s s ss s s ss ss s s
b. Deaths of fetuses weighing more than 500 g per 10,000 births per year
ss ss s s s s ss ss s s ss s s ss s s ss
c. Deaths of infants up to 1 year of age per 1000 live births per
ss ss ss ss ss ss s s ss s s s s ss ss ss
year d. Fetal and neonatal deaths per 1000 live births per year
ll sll ss ll ll ll sll ll ll ll sll ll
ANS: D ss
The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per
ss s s ss ss s s ss ss s s s s s s ss ss ss
ss year.DIF: Cognitive Level: Comprehension REF: Page 12 ss ss ss ss s s ss
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK ss ss ss ss ss ss ss ss ss ss
3
OBJ: 9 TOP: The Present-Child Care
s s ss ss ss s s
KEY: Nursing Process Step: Implementation
s s ss s s s s
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s s s s s s s s s s s ss
5. What is the focus of current maternity practice?
ss ss ss ss ss s s s s
a. Hospital births for the majority of women ss ss s s s s ss s s
b. The traditional family unit ss ss ss
c. Separation of labor rooms from s s ss ss s s
delivery rooms d.
s s ss ll ssl ssl
A quality family experience for each
ss ll ll sll ll ll
patient
ll
ANS: D ss
Current maternity practice focuses on a high-quality family experience for all families, traditional or
s s ss s s s s ss ss ss ss ss s s ss s s s s
otherwise.
s s
DIF: Cognitive Level: Comprehension REF: Page 6
ss s s ss ss ss ss
TOP: The Present-Maternity Care KEY: Nursing Process Step:
ss ss ss s s s s s s s s
N/A MSC: NCLEX: Health Promotion and Maintenance
ss ll ss ss ss ss ss
6. Who advocated the establishment of the Childrens Bureau? a.
ss ss ss ss ss ss ss ll
Lillian Wald
ll ll
b. Florence Nightingale ss
c. Florence Kelly ss
d. Clara Barton ss
ANS: A ss
Lillian Wald is credited with suggesting the establishment of a federal Childrens Bureau.
ss ss s s ss ss ss ss s s ss s s ss s s
DIF: Cognitive Level: Knowledge REF: Page 4
ss s s ss ss s s ss
TOP: The Past KEY: Nursing Process Step: Implementation
ss ss s s s s s s s s s s
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s s s ss s s s s s s ss ss
7. What was the result of research done in the 1930s by the Childrens Bureau?
ss ss ss ss ss s s ss ss ss ss ss s s ss
a. Children with heart problems are now cared for by pediatric cardiologists.
s s ss s s s s ss ss ss s s ss s s
b. The Child Abuse and Prevention Act was passed.
ss ss ss ss ss s s ss
c.Hot lunch programs were established in
s s sll sll ss ssl ssl ss sll sll ssl ssl
many schools.
d. Childrensss asylums were founded. s s s s ss
ANS: C ss
School hot lunch programs were developed as a result of research by the Childrens Bureau on the effects
ss ss s s s s ss ss ss ss s s ss ss ss s s s s ss ss s s
of economic depression on children.
ss ll ss ss ss
DIF: Cognitive Level: Knowledge REF:
s s s s s s s s
Page 4 TOP: The Past KEY: Nursing Process
s s ss ll ss ss s s ss ss
Step: N/A
s s ss
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
s s s s ss s s ss s s ss
8. What government program was implemented to increase the educational exposure of preschool
ss s s s s s s ss ss s s ss s s s s s s
children?s s
a. WIC
b. Title XIX of Medicaid ss s s s s
c. The Childrens s s
Charter d.
ss ll sll
Head Start
ss ll
ANS: D ss
Head Start programs ss ss s s were established to increase educational exposure of preschool children.
s s ss ss s s s s s s s s s s
DIF: Cognitive Level: Knowledge REF: Page 3
ss s s ss ss s s ss
TOP: Government Influences in Maternity and Pediatric Care KEY: Nursing Process
s s s s s s s s ss ss s s s s s s ss
Step: N/A MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
s s ss ll ss ss ss ss ss s s ss ss
9. What guidelines define multidisciplinary patient care in terms of expected outcome and timeframe
ss ss ss ss ss ss ss ss ss ss ss ss